The main symptoms and treatment methods for cervical vertebrae osteochondrosis
According to the World Health Organization, cervical osteochondrosis is second only to osteochondrosis of the spine of the lumbar region. The reason for such statistics is the specificity of the anatomy of the cervical vertebrae and the significant stresses that they carry as components of the most mobile part of the spine. The complications of this pathology are dangerous, and it sometimes takes a long time to cure them. To avoid the disease and its consequences, you should know why it occurs and what are the most effective methods of treatment today.
What happens when a disease occurs. Click on the image to enlarge
What happens with osteochondrosis of the cervical vertebrae?
Osteochondrosis of cervical vertebrae - what is it? In everyday life, his symptoms are often mistaken for signs of salt deposition in the joints of the spine. However, this is not so: even if growths( osteophytes) are found on the affected vertebra, they consist of bone tissue and have nothing to do with salts.
Actually in this disease is the destruction( degeneration) of the first intervertebral discs( they are thinned, lose shape), and then the vertebrae themselves.
Sometimes, in an effort to compensate for the damage to the discs, the body "grows" on the affected vertebra additional bone fragments. But such a spike-shaped growth builds up nearby vessels, muscle and nerve tissue - in the cervical region there are a large number, including a large artery feeding the brain. Seven small vertebrae of the neck are "strung" on this artery, like beads.
If you do not treat cervical osteochondrosis, compression of the vertebral artery can cause blood circulation, paralysis or even stroke.
Causes of the disease
The triggering mechanism of degenerative changes in the vertebrae of the neck can be:
Low physical activity. Weak muscles of the back are unable to keep the spine in a straight position, because of which the intervertebral discs are squeezed, deformed and lose functional abilities.
Incorrect posture. A person who is in an uncomfortable position for a long time at a table, machine or in a car, is prone to curving the spine and causing cervical osteochondrosis.
Metabolic disorders. Often occurs against the backdrop of a deficiency in the body of calcium, magnesium, phosphorus, manganese, zinc, vitamin D.
Neck injuries caused by sudden lifting of heavy objects or impact, or caused by prolonged excessive stress.
Chronic infections( syphilis, tuberculosis and even influenza, transferred without treatment).
Incorrect posture can be the cause of many diseases, including osteochondrosis of the neck
. The main symptoms of
. At the initial stage of the disease, symptoms may be mild or absent. The first signs of cervical osteochondrosis is a pain in the neck, giving up in the arm, shoulder or shoulder blade, and a crunch in the neck that occurs when the head is tilted or turned. Not considering them serious, a person often does not hurry to diagnose a doctor - and this is a mistake.
With further development of the disease, there are symptoms caused by compression of nerves and blood vessels:
- Headaches. Their treatment with analgesics gives only a temporary effect.
- Nausea, dizziness.
- Noise in the ears. When osteochondrosis, this symptom is manifested after a long stay in a stationary position, with diseases of the vestibular apparatus such a relationship is not observed.
- A feeling of lack of air, arising from the irritation of the diaphragmatic nerve passing next to the vertebrae of the cervical region.
- Problems with eyesight: decrease in its sharpness, periodic darkening in eyes, flickering of dots. During the treatment of osteochondrosis, these symptoms disappear.
- Disorder of coordination, abnormalities of gait.
- Memory loss, reduced performance.
- Short-term drop or increase in blood pressure, not amenable to the standard treatment of hypotension or hypertension.
How to diagnose pathology?
If the suspicion of cervical osteochondrosis( based on the symptoms and complaints of the patient), the doctor prescribes laboratory and instrumental examinations of the spine. It can be:
- Radiography of the neck in two projections: direct and lateral. It allows you to detect the narrowing of the distance between the vertebrae and the presence of bone growths.
- Magnetic resonance imaging or computed tomography, more accurately( in comparison with x-ray) determining the localization of pathology and the presence of protrusions( protrusion) of intervertebral discs. This is very important for effective treatment.
- To exclude other diseases that can occur with similar symptoms, it is possible to appoint electroencephalography, endoscopy, ECG, ultrasound and a number of urine and blood tests.
Methods of treatment at different stages of the disease
The complex of treatment measures is made taking into account the severity of the disease and the individual characteristics of the patient's body.
The mild form of the disease( stage 1)
When the disease is only just beginning to manifest itself, drug treatment may or may not be necessary. In such cases, to get rid of the disease it is enough to change the working conditions and lifestyle: adhere to a moderate-calorie diet, engage in exercise, avoid sharp loads on the neck, monitor posture.
The first minor symptoms( periodic weak pain and a feeling of stiffness in the neck) can really be removed with the help of physiotherapy, manual therapy, physiotherapy, massage, electrophoresis, acupuncture, hirudotherapy( leech treatment). With moderate to severe disease, these treatments are no longer sufficient.
Medium and severe disease( stages 2, 3 and 4)
Longer treatment is required if the development of the disease has already gone far when there are cracks or tears on the surface of the intervertebral disc, and the vertebra underwent pathological changes. In such cases, as a rule, you first need to quickly eliminate inflammation and pain syndrome, and then stop the process of destruction of intervertebral discs and restore the damaged spinal osteochondrosis structure of the spine as far as possible.
Methods of treatment of a mild form of pathology are used here, but they are already used more intensively. drug therapy is added: painkillers( ketorol, analgin, baralgin), non-steroidal anti-inflammatory drugs( ibuprofen, diclofenac, etc.).To improve the regeneration of cartilaginous tissue, chondroprotectors( glucosamine, chondroitin, alflutope) and vitamins( B6, B12) are used. Mandatory correction of vertebrae is mandatory.
It is not always easy to treat osteochondrosis of the cervical vertebrae, whereas the prevention of this disease is completely uncomplicated. Moving lifestyle, playing sports or at least regular exercise, the habit of "keeping your back" when walking and sitting, sleep on a pillow that provides a comfortable position for the neck - that's all the basic measures necessary to prevent the development of pathology. Take care of yourself and be well!
It is important to know: treatment of cervical osteochondrosis, symptoms of cervical osteochondrosis.
How to treat cervical osteochondrosis with drugs?Cervical osteochondrosis, as a rule, begins with a light form, which does not cause special problems to the patient. At this stage, treatment of cervical osteochondrosis is medically most often not required. At the initial stage of the disease it is quite enough to prevent the subsequent complications, for this purpose it is necessary to improve working conditions and lead a healthier lifestyle: do morning exercises, refrain from excessively high-calorie food, give up bad habits, and not lift weights.
It's important to keep your back straight, stick to the right posture during sleep, which the right bed will contribute, and in the process of sitting. Therapeutic gymnastics will also benefit.
Cervical osteochondrosis tends to progress with age, when its forms become more serious. In such cases, patients are prescribed treatment with conservative methods, including exercise therapy, physiotherapy( drug electrophoresis, paraffin, etc.), massage and wearing medical collars. If the case is more severe, then prescribe medications for cervical osteochondrosis.
How to treat cervical osteochondrosis with drugs?The first approach is medication. With it, the treatment is aimed at the pathological process. First of all, you need to reduce pain and inflammation. Further treatment is designed to restore blood circulation, as well as metabolism in the affected area of the neck. The effect of such therapy is achieved with the help of medications with different mechanisms of action. These drugs include the following groups of drugs: analgesics, muscle relaxants, muscle relaxants, and non-steroidal anti-inflammatory drugs.
To restore metabolic processes and stimulate the replenishment of cells in the affected tissues, chondroprotectors and vitamins included in group B are used. There are four ways of using them: externally, orally, intramuscularly and intravenously. To the treatment of cervical osteochondrosis, individual non-drug therapy complexes are individually medically selected depending on the stage of the disease and the presence of exacerbations of different types.
What tablets are used for treatment?The complex treatment of osteochondrosis of the neck often includes tablets, which include acetylsalicylic acid( better known as aspirin).Their wide application is due to the fact that it reduces heat, relieves pain and relieves inflammation.
Some tablets from cervical osteochondrosis have an action similar to aspirin, however it is more pronounced. Such tablets, for example, include Butadion. This drug must be taken under medical supervision, as it has side effects, including stomach pain, nausea, water retention in the body and itching. This drug should be taken in a dosage of 200 mg three times a day. If side effects occur, stop taking the medication immediately.
Tablets with cervical osteochondrosis are also prescribed to relieve the pain syndrome. They are individually selected by a doctor. The most commonly prescribed are analgin, indomethacin, ketones, ketanol, nise and nimesil. Apply them strictly according to the instructions.
Treatment of cervical osteochondrosis may include sedative drugs. For example, afobazol, valerian preparations, as well as other soothing drugs.
In the treatment it is very important to improve blood microcirculation and vestibular apparatus. For such purposes, appoint tablets Betaserc, Vestibo and others.
Arkoxia has excellent anti-inflammatory and analgesic properties. However, it can only be bought under the prescription of a doctor and must be taken under the strict supervision of a specialist.
Treatment in the form of tablets with osteochondrosis of the cervical department may be prescribed symptomatically. For example, if the patient osteochondrosis of the neck causes headaches associated with vascular spasms in the brain, the doctor may prescribe drugs for vasodilation. Tablets of such a plan is Cavinton, relieving pain caused by inflammation of the nerve fibers.
Treating from osteochondrosis of the neck, it is important to take vitamins and minerals, as well as restorative products. To relieve edema, diuretics help to improve blood flow and release nerve fibers and vessels located in the affected cervical region from the clamped state.
Cervical osteochondrosis: is it better to be treated with injections?If the patient has very severe pain with osteochondrosis, injections can be prescribed. For this purpose, as a rule, use of mylgamma, lidocaine and ketonal. They perfectly relieve pain and have an anti-inflammatory effect.
Pricks for cervical osteochondrosis are prescribed in conjunction with other types of treatment. For example, to improve the condition of the muscles and relieve their overstrain use of vitamin B injections.
Treatment of osteochondrosis of the neck can not be imagined without reducing inflammation and edema of the intervertebral disc. For this purpose, intramuscularly administered Voltaren, Indomethacin, Movalis, Nimesulide, as well as other non-steroidal anti-inflammatory drugs.
Blockade - the most effective prick for osteochondrosis of the neck?A blockade is the introduction of a drug into the area where the pathological process passes. It is important to note at once that only a highly qualified specialist with a higher medical education can carry out the blockade! Do paravertebral blockade at home is prohibited! Thanks to the blockade, the inflammation quickly decreases, and the pain subsides.
For blockade by specialists, as a rule, a combination of an analgesic and a corticosteroid hormone with a prolonged action is used. The analgesic relieves the pain syndrome, and the hormone is responsible for the removal of inflammation. To date, this is the most effective way to relieve severe pain in osteochondrosis of the neck.
In the treatment of cervical osteochondrosis, injections are divided into two types. The first - the introduction of the active substance in the direction of the branches of the nerves of the spinal cord, with it the drug is injected into the zone of interstitial and supraspinous ligaments, as well as into the surrounding intervertebral joint of the tissue and the joint cavity. The second is the introduction into the region of the recurrent branch of the nerve of the spinal cord innervating the structure of the spine. This type includes more complex blockades, when injections are produced in the intervertebral disk itself or in the epidural space of the canal of the spinal cord.
Should I use ointments?When asked: how to treat cervical osteochondrosis with drugs, first of all come to mind, of course, ointments, television advertising has done its job. Treatment with gels and ointments is used from an early stage of the disease. This treatment has several positive advantages.
First, with cervical osteochondrosis it is much cheaper to be treated with ointment, rather than electrostimulation and magnetotherapy.
Secondly, in comparison with physiotherapy, ointments are much more accessible. They can be used at any time when the patient has felt pain.
Third, almost complete absence of contraindications. However, it is important to ensure that the skin does not have lesions and open wounds.
Fourthly, the course can be unlimited in the absence of allergy to the components of the ointment. However, ointment from the osteochondrosis of the cervical region can cause lacrimation due to a sufficiently strong odor.
What are ointments from osteochondrosis of the neck?There are six groups of ointments used for osteochondrosis.
1) Ointments with an anti-inflammatory effect, which include steroid substances. Often in addition to steroids, they contain various painkillers. The most popular remedy in this group is Fastum gel, where the active ingredient is ketoprofen, and the auxiliary substances are lavender oil and menthol. Fastum gel is produced abroad, there are also domestic analogues, for example, Bystrum gel.
Other ointments of this group are Ketonal and Finalgel based on ketoprofen. This group also includes preparations based on other analgesics( diclofenac, nimesulide and ibuprofen): Nurofen, Nyz gel and Voltaren.
2) Ointments that have complex action with anti-inflammatory, analgesic and regenerating properties. For example, Dolobene gel. The main active substances of this group of ointments are heparin, dimethylsulfoxide and dexpanthenol.
3) Ointments, which are a cure for cervical osteochondrosis, which has an analgesic and irritating effect. With their help, the blood supply increases in the affected area and, accordingly, the nutrition of the tissue. Nikobosil is the main active substance of this group. An example of such ointments can be Nicoflux, Capsicum and Finalgon.
4) Ointment-chondroprotectors, slowing down the negative processes in osteochondrosis of the neck and restoring cartilaginous tissue. The main active substance is chondroitin sulfate, and the main representative of the group of drugs is ointment Chnodroksid.
5) Homeopathic ointments. In this group ointment with cervical osteochondrosis acts as well as in the first. Difference in the composition. For the production of homeopathic ointments, natural plant extracts are used. Before using them, you should consult a doctor, as these drugs can cause allergies. An example of this group are Traumeel C preparations and the Objective T.
6) Massage ointments. They include mummies, bee venom and plant components. This combination of substances anesthetizes, and also has a regenerating and anti-inflammatory effect. For example, Sofia's cream with bee venom and Badyaga Forte.
Cervical osteochondrosis treatment of the ointment should be prescribed by the doctor in conjunction with other medicines and methods of treatment. You do not need to self-medicate so as not to start the disease and prevent the development of complications.
Osteochondrosis of the cervical vertebra - symptoms and stages of the disease
Osteochondrosis of the cervical vertebra is a degenerative process localized in the region of one of the seven elements of the vertebral column in the cervical region. The consequences of this pathology are very significant, therefore, it is necessary to treat the illness in time or to avoid it by means of preventive measures.
Stages of development of the disease
The neck is always tense, so the appearance of osteochondrosis in this part of the body is justified and not a rare occurrence. Osteochondrosis of the cervical region - the vertebra has 4 stages of development, each of which manifests itself with a certain symptomatology:
- The primary stage is the slightest changes in the area of the intervertebral discs, accompanied by manifestations of instability;
- Secondary stage - is a protrusion of discs, in which there is a narrowing of the intervertebral space due to the appearance of a crack in the area of the fibrous ring. It is in this period there is a pain syndrome, the cause of which is the jamming of the nerve roots;
- The destructive stage is the complete destruction of the fibrous ring, which results in intervertebral hernia. In this period, deformations of the spinal column are possible;
- The last stage is the most difficult period of the disease, characterized by the attainment of the last point of degenerative destruction. During this period the patient can not move freely, as this causes characteristic piercing pain. Improvement of the condition without treatment at this stage of osteochondrosis is a negative factor, as it indicates the appearance of bone proliferation leading to disability.
Symptoms of the disease
Osteochondrosis of the cervical vertebrae Symptoms that can occur in very non-standard forms are often manifested by headaches, numbness of fingers, or cooling of the temperature of the extremities. Even minor symptoms of cervical osteochondrosis should be the reason for visiting a specialist's office, since at the initial stage the ailment can be cured quickly, otherwise it is almost impossible to overcome the disease. Dizziness and loss of consciousness;
Treatment of degenerative changes
The development of osteochondrosis occurs gradually, therefore at the initial stages of the disease a person does not pay attention to the mild symptoms of a progressive disease. But it is at the very beginning of degenerative-dystrophic changes that it is easiest to heal even with the help of elementary physical exercises. Osteochondrosis of the cervical vertebra treatment, which should necessarily be coordinated with a specialist, is easiest to eliminate by strengthening and tightening the muscular corset. Change of lifestyle and normalization of nutrition are important stages in the fight against the disease. The cervical vertebrae are much smaller than in other areas of the spinal column( thoracic, lumbosacral), however, the motor activity and the load that falls on them are substantial - thanks to them we turn, lift up, lower down, as well as doing many other head movements. In addition, the main artery supplying blood to the brain passes here, and, as is known, it is the blood that delivers nutrients and oxygen to the organs. Similarly, the vertebral column of the cervical section contains a mass of vessels, nerve endings, which are squeezed( this occurs when the intervertebral discs are destroyed) can cause impaired motor activity and lead to disability.
Some reasons for the development of cervical osteochondrosis, we have already listed above, but this is not all. There are several factors contributing to the development of the disease:
- heredity - if the disease is transmitted from generation to generation, then most likely you will not be an exception;
- injury, not correct posture, scoliosis are also the main causes leading to osteochondrosis;
- frequent location in an unrelated body position ( for example, holding the phone with your shoulder);
- weak physical preparation and vice versa, excessive load;
- is a metabolic disorder of in the body;
- prolonged exposure to and not the correct position during sleep;
- abnormalities of the cervical vertebrae, stress, frequent nervousness - all these are the reasons "thanks" to which the risk of osteochondrosis is great.
Blood circulation disorders, muscle spasms, displacement and alteration of the structure of the intervertebral discs, the appearance of osteophytes, hernias, hypoxia of the head, as well as spinal cord, headache and many other symptoms, the causes of which we already know, are accompanied by cervical osteochondrosis.
Symptoms of the disease
The initial stage of the disease does not manifest itself in any way, it is more like fatigue, overstrain, a feeling of discomfort that is periodic.
Therefore, people often do not pay attention to the "first bells", which the body gives us a hint that we would immediately seek medical advice and begin treatment. By the way, at the initial stage, the disease can be completely cured in almost 100% of cases, and without resorting to drug therapy, but using exclusively curative gymnastics and changing one's lifestyle.
Symptoms to which you should pay attention first:
- crunch - try to rotate the head, if the characteristic sound is present, it means that the degenerate process is already running;
- pain in the neck region bearing a periodic, not significant character;
- sensation of heaviness , sometimes numbness of upper limbs, as well as headaches - all these symptoms directly indicate that the treatment should begin immediately.
Quite often the symptoms of the disease can be confused with manifestations of other ailments, so having come to the doctor and complaining about severe pain in the head, ringing in the ears or blurred vision, the person is very surprised when after examination the specialist diagnoses his osteochondrosis of the cervical vertebra.
It's no wonder, some of the symptoms are really very similar to other diseases, and before you begin treatment, you should definitely establish a diagnosis.
Symptoms indicative of a later stage of the disease:
- permanent pain - in the shoulder girdle, upper limbs, neck, occipital region of the head, the causes of this infringement of the nerve roots;
- sensation of weakness and decreased sensitivity( numbness) in the hands;
- crunch , partial immobility while moving head;
- impaired coordination of movements , accompanied by weakness and dizziness;deterioration of visual, auditory function;
- patient is in poor control of his actions and speech.
All these symptoms are not just unpleasant, but even dangerous for a person, the latter can lead to the fact that without outside help a person can not perform basic actions( even serve himself), remaining disabled for life. In order to avoid irreversible changes with the first symptoms, contact a specialist who, after diagnosing the disease, will prescribe a constructive treatment for you.
How to treat
It usually happens that after experiencing constant, severe pain for a long time a person only then turns to a doctor for help, and, having removed the pain syndrome, believes that the treatment can be terminated. How deeply these people are mistaken.
The degenerative processes occurring in the bone, cartilaginous tissue of the spine, which accompanies not only the pain, but all the above factors can not be cured by anesthesia alone. In addition, you should know that treatment of osteochondrosis is a long process( at least 3 months) of , but even such a long-term therapy is not able to cure the disease completely.
To achieve significant success after long-term remission is possible only in a complex effect on the problem - with osteochondrosis apply medication, physiotherapy, gymnastics, as well as massage, maybe even acupuncture.
Initially, the doctor prescribes the administration of NSAIDs - Voltaren, Movalis, Diclofenac, Ketanov and other preparations of the nonsteroid group, in order to calm pain, inflammation, swelling of the damaged nerve process. To improve metabolic processes, it is useful to use B group vitamins, in particular thiamine.
To remove pain syndrome and adjust metabolic processes are paramount actions, then chondroprotectors, glucosamine, for example, Chondroxide, Structuvit, are recommended for restoration of cartilaginous tissue. In addition, you need to relax the spasmodic muscle frame by taking muscle relaxants - Midokalm, Tizanidin, others. Experiencing constant pain, a person is disturbed by a psychoemotional state, depression develops, so specialists often prescribe sedatives.
Along with medical therapy, physiotherapy is prescribed. Thanks to it, medicines are delivered directly to the site of the lesion, affecting point-wise to the problem. It can be electrophoresis, magnetotherapy, ultrasound and other procedures that the doctor appoints individually to each patient. Also, based on individual characteristics, the patient is selected therapeutic gymnastic exercises, having learned that a person must be fulfilled all his life, this will help prevent a relapse.
Timely call to the doctor and diagnose the disease are the first steps to a successful recovery, and strict compliance with all medical prescriptions will allow you to return to a full and active life.
Osteochondrosis of the cervical vertebra - causes, symptoms and treatment
Osteochondrosis is a degenerative-dystrophic lesion in the spine of the intervertebral discs. The cervical region is the most vulnerable part of the spine, since it has a special structure. With a significant load on the neck, the vertebrae are displaced, leading to compression of nerves and vessels. This is quite dangerous, because in this department through the holes that are located in the transverse processes of the vertebrae, there are arteries that actively participate in the blood supply to the brain. Therefore, any pinching of the vertebrae of the cervical spine is fraught with the most severe consequences.
Causes of osteochondrosis
Osteochondrosis of the cervical region occurs for various reasons. These are long physical exertion, a violation of posture, a hereditary factor, a reduction in motor activity due to a long sedentary lifestyle. Also, the causes can be: smoking, impact on the spine of vibration when driving a car, deformities of the foot( flat feet, etc.), overweight.
Due to these reasons, the normal structure of intervertebral disks is disrupted, and the mutual influence of bone, nervous, vascular and ligamentous structures is disturbed.
Symptoms of osteochondrosis in the cervical part of
During the pressure of the nerve roots, the signs of the osteochondrosis of the cervical region are manifested by pain, which is released from the neck to the scapula, and extends to the forearm from the outer surface of the shoulder and to the fingers of the hand. There is a violation of the sensitivity of the skin of the fingers, forearm( radicular syndrome) in patients.
On the background of stenosis of the vertebral artery, as a rule, the vertebral artery is compressed, and the blood circulation in the brainstem and in the cerebellum decreases. This all leads to the emergence of persistent ischemia of the spinal cord, also of the brain, called spinal stroke.
Strong drilling pains in the neck and back of the neck or neck, which often appear in the morning, are worse with coughing, head movements, etc. Pain can be given to the shoulder, also in the lateral surface of the chest. Sometimes the symptoms of osteochondrosis of the cervical region can manifest in the area of the forearms, shoulders in the form of aching pains.
When compression roots, which are located in the zone of the lower segments in the cervical region, there are signs similar to the symptoms of true angina.
Symptoms of the osteochondrosis of the cervical spine are: dizziness, visual impairment, ear pain, eye, neck, tinnitus, hearing disorders. Symptoms are: numbness of the feet, pain in the neck, pain in the heart, darkening in the eyes, nausea, vomiting.
Treatment of cervical osteochondrosis
Treatment of this cervical spine is complex and depends on a particular situation. A remarkable effect is provided by an individual and complex approach to treatment, which combines medical treatment( strictly appointed by a doctor), physiotherapy procedures, massage, and physical therapy. Alternative methods of treatment of osteochondrosis are also used.
When the disease worsens, the treatment of the cervical spine is mainly aimed at improving the regional and main blood flow and eliminating muscle spasm. Medicines that improve blood circulation, anti-inflammatory drugs( otrofen, rheopyrine, indomatacin, rumalone, etc.), vitamins( mainly B vitamins), analgesics are used.
In most cases, the medical treatment of osteochondrosis involves the alternation of analgesics and non-steroidal anti-inflammatory drugs. Of the physiotherapeutic procedures often used UHF and various types of electrotherapy, as well as massage.
Treatment of osteochondrosis of cervical vertebrae with the help of therapeutic gymnastics gives a remarkable result. Exercises are aimed at developing and strengthening muscles without a special load on the intervertebral discs. As a rule, there are special sets of exercises, both for the prevention of osteochondrosis, and for its treatment. Gymnastic exercises are chosen strictly individually for patients and appointed by a physician-physiotherapist.