How to get rid of the problem of all office workers - vertebrogenic cervical craniialgia
In modern life, where high information loads dominate, forced position at work, the risk of affecting the cervical spine is very high.
Often against a background of constant stress, cervico-cranialgia develops - it is a syndrome originating from degenerative-dystrophic spine lesions and consisting of cervical pains that extend into the neck.
What to do if a person develops vertebrogenic cervicocranygia? How to suspect and recognize the disease? What methods of treating this pathology are available? What should prevent the exacerbation and progression of the disease? For all these questions you will find the answers below.
Signs and symptoms of the disease
Cervicocranium is not an independent disease, but only a combination of symptoms, signs of pathology that led to the syndrome.
What to pay attention to for more accurate recognition of the diagnosis:
- Constant tension of the neck muscles, radiating( spreading) to the occipital part of the head;
- Aching and stitching pain in the neck, also radiating to the head;
- Reduction of the muscles of the occiput, forearms;
- Tenderness when turning the head;
- Vertigo when turning the head( should also exclude the syndrome of the vertebral artery);
- Sleep disorders;
- Pulsating noise in the head.
All of the above symptoms can also occur in certain pathologies, but the presence of 3-4 symptoms from the list should make you think about having problems with the spine and move on to the next stage - instrumental diagnostics.
The procedure for diagnosing "cervicocranium" is simple enough:
- With the help of X-ray methods( radiography, multispiral computed tomography, or, more preferably, multiresonance tomography), there are chronic problems with the spine.
- Excludes pathologies that can lead to similar symptoms( brain examinations for the exclusion of tumors, strokes, other focal pathology), ultrasound techniques for eliminating the pathology of the vessels of the head and neck, consultation of the endocrinologist, therapist for the elimination of hypertension, diabetes mellitus, which can alsolead over time to a similar state.
- The result of treatment is evaluated.
If there is a problem with the spine and there is no other pathology, the therapy gave positive results( the symptoms of cervicocranygia decreased or disappeared altogether) - the diagnosis can be considered established.
If there is no pathology of the spine( or it is insignificant), the examination of specialists also excluded pathology from other organs and systems, the therapy did not give effectiveness - one should suspect the presence of migraine or tension headaches.
For the confirmation of migraine, appropriate drugs are administered( amygrenin, sumyagren, rilpax).Tension headaches are most successfully succeeded by correct distribution of load, restorative measures.
Medication treatment of the
problem Therapy of any disease should include a set of measures. So treatment of cervicocranium should include a number of measures:
- Anti-inflammatory treatment. Most often used non-steroidal anti-inflammatory drugs( ksefokam, diclofenac, meloxicam, aceclofenac, ketoprofen and others).
Drugs are injected or taken internally. The goal is to relieve acute pain syndrome, reduce inflammation of the spine structures.
- Miorrelaxive treatment. Used specialized drugs that relieve muscle spasm( tolperisone, baclofen, tizanidine).
Also for this purpose, some non-pharmacological treatment methods are being handled( see below).The goal is to relieve spasm of the muscles, reduce the compression of the roots of the spinal cord, relieve tension from the neck and head.
- Neuroprotective and vascular treatment. Preparations of B vitamins, as well as preparations of thioctic acid, standard "vascular" drugs( trental, mexidol, actovegin and others).The goal is to strengthen the nerve structures, restore their functions, prevent relapse.
The usual course of treatment for vertebral cervical craniialgia( which must be performed under the supervision of a neurologist) consists of:
- 5-7 day anti-inflammatory treatment;
- 2-3 weeks of myorelaxing therapy;
- 1-1,5 months of neuroprotective therapy;
And also it includes non-drug treatment methods, which allow to achieve the best results.
Non-pharmacological treatment of
Any methods of non-drug-related state correction enhance the effect of drug therapy.
Also the simplest additional restorative techniques allow to achieve reduction of dosages and duration of the main treatment. This, in turn, leads to a reduction in side effects and complications.
Non-pharmacological treatment of vertebrogenic cervicocranialgia includes a number of techniques, some of which are available to absolutely everyone:
- Physiotherapy exercises. The goal is to strengthen the muscular corset, to achieve the correct distribution of the load between the structures of the spine / ligament apparatus / musculature, the removal of muscle tension in the acute period.
- Physiotherapy. It includes methods of electromagnetic influence, methods of delivery of medicines into soft tissues, electrical influences.
The purpose of each method of treatment is different: anti-inflammatory effect, miorelaxing effect, analgesic effect.
- Massage, manual therapy, acupuncture.
All these techniques lead to a complex effect: relaxation of the most spasmodic muscles, reduction of inflammation due to blood flow, strengthening of weak muscles, stimulation of inflammation damaged by inflammation.
Treatment of cervicocranialgia with folk remedies is also quite acceptable, but only after the appointment of a physician therapist.
Usually folk methods of treatment of the disease are reduced to emergency help with exacerbation - pain is removed by distractions( pepper lotions, warming ointments), muscle tension is removed( elements of physiotherapy exercises).
It should be remembered that uncontrolled use of folk remedies can lead to sad consequences!
In conclusion, I should say a few words about the prevention of cervicocranium. Recommendations in this regard are simple. To prevent the development of chronic cervical craniatalis, to prevent development of complications of the syndrome and a decrease in the quality of life, one should follow the simplest recommendations that any neurologist can give:
- Competent distribution of physical exertion;
- Conservation of normal body weight;
- Regular exercise in physiotherapy;
- With the existing problem - courses of chondroprotectors( drugs that protect cartilaginous tissues and intervertebral structures from degeneration);
- Timely and complete treatment of exacerbations.
At the end, we offer you a video about how to relieve pain and tension in cervicocranialgia and pain in the cervical spine as a whole:
Be healthy and take care of your back and neck!
Symptoms, causes and treatment of cervical craniatalis
Cervicocranyalgia is a prolonged pain that occurs due to uncomfortable position of the head and neck, prolonged inclinations and turns of the head. It can also be observed after a person has slept on his stomach on a high cushion. In most of their cases, painful sensations are concentrated in the neck and occipital region of the head, and will burn to give to the frontal-orbital region.
If a person has cervicocranygia, the main reason is the development of such a disease in the body, like osteochondrosis. This cause includes more than 98% of all cases, and only 2% include other pathologies of the cervical region of the spine. However, one must understand that the presence of one cause is not enough reason to choose the right treatment. In this case, it is important to keep in mind the mechanisms by which the pain syndrome begins to manifest.
For example, discomfort and pain can be observed when the nerve branches of blood vessels and arteries are clamped, poor outflow of blood from the veins or jamming of the vertebral nerve in the occipital region. In addition, based on the pathogenesis of cranialgia, cervicocranyalgia includes three species that are different in a number of characters.
The manifestation of the disease
If you briefly go through the main symptoms through which you can distinguish this disease, you can see that they proceed from the mechanisms of the emergence of the pain syndrome:
- pain in the artery of the spine - in this case the person is dizzy, flickering in the eyes,and nausea, this is due to the insufficient level of blood circulation in the vessels;
- cranialgia bilateral - acute and burning pain concentrates in the occipital part, gives to the head and temple;
- cervical-craniatal chronic - I am associated with the hypertensive aspect, similar to the manifestations of the first symptom - cerebral, only painful and oppressive;
Diagnosis and treatment of
Before the appointment of therapy for the elimination of the disease, it is necessary to conduct a comprehensive examination that will help identify and make the correct diagnosis. Cervical cranialgia is very simple:
- Using X-ray methods, such as computed tomography, radiography, you can find out if the patient has a chronic backbone problem.
- In addition, specialists should exclude all pathologies that are similar in their symptoms to this ailment. Conduct ultrasound examinations, examinations from an endocrinologist, therapist, to exclude diseases such as diabetes or hypertension.
- Next, experts should evaluate the approximate result that the treatment they have chosen can bring.
Cervicocranium, like any other disease, in order to be cured, includes a number of activities. First of all, it is:
- Treatment for the removal of inflammatory processes. Doctors generally attribute nonsteroidal drugs to relieve inflammation. It should be noted that all drugs of this group are found as injections or taken internally, so they can remove pain and reduce the amount of inflammation.
- Therapy with muscle relaxants. Such treatment includes the use of special medications that can remove spasms in the muscle structures, remove the jamming of nerve endings, relieve tension in the cervical region.
- Neuroprotective therapy. Apply vitamins of group B, as well as drugs based on thioctic acid and preparations for blood vessels. They are aimed at making the nerve endings stronger, restoring their structure, are a preventive method for the re-development of the disease.
The medication course is usually done under the supervision of specialists, so that the cervicocranyalgia does not develop more intensively. In addition, such treatment is divided into time frames:
- 5-7 days treatment against inflammation;
- 2-3 weeks of muscle relaxant therapy;
- 1-1,5 months of neuroprotective therapy.
Non-pharmacological treatment of
It is worth taking into account the fact that non-drug methods can enhance the effect and speed of recovery from drug therapy. In addition, the elementary methods of recovery make it possible to reduce the time taken for many medications. This is an ideal opportunity to avoid many complications and side effects from taking medications.
First of all, non-pharmacological therapies include:
- Therapeutic physical training. This method serves as an opportunity to strengthen muscle fibers, properly distribute the load on the cervical vertebrae and spine as a whole, relieve muscle tension during the acute course of the disease.
- Physiotherapy. In this case, use procedures such as electromagnet, electrical procedures, the introduction of drugs directly into the tissue of the lesion.
- Massage, manual treatment, acupuncture in areas of lesion.
The use of all these methods helps to achieve relaxation of all muscles that have been under prolonged exposure to spasms, a reduction in inflammatory processes due to a greater blood flow, while strengthening of weak muscles and restoration of the affected nerves.
Methods of folk treatment
Cervicocranium includes and treatment by folk methods. However, before proceeding to such treatment, it is necessary to consult the attending physician.
Typically, these methods include initial care, for example, with exacerbation of pain syndrome, when it is necessary to relieve muscle tension. In such cases, use a tincture of peppers, various warming ointments and compresses, as well as exercises from special therapeutic gymnastics. Methods of the people can give a positive result only in a complex.
It should be remembered that abuse of such treatment methods can do more harm than good. It is therefore extremely important to provide treatment wisely in order to avoid possible unfortunate consequences.
Cervical crohnialgia in the background of cervical osteochondrosis: treatment, diagnosis, signs, prevention
The method of diagnosing this disease is simple enough:
- When using radiological examinations, the presence of chronic problems with the spine is detected.
- Excludes pathologies that can lead to similar symptoms. Ultrasonic methods are used to exclude the pathology of the cephalic and cervical vessels. Consultations with the endocrinologist and the therapist for the elimination of hypertensive disease in osteochondrosis, diabetes mellitus.
- An evaluation of the results of treatment is given.
If there is a problem with one spine, and there is no other pathology and the therapy provided a positive result, then we can assume that the diagnosis is established.
If there is no pathology of the spine, then the examination of the relevant specialists also excludes the pathology of other systems and organs, and the therapy did not give good results, then migraine may be present.
To confirm the existing migraine, it is necessary to carry out therapy with the help of certain medicines( amygrenin, rilpaksa).Pain in the head is best managed by correct distribution of the load, by measures of a fortifying nature.
Drug treatment of cervicocranium for cervical osteochondrosis
The course of therapy for any disease should contain a set of appropriate measures. Similarly, in the case of cervicocranium with cervical spine problems, the following activities are carried out:
- Treatment aimed at eliminating inflammation of .More commonly used anti-inflammatory non-steroid drugs( ksefokam, meloxicam, diclofenac, ketoprofen, etc.).
Drugs are injected or taken internally. The purpose of this procedure is to eliminate a strong pain syndrome, as well as to eliminate inflammation of the vertebral structures.
- Treatment-relaxing treatment procedures for cervicocranialgia against osteochondrosis. Special drugs are used that relieve muscle spasms( baclofen, tizanidine).
Even in this case, use non-drug ways of treatment. Their goal is to relieve muscle spasm and relieve tension from the neck and head.
- Neuroprotective and vascular treatment. They use the means of vitamins B, the agents of thioctic acid and the usual "vascular" medications( mexidol, trental, etc.).
The goal is to strengthen nerve structures, restore their functions, perform a preventive procedure for relapse.
The course on cervicocranalgia treatment includes:
- five to seven days of treatment aimed at removing inflammation;
- two to three weeks of muscle relaxant therapy;
- one-and-a-half months of neuroprotective course of therapy;
Non-pharmacological treatment of the
problem Any of these methods of enhances the effectiveness of drug therapy. Various additional techniques make it possible to achieve lower dosages and duration of the main treatment. There are fewer side effects and various complications of the osteochondrosis of the cervical spine. The purpose of the methods is different: elimination of inflammation, anesthesia, miorelaxing effect.
Non-drug treatment contains several techniques:
- Therapeutic physical exercises .Their goal is to strengthen the muscles, to achieve a stable distribution of the load between the spine, ligamentous apparatus, musculature. More information about LFK is said here.
- Physiotherapy .It contains methods of electromagnetic action, delivery of medicines to tissues, electrical effects.
There are a large number of all kinds of traditional medicine, but when choosing them, you should be especially careful not to harm the body.
Folk remedies for cervical crohnialgia
Treatment of cervicocranialgia with cervical osteochondrosis using folk remedies is acceptable only for the purpose of the doctor's therapist .The standard folk methods of curing the disease are reduced to providing emergency assistance in the presence of an exacerbation. They relieve painful sensations by distracting methods( pepper lotions, warming ointments), relieve muscle tension( therapeutic physical exercises).
If uncontrolled use of traditional methods of treatment, then there may come undesirable consequences!
Prevention of this disease
Recommendations for prevention are very simple. To prevent the occurrence of chronic osteochondrosis and a decrease in the quality of life activity against the background of cervicocranium syndrome, one should follow the simple advice of a neurologist:
- Competently distribute physical activity;
- Maintain a normal body weight;
- Regularly engage in therapeutic gymnastics;
- If the problem already exists, then apply the courses of chondroprotectors( these are preparations that protect cartilage tissues and intervertebral structures from degeneration);
- To perform a full cure for the exacerbations that have arisen.
Cervicocranialgia on the background of cervical osteochondrosis: treatment
Headache is a frequent companion of most people. It arises suddenly( in any case, it always seems to us), can last as long as it is, and be short-lived. To a doctor in this situation, we rarely address, preferring to take an analgesic pill.
However, do not be so irresponsible to treat such a state. The head can hurt against a background of various diseases. In more than 90% of cases, this is a symptom of cervical osteochondrosis. Such a pain was called cervicocranium. It necessarily requires a doctor's visit, diagnosis and appropriate treatment.
Causes of the disease
Cervicocranialgia, arising on the background of cervical osteochondrosis, is characterized by impaired blood circulation. As a result, the brain lacks oxygen and nutrients, and reacts to it with pain.
Another reason is the compressed nerve roots, which is also inevitable in osteochondrosis.
To understand how this disease manifests, one must imagine what happens in the diseased spine.
Osteochondrosis is a degenerative change in the intervertebral discs. In the absence of their own blood vessels( capillaries), they have to receive nutrients from outside. If for some reason this process is disrupted, fibro-cartilaginous tissue begins to "dry out" - the thickness of the intervertebral disc decreases, the fibrous ring becomes thinner and loses its elasticity, becomes covered with cracks. The pelvic nucleus can exit through these cracks, the perceptible nerve roots and blood vessels.
So there is a deficiency in the supply of cerebral vessels and as a result, a headache. For such patients, symptomatic treatment( taking analgesics) is clearly not enough, as the cause is in the diseased spine.
Symptoms and treatment methods
It should be noted that cervicocranygia is a non-self-sustaining disease. It can rather be called a complex of symptoms that characterize cervical osteochondrosis. The pain can be different:
Most often it is associated with stiffness of the neck muscles and, as a rule, with pain in the cervical spine. It is explained simply. Restricted nerve roots become inflamed, causing suffering to the patient. Hence the "tightness", the impression that the neck "lain", the inability to normally turn the head( it is necessary to rotate the whole body), "petrification" of the shoulder muscles( when probed they are "stone" and very painful).
Listening to your body
Symptoms that characterize cervicocranialgia well against cervical osteochondrosis - pulsating pain in the occipital part of the head, collapsed neck muscles, numbness, tingling of the scalp, vision problems( fog before the eyes, flies and coloredcircles), sudden dizziness during a sharp rise.
The latter may be a symptom of not only the osteochondrosis of the cervical region, but also the stenosis of the cervical artery. Stenosis( constriction) of the cervical artery can occur not only with osteochondrosis( compression of the vascular bed by osteophytes), but also under such conditions:
- atherosclerosis( formation of cholesterol plaques);
- thrombosis( partial occlusion of the artery by a blood clot);
- pathology of vascular bed.
Therefore, a specialist consultation is so necessary. For each disease, appropriate treatment is prescribed. Unconsciously, self-medication is excluded until the cause of the headache is clarified. It is important for a patient to listen carefully to their body, comparing the cause( neck pain, stiffness in the cervical region, etc.) and the consequence:
- its specificity( pressing, shooting, pulsating);
- as it is expressed( left-sided, right-handed).
How to treat
Cervicocranyalgia does not have its own treatment, because it is a consequence of squeezing blood vessels and infringing the nerve roots. The task of the patient in time to see a doctor, after carefully analyzing what is happening to him.
The task of a specialist is to listen to a patient, carry out a diagnosis( usually an x-ray and an MRI scan) and prescribe adequate treatment. In the case of cervical osteochondrosis, this is a whole complex of measures aimed at minimizing the consequences of dystrophic changes in the intervertebral disc:
- Normalization of the work / rest mode. This point includes the correct distribution of sedentary work and an active lifestyle.
- Proper nutrition. As the saying goes: we are what we eat. It is necessary to abandon fast food, increase the number of vegetables and fruits, dairy products in the diet, and supplement it with the intake of specialized drugs that fill the deficit in the body of macro- and microelements, in particular calcium, phosphorus, chondroprotectors.
- Gymnastics, exercise gym, gym. The opinion that with osteochondrosis of the cervical department only peace is needed, is mistaken. For each individual, you can individually select a set of exercises that can significantly improve the quality of life of the patient.
- With the start of osteochondrosis and severe pain syndrome, the doctor can prescribe NSAIDs( oral and ointment).
Cervicocranium for cervical osteochondrosis is a rather unpleasant symptom. It is not necessary to bring the condition of your neck to a violation of blood circulation and the occurrence of a headache. Timely appeal to the right specialist will preserve the elasticity of the intervertebral discs, the mobility of the cervical spine and minimizes the pain syndrome.
Vertebrogenic tservikokranialgia is a painful sensation in the head region that is vertebrogenic in nature. The appearance of pain is associated with the appearance of malfunctions in the functioning of the spinal column.
Violation is characterized by pain in the cervical spine.
Emerging painful sensations are able to migrate to the occiput of the head, and sometimes the focus of pain is able to shift into the fronto-orbital region.
Causes of the development of the
violation Virtually all cases of the onset and development of the disorder are closely related to the progression in the patient of cervical osteochondrosis, which is a degenerative-dystrophic lesion of the structural elements of the spine in the neck region.
In the process of development of cervical osteochondrosis, the intervertebral disc, having a gelatinous nucleus, loses its natural elasticity. The disk envelope undergoes cracking, the thickness of the disk decreases. This leads to a decrease in the intervertebral openings. In addition to these phenomena, there is a proliferation of bone protrusions formed at the edges of the body of the vertebrae. In addition, displacement of the vertebrae relative to each other may occur, which occurs as a result of the instability of the vertebral column construction in the affected area.
All these disorders lead to irritation of the shell of the vertebral arterial vessel of the circulatory system, which passes through the holes in the vertebral bodies, additionally there is an infringement of the nerve roots located in the neck that form the occipital nerve fibers. Against the background of these disorders, cervico-cranialgia develops, which is characterized by the appearance of vertebrogenic pain sensations in the head region.
The appearance of displacement of the vertebrae of the cervical spine provokes the development of disorders that lead to complication of the outflow of venous blood. All these phenomena disrupt cerebral circulation, which leads to the development of oxygen starvation of brain tissue, which, in turn, causes headaches.Back to the table of contents
Symptoms of the development of the disease
Symptoms of cervicocranygia occur after a prolonged stay of the head in an uncomfortable position, accompanied by inclines and turns. Perhaps the occurrence of pain after sleep using a high pillow or in a pose on the stomach.
Most often, the patient has unilateral pain in the nape or in the parietal-occipital region, these painful sensations can be accompanied by the appearance of pain in the cervical spine. Very often there are cases of illness without a pronounced pain syndrome in the cervical region. This flow leads to the fact that the headache is perceived by a person as an ordinary migraine.
The main signs of development of cervical craniatalis are the following:
- the appearance of a pain syndrome having a pulsating character in the neck and occipital part of the head;
- the appearance of mild dizziness accompanied by a headache;
- occurrence of strong and frequent dizziness and constant dizziness;
- changes in blood pressure, accompanied by the appearance of sharp dizziness;
- fits of weakness with dizziness;
- the patient has a feeling of nausea;
- dizziness with bouts of vomiting;
- dysfunction of the vestibular apparatus with loss of balance;
- appearance of fog in the eyes, decreased level of visual acuity;
- hearing impairment.
Anatomically the cervical spine is one of the most crucial elements in the structure of the body. Disturbances in the functioning and structure of this department provoke the development in the body of a variety of ailments, which include not only headache. The ailments of the cervical spine can provoke the development of such diseases and disorders as hypertension, hypotension, a decrease in hearing and vision.Back to the table of contents
Diagnosis and treatment of a human ailment
To perform a quick diagnosis and exclude other ailments with similar symptoms, a magnetic resonance imaging of the head and spine in the neck is performed. The results obtained as a result of MRI are supplemented by the dopplerography of cerebral vessels and the neck area. Based on the results of these two studies, a specialist can timely and accurately establish a diagnosis and select treatment courses.
Treatment of disruptions in the body begins with the use of procedures that completely cure acute pain syndrome.
Treatment of the disease is complex, the main role is given to reflexotherapy procedures, which include methods such as acupuncture and vacuum therapy, and physiotherapy methods are also used. Among the medicines used in the treatment courses, anti-inflammatory drugs, preparations containing B vitamins, and chondroprotectors are used, which allow normalizing metabolic processes in the cartilaginous tissue of the intervertebral discs, and also accelerate their recovery.
Treatment is performed in an outpatient setting under the strict supervision of the attending physician. As a rule, to perform therapeutic procedures, the doctor selects a comprehensive treatment program in accordance with the characteristics of the patient's body and the development of the disease. The complex program of treatment is aimed at the prompt coping of pain symptoms and elimination of the causes that provoked them.
The complex course of procedures includes the following methods:
- therapy using vacuum methods;
- post-isometric relaxation;
pozvonochnik03.ruHeadaches in a certain percentage of cases are caused by problems in the neck and are called cervical craniocystialgia .Such pains are usually associated with changes in the structure of the neck or head, or may be reflected( for example, from the upper back, jaw or shoulders).
The sudden onset of pain in the neck and head is often associated with injuries in contact sports, traffic accidents, weightlifting, with sharp slopes forward or sideways, twisting the neck, or a combination of these movements. In addition, in the presence of damage to the ligamentous apparatus, pain in the neck and head may occur even after sneezing due to a strong adaptive muscle spasm. Also, one of the most common causes of acute pain in the neck with irradiation in the head, shoulder, arm, forearm is a disc herniation, subluxation of the facet joints. The gradual onset of pain in the neck and head often occurs in patients long sitting at the computer, repeated inclinations of the neck, a violation of posture or a combination of these factors. Also a frequent cause of pain, maybe a hernia of the disc. In elderly patients with a gradual onset of neck pain, one of the most likely causes of symptoms is degenerative changes in the spine.
Headaches have many causes and are often associated with certain pains in the neck. Such headaches are known as cervicogenic headaches and are often caused by myofascial pain and muscle-tonic syndromes of various etiologies and types. But it must be borne in mind that neck pain and at the same time in the head can be a sign of serious illnesses such as, for example, meningitis or a brain tumor, and may be due to neck trauma, and this should be taken into account when diagnosing cervicocranyalgias .
Muscle Causes of Cervicocranyalgia
Muscle problems can lead to such pains, especially if there are problems in the muscles passing from the lower jaw towards the head. These muscles are connected to the base of the skull and can be spasmed due to poor posture, excessive loads or stress. Usually, the headache associated with muscle problems also feels like pain when moving in the shoulder. With pressure on the area of pain( in the neck or shoulder), the headache usually changes. Pain can be mild to moderate or intense, lasting from a few hours to several weeks.
There are three main nerves, C1, C2, C3, which go straight to the head from the cervical spine.
These nerves innervate the muscles around the skull at the top of the neck and can spasmodize as a result of inflammation or prolonged stress. Such muscles as Semispinalis capitus, Capitus long, and Longus Capitus, Capitus Lateralis, are responsible for moving the head back, forward and sideways, respectively. The triple nerve innervates the facial musculature, and the second cranial nerve provides sensitivity to the back of the head. These two nerves are located at the top of the neck, so any injury or injury in this area can lead to pain that can come from the lower back of the head and irradiate to the top of the head, eyes and face. Pain in the neck and head can also be caused by myofascial syndromes associated with such muscles as Upper Trapezius, Sternocleidomastoid, Splenius Capitis, Splenius Cervicis, Semispinalis Capitis, Semispinalis Cervicis, Longus Capitis, Longus Colli, Multifidi and Rotatores Omohyoid.
Degenerative changes in the spine of
Structural involutional degenerative changes in intervertebral discs and vertebrae can cause reflected pain in the head, usually in the back of the head.
Herniated disc in the cervical spine is one of the most common causes of neck pain, with possible irradiation in the arm, shoulder and often in the head, but more often the headache is caused by a secondary muscle spasm. Pain can increase with palpation pressure in the neck and often pain is accompanied by a restriction of mobility in the neck. Sometimes the pain may be absent in the neck, but there may be only pain in the hand or only a headache. As a rule, pain in the hand is accompanied by numbness, a feeling of tingling in the hand. The pain caused by a disc herniation often increases with prolonged static loads( for example, when sitting), while turning the head.
Injury of the neck
Injuries to the muscles, ligaments, tendons, joints, discs and nerves in the upper neck can lead to chronic pain in the neck, in the head. The most common injuries are "whiplash injury" that occurs during a fall or road accidents or sports injuries, such as subluxations of the "facet joints", which are well treatable with manual manipulation. Poor posture, repetitive movements and stress loads can also cause subluxation of the facet joints, which can lead to local neck pain and chronic headaches.
Tension of ligaments
Tears( tears) of the connective tissue surrounding articular joints are usually the result of excessive stretching of the tissues during twisting, slanting of the extension, especially against the background of postural disorders. Stretch of the ligaments is usually manifested by pain in the neck on one side, which can irradiate to the lower part of the head. As a rule, such conditions are accompanied by a muscle spasm.
Damage to the facet joints often occurs as a result of a sharp neck movement, collision during contact sports activities. Usually, in such cases, there is a constant, dull pain that can be localized in the back of the head, upper forehead, behind the eye, in the temple area and less often around the jaw or ear. Usually, the headache is associated with neck pain, stiffness in the neck and difficulty in turning the neck. The pain can be amplified by palpation in the region of the cervical spine, usually on one side of the neck, just below the base of the skull. Sometimes, there may also be symptoms such as tingling, numbness, nausea, or mild dizziness.
Arthritis of the cervical spine
The most common cause of chronic neck pain leading to headache is osteoarthritis, which is caused by degenerative changes in the joints of the vertebrae. Usually, only changes in the joints of the three upper vertebrae of the neck cause cervicogenic headaches. Osteoarthrosis of the neck( spondylosis) is a degenerative change in the facet joints, which leads to the formation of osteophytes and disk bulging. These degenerative processes can generate chronic, blunt or sharp pain in the neck and pain in the back of the head.
In addition to involuntary degenerative changes in the cervical spine, changes in joints can also be caused by systemic diseases such as rheumatoid arthritis or psoriatic arthritis, in which inflammation in the joints can cause neck pain and cause chronic cervicogenic headache. Such causes of cervicogenic headaches are much less common than osteoarthritis( spondylosis), but painful manifestations due to inflammatory diseases of the neck joints are more intense and prolonged.
Many serious diseases or conditions can lead to chronic headaches and are often accompanied by pain in the neck. These are diseases such as brain tumors, brain abscesses with localization in the occipital part, tumors of the cervical spine, Paget's disease. Acute pain in the head and neck can be caused by infectious diseases such as, for example, meningitis. In addition, acute pain in the neck and head can be caused by fractures of the spine due to injuries, sports, accidents. As a rule, the pain syndrome is acute and preceded by an episode of trauma. With a fracture, there may be pain in the neck and head, as well as symptoms such as movement in the limbs, impaired sensation. Therefore, when diagnosing pain in the neck and head, it is necessary to take into account the possible such a genesis of the pain syndrome in the neck and head, which requires the provision of emergency medical care.
Headaches associated with the neck( cervicocranyalgia ), as a rule, has a certain connection with the neck injury and in such cases the headache may be on the one hand, the pain can be at the base of the skull, forehead, in the parietal part around the eyes. As a rule, the pain begins in the neck, and is not in most cases pulsating or abrupt nature.
Other features of headaches associated with neck pain are the frequent presence of symptoms such as nausea, sensitivity to sound and light, dizziness, difficulty swallowing, blurred vision( often only on the side of the headache), lacrimation and sometimes vomiting, inthose cases when the pain has a serious genesis. Sometimes there is swelling around the eye on the side of the head where there is pain. Pain can increase with the movement of the shoulders. The intensity of headaches can be from mild to severe, lasting from several hours to several days or even weeks.
Headaches associated with the neck must have at least one of the following properties:
1. Headache must be preceded:
- Movement in the neck
- Pressure on the upper half of the neck or skull base on the side of the headache
2. Limited scope of movementsin the neck
3. Pain in the neck, shoulder or arm
If there are all three properties then most likely the headache is caused by problems in the neck.
Characteristics of headaches associated with the neck
- Often history of the neck injury( cervical spine injury, sprains, subluxation of the facet joints)
- Unilateral headache
- Sometimes pain can be on both sides
- Pain localizes at the base of the skull, in the regionforehead, on the sides of the head or around the eyes
- Pain may last several hours or days
- Headache usually begins in the neck area
- Headache in intensity from moderate to severe
- Headache notpulsating