Syndrome of the vertebral artery with cervical osteochondrosis

Treatment of dizziness in the osteochondrosis of the cervical region

The neck passes the most important nerves and vessels that connect the brain with the whole body. Therefore, for cervical osteochondrosis, not only neurological or visceral symptoms are characteristic, but also cerebral symptoms. Long-term problems with blood supply are fraught with ischemic brain disease. Although vertebral arteries deliver approximately 15% of the blood volume to the posterior regions of the brain, and 85% fall on the carotid arteries, deterioration of the cerebral blood supply from the vertebrobilar basin can lead to serious disorders, for example, dizziness in cervical osteochondrosis.

Causes of dizziness in cervical osteochondrosis are uncomfortable head position during sleep, spinal artery syndrome and other causes of

Causes of dizziness in cervical osteochondrosis

A frequent cause of dizziness may be an unfortunate night posture during sleep: too high a pillow compresses the vertebral artery and reduces blood flow. This not only causes dizziness, but also symptoms:

  • darkness or fog before the eyes
  • visual and auditory disorders
  • tinnitus

Spinal artery syndrome

Spasm of the vertebral artery due to irritation of the nerve plexus - a frequent cause of dizziness in cervical osteochondrosis

Another common cause of dizziness in cervical osteochondrosis is the vertebral artery syndrome( Barre-Liège syndrome) .

The vertebral canal in the cervical region is narrow, therefore the stenosis of the canal( its narrowing) leads to:

  • to the compression of the nerves and vessels
  • spasm of the vertebral artery( due to irritation of the sympathetic nerves of Frank)

Causes of stenosis of the canal and spasm of the vertebral artery can be

  • Sprouted osteophytes
  • Subluxation of the vertebra
  • Deformations of the lateral hook-like vertebral processes of the cervical spine( uncovertebral syndrome)

Clinical symptoms in vertebral artery syndrome

When spinal spinal artery spasmand the following symptoms are observed:

  1. Throbbing pain, more often on the one hand, in the form of searing lumbago in the occiput, temporal and brow parts
  2. Hypertension, tachycardia
  3. Nausea or vomiting
  4. Pain and rubbing in the eyes, blurred vision
  5. Impairment of hearing, appearance of extraneous noisein the ears
  6. Impaired coordination of movements
  7. Possibility of sudden loss of consciousness with sharp movements and turns of the neck

Vegetosovascular dystonia( diencephalic syndrome)

Osteochondrosis of the cervical region is accompanied not by tOnly dizziness, but also vegetovascular dystonia associated with endocrine trophic disorders.

One of the types of such dystonia can become a diencephalic syndrome based on the pathology of the hypothalamus - a segment of the diencephalon that, together with the pituitary gland, is essentially the neuroendocrinal center of the brain, responsible for producing the most important hormones and connecting the endocrine system with the nervous

. Poor blood supply and impaired proteinexchange lead to deficiency of hypothalamic-pituitary function and to diencephalic syndrome.

Symptoms of diencephalic syndrome

Symptoms of vegetative vascular trophic disorders:

  • Neck pain
  • Sensation of coldness in the limbs, sweating
  • Rapid pulse and high blood pressure
  • Heart pain and arrhythmia
  • Increased irritability and fatigue
  • Insomnia and bad mood
  • Digestive disorders

The reason for dizziness is the vestibular-stem syndrome

Finally, the osteochondrosis of the cervical region can cause dizziness due to the so-called vestibular-stem syndrome . The reason for this lies in the insufficiency of the blood supply of the vestibular apparatus, which is responsible for the equilibrium.

Major symptoms of vestibular-stem syndrome:

  • Severe vertigo( up to vomiting) with any change in head position:
    tilting back, turning left and right, even lying down while turning to the other side


Truly, cervical osteochondrosis is a very dangerous disease that opens the gatesfor many diseases precisely through the brain
.

Treatment of vertigo in cervical osteochondrosis

In the examination of osteochondrosis, ultrasound dopplerography( UZDG) of extracranial vessels is considered to be the most important. However, such a survey today is mainly used for carotid arteries, but for vertebrates it is not fully implemented. More accurate - magnetic resonance angiography( MRA) of vertebral arteries.

In the treatment of osteochondrosis of the cervical region, especially in cerebral syndrome, must include vasodilators and drugs that restore normal cerebral circulation and supply the brain with oxygen. This is the main specificity of the treatment

Drugs used in the treatment:

  • Piracetam, actovegin, euphyllin, cerebrolysin
  • Vitamin C, retinol and other

However, treatment aimed at improving brain activity will not eliminate the causes that caused the spasm of the artery. To minimize them, apply the same treatment methods as in general for cervical osteochondrosis:

In the treatment of dizziness in cervical osteochondrosis, drugs are used to improve the cerebral circulation and methods to minimize the causes that caused its violation

  • Acupuncture
  • Massage
  • Physiotherapy methods:
    • Vacuum therapy
    • Magnetic therapy
    • Exogenous bioresonance therapy
    • Electrophoresis

For the treatment of neck pain, muscle and arterial spasm are used:

  1. LEL, muscle relaxants in the form of tablets and injections
  2. If necessary, a novocain blockade
  3. is used. For the neck and collar zone, external means of application are used:
  4. Ointments, gels, plaster for pain
  5. Therapeutic exercise
  6. is of great importance in the treatment of cervical osteochondrosis. Also in yoga

In case of vegetovasculardystonia often have to go to a therapist.

If dizziness in cervical osteochondrosis is frequent, then you definitely need to sleep on an orthopedic pillow.

Video: Vegeto-vascular dystonia in osteochondrosis

ZaSpiny.ru

Causes, manifestations and treatment of spinal artery syndrome

Pulsating headache, periodic dizziness, foreign noise in the ears may indicate the occurrence of a vertebral artery syndrome.

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The disease needs timely treatment, since in advanced cases it can become the main cause of ischemic stroke.

What is vertebral artery syndrome

Vertebral arteries are only two, they start from the subclavian artery and are involved in the blood supply to the brain.

Syndrome of the vertebral artery is usually designated as a whole complex of various disorders in the body that arise from pressure on the artery and the plexus of nerves around it. Changes can affect both one of the vertebral arteries, and both simultaneously.

Deterioration of blood supply to important parts located in the brain, leads to pathological changes in their work and, ultimately, to ischemic processes and stroke.

Reasons for

There arises a syndrome of vertebral arteries in humans under the influence of two main groups of causes. These are:

  • Not vertebrogenic, that is not related to the pathologies of the vertebral column itself. These reasons include congenital anomalies of the development of one or two vertebral arteries at once, this can cause their excessive tortuosity, the diminution in diameter. Also, no vertebrogenic causes are associated with atherosclerosis.
  • Vertebrogenic causes involve diseases affecting the spine. These are traumas, tumors, in adults Bekhterev's disease. But nevertheless, in the first place among the causes of the development of the syndrome of vertebral arteries, a person has cervical osteochondrosis.

Symptoms and signs of syndrome in cervical osteochondrosis

The main culprits of the vertebral artery syndrome in cervical osteochondrosis are:

  • Osteophytes, that is, the growth of the bony protrusions on the vertebrae. This leads to mechanical compression of a number of located vessels and mainly the vertebral artery. Osteophytes also constantly irritate the surrounding nerve plexus surrounding the vessel, which further increases the spasm of the artery.
  • Deviation of the vertebrae from their normal location.
  • Inflammatory processes in the tissues of the neck. Inflammation causes swelling, it exerts pressure on the vessel.
  • Muscular spasm in the cervical region. Spasmodic muscle in osteochondrosis of the cervical region is due to reflex protection of the body in response to pain and restraint of movements.

Insufficiency of blood flow to the brain always leads to the development of characteristic symptoms, with the syndrome of the vertebral artery, patients most often complain about:

  • Severe pain in the head. It can be in the form of a pulse, constant, localized in the nape of the neck and crown, above the eyebrows, often marked only on one side. The pain intensifies after sharp movements of the neck or after a dream with an inadvertently or awkwardly turned head.
  • Dizziness, tinnitus.
  • Periodic nausea and vomiting without relief.
  • Violations of visual function - the appearance of flies, shroud and double vision before your eyes. Perhaps the fall of visual acuity.
  • Hearing loss, most often this sign is fixed on one side.
  • Violations in the coordination of movements.

If a person also has a history of heart disease or hypertension, then, in squeezing the vertebral artery, in addition to the main signs, you may be bothered by pinching or stitching pains in the heart area.

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A smaller proportion of patients with Bernard-Horner syndrome, manifested by burning and tingling in one side of the face, sensation of a foreign object in the pharynx.

Clinical development of the disease

Clinical manifestations of the disease depend on the degree of pathological hemodynamic disorder and on the type of disruption of blood supply to the brain. It is customary to classify the vertebral artery syndrome according to the degree of revealed hemodynamic changes in two stages:

  • Functional , it is also termed dystonic, the stage is manifested with an almost constant headache. Increases pain with sharp turns of the head and neck, after finding a long time in one position. By nature, the pain is pulsating, burning, aching, it covers mainly the back of the head, whiskey, forehead area. At the same stage, the sick person often complains of dizziness, it can be manifested by a feeling of instability, a feeling of rapid rotation by nearby objects or a feeling of falling of one's own body. In addition to dizziness and pain in the dystonic stage, often disturbed by hearing disorders, visual function.
  • Ischemic ( also called organic) is manifested by transient ischemic attacks. These are sudden attacks of severe dizziness, pronounced disturbances in coordination of movements, speech changes, nausea and vomiting. Ischemic attacks often occur precisely with sudden changes in the position of the head, and if a person can take a horizontal position, then regression, that is, stabilization of well-being, is possible. After the attack, for a while, lethargy, weakness, sparks in the eyes, tinnitus, headache may be disturbing.

By the nature of hemodynamic disorders, the disease is divided into:

  • Irritative form. This variant of the syndrome is formed as a result of irritation of the efferent sympathetic fibers, which causes a spasm of the arteries.
  • The angiospastic form of arises as a result of reflex spasm upon irritation of the receptors. As symptoms of this form, diffuse vegetative disorders predominate, not associated with various head movements.
  • Compression form occurs when mechanical compression of vessels caused by the pathology of the cervical region.

Diagnosis and treatment

Assume that the patient has a syndrome of the vertebral artery, a neurologist or a therapist may be symptomatic of the disease.

A number of instrumental examinations are assigned to confirm the diagnosis:

  • UZDG-ultrasound dopplerography. This examination reminds on the carrying out of US and allows to reveal the sizes of vessels, speed of a current of a blood in them, presence of gorts and narrowings.
  • MRI allows you to detect ischemic foci, the degree of blood supply to the brain.
  • Radiography is used to determine the cause of the disease.
Treatment begins immediately after confirmation of the vertebral artery syndrome, and it must necessarily be complex.

Drug therapy

Drug groups are selected based on all identified changes and symptoms that are worrisome to the patient.

In most cases, the following therapy regimen is prescribed:

  • Anti-inflammatory, it is aimed at relieving inflammation and pain, especially in cervical osteochondrosis. The course uses Nimesulid, Ibuprom, the dosage is selected individually.
  • Drugs for improving venous outflow. Assign Diosmin, Troxerutin, in hospital conditions intravenously drip L-lysine.
  • Improving the patency of the vertebral artery is achieved through the use of Trental, Agapurin.
  • Drugs that reduce hypoxia of the brain, this Mexidol, Actovegin.
  • Preparations that improve blood flow to the brain - Thiocetam, Pyracetam.
  • Neuroprotectors - Gliatillin, Solmazin.
  • With pronounced and frequent dizziness appointed Betaserk, Betagistin.
  • The course of vitamins.
  • When osteochondrosis is detected, chondroprotectors are prescribed.

Some of the medicines are prescribed for a patient for several months. The dosage of drugs is selected by the doctor specifically for each patient and therefore may vary.

Folk remedies

Folk methods of treatment of the vertebral artery syndrome should be used only in combination with drug treatment, since this disease always requires a serious approach to its therapy. The most popular products include:

  • Garlic tincture. Three large garlic heads need to be cleaned, chopped, poured into a jar and left in a cool place for three days. Then the resulting mass is filtered and to it in equal proportions is added natural honey and fresh juice from the lemon. Take this medication on a tablespoon before bedtime, it dilutes blood well and promotes better blood flow.
  • Coniferous baths. For their preparation, pine needles, cedar, fir, spruce will suit. The needles are brewed and poured into the water after 12 hours of infusion. This bathroom removes the spasm from the muscles, relaxes well and promotes better blood flow, take it for 20-30 minutes.
  • Dusk grass helps with dizziness. It is brewed from the calculation of a liter of boiling water for two tablespoons of grass, it is necessary to brew for the night. Over the next day, the whole drink is consumed in four divided doses.

Home treatment

The use of prescribed medications at home is often recommended in combination with the wearing of a special cervical corset, called the collar of Shantz.

It is compulsory after the relief of acute symptoms of the disease at home to perform daily exercise programs. Lessons should be selected by the doctor taking into account all changes in the spine.

The simplest exercises that can be recommended for vertebral artery syndrome include:

  • Cautious head turns. The amplitude of movements should be increased gradually.
  • Slopes.
  • Performing tilts and turns with back pressure. That is necessary, turning his head to the side, hand to try to keep it from this movement.
  • Shrugging.

In a subacute period, a massage can be prescribed, but it should be performed by a highly qualified specialist in vertebral artery syndrome. Physiotherapeutic procedures are shown.

Is it possible to cure

Complete recovery of patients with vertebral artery syndrome depends on many factors.

This is the treatment of the disease before, the use of effective drugs full course, full home treatment. It is often possible to completely restore normal blood flow in the vertebral arteries only after the operation.

Prevention of

In cervical osteochondrosis, the development of the syndrome can be prevented by the continuous implementation of some preventive measures for this complication. These measures include:

  • Daily exercise. Kneading during the day groups of neck muscles.
  • It is necessary to sleep on an orthopedic mattress and pillow.
  • Massage courses at least twice a year.
  • Full and timely treatment of osteochondrosis.

The vertebral artery syndrome can lead to very serious complications, some of which result in disability.

Therefore, when the first signs of the disease appear, you need to undergo a diagnosis and a course of effective treatment.

Video about vertebral artery syndrome:

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osteohondroza.net

Syndrome of vertebral artery: causes, symptoms, diagnosis and treatment, exercises for the prevention of

Today, most of the diseases of the nervous system occur in vascular pathology. Unbearable headaches, darkening in the eyes, weakness, and in some cases fainting, disrupt the working capacity of a person, reduce the quality of his life. Among the great many causes that cause the above unpleasant sensations, the vertebral artery syndrome comes to the fore.

What is this?

Cervical migraine, otherwise called this syndrome, is due to impaired cerebral circulation due to compression or blockage of the lumen of blood vessels. Excessive traumatization of the vessels causes in them a persistent spasm, in connection with which the diameter of their lumen decreases.

Paired vertebral arteries, along with the sleepy, nourish the brain with oxygenated blood. Anatomically, they leave the subclavian area through the bone channel formed by the processes of the vertebrae. At the point of confluence into the cranial cavity, they are connected to large vessels of the brain. The contact of vertebral arteries along their path with bone structures of the vertebra and soft tissues in many respects causes a violation of their patency in pathology.

Reasons for

There are two main groups of causes of the occurrence of vascular disorders:

  • associated with spine pathology( vertebrogenic);
  • are more rare, not associated with bone formation of the spinal column.

The leading place among vertebrogenic causes is occupied by degenerative-dystrophic changes, among them osteochondrosis of the spine in the cervical region. Protrusions and disc hernias, characteristic of osteochondrosis, lead to displacement of vertebrae and their processes forming the canal of vertebral arteries. Chronic inflammation of the cartilaginous tissue can provoke the growth of bone processes - osteophytes, traumatizing the vertebral vessels.

Non-cerebral causes include atherosclerotic vascular lesions, their abnormal course, tortuosity and branching. In these places fibrotic plaques are formed, which eventually ulcerate. The blood flow rate decreases, a blood clot forms above the wall defect, which prevents the normal movement of blood to the brain. Adhesive processes in the walls of the vessels after inflammation and trauma also narrows their lumen. Special attention is paid to birth trauma in children.

Often in the mechanism of the occurrence of the syndrome of the vertebral artery, several factors from different groups are involved.

Symptoms of

The severity of symptoms is directly proportional to the degree of narrowing of the vessel. A bright clinical picture is typical for bilateral lesion of vertebral arteries.

During the entire period of the disease, two stages are distinguished:

  1. Functional due to reversible spasm of blood vessels;
  2. Organic, which is characterized by deep ischemic damage to brain tissue.

The first stage of the disease manifests itself in a triad of symptoms: headache, visual disturbances and changes in the vestibular apparatus.

Headaches of a pulsating and burning nature spread from the occiput to the forehead, usually from the side of the pathology of the vessel. When the doctor asks the patient to show the localization of pain, the movements of his brushes resemble the process of taking off the headdress. This is a characteristic feature of pain at the beginning of an attack. The pain increases with the turn of the head, after sleep.

Frequent manifestations of the vertebral artery syndrome are loss of balance, gait unsteadiness, tinnitus.

Visual impairment is rare and consists of subjective vision of flies before the eyes, color spots and reduced visual acuity.

What is dangerous is an attack of

The organic stage is characterized by transient disorders of cerebral circulation in the form of speech disorders, syncope, nausea, or vomiting. In far-advanced stages, persistent dysfunction of the brain stem structures is possible. A sudden onset of an attack is accompanied in such cases by a sharp drop in the patient to the floor with loss of consciousness up to 15 minutes with syncopal conditions or with drop-attacks - without loss of consciousness.

Nerve fibers, braiding vertebral arteries, are associated with the nerves responsible for the work of the heart. This explains the relationship between the syndrome of the vertebral artery and the occurrence of ischemic pain in the heart. Repeated attacks of angina may ultimately lead to a heart attack.

With vertebral artery syndrome, there may be a disturbance of pharyngeal reflexes. This threatens to violate the patency of the airways, asphyxiation.

Diagnosis

Diagnosis of the syndrome is confirmed by the detection of the painful point of the vertebral artery in the suboccipital region. The specialist gropes for the area of ​​the affected vessel, not covered in this place with bone processes. Then the neurologist performs diagnostic tests with turns of the patient's head to the sides. The sharp pain that arises at the same time speaks in favor of a lesion of the vertebral artery.

Following the examination, an X-ray examination of the cervical vertebral column is performed. With the help of pictures, the joint condition between the occipital bone and the first cervical vertebra is evaluated - a typical site of compression of the vertebral artery.

Magnetic resonance scanning effectively identifies hernias, protrusions and bone outgrowths that touch vertebral vessels. Using contrasting, visualize the convoluted course of the vertebral arteries.

Ultrasound examination of the vessels of the neck with the determination of blood flow velocity allows to detect an obstruction in the lumen and determine abnormalities in the development or course of arteries.

Biochemical analysis of blood with the detection of high cholesterol makes it possible to judge possible atherosclerotic vascular lesions.

Treatment of

The effectiveness of cervical migraine therapy is based on an integrated approach.

To eliminate vascular manifestations, specialists prescribe drugs that improve the nutrition of the brain. Medications activate metabolic processes in the nervous system, protect her cells from the repeated action of the aggressor. Conservative treatment relieves only of symptoms - the consequences of vascular lesion.

In case of cervical osteochondrosis, patients are advised to wear a special fixing collar. A complex of therapeutic gymnastics is prescribed to strengthen the muscles of the cervical zone.

Widespread use has been made of such therapies as manual therapy, physiotherapy( magnetic effects, electro- and phonophoresis), as well as acupuncture and vacuum massage.

In case of a narrowing of the lumen of the vertebral arteries, which is associated with a life threatening patient, they resort to surgery. The surgical method can completely eliminate the cause of the disease. However, a large proportion of complications of surgical interventions on the vessels of the neck makes this method a desperate step.

Video contains a set of exercises to prevent complications of vertebral artery syndrome:

Forecast

A favorable outcome of the disease is possible only if all the recommendations of the treating doctor are fulfilled. Regular intake of prescribed vascular drugs, compliance with certain safety measures to prevent attacks( avoid sharp turns of the head) will prevent the progression and development of complications of the disease.

The most formidable complication of the vertebral artery syndrome is ischemic damage to the brain tissue due to disturbed intake of oxygen and energy into the nervous system.

Note the article on the treatment of vertebral artery syndrome or, as the disease is called, cervical migraine.

Learn how to treat ischemia of the brain from this article.

Prevention

Everyone knows the fact that the best treatment is prevention. Prevent unpleasant sensations can be a few simple rules:

  • physical exercises to strengthen the neck muscles( all kinds of slopes, head turns, nodding movements and shrugging);
  • with the revealed osteochondrosis shows the fixing collar of Shantz, it is worn about 2 -2,5 hours a day;
  • it is better to sleep on an orthopedic mattress with increased rigidity, in its absence, you can put a wooden shield;
  • during sleep under the head put a flat pillow, avoiding its re-opening in the cervical spine;
  • in the absence of acute manifestations of the disease under the neck to put a roller with warm sand, to carry out neck massage at home, use alcohol tinctures and rubbing for the purpose of distraction therapy.

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neuroplus.ru

1 Causes of

disease The vertebral arteries pass through the holes in the transverse processes of the cervical vertebrae. In the cranial cavity, they connect to an artery, which is called basilar. Bony-cartilaginous growths, or spasmed muscle or disc herniation, can squeeze the vertebral artery, while violating the circulation in it. Symptoms of the disease:

  1. Headache. One of the brightest symptoms that indicates a disease. The pain in this case is excruciatingly burning or pulsing. It extends from the nape of the neck, to the temple and to the frontal region. Pain can be permanent, or worse during physical exertion. Often a dream in an uncomfortable position provokes an attack of severe cephalalgia. In some cases, you can find a comfortable position, in which the head temporarily ceases to hurt.
  2. Hearing impairment. The patient begins to hear noise, usually in one ear. This can be a rustling, hissing. Also, the patient's hearing is disturbed, usually he begins to hear badly in one ear.
  3. Vestibular disorders. The patient turns to the doctor with complaints of dizziness. It occurs when the head is raised up, while with atherosclerosis, dizziness is observed when the head is lowered. Also, the patient can often lose stability. When you turn the head of the patient can fall sharply, while remaining in consciousness and independently rising after a while.
  4. Visual impairment. With vertebral artery syndrome, visual acuity decreases, flies appear before the eyes, the patient can feel pain in the eye area. There may also be a feeling that the eyes are covered with sand. The disease can lead to a complete loss of vision.
  5. Manifestations of cardiac diseases, including chest pain, palpitations, transient ischemic attacks.
  6. Increased blood pressure.
  7. Violation of speech and swallowing, sensation in the throat of foreign body.
  8. Nausea and vomiting.
  9. With sudden movements of the head, the patient may lose consciousness. Recover after twenty minutes, while experiencing weakness and dizziness for a long time.
  10. In some cases, vegetative disorders may occur, the patient may experience attacks of severe hunger, thirst, sensation of chills or fever.

2 Diagnosis

Before starting treatment, the physician should conduct an examination and analyze the symptoms of the disease.

  • Need x-ray of the cervical spine in different projections.
  • MRI of the spine and brain.
  • Dopplerography of vessels of the neck and brain.

3 Medical measures

There are different methods that will help get rid of the disease. In severe cases, surgical intervention is indicated. Other treatment methods include:

  • Periodic wearing of the collar of Shantz. It helps to get rid of the burden on the cervical spine.
  • Physiotherapy. It includes electrophoresis, magnetotherapy, phonophoresis. Massage of the cervical spine.
  • Manual therapy. The method is to give the spine the right position.

4 Medical therapy

In order to get rid of the vertebral artery syndrome with cervical osteochondrosis, complex treatment is necessary. In this case, prescribe drugs from different groups in order to normalize blood circulation, remove the inflammatory process, relax the muscles and restore the nervous system.

In parallel, external warming agents, such as pepper patches or mustard plasters, can be used. They need to be applied to the neck area, below the base of the skull. This must be done carefully, so as not to get burned.

Drugs that are prescribed for the treatment of the disease:

  • Centralized muscle relaxants and myotropic drugs. They allow you to relax your muscles and relieve tension. To such medicines carry: Sirdalut, Midokalm, No-shpu, Drotaverin.
  • Nootropic drugs that improve blood circulation: Thiocetam, Lucetam, Cerebrolysin, Actovegin, Ceregin, Ceraxon,
  • They are necessary for the recovery of nerve fibers. The most commonly used thiamine chloride, pyridoxine chloride and cyanocobalamin.
  • Antiaggregants. Preparations that dilute blood, they include Acetylsalicylic acid.
  • Antihypertensive drugs. Assign as needed, with increased pressure.
  • Antidepressants. Assign for sleep disorders.
  • To eliminate the main cause of vertebral artery syndrome appoint:
  • Non-steroidal anti-inflammatory drugs. The active ingredient of which can be diclofenac, nimesulide, ibuprofen, meloxicam, acyclofenac. They are prescribed both in the form of injections, and for internal reception, or externally in the form of ointments.
  • Chondroprotectors. Allow to restore cartilaginous tissue. They need to take a long period of six months to one year. Use them in the form of ointments, capsules, tablets or injections. To such preparations carry: Teraflex, Don, Mukosat.
  • Glucorticosteroids. These are hormonal drugs that are used to relieve the inflammatory process and for more effective work of non-steroids and muscle relaxants.
  • For grinding, you can use tinctures that will have a distracting effect and improve blood circulation. These include Menovazine, Pepper Tincture, Formic Alcohol, Camphor Alcohol.

Dosage of medications and their form of release should be prescribed by a doctor after a full-time consultation.

5 Folk methods

Camphor alcohol. For the preparation of rubbing, which will help get rid of pain in the neck and improve blood circulation, you will need camphor alcohol and ten tablets of Analgin. Tablets need to be ground into a powder and dissolved in alcohol. Apply to the neck area up to three times a day.

Therapeutic ointment. To prepare the ointment, you need a glass of refined sunflower oil, which needs to be heated in a water bath, add twenty grams of beeswax. Previously, you need to boil a fresh chicken egg, extract the yolk from it and cut it in half. Half yolk with a fork to mash.

In the boiling oil, add the yolk to the grains, as the product will foam strongly. Once it is ready, it must be filtered using a nylon fabric and add twenty milliliters of propolis tincture.

To prepare the tincture, you need ten grams of propolis, which is filled with fifty milliliters of medical alcohol. The agent is placed in a vial of dark glass and allowed to stand for a week, then filter.

Ready ointment should be stored in the refrigerator. It should be applied on a thick layer on three cotton fabrics and applied to the neck at the base of the skull, covered with polyethylene on top and wrapped in a warm scarf. Leave it overnight. In order for the effect of the procedure to be carried out daily for three weeks.

For treatment, you will need the roots of sunflower, which you need to dig up in the autumn, thoroughly washed and dried. Two cups of crushed roots should be filled with water and put on a small fire. Stir for 30 minutes, then allow to cool and drain.

You need a day to drink one liter of broth. It can be divided into several receptions or simply used instead of water. This agent helps to remove salts from the body and help get rid of cervical osteochondrosis and the associated spinal artery syndrome.

Hawthorn is used to improve blood circulation. A tablespoon of hawthorn fruit, pour half a liter of boiling water and allow to stand for forty minutes. Then the infusion should be filtered and used on a quarter cup to four times a day.

Horseradish pack has a warming effect and improves blood circulation in the neck area. For cooking, the root of horseradish should be thoroughly washed, grated or grinded with a meat grinder. On the neck you need to put a linen napkin( in order not to cause a burn), put a gruel on top and cover with cellophane. Then the neck should be wrapped in a woolen shawl and left for two hours.

If it seems to you that the burning sensation is not too strong, at the same time, a burn does not appear on the skin, the gruel can be applied without a napkin.

6 Exercises for vertebral artery syndrome

All exercises should be done smoothly, as a sharp movement can provoke a headache.

  1. You need to stand up straight, keep your legs together. Head the maximum leaning forward, pressing his chin. In this position, stand for five seconds, and return to the original.
  2. The head is tilted to the right as far as possible, and hold it for a few seconds, then rotate clockwise. Then head as much as possible to the left, and delay for the same period. Again, do a rotational motion and tilt the head forward, and after the next circle, tilt back.
  3. Standing straight, feet shoulder-width apart. We raise our hands and connect them with the back of our hands. We fix in this position for a few seconds, then we begin the turns of the trunk first to the left and then to the right. Each time you need to fix the position. Then the exercise is complicated, lifting first the left leg and then the right leg.

In order to properly diagnose vertebral artery syndrome with cervical osteochondrosis and prescribe timely treatment, it is necessary to consult a doctor.

saymigren.net

Syndrome of vertebral artery: causes, symptoms, treatment, gymnastics and prevention

Syndrome of the vertebral artery is a nonspecific symptom complex that develops by squeezing the vertebral arteries or irritating the sympathetic plexus around them. This pathology was first described in 1925 by the doctors Barre and Liu. Headache, dizziness, fainting, moderate pain in the neck - these are some of the complaints of such patients. They arise because of a violation of the blood supply to the brain. Compression can be one-sided and two-sided.

Causes of vertebral artery syndrome

As is known, the vertebral artery is a paired vessel that departs from the subclavian artery and carries blood into the cranial cavity through a special channel formed by holes in the transverse processes of the thoracic vertebrae. So any narrowing of this channel leads to the development of vertebral artery syndrome.

This pathology is very common, as a consequence of degenerative-dystrophic processes in the cervical spine, for example, in osteochondrosis, medial intervertebral hernia, spondylosis( formation of "bone growths" - osteophytes), arthrosis of small( uncovertebral) joints.

From rare causes of compression of the vertebral arteries, one can call an atypical variant of divergence from the subclavian artery, anomalies of the neck structure( additional cervical rib, Kimmery anomaly extra arch of the first cervical vertebra) and strongly expressed spasm of the neck muscles.

Syndrome of the vertebral artery: symptoms and diagnostics

For this pathology, the following non-specific symptoms are characteristic, that is, are not characteristic only for this disease:

  • Pain of a burning or pulsating nature is localized more often in the occipital region, irradiates into temples, parietal areas and brow ridges, is one-sided and two-sided. Most patients complain of persistent pain, worse after sleeping in an uncomfortable position, while walking or riding in any transport.
  • Disturbance of hearing and vestibular analyzer functions is manifested in hearing loss, noise in the ears, dizziness, nausea and vomiting of the central genesis can be noted.
  • Violation of the functions of the visual analyzer - reduced visual acuity, "sand in the eyes" or "fog before the eyes," pain in the eyes.
  • Loss of consciousness.
  • Pain in the heart that simulates ischemic disease or angina.
  • Increased blood pressure.
  • Feeling "lump in the throat".
  • Falling after an awkward turn of the head without losing consciousness.

It is important to remember that all these symptoms of the vertebral artery syndrome are very similar to the symptoms of a stroke, so when these complaints occur, you should immediately consult a doctor.

Special diagnostic methods are used to diagnose the syndrome of the vertebral artery. Already during the examination, the neurologist can detect the limitation of movements in the cervical spine, the tension of the occipital muscles, soreness in palpation in the suboccipital region between the transverse processes of the atlas and the epistrophe( the first cervical vertebrae), focal symptomatology, and others. On the roentgenograms of the cervical spine, performed in two projections, the cause of the compression, for example, the osteophyte, can be detected. As a rule, in this pathology, dopplerography of the vessels of the head and neck is performed to evaluate the vertebrobasilar blood flow. An additional method of diagnosis is MRI( magnetic resonance imaging).

Video: "Vertebral artery syndrome or vertebrobasilar syndrome"

Basic methods of treatment

Treatment of vertebral artery syndrome depends on the cause, as some conditions require emergency hospitalization and even surgical intervention, such as in cervical intervertebral hernia with severe neurologic symptoms orwith acute disturbance of cerebral circulation in the vertebrobasilar basin.

Conservative treatment methods

If the compression of the vertebral artery is not critical and does not require in-patient treatment, then medicamental and manual methods are used.

  • First of all, immobilization of the cervical spine is prescribed. Reduction in the load in this case is achieved by wearing a special orthopedic corset, which is called the collar of Shants.
  • Pain syndrome is removed with anesthetic drugs from the group of NSAIDs( Diclofenac, Nyz) or muscle relaxants( Midokalm).
  • To improve cerebral circulation and eliminate the consequences of ischemia, vasodilators are prescribed: Cavinton, Cinnarizin.
  • Betagystine is a good aid for dizziness due to the effects on the nuclei of the vestibular analyzer located in the brain.
  • To soften muscle tension and restore normal anatomical interrelations between the structural units of the neck, soft manual techniques( traction, post-isometric relaxation, etc.), osteopathic effect, acupuncture and physiotherapy( magnetotherapy, laser therapy, etc.) are used.
  • An essential element in the complex of measures for vertebrogenic vertebral artery syndrome is exercise therapy. Gymnastics patient begins to deal with when they stop pain. The doctor selects special sparing exercises, allowing to strengthen the muscles of the neck.

Exercises for vertebral artery syndrome

  • With this pathology it is very useful to do joint exercises for fingers. Various movements are carried out with each finger separately and with a brush as a whole( clenching and unclenching, while fingers are bred as widely as possible), rotational movements in wrist joints and self-massage of hands. These simple exercises cause an increase in blood flow in the vessels of the neck.
  • Various movements in the elbow and shoulder joints: rotation, flexion - extension, reduction - withdrawal, exercises with a gymnastic stick and shock absorber.
  • Since active movements in the cervical spine for this pathology are contraindicated, the strengthening of the muscles is carried out passively with the help of the so-called self-resistance exercise. Standing against the wall, press the back of the head on the wall for a few seconds, then relax. The same thing we repeat with the hand at the temple, at the forehead, etc.
  • Swimming on the back and style of the crawl.

Consequences of vertebral artery syndrome

Inadequate treatment or non-treatment of the consequences can be very different: from deterioration to complete disability.

During the illness, two stages are distinguished:

  1. angiodystonic, in which the main symptoms are dizziness, severe headaches, nausea and vomiting;
  2. is ischemic, characterized by severe impairment of cerebral circulation, weakness, deterioration of general condition, impaired sensation and coordination.

In a consequence, a stroke can develop, as well as damage to the spinal cord. The patient loses the ability to work and self-service.

Prevention

  • Regular performance of special exercises that form a muscular corset. During the working day, you should take breaks every hour and knead the tired muscles of the shoulder girdle, as well as perform simple movements: head inclinations and turns. This will relieve muscle tension and improve cerebral circulation.
  • For sleep, you should purchase an orthopedic pillow. Sleep better on your back or side, on your stomach is not allowed to sleep. In this case, the head should not be thrown back.
  • Preventative massage courses 1-2 times a year.
  • Sanatorium treatment.

osteokhondros.ru

Syndrome of the vertebral artery with cervical osteochondrosis manifests itself with poorly tolerated discomfort sensations and in the absence of a course of treatment can lead to ischemic stroke. To prevent serious complications, it is necessary to undergo a highly effective course of therapy, and the earlier this is done, the less likely to cause irreversible changes.

Causes of vertebral artery syndrome in osteochondrosis

Cervical osteochondrosis is the most likely cause of this syndrome, and this disease can concern very young people.

The vertebral canal passing in the cervical part of the spine is itself anatomically narrow, and changes with vertebra, muscles and ligaments in osteochondrosis further increase its compression. This adversely affects the vertebral artery, leads to its compression, abnormal bending, and as a result of this process, different parts of the brain do not receive oxygen in the required volume.

Over time, if there is no treatment, osteochondrosis leads to an even greater compression of blood vessels and nerves and thus the functioning of the brain is steadily deteriorating.

Manifestations of vertebral artery syndrome

With the syndrome of the vertebral artery, the symptoms typical for this ailment develop gradually, according to which the neurologist can already diagnose. Characteristic features of the syndrome include:

  • Pain in the head .On localization, these pains are different, but more often the sick person notes that soreness starts from the neck and passes to the occiput and temples. By manifestations, pain can be pulsating, compressive, bursting. Sometimes when the neck turns in different directions, the pain either decreases or completely disappears.
  • The dizziness of is also a characteristic manifestation of the syndrome under consideration. Symptoms of dizziness are related to the fact that the lack of blood circulation is experienced by the vestibular apparatus. Dizziness can last from several seconds, minutes and up to several hours, often accompanied by a sensation of noise in the ears, shroud or dots before the eyes, impaired vision. Symptoms of dizziness in people with cervical osteochondrosis occur more often immediately after sleep, especially if a person is accustomed to sleeping on a high pillow.
  • Noises in the ears of have different manifestations. Usually, he is out of the attack is insignificant, as the disease develops, the symptoms become more pronounced. Noise can bother constantly, often it interferes with proper rest, does not allow to concentrate on work. In vertebral artery syndrome, when turning, extraneous sounds in the ears become worse, mute or change their manifestations.
  • Blood pressure changes. Disruptions in the work of the heart. Patients report symptoms such as severe chest pain, dyspnea.
  • Nausea, the urge to vomit, numb of individual areas on the face.
If treatment of the vertebral artery syndrome is not carried out, then all symptoms increase and may disturb a person throughout the day. As the disease progresses in parallel, the clinical manifestations of osteochondrosis intensify. A part of the patients shows a depressive state, which is associated with a permanent poor state of health and a violation of the nervous system. Perhaps the emergence of periodic fainting.

Methods of treatment

All patients with vertebral artery syndrome are treated by a neurologist. The complex therapy is chosen, aimed at elimination of the arisen disorders in the brain regions, in the elimination of vascular spasm, in the treatment of cervical osteochondrosis.

The complex measures of therapy include:

  • Wearing the orthopedic collar of Shantz. Its use does not allow the vertebral artery to be pinched and thus the delivery of oxygen and nutrients improves.
  • Medication Therapy. Treatment with medications is selected based on the survey data and depending on the general condition of the patient.
  • Physiotherapy. Various physiotherapy procedures increase blood circulation, relieve spasm from muscles, reduce soreness.
  • The course of massage is started after elimination of acute manifestations of the disease. A massage is performed to relax the spasms of the muscles, which leads to a reduction in the squeezing of the artery.
  • Therapeutic physical training is selected by a doctor, and it is also aimed at reducing spasm and improving mobility of the cervical vertebrae. Classes of classes should be conducted daily.
  • Acupuncture is highly effective, but it is performed only by an experienced specialist.

Drug treatment consists of the use of several groups of drugs:

  • Nonsteroidal anti-inflammatory drugs - Nimesulide, Ibuprom.
  • Nootropics - Thiocetam, Pyracetam.
  • Means designed to improve the patency of vessels. This is Trental, Agapurin.
  • Drugs that reduce hypoxia of the brain - Mexidol, Actovegin.
  • Vitamin Complexes.
If the disease develops against the background of the osteochondrosis of the cervical region, it is necessary to treat first and foremost osteochondrosis. On our site medical articles on this topic are collected:

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