Symptoms of osteochondrosis in the cervical spine, causes and stages of the diseaseIn this article we will consider a disease such as osteochondrosis in the cervical region, the symptoms characteristic of this disease, the causes of its appearance, the stages and types of this disease.
The cervical region is the most mobile department of the spine, therefore, it suffers from osteochondrosis more often.
Osteochondrosis of the cervical spine is a progressive disease that is a degenerative-dystrophic disorder of the intervertebral discs of the cervical spine.
The cervical spine consists of seven discs, this is the most mobile part of the spine, which provides the ability to tilt and turn the head. He has a relatively weak muscular corset. In this case, the instability of the cervical proper, combined with constant physical activity( the need to maintain the head, control the turns and inclinations) explain the high susceptibility of this spine to both trauma and dystrophic changes, which are essentially osteochondrosis.
Types and stages of the disease
Osteochondrosis is a disease that affects not only the cervical, but also other parts of the spine. There is also chest osteochondrosis, lumbar osteochondrosis and common - when the disease is spread to several different parts of the spine.
There are 4 main stages of the course of the disease:
The first stage of the - the main feature at this stage is the instability that manifests itself in the initial disturbances of the vertebral discs.
The second stage of - here the main feature is the protrusion of disks. Fissures between the vertebrae decrease, the fibrous ring gradually begins to break down, pain syndromes associated with possible pinching of the nerve endings are also possible.
The third stage of - at this stage, the final destruction of the ring occurs, resulting in the formation of intervertebral hernias. Also for this stage is a serious deformity of the spine.
The fourth stage of the is the latest and the most difficult. Any movements begin to cause serious acute pain, accordingly it becomes very difficult to move. Periodically there is an improvement in the general condition, as a result of which the pain decreases, but nothing good is said about it, this only indicates that bone growths are forming, which connect the vertebrae and restrict the movement, which leads to disability.
Treatment of cervical osteochondrosis is prescribed depending on the symptoms and stage of the disease.
Reasons for the appearance of osteochondrosis
Today, osteochondrosis is rapidly becoming younger. Not so long ago, this diagnosis was considered the lot of older people and rarely when placed before people younger than 40 years. But now this disease is observed more and more often among young people, the number of patients aged 18-30 years has greatly increased. The reasons are quite numerous, the most common:
- violation of posture;
- is overweight;
- curvature of the spine;
- back injury;
- metabolic disorders;
- physically hard work;
- weak physical preparation;
- errors in the training process for athletes;
- stress and nerve strain;
- drastic reduction or general termination of training by athletes;
- sedentary or sedentary lifestyle;
- infectious diseases and hypothermia.
Osteochondrosis in general is a logical extension of muscle clamps. As a result, spasm of muscles severely limits the mobility of the vertebrae in the cervical region, blood supply worsens, posture worsens, as a result, dystrophic processes begin in the intervertebral discs and vertebrae, the intervertebral foramens narrow, and the nerve roots that come out through them are squeezed.
Manifestations of cervical osteochondrosis
The cervical spine is saturated with blood vessels that feed the human brain. Therefore, for the most part, signs and manifestations of osteochondrosis are associated with the poor supply of the head organs with blood, in particular - with a violation of the blood circulation of the brain.
The most noticeable manifestations of this disease are:
- frequent headaches;
- dizziness until loss of consciousness;
- violation of coordination of movements, mainly - violation of gait;
- ringing in the ears, hearing loss;
- vision impairment;
- deterioration of teeth;
- change of voice( hoarseness, weakening of voice, etc.);
- snoring, which in itself is a sign of chronic muscle tension;
Also, when the nerves are squeezed in the cervical region, coldness or numbness of the fingers can be observed, weakness in the hands can be felt.
Pinched nerves can also cause pain in the throat, neck, soreness of the scalp, even toothache. So it is quite possible that when you remove a tooth, you need to treat your neck. As in the old cartoon: "If the tooth hurts, you need to treat the tail."
Also, pain can spread to the arm or shoulder, and it will be strengthened or weakened depending on the position or turn of the head. Severe pain may be accompanied by nausea or dizziness.
Symptoms of the disease
So, we figured out how osteochondrosis manifests itself in the cervical spine. Symptoms are somewhat different from manifestations, because, as you probably noticed, almost any of the manifestations of this disease can be attributed to something else. The headache is for stress, the deterioration of vision is on the TV, the hearing loss is reduced to the use of headphones, etc.
In general, the symptoms of cervical osteochondrosis depend on what exactly became the object of the disease. Therefore distinguish:
- radicular syndromes;
- compression of the spinal cord;
- vertebral artery syndrome;
- Irritative-reflex syndromes;
- cardinal syndrome, etc.
Let's take a closer look at the most common ones.
They are also called cervical radiculitis. They arise when the nerve is clamped in the cervical region, in other words - when corrugating roots. These symptoms are connected precisely with compression of the nerve roots. The pain is transmitted from the neck down, can reach the scapula and fall further along the shoulder, the outer part of the forearm to the fingers of the hand. There may also be an effect of "runnin 'crawling," pastness, tingling of the fingers, a hand or forearm.
Depending on which segment is affected by the disease, symptoms may differ. For example, if the roots of the central nerve are affected, then the large, index and middle fingers will be pasty. When the roots of the shoulder nerve are damaged, the nameless and little finger. In this case, all other symptoms will remain identical.
Symptom is acute, "burning" pain in the neck or cervico-occipital region, manifested when moving after a static state. For example, after sleep, with sneezing, with sharp turns of the head. Pain can "give" to the chest and shoulder.
Syndrome of the vertebral artery
Symptoms in this case are a "burning" or throbbing headache, which can seize the temple, the nape, the darkness, the superciliary area. The pain is usually constant, sometimes - paroxysmal. Usually seriously amplified after a long time in an uncomfortable position or when moving. In the case of general weakness of the body, loss of consciousness or nausea may occur. Also, there is a possibility of occurrence of auditory disorders - a decrease in the severity of hearing, noise, disorders of the vestibular apparatus. Also, this syndrome can affect vision - pain in the eyes, decreased visual acuity, etc.
In this syndrome, the symptoms of osteochondrosis of the cervical spine are almost the same as those of angina pectoris. Therefore, in some cases there is a danger that instead of treating the cervical osteochondrosis, treatment( practically useless in this case) of angina will be performed.
It is believed that spasms and contractions of muscles in the heart can be caused by squeezing the roots in one of the lower segments of the cervical region, and the result is such a reflex response.
Generally, the cardiac syndrome occurs when the roots of the large pectoral muscle or the roots of the diaphragmatic nerve are irritated, since it is the fibers that lead to the pericardium. The pain in this case may be paroxysmal and last for a long time - up to several hours. Increase with sudden movements that occur when sneezing, coughing, or sharp turn of the head. Also, extrasystole and tachycardia become a possible phenomenon in this syndrome, while coronerading drugs can not be taken off pain, and a cardiogram taken during an attack shows no signs of circulatory disturbance.
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What symptoms accompany cervical osteochondrosis?
Osteochondrosis is a degenerative-dystrophic lesion of the spinal column, which leads to the destruction of intervertebral discs with corresponding consequences. Osteochondrosis "infects" the whole spine, but most of all the symptoms of the disease are manifested when the cervical region is affected, as the most mobile, and lumbar. The thoracic department suffers the least.
The signs of osteochondrosis of the neck are very diverse, and often they resemble other diseases, which makes it difficult to conduct differential diagnosis and early recognition of pathology. In this article, we will consider in detail how osteochondrosis of the cervical spine manifests itself and what will help you to suspect this disease.
Degrees of osteochondrosis
Osteochondrosis is a chronic progressive disease that occurs with periods of remissions and exacerbations. Expressed clinical symptoms appear not immediately, but after a while, when the degenerative process passes into the second or even the third stage.
Allocate only 4 degrees of pathology:
- The initial stage is characterized by pathological changes within the intervertebral disc. It loses moisture, which leads to dystrophic changes, a decrease in disc height, a cracking of the fibrous capsule. As a rule, there are no signs at this stage. Diagnosis is possible only with the help of MRI of the spine. This is the most favorable stage for starting treatment, since in this case it is possible to completely repair damaged discs, which can not be done in the future.
- Osteochondrosis of the 2nd degree is characterized by aggravation of intervertebral disc damage. Their height decreases significantly, which leads to sagging of vertebral muscles and ligaments. All this causes instability of the damaged segment of the spinal column, increased mobility of the vertebrae, their displacement and slipping relative to each other and the axis of the spine. As a rule, it is at this stage that the first signs of the disease appear in the form of a pain syndrome and other signs specific to the cervical region.
- In the third stage protrusions and hernias of intervertebral discs develop. Symptoms of the disease are expressed in full.
- 4th stage is the final stage. This leads to the formation of osteophytes, deformations of the spine. The body tries to somehow stabilize the damaged segment of the spine, which causes the development of osteophytes, ossification of ligaments and other processes that lead to stabilization of the vertebrae, but, unfortunately, this process is accompanied by subluxations of the vertebrae and various types and degrees of deformation of the spine.
Healthy and affected by osteochondrosis of the spine
Nature of symptoms of cervical osteochondrosis
Manifestations of osteochondrosis in the cervical spine are associated with 3 mechanisms of the negative effect of this pathology:
- Direct compression of the spinal cord, which passes in the canal of the spine. It should be noted that this happens very rarely when the degenerative process is far gone and its complications. The compression of the nervous tissue of the spinal cord can result in a large intervertebral hernia, which protrudes directly into the lumen of the canal of the spine;stenosis of the canal of the spinal cord( its narrowing) due to degenerative changes;dislocations, subluxations, fractures of damaged vertebrae.
- Negative influence on the structures of the peripheral nervous system( roots of the spinal cord and nerve fibers) that come out of the cervical spine. They can be squeezed between adjacent vertebrae or hernial bulges, can become inflamed and irritated. All this leads to a number of severe symptoms. This is the most frequent group of signs of cervical osteochondrosis.
- Negative effect on blood vessels that pass near the damaged area of the spine. In particular, 1 very important arterial vessel - the vertebral artery, which passes through the holes of the transverse processes of the cervical vertebrae into the cranial cavity and which feeds the back third of the brain and the cerebellum - is of clinical importance.
Let's consider in detail each group of mechanisms and what symptoms they cause.
Symptoms associated with spinal cord injury
As already mentioned, compression of the spinal cord in cervical osteochondrosis is very rare. This is a very difficult condition that can cost a person not only health but also life.
Damage to the upper cervical region is life-threatening. The cardiovascular and respiratory center suffers, which leads to an immediate lethal outcome. At compression at level 3-4 of the segment of the spinal cord, tetraplegia develops( paralysis of all limbs and muscles below damage).Suffer and respiratory muscles, diaphragm, which can lead to a halt in breathing and death.
If the lesion at the 4-5 level of the spinal cord develops tetraplegia, but without disturbing breathing. In the compression of 5-8 segments of the spinal cord, various groups of muscles of the upper limbs suffer and paraparesis of the legs occurs, disruption of the pelvic organs.
Symptoms associated with nerve fiber damage
First of all, it should be noted pain syndrome, which can be chronic( cervicalgia) and acute in the form of lumbago( cervicago).Pain occurs in the neck, the back of the head and the shoulder girdle. It is usually caused by irritation, compression and inflammation of the nerve roots of the cervical spine, as well as pathological spasm of the muscles of this area, which are innervated by these nerves.
Pain in cervicalgia is almost constant, aching, the intensity is different. As a rule, pain syndrome can be tolerated. It appears or increases with sharp movements, turns and inclinations of the head. Movement in the neck is accompanied by a characteristic crunch.
Pain in cervikago occurs suddenly in the form of a lumbago or electric shock. It is very intense, it gives into one of the hands. It lasts a few seconds or minutes, then it is replaced by cervicalgia. It is caused, as a rule, by a sharp movement and compression of the nerve.
Pain in the neck - the main sign of osteochondrosis of the cervical spine
All the major nerves of the upper limb( middle, elbow and shoulder) are formed from nerve fibers that come out of the cervical spine. Thus, in the presence of cervico-brachial osteochondrosis, these nerve structures may suffer. All these nerves are mixed, that is, they have a sensitive and motor function. Depending on which root is affected, the symptoms will also differ. For example, the sensitivity of the 2nd or 3rd fingers may be lost, the paralysis of one or several muscles may occur. All these signs of nerve damage are isolated in separate syndromes, which only a neurologist can determine.
Neuralgia of the occipital nerveRelated article: Treatment of cervical dorsopathy
Neuralgia of the occipital nerve develops when the large and small occipital nerves are damaged, which are formed by 2, 3 and 4 pairs of cervical spinal nerves. In the compression, irritation or inflammation of these structures due to degenerative-dystrophic process in the spine, there is a headache in the back of the head, which women often complain about.
This pain is so typical that only its description allows to establish the correct diagnosis in 90% of cases. It is also called a firing cranialgia. The attack of pain arises suddenly, has a one-sided localization( rarely it hurts from two sides), the nature of the pain patients are compared to the impact of electric current. The attack lasts several minutes, but can be repeated several times a day. The pain occurs on the posterolateral surface of the neck and extends upwards to the occipital tubercle( repeats the anatomical course of the occipital nerve).At the same time, a violation of the sensitivity of the nape of the occiput( numbness, a sensation of crawling crawling) may develop.
This name is due to the fact that this manifestation of osteochondrosis of the cervical spine is very similar to angina and other heart diseases. The reason for this phenomenon is the damage to the nerve fiber that innervates the large pectoral muscle and the diaphragmatic nerve, the fibers of which are woven into the pericardium of the heart.
Cervical osteochondrosis may manifest as pain in the heart area
The cause of the pain is a spasm of the large pectoral muscle due to pathological impulse on the damaged nerve fiber. In this case, patients very often confuse such pain with the heart. Unlike coronary pain, pain syndrome with cervical osteochondrosis has a long duration( sometimes several hours or days), which is not the case with angina pectoris, is not associated with physical exertion, but there is a relationship with the position of the body. The pain is aggravated by sharp movements, turns of the head, coughing, sneezing, which does not happen with angina pectoris. Antianginal drugs( nitroglycerin, etc.) will not be effective.
Important! In any case, this symptomatology requires a thorough differential diagnosis, because there are atypical variants of angina and infarction. In order not to miss a serious disease, first of all you need to make an ECG.With osteochondrosis, pathological changes will not be recorded.
Symptoms associated with vertebral artery damage
The compression of the vertebral artery in cervical osteochondrosis can cause a large number of unpleasant manifestations, which are associated mainly with a decrease in blood flow and hypoxia of that part of the brain that is fed by this vessel( the posterior third of the brain and the cerebellum).
Vertebral artery provides blood to the posterior third of the brain and the cerebellum
Symptoms of vertebral artery syndrome:
- Headache of diffuse or pulsating nature in the occiput, temples and parietal region;
- nausea and vomiting;
- visual impairment;
- ringing in the ears, decreased hearing acuity;
- impaired coordination and balance;
- development of drop-attacks( sudden falls without losing consciousness with sharp turns of the head);
- memory impairment, reduced efficiency, the ability to concentrate attention.
It's important to remember! With pronounced changes in the spine, the artery can be compressed so much that it leads to the development of an ischemic stroke in the vertebrobasilar basin of the brain. Therefore, it is important to suspect pathology on time and take all the necessary measures to improve the spine and prevent further pathological changes.
Signs of osteochondrosis of the cervical spine
The most mobile part of the spine is the cervical section, which is why osteochondrosis most often affects this area, however, the same popularity in this disease uses the lower back. What is this ailment? This disease can be called progressing, which consists in such disorders of intervertebral discs as degenerative-dystrophic. In order to notice and eliminate the disease in time, one should know the signs of osteochondrosis of the cervical spine.
It's no secret that the neck consists of 7 disks, thanks to which the person is able to tilt and turn his head. In order for these movements to be carried out without difficulty, the muscle corset here is as weak as possible. Due to the fact that the physical load on this part of the body goes down a lot, and the stability of the neck leaves much to be desired, the propensity to get injured by this department of the spine increases to the maximum. The same fact explains the appearance of deformations with time, otherwise called osteochondrosis.
Signs ofSince the spine has a conditional division into 3 parts, then the types of this disease are also allocated 3 - lumbar, respectively thoracic and, in fact, cervical. Like other diseases, osteochondrosis proceeds in several stages, more precisely - in 4.
- The first stage is the minimal disturbances affecting the vertebral discs. The signs of osteochondrosis of the cervical spine at this stage are determined by such a concept as instability, which is expressed precisely in the initial deformation of the discs;
- The second stage is accompanied by the appearance of protrusion discs. By this period is the occurrence of small pains, as the nerve endings begin to be jammed. During this period, the distances between the vertebrae gradually narrow, and the fibrous ring is gradually destroyed;
- Symptoms of osteochondrosis of the neck of stage 3 consist in the initial appearance of intervertebral hernias. This process is associated with the arrival of the fibrous ring in a completely destroyed form. Of course, the ongoing processes seriously injure the spine, as a result of which it begins to deform;
- It goes without saying that the last stage, the fourth, is the heaviest. This stage is accompanied by unbearable cutting pains, which are present constantly, with the exception of small improvements. Moreover, such improvements signal a danger, since there is a proliferation of bone tissue that connects the vertebrae. Thus, the once-standing vertebrae fuse together into one bone, and in this case there is no need to talk about any movement. The disease leads to a wheelchair.
Causes of the disease
Recently, the so widespread "osteochondrosis" was the lot of elderly people, and the first signs of cervical osteochondrosis testified to the approach of old age. Then, rarely someone under the age of 40 suffered from this ailment, but now this "old" disease is common among young people aged 18-30.
Of course, there are a lot of reasons for this today. Of course, the first place in the list is given to a sedentary lifestyle. Today, all demanded and worthwhile professions are inextricably linked with computers, so employees, especially young people spend 8 hours a day in a sit-up tense situation. The same applies to modern students with students, since modern education is also directly related to printing equipment. Extremely unfavorable on the state of health affect and newfangled computer games, without which most of the children in general can not imagine themselves. In the process of such pastime, the young generation has a deteriorating posture, which subsequently leads to a curvature of the spine and further negative consequences.
Symptoms of cervical osteochondrosis and their treatment
The clinical picture of cervical osteochondrosis depends on the stage of the disease, but the main symptoms are: pain, dizziness, nausea, fainting or fainting, unstable pressure.
The most common symptom of osteochondrosis is systematic pain with the slightest movement of the head.
The very first, the most important sign of cervical osteochondrosis is pain, which at the initial stage is rapidly passing, subsequently taking on a chronic character. Pain sensations are localized around the neck, in the shoulder area, the occipital muscles, intensifying when turning or tilting the head.
But, often in patients with such symptoms, weakness of the left little finger is detected, a decrease in the strength of the muscles that provide flexion-extension movements of the hands.
Pain sensations in the heart area tend to be strengthened by raising hands, turning the neck.
Neck piercings are another symptom of cervical osteochondrosis, characterized by a sharp, pronounced pain syndrome, in which there is a general numbness and hardening of the neck muscles. Patients with this symptoms occupy a characteristic posture - the neck is slightly pushed forward and is withdrawn slightly to the side. Rotational movements of the neck and head - are limited.
Extraneous sounds, crunch when turning the head
With cervical osteochondrosis, often with sharp turns of the neck, head, with a head curtain, after a long uncomfortable situation, noise phenomena occur. Instability of arterial pressure
An indication of cervical osteochondrosis may be unstable abrupt arterial pressure, which arises from a violation of the blood supply to the brain. Blood pressure can either increase or decrease.
A frequent sign of cervical osteochondrosis is dizziness. Patients report that dizziness is spontaneous in nature. The reason for dizziness is the insufficient supply of oxygen to the channels of the inner ear. The channels of the inner ear are in the brain, responsible for the balance. Often dizziness may occur with any movement of the neck or head, after sleeping during a sharp ascent.
Vascular dysfunction of
The patient with cervical osteochondrosis has vegetovascular disorders, including nausea, vomiting, dizziness.
Signs of acute cervical osteochondrosis can be a violation of sensitivity, in the zone of innervation of the disease often there is a violation of trophism of skin: tingling, sensation of chills, pallor, numbness, burning or cold.
On the background of cervical osteochondrosis, memory, sleep, and concentration of attention can be impaired. Specialists observe the appearance of unreasonable anxiety in patients, often instability of emotions.
Sometimes the only sign of the disease is a pharyngeal symptom. It is characterized by a sensation of perspiration in the throat, sometimes there is a feeling that there is a foreign body in the throat, a pharyngeal symptom is indicated by dryness, itching and difficulty swallowing.
It should be remembered that such manifestations of the disease can be noted in other diseases: for example, with inflammation of the larynx and pharynx or the tumor process.
Visual impairment of
In osteochondrosis, patients notice signs of visual impairment, among which most often appear:
- misting or "veil" before the eyes;
- decreased visual acuity;
- flashing "flies", dots in front of the eyes;
- violation of object focusing.
Treatment of cervical osteochondrosis
Blockade is administered only in extreme cases, when the usual medical treatment does not help
. During the period of exacerbation of the disease it is forbidden to conduct gymnastics and massage. If the pain is severe and the usual anti-inflammatory drugs or analgesics are not removed, specialists are appointed to treat blockade and complex treatment, including several types of drugs of different spectrum of action.
As a rule, for doctors of osteochondrosis, doctors prescribe complex treatment as the most effective and effective, including medications in the form of tablets, ointments and injections:
Cervical osteochondrosis: symptoms and signs
- 3 Treatment of cervical osteochondrosis
Such a disease as osteochondrosis, today is quite common and causes many, both women and members of the opposite sex, a sense of fear and fear. As medical practice shows, the development of the disease contributes to a number of main causes, which are mostly provoked by the patient himself, than because of the influence of environmental factors. In order, if possible, to avoid this disease and prevent its occurrence, it is necessary to know the inherent underlying causes and symptoms.
Causes of cervical osteochondrosisAs a former "hard worker" could get rid of arthritis and osteochondrosis for a month. .. More. ..
Cervical osteochondrosis is manifested, as a rule, in the form of degenerative-dystrophic lesion of the intervertebral disc in the cervical spine. The disease arises and develops, as practice shows, against the background of metabolic disorders occurring in the region of the neck. In this case, there is a significant change in the structure of intervertebral discs and the bodies of individual vertebrae.
The picture of the disease with cervical osteochondrosis differs somewhat from osteochondrosis affecting other departments( we are talking about the thoracic and lumbar types of the disease).This type of disease is considered to be the most dangerous, as it contributes to the direct infringement of the root of the nerve leaving the spinal cord and, accordingly, to the disruption of the blood supply of the cerebral vessels due to direct compression and infringement of the blood vessels.
In addition, the structure of the vertebrae( in this case, more closely located to each other) in the cervical region differs somewhat from the others, therefore, if any pathological change occurs in one of them, there is a noticeable disruption of the normal functioning of the entire spine as a whole. It is for this reason that in case of cervical osteochondrosis of the patient, such obvious signs can be disturbed: a violation of the sensitivity of the skin and muscles of the face, neck, hands, frequent dizziness, noise and unpleasant ringing in the ears or noise in the head, regular headaches, increased feeling of fatigue,not only sight, but also hearing, loss of coordination, uncertain and unsteady gait and others.
So, we should pay special attention to the fact that cervical osteochondrosis occurs as a result of:
- work, which is directly related to permanent changes in the position of the trunk - it is about flexion, extension, turns, circular movements;
- lifting heavy loads and items;
- of an incorrect posture at standing, sedentary, lying positions of a trunk, and also at transfer and lifting of weights;
- excessive exercise and sports;
- adverse weather conditions;
- genetic predisposition.
Cervical osteochondrosis - the main symptoms of
Very often the symptoms of cervical osteochondrosis at the initial stages of its development can in no way be manifested. Already passing into a more neglected form, the disease begins to manifest itself with frequent cramping pains with the slightest movements of the neck and head. Nevertheless, the symptoms of osteochondrosis are very diverse and are caused either by degenerative disorders and changes in the structure of the cartilage, or as a result of close pinching of the displaced intervertebral disc of the artery passing between the vertebrae.
The earliest and most important signs of cervical osteochondrosis are painful sensations, which in the beginning are rapidly passing, and then take a chronic form. Pain can be localized in the neck, shoulders and occipital muscles and intensify with the tilts or turns of the neck and head. Depending on where the lesion is located, the pain can be permanent and aching. Can be sharp and shooting and for a while to die down. In this case, any movement of the head with each time difficult, which in turn is due to the periodic tension of the muscles in the neck.
When squeezing the vertebral artery from the displaced intervertebral disc, cartilage tissue or strained muscles, the patient may be disturbed by cervical migraine( a headache that results from a weakening of blood flow and oxygen starvation of tissues), a breach and a brief loss of consciousness, a sharp jump in blood pressure inside of the increase, deterioration of hearing, the appearance of ringing ears, visual impairment, the appearance of "flies" before the eyes. Headache can be accompanied by nausea and vomiting.
Cervical osteochondrosis, whose symptoms are diverse, can also be accompanied by nausea. Nausea, in this case, is associated with a violation of blood flow through the vessels of the brain. Very often the patient's appetite disappears, resulting in a decrease in the total body weight, there is a lack of nutrients in the body. In more advanced cases, the disease may be accompanied by vomiting, which occurs when turning the head, slopes and even ordinary walking. As mentioned a little above, this occurs as a result of a violation of the circulatory process and incomplete flow of oxygen to the inner ear, in which the center of equilibrium is located.
Lack of air
Symptoms of cervical osteochondrosis include such a phenomenon as lack of air. It develops with direct damage to the cervical region and is a symptom of irritation of the diaphragmatic nerve. As a result, the patient becomes difficult to breathe, he does not have enough air and he lacks oxygen, he suffers from shortness of breath, even to severe suffocation. Usually, shortage of air is accompanied by snoring, especially with uncomfortable positions of the head during rest or sleep. This condition leads to the fact that the patient wakes up completely broken and tired, he is troubled by weakness and general malaise. Long stay in this state can lead to irreversible changes in brain tissue, memory loss and concentration of attention.
Noise and ringing in the ears of
Symptoms of cervical osteochondrosis can manifest as noise and ringing in the ears. What's going on? The point is that the vestibular apparatus, as a rule, is supplied with blood only from the system of vertebral arteries. It is for this reason, with diseases of the cervical region, the functions of the inner ear are disrupted, as a result of which the patient is disturbed by noise and ringing in the ears. Sometimes, these symptoms are accompanied by a decrease or impairment of hearing.
Cervical osteochondrosis can also be manifested as follows. Very often the patient is disturbed by a constant and unpleasant sensation of perspiration and dryness in the throat, foreign body, itching and tickling, difficulty swallowing. All these signs are directly related to the violation of the nerve and vascular trunks that go directly from the spinal cord.
Visual impairment of
Frequent and most common symptom of cervical osteochondrosis is visual impairment. As is known, the visual analyzer is supplied with blood not only by the carotids, but also by vertebrates. When these arteries are squeezed, visual impairment occurs. In this case, patients can complain about:
- atherosclerosis of the cerebral arteries;
- unpleasant sensation of fog or blisters before the eyes;
- flashing or "floating" points;
- violation of focus on any subject.
In this condition, the use of glasses or doing exercises for the eyes do not give positive results. Only with appropriate treatment can there be an improvement in vision.
Sudden loss of consciousness
The most unpleasant and dangerous symptoms that can occur with cervical osteochondrosis are sudden loss of consciousness of the patient. This is due to the temporary cessation of blood flow to the cerebral arteries. There is a pronounced spasm of the arteries, arising as a response to the irritation of the nerve endings from the deformed bone processes of the vertebrae.
However, after losing consciousness, the patient quickly wakes up if he is put in time and raise his legs in order to increase the outflow of blood from the legs and improve the blood supply to the brain.
Instability of arterial pressure
Symptoms of cervical osteochondrosis are not limited to the manifestations described above. Very often, there may be instability( spasmodic) of blood pressure, which arises because of a violation of blood supply. Arterial pressure in this case, either rises sharply, or vice versa, decreases. The patient's condition worsens, and he needs rest.
Osteochondrosis of the cervical spine is very often accompanied by dizziness. And this phenomenon can have a spontaneous nature. The reason for dizziness is a decrease in the flow of oxygen to the channels of the inner ear. These channels are located in the brain and are in direct response to the balance. Dizziness can occur with any movement of the head or neck. Sometimes and with a sharp rise from the prone position.
Treatment of cervical osteochondrosis
If the patient notices one or more of the above and described symptoms, then his first action should not be self-medication on the advice of relatives and friends, but a timely visit to the appropriate specialist. The doctor's actions are aimed at conducting a survey to identify the main cause of osteochondrosis of the cervical spine, as well as the selection of competent treatment.
Treatment of the disease, depending on the degree and condition of the patient, is complex. During the treatment the doctor can prescribe massage, therapeutic gymnastics, the use of medications aimed at relieving the pain and symptoms of inflammation.
Cerebellar osteochondrosis: symptoms
Osteochondrosis is a degenerative-dystophic disease of the spine, the basis of which is the destruction of intervertebral discs. The development of degenerative diseases of the spine is facilitated by prolonged microtraumatism, excessive static and dynamic stress, hereditary predisposition, advanced age. The most frequent lesion localization is the cervical and lumbar spine. This is due to their maximum mobility and load.
General concept of osteochondrosis
The intervertebral disc loses its fluid with time and loses its damping function. It becomes less resistant to physical stress. The fibrous ring, which is located on the periphery of the disc, gradually becomes thinner, and cracks form in it. According to the formed slits, the pulpous nucleus is displaced around the periphery and forms protrusion ( local protrusion, 1 degree).Because of the intense physical exertion, the protrusion can jumpwise increase and shift into the lumen of the spinal canal. In this case, talk about a herniated disc( grade 2).Sometimes free-standing fragments of the nucleus - sequesters - can sometimes be formed. At the initial stages of the disease, pain can be explained by overstretching of the fibrous ring and irritation of the posterior longitudinal ligament. Pain can localize locally in the back or neck, as well as in remote areas. With cervical osteochondrosis, pain can be reflected in the back of the head, scapula and interblade area, shoulder and arm.
Pain is accompanied by reflex spasm of segmental muscles. This phenomenon is protective and stabilizes the affected area of the spinal column. Over time, muscle contraction becomes an independent source of pain. When you move to the side of the intervertebral opening, the hernia squeezes the neighboring nerve roots. Radicular pain has a shooting, piercing character, clearly localized along the innervation of the nerve. It is accompanied by the corresponding neurological manifestations:
- decreased sensitivity;
- by loss of reflexes;
- muscle weakness.
Disk degeneration disrupts the normal anatomical relationship between the components of the spinal column: discs, vertebrae, joints and ligaments. Gradual decrease in the height of the intervertebral disc leads to a change in the joint joints and the formation of subluxations and dislocations of the vertebrae. This fact indicates the instability of the spine and reduces the resistance to injury, which can lead to an exacerbation of osteochondrosis.
With age, restoration of spine stability occurs due to the formation of osteophytes, hypertrophy of articular processes, fibrosis of discs, thickening of articular ligaments and capsule. The final stage of the pathological process is called spondylosis. Painful sensations by this time subsided.
The main symptoms of cervical osteochondrosis
At the level of the cervical segments, the nerve roots and their arteries, spinal cord and its vessels, vertebral arteries can be compressed. The compression of the spinal cord is possible due to the posterior intervertebral hernia or posterior osteophytes. People with a narrow vertebral canal are especially prone to this. With hernia compression signs of cervical osteochondrosis develop rather quickly, and symptoms of the cerebral fluid flow block are milder.
It is very difficult to clinically distinguish the compression of the spinal cord with a tumor and disc herniation. Osteochondrosis of the cervical spine is manifested by spastic paresis of the legs, conduction disorders of sensitivity, pain and weakness in the hands. In some cases, signs of compression are combined with signs of ischemia of the substance of the spinal cord that appeared as a result of compression of the spinal artery and radicular vessels.
Symptoms of anterior horn and ventral involvement may occur, involving pyramidal pathways( blood supply to the anterior cerebrospinal artery).There is anterior spinal syndrome: limp paresis of the hands, spastic paresis of the legs, dysfunction of the sphincters. Sometimes the symptoms of gross violation of deep sensitivity in the hands develop. After 2-3 weeks, signs of a spinal stroke begin to regress. By the volume of the pathological focus can be said about the severity of residual phenomena.
Myelopathy is a chronic ischemia in cervical osteochondrosis. Great role in the development of this syndrome is the compression of blood vessels. The most characteristic lesion is in the ventral sections of the lateral columns and anterior horns. It manifests itself by the salvage of atatrophic paresis of the hands, spastic paresis of the legs, violation of the deep sensitivity of the legs( classical triad).
In a number of patients, a symptom of Lermitt appears: the feeling of the passage of an electrical discharge along the entire spine with the irradiation of pain in the hands and feet while moving the head. Possible development of amyotrophic lateral sclerosis in which there are no bulbar symptoms.
An important role in the confirmation of myalopathy is played by MRI and CT, which reveal the compression of the envelope sac with osteophytes and thickened yellow ligament.
Symptoms of radicular compression
As the underlying discs wear out more quickly, spondyloarthrosis develops in the respective segments. Osteophytes narrow the intervertebral foramen and squeeze the roots( at the lumbar level, the disc herniation in the epidural space often occurs).During movements, the sprout head traumatizes the spine, which causes edema, which further narrows the intervertebral foramen. Develop reactive inflammatory reactions.
- C3-spine( below 2 cervical vertebrae, occurs rarely) - pain in the corresponding half of the neck, feeling of swelling of the tongue, sensation of a coma in the throat;
- C4-rootlet - pain in the corresponding foreleg, clavicle, atrophy of the trapezius muscle, decreased tone of the neck muscles( irritation of the 3rd and 4th cervical roots increases the tone of the diaphragm, which leads to a shift of the liver down and the appearance of angina pectoris);
- C5-spine - pain in the neck and outer surface of the shoulder, hypotrophy of the deltoid muscle;
- C6-spine( one of the most common localizations) - pain in the neck, shoulder blades, shoulder-straps on the outer surface of the shoulder, the radial surface of the forearm extends to 1 finger, paresis in the hands, weakness of the biceps muscle;
- C7-spine - pain spreads to 2-3 fingers, accompanied by paresthesias, weakness of the triceps;
- C8-spine - pain spreads to the elbow surface of the forearm to 5 fingers, accompanied by paresthesias.
Cervical reflex syndrome
Vertebral syndrome is manifested by acute cervical pain( lumbago, cervicalgia), less often chronic or subacute pain. The main sources of the pain syndrome are the fibrous ring, the posterior longitudinal ligament, the joint capsule, the strained muscles. The torticollis is not as pronounced as the curvature of the spine at the lumbar level.
Pain aching, radiating to the back of the head. Increase when driving or prolonged stay in one position. When palpation, the soreness of the spinous processes and capsules of the joints on the diseased side is determined( along the posterolateral surface of the neck 3-4 cm lateral to the spinous processes).Characterized by the involvement in the process of not only the back, but also the front muscles of the spine( front staircase, etc.).
Syndrome of anterior staircase
Strain muscle tension very often occurs with cervical osteochondrosis. The muscle is defined somewhat laterally from the sternocleidomastoid muscle in the form of a tight strand, dense and enlarged in size compared to the healthy side. Because of tension, compression of supraclavicular vessels occurs, which is accompanied by pain and swelling in the hand, a violation of sensitivity and motor activity( along the ulnar nerve).The pains increase in the horizontal position.
Small chest muscle syndrome
The development mechanism is similar to the previous one. Compression of the neurovascular bundle occurs between the muscle and the humerus( or the coracoid process) under conditions of enhanced arm diversion. It is accompanied by pains in the chest, scapula, arm.
The available signs are often considered as heart pains with VSD( acute attacks are absent, the effect of taking nitroglycerin or sedatives is not, increasing symptoms during movement and palpation of pain points).
Rear sympathetic syndrome
Dystrophic, vasomotor disturbances that result from irritation of the sympathetic plexus of the vertebral artery are characteristic. The branches of the plexus are located in the tissues of the brain and skull. Clinically manifested by dizziness, ringing in the ears, visual disturbances, anxiety.
The compression of vertebral arteries by osteophytes originating from the joints of the spine, combined with the atherosclerotic lesion of these vessels is an important pathogenetic factor in the development of arterial insufficiency of the brain and spinal cord.
In most cases, pain in the arms and neck is associated with cervical osteochondrosis. In some patients, the pain is caused by a hernia of the intervertebral disc, in others - by osteophytes and arthrosis of the joints of the spine. Each of these options can lead to local or reflected pain, radicular syndrome and myelopathy. When examining patients with pain in the neck, it is necessary to exclude pathologies such as: