Why there are pains with osteochondrosis and how to remove them?
Pain is the main, but not the only manifestation of osteochondrosis. It is noteworthy that in itself osteochondrosis is a painless process. The process of degeneration of the cartilaginous tissue of intervertebral discs is not accompanied by any painful sensations. But only up to a certain time. In the future, it is pains associated with osteochondrosis that cause a patient to cross the threshold of a medical institution.
If the dystrophy of the intervertebral discs is painless, then what causes the pain in osteochondrosis? And it is caused by complications of this pathological process. And one of such complications is a herniated intervertebral disc. Affected osteochondrosis disc is thinned, covered with cracks, and is no longer able to perform the functions assigned to it. Under the influence of various mechanical factors( sudden movement, uncomfortable posture, trauma, lifting and carrying of weights), the disc easily shifts in the posterior or posterolateral direction. At the same time, the displaced disk irritates the roots of the spinal nerves.
In addition, because of the decrease in the spacing between the vertebrae, the nerve roots are impaired in the holes formed by the processes of the adjacent vertebrae. Infringement leads to swelling, inflammation and pain. In the case of osteochondrosis of the lumbar region, not only the nerves of the lumbar and sacral plexus can be irritated, but also the so-called.ponytail - nerves of the spinal cord, located in the lumbar spinal cord.
The cauda equina syndrome occurs with severe pain in the lower back. In the formation of pain in osteochondrosis, the muscular component is also present to some extent. Often in a zone of a vertebral osteochondrosis muscles are reflexively reflex. Because of the constant stress, lactic acid accumulates in them, which leads to the appearance of characteristic pains.
And what pains are characteristic for osteochondrosis? The fact is that the spine is a large anatomical formation, and the nerves emerging from it innervate a variety of anatomical structures located in different regions. And the pain can be very diverse, depending on the localization, course and degree of osteochondrosis. It is because of the variety of pains that osteochondrosis was called a chameleon disease.
Take, for example, cervical osteochondrosis. With this localization, the neck hurts with the irradiation of pain in the back of the head, shoulder girdle, upper limbs. Neck pain( cervicalgia) has a different degree of intensity, and is often combined with cerebral manifestations - headache, nausea, dizziness, insomnia. The patient can also complain of sore throat, tinnitus. As a result, osteochondrosis of the neck is often taken for cerebral stroke, vegetovascular dystonia, pathology of the ENT organs.
Pain in breast osteochondrosis often passes through the type of intercostal neuralgia. In this case, the pain can be quite intense, sharp, and strengthen at the height of inspiration, with coughing. The chest also hurts. Sometimes the pain in the chest can be so strong that it is taken for angina or myocardial infarction. Unlike cardiac pathology, pain in osteochondrosis increases with axial load on the chest. But only doubts can finally be solved. ECG diagnostics. In chest osteochondrosis, patients often complain of dull ache in the interblade area.Recommended reading:
The main symptoms of osteochondrosis
But most often the back aches with osteochondrosis of the lumbar spine. And the nature of pain varies with the progression of the process and the development of complications. Initially, the pain in the back pulling, aching, appearing after physical exertion, stress. In the future, pain( lumbulgia) is increased, lumbago lumbago becomes more frequent. Subsequently, the pain in the back is irradiated to the gluteal region, to the lower extremities. Typical manifestations of pain syndrome are observed in lumbosacral radiculitis and in sciatica( sciatica nerve inflammation).In addition to pain, there are other symptoms - stiffness of the movements, a violation of sensitivity in the lower extremities, lameness, in especially severe cases - a disorder of the pelvic organs.
How to relieve pain in osteochondrosis? Well, of course, anesthetics, some will answer. Yes, analgesics play a significant role in the elimination of pain in osteochondrosis. Especially effective in this regard are paravertebral blockades using Novocain, Lidocaine, Trimekain and other local anesthetics. True effect they have a short-term. In addition, anesthesia is referred to symptomatic treatments, which, as you know, do not affect the course of the disease. Pain is a gift to a man from above. And if there was no pain, we would come to deplorable consequences, without knowing it ourselves. By means of pain, the spine signals that everything is not right with him. As already mentioned, it is the pain syndrome that drives a person to the hospital.
But the elimination of inflammation of the nerve roots refers to more effective methods of anesthesia. This is the purpose of NSAIDs - non-steroidal anti-inflammatory drugs. This is a vast group, represented by all dosage forms - tablets, ampoules for injections, ointments, gels. A typical representative of this group is Acetylsalicylic acid. But there are other means - Ibuprofen, Diclofenac, Indomethacin. Other medications for osteochondrosis, immunostimulants, chondroprotectors, vitamin-mineral complexes do not directly eliminate pain. However, strengthening immunity, enhancing regenerative processes in the cartilaginous tissue contributes to the regression of osteochondrosis, and, ultimately, to a reduction in pain. However, in order to achieve the desired result, a long regular intake of these medicines will be required.
Other methods of treatment - physical therapy, massage, health gymnastics, also eliminate pain. But all these methods can not be performed during exacerbation of osteochondrosis, at the height of pain. They are used only during the inter-attack period. Strengthening of the muscular backbone, normalization of the local circulation also contributes to anesthesia. In addition, there are techniques that provide direct manual exposure to the spine. This manual therapy, some elements of therapeutic physical education. In the course of these methods, manual adjustment of intervertebral disks, extension( traction) of the spine is carried out. As a result, disc hernias are completely or partially eliminated, the strangulated nerves are released. And if the osteochondrosis itself can not be reversed, it is quite possible to get rid of the pain with osteochondrosis. It is only necessary to use competently the entire arsenal of relying for this means.
Pain in the hand with osteochondrosis
A distinctive feature of osteochondrosis is the presence of pain in those organs and parts of the body that seemingly have nothing to do with the spine. In most cases, osteochondrosis can be masked for a very long time under other diseases, the treatment of which does not bring a tangible result. Pain in the hand with osteochondrosis of the neck can be taken for arthrosis of the joints of the hands, or for the usual fatigue of the fingers due to work that requires fine and verified movements. The pain that accompanies such a disease as an osteochondrosis of the hand can be completely different: numbness of any part of the hand or hand, burning or numbness in the fingers.
If the patient has a sore or dumb left arm, this may be a symptom not only of joint and spine diseases. Cardiovascular diseases often cause symptoms similar to osteochondrosis or arthrosis. It is necessary as soon as possible to see a doctor for a detailed examination and diagnosis.
Symptoms of osteochondrosis of the hands and its diagnosisThe appearance of pains or numbness of the upper limbs can be caused by several reasons, from metabolic disorders in the body to complications after the transferred infectious diseases. However, most often such symptoms are inherent in osteochondrosis of the upper spine.
On what symptoms to pay attention to prevent development and start treatment in time:
- Paleness of the skin of the hands when in a cold room or on the street in the autumn-spring and winter period. Osteochondrosis of the neck is caused by a decrease in the discs between the segments, which in turn can provoke an insufficiently good blood supply in the upper part of the body, including the hands. That's why you should be alerted to short-term pallor of fingers in the cold.
- Appearance of numbness with repeated repetition of small movements with fingers. Osteochondrosis of the hands is always accompanied by numbness. This is due to the clamping of vessels in the neck, as well as the compression of the nerve endings in the area of 3-5 vertebrae. These nerve endings are responsible for the sensitivity of the hands, and because of their squeezing by the displaced segments of the spine, the arm becomes numb and causes considerable inconvenience.
- The cervical type of the disease gives a strong pain in the arm, so when the diagnosis is already made, cervical osteochondrosis, pain in the hand is quite expected. Pain can occur both at rest and during movements with a hand or fingers. It can be felt as a slight tingling or strong aching. Usually the pain of this nature ceases after the cessation of movements.
- Morning stiffness of fingers, which passes after kneading hands with light massage movements.
- Subcutaneous formations in the form of balls on the joints of the fingers in the initial stage of the disease are almost invisible. Over time, they increase in size, the skin over them acquires a pinkish hue.
It is noted that if a patient has an osteochondrosis of the right hand, then he seeks help from a specialist in this area earlier than those who have the same symptoms, only on the left side. There are few reasons for this: first, with pain on the right side, the working capacity is very much reduced. Secondly, complain more often not in pain in the hand as a possible cause of the disease, but in pain, reminiscent of the heart, while they do not go to the therapist or the osteopath, but to the cardiologist.
The professional training of most specialists allows them to routinely palpate areas of the neck and arms to determine a more or less accurate cause of the pain. If this is caused by a skeletal or spinal disease, further examination will help to establish an accurate picture of the disease and determine the medical process. The main thing in this matter is the timely response to the appearance of the most insignificant signals from the hands and the whole organism.
Headaches for osteochondrosis
Headache can be a symptom of many diseases, so it can have a different character. But in this article we will talk about such a reason as cervical osteochondrosis, since it is always accompanied by a headache, which not only complicates the course of the disease, but also creates great discomfort.
What kind of headaches occur with osteochondrosis?
First of all it is necessary to understand what exactly affects the appearance of pain. In the case of cervical osteochondrosis, the headache arises from the fact that the vertebral artery is compressed by the bone processes. Further, the nervous branches swell and become inflamed, resulting in headaches. In this case, the symptom is bursting, and when the head moves or the eyeballs, it can increase, which significantly worsens the general condition of the person. The patient becomes sluggish and does not want to move without good reasons. In addition, there is irritation, since regular pain affects the psychological state of the patient.
The pain can be of completely different character: pressing or dull. In this case, it is constantly present. Complicating the situation is that the headache with osteochondrosis can be accompanied by other symptoms, for example:
- pain in the heart;
- pain under the scapula;
- pain in the forearm;
- numbness and tingling of the hand( in some cases).
Features of headache in cervical osteochondrosis
This symptom, like headaches with osteochondrosis, has a number of features, among which the leading place is that this manifestation can not be stopped with analgesics. Therefore, using all kinds of painkillers is absolutely useless and it is worthwhile resorting to other methods. For example, apply warming ointments, which contribute to increased blood flow to the neck muscles, which helps reduce pain.
In case of osteochondrosis of the cervical region, there may appear a "cervical migraine".The symptom received its name due to the fact that with it the pain extends only to one side of the head, thereby making it look like a migraine.
But still the main feature of the headache in osteochondrosis of the cervical region is that it is impossible to cure it, it is necessary to eliminate the underlying cause - osteochondrosis, and only then will the pain pass.
Treatment of headache with cervical osteochondrosis
Since it is impossible to completely relieve the headache with osteochondrosis without full treatment of the disease, the process of getting rid of the problem is quite complicated. It is necessary to combine medical therapy, physiotherapy and curative gymnastics, that is, the patient should devote almost all of his time to treatment.
First of all, the doctor must prescribe pain medication together with antispasmodics( drugs that are aimed at relieving muscle spasms) and vasodilator drugs. Such a complex of medicines will help to remove an unpleasant symptom and reduce the number of seizures. But, if the attack is all the same, the patient should lie down, it is convenient to put the head and neck, it is advisable to use orthopedic pillows, and lie down for a while, without moving. In this case, others should provide him with complete peace.
Medication therapy may also include:
- B vitamins;
- nicotinic acid;
- preparations containing magnesium, calcium and phosphorus.
Physiotherapy involves the use of:
- paraffin application;
- medical baths.
These procedures help not only temporarily to reduce pain, but also to eliminate the main cause of the disease - osteochondrosis of the cervical region. In this case, the doctor can prescribe a massage or apitherapy. But keep in mind that if the improvements after visiting these procedures are not noticeable, then it is necessary to inform the doctor about this, since this therapy is not always performed correctly and can only harm the body.
Sore throat with osteochondrosis
Infective endocarditis and rheumatism are diseases that lead to the development of cardiac malformations.
Cardiomyopathy is a disease that increases the risk of sudden death.
For angina pectoris, complex treatment is necessary, because this disease is the cause of myocardial infarction, which leads to disability or death of the patient.
But, similar pain sensations arise at an osteochondrosis of a thoracal department.
That is why it is very important and necessary to initially determine the nature of pain in the thoracic spine - a manifestation of pathological changes in the spinal column or a manifestation of heart disease.
Pain syndrome in the osteochondrosis of the thoracic region does not appear immediately. But, when it appears, it is usually behind the breastbone, in the region of the heart, pain in chest osteochondrosis can be given in the side, back, stomach.
Manifestations of chest osteochondrosis are very diverse, and therefore to name a clear set of symptoms, which would be 100% diagnosed with the disease is almost impossible.
Most commonly observed in the disease:
- discomfort when inhaling, exhaling, there is pain while moving;
- numbness between the shoulder blades, upper limbs;
- pain resembling intercostal neuralgia;
- pain in any position of the body;
- pain, in the region of the heart, similar to heart pain;
- discomfort of hypochondrium - right and left;
- pain in the middle of the sternum is the so-called "count in the chest."
Pain very often appears at night, and this causes panic in patients, since the symptoms are very similar to the symptoms of myocardial infarction.
When the disease worsens, soreness in the chest is felt, which women perceive as a pathology of the breast. When the disease afflicts the upper segment of the thoracic region - the pain appears near the pharynx and esophagus. There is a feeling that there is a foreign body behind the sternum.
Symptoms of chest osteochondrosis are very similar to those of appendicitis and cholecystitis, can resemble renal colic.
To determine the diagnosis, exclusion of angina pectoris, myocardial infarction, doctors prescribe an additional examination with ECG.
Than caused by osteochondrosis pain in the chest
It is believed that breast osteochondrosis is not such a terrible disease. The department of the spine is inactive, its loads are not so great, and therefore the appearance of the intervertebral hernia on this site can go unnoticed, if any nerve root does not pinch.
But in those cases when the disease leads to the jamming of the nerve root, the painful neurologic syndromes begin to manifest rather unusual, the most famous is the intercostal neuralgia.
Intercostal neuralgia - characterized by extremely acute pain, inferior in intensity only to renal colic.
Another variant of the manifestation of pain in the disease is the appearance of characteristic pains in the region of the heart, giving under the left scapula. The pain syndrome is so strong that a person begins to suspect a severe heart attack. But, there are differences that allow you to understand the symptoms - pain caused by intercostal neuralgia is not removed by drugs, and nitroglycerin, helps with cardiac pain always.
Pain sensations behind the breastbone manifest radiculopathy, which arises from the formation of a herniated intervertebral disc. Appears radiculopathy, and eventually progresses against a background of strong physical exertion.
If the symptoms in the thoracic spine are caused by a hernia or protrusion, the pain occurs in the area of the shoulder blades, shoulders, chest, abdominal region. Damaged places sometimes lose sensitivity. Symptoms may depend on the direction of the intervertebral hernia. Doctors call lateral and median.
If the lateral hernia - painful sensations are enhanced by movement, with coughing, inhaling-exhaling. With the middle hernia - the pain does not pass for some time, in some cases can last for weeks.
Causes and types of pain in chest osteochondrosis
Diseases of intervertebral discs
Most often, pectoral osteochondrosis provokes static postures - the person's work is connected with driving the car, office sitting work, etc. Inconvenient, irrational poses, scoliosis are not the only reasons contributing to degeneration, deformation of the intervertebraldisks, but these factors create an additional burden for the spine.
The chest pain in the diagnosis of "osteochondrosis" differs in intensity into two categories:
- Dorsago. This pain of a sudden nature, acute, very intense, paroxysmal. Pains of this nature limit the movement of the back, can cause severe shortness of breath.
- Dorsalgia. This kind of pain has a long-term chronic character in the area of the deformed vertebrae. The pain is not too intense, and therefore a person can tolerate it for weeks, in addition, dorsalgia does not severely limit mobility, does not greatly affect physical activity.
It is impossible to cure completely osteochondrosis, as it is a degenerative process that takes place on the intervertebral discs. In other words, it simply destroys them.
Example of a healthy and sick spine
This breaks down not only the biological mechanics of the spine, but the whole skeleton, neurological abnormalities arise. Therefore, doctors prescribe a comprehensive therapy that can cope with a complex of problems caused by the disease. Therapy of breast osteochondrosis involves the removal of pain and the elimination of the causes of pain.
Treatment of breast osteochondrosis is a complex procedure consisting of several activities and procedures:
How to relieve pain with osteochondrosis |spinomed.ru
Pain in osteochondrosis is sometimes so painful that the patient needs timely and rapid pain relief. In order to achieve this result, there are several ways. First of all, this is the correct position of the body. In addition, there is a need to use both local remedies( ointments, gel, cream), and inside( tablets, capsules, injections).All these methods should be applied in a complex, combining with each other, in order to achieve an analgesic effect as quickly and qualitatively.
Correct posture for pain relief
Body positions that reduce the burden on the back, and as a result reduce pain in the affected area of the spine, differ in the osteochondrosis of the cervical and lumbar spine.
Pose for cervical osteochondrosis
As such, there is no definite posture, the position of the body with cervical osteochondrosis does not exist. Relieves pain and allows you to relax the affected department of the spine rest on the orthopedic pillow. It should be quite dense and elastic, keep the whole spine straight. You can lie on your side or on your back.
Also allows you to relax the neck muscles and reduce the pain of a special collar. It should be worn for up to 2-3 hours a day, in rare cases, longer. You can make such a collar with your own hands. It is necessary to cut a piece of dense cardboard, the size of which will correspond to the circumference and height of the neck( from the collarbone to the chin).Tighten this cardboard with a soft cloth and attach fasteners( buttons, buttons).
Pose for lumbar osteochondrosis
In lumbar osteochondrosis, there are several options for the correct and convenient location of the body. At the first patient lies on his back, flexes his legs in the knee and hip joints. At the same time under your knees you need to put a pillow so that the feet do not stand on the bed. In the second variant of the analgesic posture, the patient lies on his side, bending his legs closer to the chin. In this case, under the head, waist and knees should be small pads, rollers or towels to align the spine column along the axis. And with the third version of the pose, the patient occupies a position on the abdomen, with a pillow under his belly. In all three positions, it is necessary to cover the waist with something warm( scarf, special belt, plaid, waistcoat, etc.).Do not apply a hot water bottle, because the pain can increase.
Local anesthetics include ointments, gels and creams that are applied to the affected area of the back and evenly rubbed. They should be applied up to 3-5 times a day. The effect is achieved already after 5 minutes after application, because these agents are rapidly absorbed through the skin and penetrate to the site of injury.
All topical agents that can relieve pain in osteochondrosis can be divided into several groups:
- NSAIDs( non-steroidal anti-inflammatory drugs) .They have not only analgesic effect, but also anti-inflammatory. To such ointments it is possible to carry Nizz-gel, Voltaren, Finalagel, Bystrumgel, Fastum gel, etc.
- Locally irritating ointments .An anesthetic effect is achieved by heating the back, accelerating blood flow and metabolism. The means of this group include Apizarthron, Finalgon, Kapsikam, Espol, etc.
- Combined( complex) means. In addition to the anesthetic effect, blood flow improves, inflammation decreases and partial restoration of the cartilaginous tissue takes place. To the preparation of this group can be attributed Dolobene gel.
Preparations for ingestion
The drugs for internal use with analgesic effect are referred to as oral means( for oral administration - tablets and capsules) and parenteral agents( injections, injections).The difference between them is only in time from the beginning of the action. When injections, the drug penetrates into the body and begins to act within 10-15 minutes after administration, and when taking tablet formulations - after 30 minutes - 2 hours. The most effective agents for osteochondrosis include the following drugs.
- The active ingredient is diclofenac. Diclofenac, Dicloberl, Naklofen, Olfen, Almiral, Voltaren, Diklak, etc.
- The active ingredient is paracetamol. Paracetamol, Panadol, Efferalgan, etc.
- The active ingredient is ibuprofen. Ibuprofen, Nurofen, Burana, etc.
- The active substance is nimesulide. Nimesil, Nyz, Nimulid, etc.
- The active ingredient is ketarolac. Ketarol, Ketalong, Ketanov, etc.
- The active ingredient is meloxicam. Melox, Movalis, Amelotex, Arthrosan, etc.
All tablets are prescribed for 1 tablet( capsule) up to 3 times a day. If there is no effect, you should contact your doctor for the correct selection of medications. Injections( dosage and multiplicity of administration) are appointed by the attending physician according to the individual characteristics of the patient.
Chest pain in osteochondrosis: the causes of
Causes of chest osteochondrosisBreast osteochondrosis The thoracic department is the least susceptible to this disease. However, cases are encountered. The causes that can cause chest osteochondrosis are different, but most often it is scoliosis. He develops usually from a young age, from the wrong sitting at the desk. Since the thoracic region is less mobile than the rest, the pain syndrome is weaker than with cervical and lumbar osteochondrosis.
Difference of pain in osteochondrosis from cardiac painTo distinguish pain in osteochondrosis is necessary with pain in angina pectoris. In angina pectoris, the pains are as follows:
- as described by patients, pain with stenocardia, aching, pressing, compressive;
- localization of pain in the sternum;
- symptoms appear with physical exertion or nervous tension;
- pain does not go away when you change your body position, but can pass after rest;
- duration of pain less than half an hour.