Unco-vertebral arthrosis of the cervical spine C4, C5, C6: symptoms and treatment
Unco-vertebral arthrosis of the cervical spine is a chronic joint disease in which slow deformation occurs with dystrophic cartilage changes inside the joint.
Consequences are a violation of the mobility of limbs and joints associated with this part of the body, poor blood supply and innervation, which in the absence of proper treatment leads to necrotic changes.
What is unccovertebral arthrosis?
Uncovered vertebrae are called hook-like outgrowths on the vertebral surface. In some cases, vertebrae c5 c6 may deform in the cervical region, but much more often than on any other vertebrae, arthrosis c4 c6 occurs.
Uncovertebral arthrosis of the cervical spine is a disease of the joints of the cervical department of a chronic nature, which is manifested by the presence of hook-like outgrowths in the cartilage that disrupt the normal functioning of the brain structures, the mobility of the upper limbs and the head due to impaired circulation, innervation and compression of tissues.
If at first the arthrosis of unco-vertebral articulations does not bring severe discomfort, then in the future serious complications are possible. Numbness, difficulty in turning the head, dizziness and headaches should alert a person and force him to turn to a specialist to be able to prevent dystrophic changes that can not be cured.
What causes the disease?
It's safe to say that almost everyone is exposed to this disease. The main causes that cause this pathology are the following:
- Excessive stress on the cervical region. Sportsmen and people, whose profession is associated with constant weight lifting, often get physical loads on this part of the spine. As for sports, no load exceeding the normal capabilities of the human body does not pass without a trace.
- Low physical activity and lack of physical activity also lead to dystrophic changes.
- Monotonous movements in the cervical spine. Usually it occurs in people of specific professions: work on the assembly line, for example.
- Overweight. Completeness is accompanied by an excessive amount of fat, which accumulates in the intervertebral discs and leads to dystrophic changes in the cartilage.
- Heredity. Wrong articulation of the cervical vertebrae, which leads to a violation of blood circulation, innervation and changes in joints.
- Injuries. Injuries always lead to negative consequences in the structure and functioning of the joints.
- Inflammation. The inflammatory process adversely affects the trophic of the articular surfaces, which subsequently leads to the formation of hook-shaped outgrowths on the vertebral surface.
- Dysfunction in the functioning of the thyroid gland. Hypo-or hyperthyroidism leads to a disruption in metabolism and trophism.
The cartilage cartridges are broken due to the influence of such factors:
- blood supply disorder( as a result of which all nutrients are not delivered in sufficient quantities, and metabolic products are not removed in time, which leads to a slow toxic poisoning of the organism);
- innervation( impaired perception of cells by joints of signals or nutrients, which leads to insufficient absorption of oxygen and other necessary elements);
- malfunctioning of various organs( excessive or inadequate release of endocrine glands by hormones);
- disturbed metabolism( obesity - a violation of the exchange of proteins, fats and carbohydrates).
As a result of the violation of cartilage cartilage in the joint capsule, a change in the structure of the joint occurs. But with unco-vertebral arthrosis of the cervical spine, the intervertebral disc is thinning. The body compensatory attempts to facilitate the work of the disc and begins to form a hook-like outgrowth on the surface of the joint. However, any changes in the structure, especially the musculoskeletal system, adversely affect the functioning of other systems. In this case, mainly the nervous and circulatory system suffer. On the surface of the vertebrae there are special furrows, holes and grooves, through which the nerves and blood vessels pass. When these formations are transformed, their compression often occurs, which leads to dizziness, tissue hypoxia, sensitivity and mobility disorders.
What is the symptomatology of the pathology?
At the initial stage of unco-vertebral arthrosis of the cervical region, symptoms are most often absent. Only sharp, clearly localized pains in 1-2 vertebrae are possible with a sharp turn of the head or with heavy physical exertion. With the progression of the disease, pain and crunching are possible with normal exercise, during sleep or even at rest. Sleep usually becomes intermittent due to neck swelling or severe pain.
In the presence of initial symptoms of the disease, timely access to a specialist and observance of all the recommendations in the treatment in almost two weeks, it is possible to prevent the further spread of dystrophic changes in the cartilage fiber. When treating in a more neglected stage, there is no need to talk about full recovery, since the recovery process will be very long, the probability of relapse is high.
Signs of neglected diseases are more pronounced, and it is almost impossible to confuse them with other pathologies. The pain is present even in a state of rest, and when you turn the head there is a crunch and a sharp pain, which can irradiate to any place. There is a feeling of numbness in the neck and head, constant headaches, dizziness, impaired coordination and some disorientation in space. These symptoms are a consequence of a violation of the blood supply and innervation of the brain, its hypoxia.
In more serious disorders of unco-vertebral joints, a synovial cyst may form. The tumor squeezes the tissue, so there is a severe pain that can irradiate even in the leg, and in the absence of treatment causes neurotic diseases and paralysis. In addition, if the growth of the tumor is not prevented, it can pass to the dorsal and even the brain. Ultimately, complete immobility in the cervical spine can develop.
Tactics and methods of therapy
As with other diseases, the treatment of unco-vertebral arthrosis of the cervical spine begins with the elimination of the causes that caused this pathology. First of all, this reduces the burden on the cervical region or, if the arthrosis caused a lack of movement, an additional load, which is an element of therapeutic gymnastics performed in the absence of pain. It is necessary to reduce weight, and with it the fat layer in the neck region will go away, which will facilitate the passage of nutrients through the blood vessels and impulses along the nerve fibers.
Both during and after treatment, it is recommended to sleep on a special orthopedic pillow. The attending physician will individually select an orthopedic collar that will expand the intervertebral space and remove the symptoms: reduce pain, swelling, numbness.
The essence of curative gymnastics is to restore mobility in the transformed joints. Charge should be performed in a well-ventilated room or in the fresh air( ideally in a park or in a forest).It is better if the position of the patient is sedentary, so that when there is dizziness there is no chance of falling, bruises and concussion of the brain. Sharp movements should be excluded and when pain occurs, in this case, immediately stop the gym.
According to the doctor's prescription, a neck massage can be performed to restore blood circulation and maintain muscle tone. Massage can be with the use of cooling, warming or anesthetic ointments and oils.
Physiotherapy and acupuncture also have a positive effect on the treatment of unco-vertebral arthrosis of the cervical region.
The therapy of unco-vertebral arthrosis should be comprehensive, and one of the important elements is the taking of medications:
- Analgesics and spasmolytic to reduce pain and cramps, which in later stages of the disease can be quite strong.
- Vasodilators for improving blood supply to the neck and head. Since the vessels are narrowed due to the transformation of the joint, their expansion with the help of medications will strengthen the blood flow and fill the lack of oxygen and nutrients.
- Preparations that improve the nutrition of cartilaginous tissue, which contributes to the rapid restoration of the damaged joint.
- Anti-inflammatory drugs.
- Soothing drugs to keep the patient in a good mood and without the release of adrenaline - a stress hormone that narrows the blood vessels in response to stressful situations and increased nervous tension.
Both the joint itself and adjacent tissues, vessels and nerves are treated with this method.
Although folk methods of treatment do not have the desired effect of action, their influence makes life easier for the patient. Most ointments and compresses have an analgesic effect. Ointments for rubbing improve the blood supply of tissues that suffer from hypoxia, maintain muscle tone, and the risk of their dystrophy decreases.
In advanced stages of unco-vertebral arthrosis with insufficient effectiveness of medicines, acupuncture and physiotherapeutic procedures is treated by surgical procedure.
Treatment of arthrosis folk methods can only be done if there is no risk of allergic reactions and other side effects that will only aggravate the existing problems. We should not forget that folk methods are only an addition to the basic medical complex.
Unco-vertebral arthrosis of the cervical spine is a serious disease, but with timely access to a specialist in the early stages, it is easy to treat complexly.
Unco-vertebral arthrosis of the cervical spine: symptoms and treatment
Deforming or unco-vertebral arthrosis of the cervical spine is a lesion of the joints of the spine and intervertebral discs, in which there are bony outgrowths on the cervical vertebrae. From Latin, unco-vertebral means: the formation is like a hook + vertebra.
Many of us who feel pain and an unpleasant crunch when turning the head, can have this pathology. Let's see how dangerous it is and whether it can be treated.
Causes of unco-vertebral arthrosis
The causes that cause the disease can be conditionally divided into congenital and acquired. Congenital pathologies include anomalies in the development of cervical vertebrae. Among the acquired causes, the most common injuries are the cervical spine and the effects of flat feet.
A sedentary lifestyle and overweight can provoke a disease. And this affects most urban residents. But the rest of the population may be at risk, because weight lifting and unregulated physical activity can also cause disease.
What changes occur in the affected spine? In unco-vertebral arthrosis, the intervertebral disc is affected. Its cartilaginous tissue plays the role of a cushioning "padding" between the vertebrae. It protects the intervertebral nerves and vessels from damage. During the disease, the cartilaginous disc loses its fluid, becomes thin and less elastic. As a result, he can not perform his functions to the fullest, bulges out and squeezes nearby tissues, causing painful symptoms.
In addition, on the cervical vertebrae begin to appear osteophytes - acute spines from bone tissue. They grow towards each other and injure sensitive ligaments of the spine.
Symptoms and signs of
The main symptoms of development of arthrosis of univervertebral joints * are:
* Uncovertebral joints are joints( neoarthroses) forming between the hook-shaped processes of the cervical vertebrae and the base of the arch and / or the body of the overlying vertebra. Normally do not exist, are formed as a result of a decrease in the height of intervertebral discs.
- Severe pain in the area of the affected vertebra that is provoked by abrupt movements
- Subluxation of joints between arcuate processes that serve to connect two adjacent vertebrae
- Soreness enhanced by prolonged exposure in one pose
- Severe crunch when turning the neck
- Blood pressure changes
If you have these symptoms, you need an urgent examination with a neurologist or orthopedic vertebrologist. In the initial stages, this disease can be overcome. In later stages, treatment can only bring temporary relief.
Methods of treatment
Treatment of unco-vertebral arthrosis is performed on an outpatient basis and is aimed at the removal of pain and muscle spasm. When the disease worsens, the use of an orthopedic collar is necessary. It will help reduce the burden on the cervical vertebrae.
Medical treatment methods
Non-steroidal anti-inflammatory drugs for pain relief and inflammation( diclofenac, nimesulide)
Muscle relaxants for the removal of muscular tension( sirdalud)
To improve blood circulation and microcirculation in affected areas, the use of actovegin, curantyl
Chondroprotectors - drugs supplying cartilage cells necessary substancesto restore them. These medicines allow you to suspend the course of the disease and slow the destruction of intervertebral discs.
The treatment regimen and dosage of medications are prescribed individually after a thorough examination of the patient.
Physiotherapy has a good analgesic and anti-inflammatory effect, helps to eliminate unpleasant symptoms. The following 3 methods are the most effective and will really help to overcome uncoovertebral arthrosis:
- magnetotherapy - relieves pain, inflammation and swelling in the affected area with the help of the
- magnetic field. Sinusoidal modulated currents( amplipulse therapy) - Amplipulse apparatus that helps to get rid of painhelp modulated currents of different directions and frequency
- phonophoresis with a solution of novocaine or lidocaine - the administration of an anesthetic drug to the patient site with the help of ultrasound
massage is a very effective method. In combination with curative gymnastics and acupuncture, the health effect improves significantly. However, it must be remembered that the course is conducted during remission( without exacerbation of symptoms) - when there are no severe pains.
Absolute contraindication to the massage is the loss of the herniated intervertebral disc. This disease can be a complication of spinal arthrosis. Therefore, before proceeding to treatment, it is necessary to consult a specialist.
Remember that a timely visit to the doctor will help you to stay healthy. Only an experienced specialist can choose a complex treatment that will help to eliminate all unpleasant symptoms and will lead a full life.
Treatment of arthrosis of the cervical spine
Cervical osteochondrosis - we have already encountered this disease many times, and its seriousness was felt to the full, as this problem goes far beyond the cervical region. Sometimes the symptoms of the disease resemble diseases of the brain and cardiovascular system, and at critical moments can even lead to a stroke. And this greatly complicates the treatment. Now it is time to deal with another type of this disease.
This is arthrosis of the cervical department .In fact, osteochondrosis and arthrosis are one and the same disease, the avid essence of which is to devour our joints. Just the concept of " arthrosis " is applicable to all joints of the human skeleton, and " osteochondrosis " - to the spine. To be precise to the end - osteochondrosis specializes allegedly only on the intervertebral discs( original elastic cartilaginous pads between the vertebrae), leaving the facet joints of the spine to its fellow arthrosis.
In reality, of course, both processes are simultaneous( arthrosis may be delayed, since the joints are more adapted to the load), and if the cartilage in the body is destroyed due to internal causes, then all cartilages everywhere will be destroyed - both discs and joints.
Causes of cervical atrophy: trauma, hereditary factors, congenital dysplasia, inflammatory and infectious processes
Osteoarthritis of the cervical spine
Internal causes may be different:
- Hereditary mutations of leading to deficiency of collagen
- Congenital articular dysplasia , for example,with skull
- Systemic inflammatory processes ( rheumatoid arthritis, Bechterew's disease)
- Specific infections ( venereal diseases,staphylococcus), etc.
- CNS diseases ( for example, poliomyelitis)
- Age and hormonal changes of leading to osteoporotic phenomena
The most common external factors of cervical arthrosis:
- Cervical spine injuries:
subluxations and fractures of cervical vertebrae
- Elevated loadsand excessive overstrain of the neck
In case of trauma, the intervertebral disc or the vertebral joint may be damaged. This severe damage is not enough that it is seriously treated - it can lead to consequences even after a few years. When diagnosing posttraumatic complications, the concepts "osteochondrosis" and "arthrosis" are differentiated, since their localization is clearly expressed.
What happens with cervical spinal arthrosis
In cartilage arthrosis, cartilage destruction and osteophyte formation occur
When examining an X-ray, the following symptoms are seen that indicate the development of the disease:
- Withering and destruction of cartilage
- Calculation at the site of cracks and formation of osteophytes
- Deformation of the joint bonesand articular capsules
- Decreased joint fluid
- Shortening and carotid ligation
Symptoms of developing cervical arthrosis
- I have pain in the neck, especially after a dream, mostly on one side
- Pain symptoms also appear
- after a long position in the same posture
- after increased activity and loads
- when pressing on a sick vertebra
- Increasing pain when tilting and turning the head
- Impossibilityfull amplitude of movements, for example, when trying to:
- get chin breasts
- turn the head back, etc.
- At rest, the pain usually subsides, but as the disease progresses further, shethe chronic
- arises when the neck moves, the typical click
- The vertebrae look larger, the projections
are probed. Uncovertebral arthrosis of the cervical region
The proximity of the cervical vertebrae to each other and the narrowness of the cervical region make arthrosis a dangerous disease:
Osteophytes begin to touch ligaments, nerve endings and blood vesselsvessels( the vertebral arteries pass through the cervical region)
An unco-vertebral arthrosis of the cervical spine may occur. This is a form of the usual, complicated by root-like symptoms, which we observe in osteochondrosis or hernia. Only in this case, when the nerve is trapped by the osteophytes, they are even more acute. This is in the literal sense, since the sharp edges of the spines can damage the nerve or vessel.
With uncoverturable arthrosis, nerve entrapment and radicular syndromes occur
Symptoms of unco-vertebral arthrosis
- Severe pain in the neck and head that can not even move
- Neuralgic symptoms:
- Pain is given to the shoulder region and hands
- Numbness of the face, fingertips
- Paresthesia phenomena in the occipital, humeroscapular areas, extremities
- Spinal cord syndrome
- head lumbago
- dizziness, fraught with loss of consciousness
- cerebral ischemia and stroke
Unexpected causes of cervical arthrosis
Cervical arthrosis can be read on X-rayimage, but apparently not for a long time to manifest.
To provoke it, in addition to the above factors, there may be absolutely unexpected, seemingly, factors:
- Pathology of the sacroiliac joint
It would seem that the common between these defects and the cervical region?
The spine is a single mechanism with its biomechanics. If somewhere some link is broken, then in the general biomechanical chain, the
malfunction occurs. Man and with flatfoot and with a hip dislocation walk completely differently:
- There is an asymmetry not only of the spine, but also the muscular tension
- There are pains and inflammatoryprocesses in the joints
The clock in a time bomb called "arthrosis" begins to tick.
Treatment of this pathology is therefore unsuccessful, that it is treated according to the standard scheme without eradicating the main cause.
Treatment of cervical arthrosis
It is treated as well as in general arthrosis of the spine.
- Treatment is preceded by the diagnosis in which
- X-rays are performed to identify a patient vertebra
- for a more detailed study - CT or MRI
- angiography of blood vessels
- Then a conservative treatment plan is outlined:
- Anesthetic with NSAID
- Withdrawal of muscle spasms and release of pinched nerves:
- apply muscle relaxants
- manual therapy
- massage, etc.
- Restoration of damaged cartilages with chondroprotectors
- PhysiotherapyKie procedures
Surgical treatment is used when the risk of osteoarthritis unkovertebralnom vertebral artery syndrome. The essence of it is to remove the damaged joint and replace it with an
- endoprosthesis. In the recovery phase, exercise therapy is prescribed and spa treatment for
- can be suggested. It is very important to eat correctly with this diagnosis: the products must contain collagen and the necessary vitamins
Special recommendations for cervical arthrosis
- Since it is very importantmaintaining the correct posture during sleep, it is advisable to sleep on the orthopedic pillow
- Also prescribed for unloading and fixing the neck when exacerbations wear collarsTrench, or any other type of semi-rigid neck brace
Osteoarthritis of the cervical spine - a complex disease, so treatment is not easy and it is also durable.
Health to you and patience!
Video: Exercises for the cervical department
Uncovertebral osteoarthrosis of the cervical spine
Uncovertebral arthrosis is a chronic degenerative disease of the spine, in which partial destruction of the cartilaginous tissue between the vertebrae occurs.
In this regard, the normal movement in the cervical region is disrupted and various neurological symptoms appear, as blood vessels and neural bundles pass through this area.
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What are the causes of this disease?
Symptoms and signs
pain in the neck area - the first symptom of the disease
There are conditions and diseases, the presence of which contributes to the formation of cervical arthrosis. They can be both congenital and acquired with age disease. These can be congenital anomalies of the development of the cervical region, especially in the area of the first-second cervical vertebra - for example, the occipitalization of the atlant( Olinik syndrome).
From acquired diseases, the development of the disease can be affected by injuries of the cervical spine, flat feet, dislocations of the head of the hip, the consequences of poliomyelitis. Also, a large influence on the arthrosis of the cervical region is exerted by weight, a sedentary lifestyle( physical inactivity), physical work with uneven lifting of weights, etc.
What happens in the spine with this disease
With this disease, the cartilaginous tissue first of all suffers - the elastic "padding"between the vertebrae is the intervertebral disk, which damages the movements and protects the vessels, nerves and muscles passing between the vertebrae from damage.
As the disease progresses, the intervertebral cartilaginous tissue becomes thinner, loses fluid, and along with it, the elasticity necessary for normal work. In parallel, special bony outgrowths begin to appear on the surface of the cervical vertebrae - osteophytes, which grow on adjacent vertebrae towards each other. In addition, the ligaments of the cervical spine begin to calcify and lose their strength and elasticity.As the intervertebral disc becomes less elastic, it begins to protrude in the front and back, squeezing the ligaments and other surrounding tissues that restrict it, which leads to the appearance of the corresponding symptoms of the disease, first of all - to the pains in the neck.
One of the first signs of the disease, which appears already in its early stages - it's pain in the neck. The pain in this case is usually very painful and very local - they arise just near the most "problem" cervical vertebra.
This is because the protruding intervertebral discs press on the ligaments, rich in nerve endings. At the same time, the muscles in the area of the protruding disk reflexively reflex and remain in the spasmodic state for a long time, which worsens the possibility of movements in the neck.
At an early stage of the development of the disease, pain occurs periodically, from time to time, and can be provoked by sharp movements in the neck( turns, inclinations) and lifting of weights.
If you consult a doctor at this stage, then you can very quickly - within 1-2 weeks, to correct the violations. Without treatment, the disease continues to progress.Further protrusion of cartilaginous intervertebral discs leads to instability in the cervical spine. This is manifested in the fact that from time to time subluxations occur in joints of the arcuate processes that are accompanied by severe blunt pain in the zone of the corresponding vertebra and discomfort in this area - both with the turns of the neck and at rest. In this case, if a person freezes in one pose, then this discomfort and pain begin to increase. Therefore, the patient tries as often as possible to change the position of the neck in order to soften the pain. This is usually helped by gymnastics or walking.
Relief of pain and discomfort can occur both spontaneously and under the influence of manual therapy. In this case, the restoration of normal joint work and the cessation of pain is accompanied by a characteristic click in the joint area.
In addition, another important symptom of the disease is a strong crunch in the neck when making turns, flexing and unbending the joints of the cervical spine.
If protrusion of intervertebral vertebral discs is sufficiently pronounced, such hernia formations can squeeze the nerve roots and blood vessels passing nearby, whereby the patient may have various neurological symptoms - such as chest and chest pain, blood pressure jumps, visual impairment, as well as headaches, dizziness, feelings of instability and shakiness.
To diagnose "uncoovertebral arthrosis," the doctor carefully examines the patient to understand the nature of the pain and the frequency of its occurrence. Upon examination, the doctor reveals painful points in the neck( localization of muscle spasms).But the main method of diagnosing the disease is various imaging methods: the x-ray of the cervical spine and magnetic resonance imaging( MRI).In the images obtained with these methods, the specialist will see osteophytes on the vertebrae( the so-called beak-like outgrowths), as well as signs of ligament and blood vessel damage in the area of the problem cervical vertebrae.
physiotherapy is an important part of the treatment of
Treatment of unco-vertebral arthrosis is most often performed on an outpatient basis, at home. The main goal of the treatment of the disease, especially at the stage of exacerbation, is to relieve the pain and provide muscular rest in the neck area, as in the acute period of movement, as a rule, pain is aggravated.
To reduce motor activity, the methods that limit it are used, for example, the use of the Shants collar, which fixes the neck and minimizes the load on the cervical vertebrae and nearby muscles. As the acute process subsides, a gradual recovery of the motor activity in the neck area is shown, followed by a light massage and therapeutic gymnastics.
Medication to relieve pain and muscle spasms
For the treatment of pain, prescribe drugs from the group of non-steroidal anti-inflammatory drugs( NSAIDs) - diclofenac, naproxen, nimesulide, celecoxib. These medications should be taken only after consultation with the doctor and individual selection of the drug and its dose. The fact is that some NSAIDs, reducing pain and inflammation, can at the same time adversely affect the metabolism of cartilage tissue and thereby increase the development of the disease.
If the local muscle spasms in the affected joints of the vertebrae are very strong and do not pass by themselves, the appointment of special medications - muscle relaxants( sirdalud and others) is indicated.
Vascular treatment of
Because this disease causes a disruption in the nutrition of the cartilaginous and ligamentous apparatus of the neck, it is important to prescribe drugs that improve microcirculation in tissues and antiplatelet agents in complex treatment. To this end, patients are prescribed such drugs as actovegin, quarantil, pentoxifellin, prodectin and others.
Drugs that improve the recovery of cartilage tissue( chondroprotectors)
To date, there are no drugs that cure arthrosis completely, which would affect the very cause of the disease. However, in recent years, effective drugs have appeared that help stop the destruction of the intervertebral disc cartilage and slow the progression of the disease.
These drugs are called chondroprotectors, and the main active substances in such preparations are glucosamine and chondroitin sulfate. These substances supply cartilage cells with "building material" for the restoration of cartilage;In addition, their administration indirectly reduces the severity of pain in osteoarthritis and improves joint function.
Physiotherapy methods also have a good effect in treatment: sinusoidal modulated currents, amplipulse therapy, phonophoresis and electrophoresis with solutions of analgesics( novocaine, lidocaine), magneto-therapy. In the remission stage - in the absence of pain symptoms, therapeutic gymnastics and acupuncture are shown.
Uncovertebral arthrosis of the cervical spine - what is it and how to treat it?
The initial stage of unco-vertebral osteoarthritis usually passes without pronounced symptoms. There may be short-term pain in one or two cervical vertebrae, for example, with physical exertion, a sharp turn of the head, or a sudden increase in gravity.
With the progression of the disease, the pathological process passes into the stage of severe symptoms. As a rule, uncoarthrosis is manifested by three main syndromes:
- Pain syndrome. Pain sometimes occurs even with minor movements of the head. It is localized, as a rule, in the projection of the affected vertebra. The pain is usually accompanied by a pronounced crunch at any movements of the neck.
- Syndrome of the vertebral artery. When compression( compression) of the vertebral artery, symptoms of cerebral circulation disorders appear. Their severity depends on the degree of compression. Patients complain of dizziness, frequent headaches. Often there is an arterial hypertensia. Sometimes there are symptoms such as deterioration of vision, hearing, memory, etc.
- Radicular syndrome. Clinical symptoms can be very different and depend on the level of compression( compression).This pathology can be manifested, for example, by pain and / or muscle weakness in the entire upper limb or part of it( shoulder, hand, forearm, fingers).As well as numbness of individual parts of the neck, upper limbs, clavicle area, scapula, etc.
Based on typical complaints and examination, it is possible to suspect osteoarthritis in the joints of Lushka. Diagnosis of unco-vertebral osteoarthritis is possible only on the basis of additional research methods. The most widely used radiography in a direct and oblique projections. Modern methods of research are computer and magnetic resonance imaging( CT and MRI).
Treatment of patients with unco-vertebral ostearthrosis is performed by an orthopedic physician or a vertebrologist. Let's consider what therapies are used for this disease.
A prerequisite for treatment is the creation of a right lifestyle. It is necessary to form a correct posture when reading, writing, working at the computer. Restrictions on wearing heavy weights, sudden head movements, excessive physical activity. To sleep it is necessary on a special orthopedic pillow.
In the acute phase of the disease, a special orthopedic neck collar( Shantz) is used. This collar softly stretches the skeleton in the neck and reduces the load on it. After reducing the acute process, gradually restore the motor activity of the neck.
The treatment of drugs with this pathology has three main objectives:
- Relieves pain and muscle spasm. To do this, use non-steroidal anti-inflammatory drugs( NSAIDs) - ibuprofen, indomethacin, etc. Sometimes, with severe muscle spasms, muscle relaxants are prescribed.
- Correction of vascular disorders. Appointed drugs that improve microcirculation and antiaggregants - trental, curantyl, actovegin, etc.
- Improve the restoration of the structure and nutrition of cartilaginous tissue. Such drugs are called - chondroprotectors( glucosamine sulfate and chondroitin sulfate).Their use strengthens the cartilage and improves its quality characteristics.
It should be remembered that all medicines and their doses should be prescribed only by a doctor. For example, NSAIDs with improperly selected dosages can significantly affect the metabolism in the cartilaginous tissue and complicate the course of the disease.
For physiotherapeutic treatment on the neck area are applied:
- Sinusoidal modulated currents.
- Phonophoresis and electrophoresis with pain medication.
- Applied thermal therapy.
- Local Barotherapy.
Massage and manual therapy should be performed by a specialist with a medical background. An incorrect technique of manual influences can lead to an exacerbation of the disease and even disability. In the absence of pain symptoms can be applied acupuncture of the neck.
LFK and gymnastics
Physiotherapy exercises should be done outside the period of exacerbation. The complex of exercises of therapeutic gymnastics is selected in such a way that when they are performed, painful sensations do not arise.
Gymnastics must be performed daily.
A good therapeutic effect is also provided by swimming.
Surgical treatment of
In case of ineffectiveness of conservative measures and deterioration of the patient's condition with unco-vertebral osteoarthritis, surgical treatment, for example, removal of osteophytes, is used.
All you need to know about uncovertebral arthrosis of the cervical spine
Methods for diagnosing the disease
First, the doctor determines the periodicity of the occurrence of pain and their nature, when the examination reveals the localization of painful points in the neck. However, the main methods of diagnosing this disease are X-ray and computed tomography of the cervical spine, angiography of vessels and the method of magnetic resonance imaging( MRI).
With these methods, the physician will visually assess the degree of damage to the cartilaginous tissue, the presence of osteophytes, the degree of compression of the vessels, nerve endings and spinal cord, as well as their possible damage.
Treatment methods used for arthrosis of the cervical spine
When uncovertebral arthrosis is detected, an urgent need for complex therapy is needed, since a rapidly progressing disease can cause severe impairment of sensitivity and cerebral circulation, which can lead to disability. Treatment of the disease is most often carried out at home( outpatient).
For the beginning it is necessary to stop the pain syndrome and to provide rest to the cervical spine( as the acute period is characterized by increased pain during movement).To reduce the motor activity, the doctor individually selects an orthopedic collar, which not only restricts movement, but also produces a soft skeletal spinal traction. The duration and time of wearing the collar is determined by the attending physician.
Medications for relieving pain and muscle spasm
For arthrosis, non-steroidal anti-inflammatory drugs such as nimesulide, celecoxib, diclofenac, naproxen are usually prescribed. You can take medications only after consulting a doctor who will choose a drug and prescribe a dosage individually. Do not self-medicate, as some drugs in this group, reducing pain and eliminating inflammation, can adversely affect the condition of cartilage tissue, weighting the development of the disease.
With strong local muscle spasms that do not pass independently, muscle relaxants are prescribed( special drugs that relieve muscle spasm).
With complex medication, in order to improve the nutrition of the cartilaginous tissue and ligament of the neck, antiplatelet agents and preparations that improve tissue microcirculation such as pentosifillin, actovegin, prodectin, quarantil are prescribed.
Until drugs are fully cured arthrosis, but the modern pharmacological industry can offer drugs that slow down the destruction of cartilage and stop the development of the disease( chondroprotectors).The main active substances of chondroprotectors( chondroitin sulfate and glucosamine) supply the cells of cartilaginous tissue "material" for restoration. The intake of these medicines helps to improve the performance of joints and reduces pain.
Physiotherapeutic methods of treatment
The following specialists classify such methods:
- Exposure to sinusoidal modulated currents
- Electrophysive and phonophoresis with analgesics( lidocaine or novocaine)
- Amplipulse therapy
If pain is absent( in remission), the purpose of reflexotherapy, physiotherapy and massage,acupuncture, manual therapy.
It should be remembered that the prognosis of the disease depends on how quickly after the appearance of the first manifestations of the disease treatment was prescribed and how accurately the patient followed the recommendations of the treating doctor.
If a person sees any of the described symptoms, it is recommended to have a checkup with a neurologist. When diagnosing the disease in its early stages, can be successfully handled. In the later stages, treatment will only bring temporary relief.
This is important to !Unco-vertebral arthrosis of the cervical spine at the initial stages manifests itself as periodic pain. They worry about sudden movements of the neck or lifting of the weight. If you seek professional help at this stage, you can completely eliminate the violations within two weeks. If there is no treatment at this stage, the disease will quickly progress.
In case of development of the described disease from an early stage, subluxation of joints begins, discomfort from permanent presence in one posture is strengthened.
How the disease affects the spine
This type of arthrosis begins with the destruction of cartilaginous tissue. Gradually disrupted the functioning of the intervertebral disc. It's the discs that are responsible for damping the movement and prevent damage to muscles, nerves and blood vessels.
The disease progresses without proper treatment, and the intervertebral tissue becomes very thin. Inside this tissue is a liquid, but it gradually evaporates. The elasticity of the fabric and its ability to stretch are lost. These processes cause the disc to move forward and protrude in both directions of the .There are severe pain in the neck.
Methods for timely diagnosis of
When referring to a doctor with complaints of pain in the neck, the patient should accurately describe the nature of the pain and the situation when the pain syndrome manifests itself particularly strongly. Based on these data, the doctor performs palpation of the painful neck areas to identify possible muscle spasms. But this is a general examination, after which it is still impossible to make an accurate diagnosis.
For accurate diagnosis of uncoarthrosis, modern visualizing techniques of should be performed. This is a computed tomography, MRI, and renting. As a result of these techniques, images can be obtained that will allow us to determine the degree of damage to the cervical vertebrae.
The patient should begin to monitor his posture and completely give up hard physical labor, even wearing heavy weights. It is necessary to exclude sharp movements of the neck, sleep should be on the orthopedic pillow. Swimming helps with almost all diseases of the spine, this is no exception.
Most often, the treatment of arthrosis of this species is carried out in the outpatient setting of .At the initial stage, it is important for doctors to stop pain and to provide absolute muscles to the neck muscles.
Key components of treatment:
- Minimize the mobility of this part of the spine. Often, a fixed collar is worn;
- Taking medications that eliminate muscle spasms and pain .For this, non-steroidal anti-inflammatory drugs are used. They relieve pain and help reduce inflammation. Take the pill should be strictly according to the doctor's prescription, otherwise you can negatively affect the condition of the cartilaginous tissue and only aggravate the disease;
- Restoration of blood flow in the area of patients with vertebrae .Special drugs are prescribed that improve blood circulation inside tissues;
- Taking medications that help to restore cartilaginous tissue .They do not completely relieve arthrosis, but slow down the process of destruction of intervertebral discs;
- Physiotherapeutic procedures .This effect on the diseased region with a pulsed static current and others.
With timely attention to pain symptoms in the neck, you can see the development of the described disease in its initial stage .If at this stage to complete a complete course of treatment, the disease can be completely eliminated.