Symptoms of osteochondrosis in the cervical spine, causes and stages of the diseaseIn this article we will consider a disease such as osteochondrosis in the cervical region, the symptoms characteristic of this disease, the causes of its appearance, the stages and types of this disease.
The cervical region is the most mobile department of the spine, therefore, it suffers from osteochondrosis more often.
Osteochondrosis of the cervical spine is a progressive disease that is a degenerative-dystrophic disorder of the intervertebral discs of the cervical spine.
The cervical spine consists of seven discs, this is the most mobile part of the spine, which provides the ability to tilt and turn the head. He has a relatively weak muscular corset. In this case, the instability of the cervical proper, combined with constant physical activity( the need to maintain the head, control the turns and inclinations) explain the high susceptibility of this spine to both trauma and dystrophic changes, which are essentially osteochondrosis.
Types and stages of the disease
Osteochondrosis is a disease that affects not only the cervical, but also other parts of the spine. There is also chest osteochondrosis, lumbar osteochondrosis and common - when the disease is spread to several different parts of the spine.
There are 4 main stages of the course of the disease:
The first stage of the - the main feature at this stage is the instability that manifests itself in the initial disturbances of the vertebral discs.
The second stage of - here the main feature is the protrusion of disks. Fissures between the vertebrae decrease, the fibrous ring gradually begins to break down, pain syndromes associated with possible pinching of the nerve endings are also possible.
The third stage of - at this stage, the final destruction of the ring occurs, resulting in the formation of intervertebral hernias. Also for this stage is a serious deformity of the spine.
The fourth stage of the is the latest and the most difficult. Any movements begin to cause serious acute pain, accordingly it becomes very difficult to move. Periodically there is an improvement in the general condition, as a result of which the pain decreases, but nothing good is said about it, this only indicates that bone growths are forming, which connect the vertebrae and restrict the movement, which leads to disability.
Treatment of cervical osteochondrosis is prescribed depending on the symptoms and stage of the disease.
Reasons for the appearance of osteochondrosis
Today, osteochondrosis is rapidly becoming younger. Not so long ago, this diagnosis was considered the lot of older people and rarely when placed before people younger than 40 years. But now this disease is observed more and more often among young people, the number of patients aged 18-30 years has greatly increased. The reasons are quite numerous, the most common:
- violation of posture;
- is overweight;
- curvature of the spine;
- back injury;
- metabolic disorders;
- physically hard work;
- weak physical preparation;
- errors in the training process for athletes;
- stress and nerve strain;
- drastic reduction or general termination of training by athletes;
- sedentary or sedentary lifestyle;
- infectious diseases and hypothermia.
Osteochondrosis in general is a logical extension of muscle clamps. As a result, spasm of muscles severely limits the mobility of the vertebrae in the cervical region, blood supply worsens, posture worsens, as a result, dystrophic processes begin in the intervertebral discs and vertebrae, the intervertebral foramens narrow, and the nerve roots that come out through them are squeezed.
Manifestations of cervical osteochondrosis
The cervical spine is saturated with blood vessels that feed the human brain. Therefore, for the most part, signs and manifestations of osteochondrosis are associated with the poor supply of the head organs with blood, in particular - with a violation of the blood circulation of the brain.
The most noticeable manifestations of this disease are:
- frequent headaches;
- dizziness until loss of consciousness;
- violation of coordination of movements, mainly - violation of gait;
- ringing in the ears, hearing loss;
- vision impairment;
- deterioration of teeth;
- change of voice( hoarseness, weakening of voice, etc.);
- snoring, which in itself is a sign of chronic muscle tension;
Also, when the nerves are squeezed in the cervical region, coldness or numbness of the fingers can be observed, weakness in the hands can be felt.
Pinched nerves can also cause pain in the throat, neck, soreness of the scalp, even toothache. So it is quite possible that when you remove a tooth, you need to treat your neck. As in the old cartoon: "If the tooth hurts, you need to treat the tail."
Also, pain can spread to the arm or shoulder, and it will be strengthened or weakened depending on the position or turn of the head. Severe pain may be accompanied by nausea or dizziness.
Symptoms of the disease
So, we figured out how osteochondrosis manifests itself in the cervical spine. Symptoms are somewhat different from manifestations, because, as you probably noticed, almost any of the manifestations of this disease can be attributed to something else. The headache is for stress, the deterioration of vision is on the TV, the hearing loss is reduced to the use of headphones, etc.
In general, the symptoms of cervical osteochondrosis depend on what exactly became the object of the disease. Therefore distinguish:
- radicular syndromes;
- compression of the spinal cord;
- vertebral artery syndrome;
- Irritative-reflex syndromes;
- cardinal syndrome, etc.
Let's take a closer look at the most common ones.
They are also called cervical radiculitis. They arise when the nerve is clamped in the cervical region, in other words - when corrugating roots. These symptoms are connected precisely with compression of the nerve roots. The pain is transmitted from the neck down, can reach the scapula and fall further along the shoulder, the outer part of the forearm to the fingers of the hand. There may also be an effect of "runnin 'crawling," pastosity, tingling of the fingers, a hand or a forearm.
Depending on which segment is affected by the disease, symptoms may differ. For example, if the roots of the central nerve are affected, then the large, index and middle fingers will be pasty. When the roots of the shoulder nerve are damaged, the nameless and little finger. In this case, all other symptoms will remain identical.
Symptom is acute, "burning" pain in the neck or cervico-occipital region, manifested when moving after a static state. For example, after sleep, with sneezing, with sharp turns of the head. Pain can "give" to the chest and shoulder.
Syndrome of the vertebral artery
Symptoms in this case are a "burning" or throbbing headache, which can seize the temple, the nape, the darkness, the superciliary area. The pain is usually constant, sometimes - paroxysmal. Usually seriously amplified after a long time in an uncomfortable position or when moving. In the case of general weakness of the body, loss of consciousness or nausea may occur. Also, there is a possibility of occurrence of auditory disorders - a decrease in the severity of hearing, noise, disorders of the vestibular apparatus. Also, this syndrome can affect vision - pain in the eyes, decreased visual acuity, etc.
In this syndrome, the symptoms of osteochondrosis of the cervical spine are almost the same as those of angina pectoris. Therefore, in some cases there is a danger that instead of treating the cervical osteochondrosis, treatment( practically useless in this case) of angina will be performed.
It is believed that spasms and contractions of muscles in the heart can be caused by squeezing the roots in one of the lower segments of the cervical region, and the result is such a reflex response.
Generally, the cardiac syndrome occurs when the roots of the large pectoral muscle or the roots of the diaphragmatic nerve are irritated, since it is the fibers that lead to the pericardium. The pain in this case may be paroxysmal and last for a long time - up to several hours. Increase with sudden movements that occur when sneezing, coughing, or sharp turn of the head. Also, extrasystole and tachycardia become a possible phenomenon in this syndrome, while coronerading drugs can not be taken off pain, and a cardiogram taken during an attack shows no signs of circulatory disturbance.
"Yoga for the face" in the prevention of osteochondrosis of the neck:
Here you can download a free training course "Secrets of cervical osteochondrosis treatment".
On this page you can read about how yoga helps with cervical and lumbar osteochondrosis, and below one can see one of such exercises on the video:
Signs of cervical osteochondrosis
Signs of cervical osteochondrosis
General information about
Disease Cervical osteochondrosisis a progressive disease that leads to pathological changes in the human musculoskeletal system. As a result of these changes, intervertebral discs and joints are destroyed. In recent years, this disease occurs more often, and affects people mostly young age( 30-40 years).
Painful sensations in the neck - one of the main signs of cervical osteochondrosis
It can be affected, as one department of the spine, and several. The number of diseased departments will depend on the clinical manifestations of osteochondrosis. In the lumbar region, osteochondrosis is more common than in the cervical region. But the cervical appearance of the disease causes much more trouble. This is because the cervical region has a lot of nerve fibers and endings.
The main reasons for the development of osteochondrosis. Stages of the disease course
A few years ago, osteochondrosis was considered a lot of old people, but today it is more and more often found in the younger generation. There are many factors that can cause the disease, the main ones:
- excess weight;
- disturbed posture;
- has a history of trauma in the dorsal region;
- is impaired metabolism;
- excessive physical labor;
- insufficient physical preparation;
- frequent stress;
- lack of mobility;
- presence in the body of infection.
The disease can occur in four stages.
At the first stage, there is instability, manifested in the first violations of the vertebral discs.
Clinical features of the disease
The main clinical manifestation of the second stage is the protrusion of the discs, which is manifested by a decrease in the intervertebral fissure. As a result, the fibrous ring is destroyed and a feeling of pain arises due to the jamming of nerve endings.
In the third stage, complete destruction of the ring occurs, and intervertebral hernias appear. At that moment, the spine deforms.
The latest, fourth stage is the most difficult and dangerous. The patient can hardly move, since the slightest movement causes severe sharp pain. There may be a short-term improvement in the patient's condition, but one should not be prematurely encouraged, since this improvement indicates bone growth. These sprouting contribute to the joining of the vertebrae, which leads to limited movement and disability.
The main signs of the disease
The first and brightest sign of developing cervical osteochondrosis is the pain syndrome. The localization of pain can be not only in the cervical region, but also in the shoulder region. Pain syndrome can cause severe headaches, which often go to migraines, and most unpleasant, migraine is not stopped by anesthetics.
Migraine as a symptom of cervical osteochondrosis
The next bright sign of the disease is nausea. Nausea occurs as a result of circulatory disorders in the cerebral vessels. This sign often entails loss of appetite and weight, which is manifested by a lack of nutrients in the body. In addition to nausea, the patient can have continuous vomiting, which can provoke any turns or inclinations of the head, slow movement. This is due to the fact that the blood circulation in the arteries of the spinal column is disturbed and oxygen enters the inner ear in insufficient quantities.
Due to the fact that the arteries of the spine are poorly supplied, the basic functions of the inner ear are violated, this provokes the presence of such symptoms as noise or ringing in the ears. Often there is a decrease in hearing. Such deviations may also occur if the vertebral column is affected. But the main difference of the osteochondrosis of the cervical part is that such sensations arise only when the position is not quite comfortable, in which the patient is for a long time.
Office workers - at risk
Symptoms of cervical osteochondrosis can sometimes manifest only one symptom - pharyngeal. The patient indicates a perspiration in the throat and sensation of an alien body in the larynx, dryness, difficulty swallowing.
Infrequent visual impairment is rare. These disorders are manifested in the form of: blurring objects, reducing visual acuity, inability to focus on a certain subject, flickering midges. Vision for the whole time of the course of the disease can then worsen, then improve.
A patient suffering from this disease can suddenly lose consciousness. This condition provokes the termination of blood supply to the cerebral arteries. It arises from the spasm of the arteries, which appears as a result of irritation of the nerve endings, which are damaged by the sprouting bone processes of the vertebrae. If the patient is laid horizontally and his legs are raised, he will very quickly recover. Since the outflow of blood from the veins of the feet will increase, and thereby improve the blood circulation of the brain.
Disturbances in osteochondrosis
Often patients complain of unstable blood pressure, dizziness, changes in body temperature. And the last sign, will testify to the presence in the body of another infectious focus. Because with cervical osteochondrosis, there is an increase in temperature and hyperemia only in the affected area.
Despite such a large number of signs in which it is possible to suspect cervical osteochondrosis, its most important symptom will depend on the cause of the disease. Allocate the following syndromes: radicular, irrational-reflex, cardinal, compression of the spinal cord.
Treatment of the disease
Treatment of this ailment is complex and includes medical treatment, surgical intervention, exercise therapy, massage, physiotherapy.
The very first action in the treatment of this disease is the removal of pain and inflammation in the affected area. First of all, the patient is prescribed funds of the NSAID group and analgesics. Recently, a very good positive effect gives such a tool as Movalis. It is good that it can be taken quite a long time and not be afraid of side effects. The drug well relieves pain and helps reduce inflammation.
A very important role in the treatment is played by chondroprotectors, which do not allow the cartilaginous tissue to disintegrate further and even contribute to its recovery. These drugs include: Teraflex, Aflutop, Arthra and others.
A good positive effect brings the use of external agents, in the form of gels and ointments. Quite popular: Finalgon, Fastum-gel, Ketonal. The greatest effect of these drugs can be achieved by massage, that is, we apply the gel to the affected area and massage the skin.
Only in the most extreme cases, when conservative treatment has not brought any results, the patient can be recommended surgical treatment.
In order to avoid the appearance of cervical osteochondrosis, several recommendations should be followed. It's to try to lead an active lifestyle, to exercise as much as possible, or at least do exercises in the morning. If you have a sedentary work regime, then during the working day several times, warm up the neck. Also sufficiently important is a properly matched mattress and pillow, they should be comfortable and not be discomfort during sleep.
Video - Signs of cervical osteochondrosis
Cervical osteochondrosis: symptoms, diagnosis, treatment - Diagnos.ru
Cervical osteochondrosis is a progressive degenerative degenerative lesion of intervertebral discs in the region of 1-7 vertebrae related to the cervical region.
As a result of cervical osteochondrosis, deformation, exhaustion, and then damage to the vertebral bodies occurs. This disrupts the normal blood supply and nerve conduction in the neck and in those areas that are innervated by the nerve roots of the cervical region.
Cervical osteochondrosis can be either isolated or combined with osteochondrosis of other departments - chest, lumbar and sacral.
The causes of dystrophic and degenerative changes in intervertebral discs have not yet been adequately studied. The assumption that osteochondrosis - an old phenomenon of confirmation was not found. It occurs even in children and adolescents.
There are a number of factors predisposing to the development of osteochondrosis. These include:
- inactivity and sedentary lifestyles,
- sedentary work with static neck strain,
- overweight, insufficient physical development,
- dysplastic connective tissue processes,
- circulatory disturbance in the neck,
- neck injury,
- scoliosis,defects of posture, awkward pillows and mattresses,
- hereditary predisposition, metabolic defects.
Symptoms of cervical osteochondrosis
The cervical spine due to the features of the skeleton, erection, and also because of the large size of the head is particularly vulnerable to the development of osteochondrosis - the vertebrae in it are the smallest in comparison with other parts of the spine, and the muscular framework is not very pronounced.
The most typical symptom that patients complain about is cervical pain. Depending on the affected area, the pain may be localized
- in the collarbone and shoulder;
- throughout the cervical spine;
- on the front of the chest.
Pain in cervical osteochondrosis is due to the peculiarities of the cervical region.
The first signs of cervical osteochondrosis are insignificant and uncommon:
- neck pain in the evening,
- sensation of heaviness in the head, headaches in the occipital region,
- feeling of numbness or tingling in the shoulders and hands,
- crunching in the neck when turning the head, clicking the vertebrae.
- has rather severe "spasmodic" pain in the neck and, especially, in the area just below the occiput;
- pain occurs after a prolonged stay in one position( for example, after sleep);
- neck muscles are constantly strained;
- there are difficulties with the removal of the hand to the side;
- on the affected side of the fingers of the hand are constrained in movements.
Since the compression of the vertebral arteries occurs, there are neurological manifestations: headache, nausea, fainting is not uncommon.
pain localized behind the sternum on the left.
This type of pain should be distinguished from angina pectoris pains( with angina pectoris it brings relief to nitroglycerin, with osteochondrosis - no).
With gradual disruption of the structure of the intervertebral discs, their compression( compression) occurs and infringements of the roots of the nerves occur, as well as the narrowing or infringement of the arteries and veins that pass in the area of the vertebral bodies.
This leads to the formation of special syndromes - radicular and ischemic.
- lesion of rootlets of the first cervical vertebra( C1): disorders affect the occiput, reducing skin sensitivity;
- C2 lesion gives pain syndrome in the region of the crown and occiput;
- C3 lesion gives neck pain from the side of infringement, a decrease in sensitivity in the tongue and sublingual muscles, in some cases with speech impairment and loss of control over the tongue;
- lesions of C4 and C5 give pains in the shoulder and collarbone, decreased tonus of the muscles of the head and neck, hiccups, breathing disorders and pain in the heart;The
- C6 lesion is most common, giving pain from the neck to the shoulder blade, the forearm, down to the thumbs, the skin sensitivity may suffer:
- C7 lesion gives similar symptoms with pain in the neck, back of the shoulder, down to the rear of the hand,and decreased reflexes.
Blood circulation disorders due to compression of vessels in the cervical vertebrae give headaches right up to migraine, severe dizziness, visual disturbances and tinnitus, flies before the eyes, vegetative function disorders.
There may be manifestations of cardiac syndrome with a squeezing pain of the heart, lack of air and palpitations, rhythm disturbances.
Serious complications of cervical osteochondrosis are
- protrusion of intervertebral discs with the formation of a hernia( protrusions);
- rupture of the intervertebral disc with infringement of nerves and vessels, spinal cord may be compressed, which can lead to death;
- can also be radiculopathy( lesions of roots), the formation of osteophytes( thorns on the bodies of the vertebrae) with the manifestation of paresis and paralysis.
If you have the above complaints, you need to contact an orthopedic doctor or neurologist.
First of all, the doctor will assess mobility and soreness in the neck, sensitivity and other functional disorders. Then, the x-ray of the cervical region will be required in several projections, if necessary, computer tomography or magnetic resonance scanning if a hernia is suspected.
In case of circulatory disorders, rheoencephalography and examination of the fundus are needed.
Treatment of cervical osteochondrosis
Today there are both traditional and non-traditional methods of treating osteochondrosis in the cervical spine.
Basically, conservative methods are used:
- symptomatic therapy with analgesics( baralgin, analgin, ketorol) for the removal of the pain syndrome
- administration of non-steroidal anti-inflammatory drugs( diclofenac, indomethacin, meloxicam) - to relieve inflammation and swelling of
- tissues, spasmolytics are used to eliminate muscle spasms -but-shpu, preparations for improvement of blood circulation - midokalm, trental.
In the treatment of cervical osteochondrosis, substances that restore the structure of the intervertebral discs are used - chondroprotectors( teraflex, artracin).
The course of vitamin B group therapy is shown, external means for therapy are applied - gels and ointments, creams with anti-inflammatory, warming and anesthetizing components - voltaren, diclogel, nicofleks. Stimulants of intervertebral disk regeneration are shown - teraflex or chondroxide.
Excellent help in the treatment of osteochondrosis acupressure and general massage, acupuncture, physiotherapy, physiotherapy and gymnastics. A well-proven method of osteopathy - a soft effect on the "clamped" zones of muscles and vertebrae.
In the treatment of cervical osteochondrosis, it is recommended to wear a special collar( the collar of Shantz).
Complications of cervical osteochondrosis with intervertebral hernias, which impair sensitivity and circulation, can be treated promptly.
The duration of treatment depends on the neglect of the condition, since osteochondrosis is a progressive chronic disease. Treatment can be lengthy, and preventive courses are conducted for life.
Proper nutrition will help significantly alleviate the condition with osteochondrosis. More details about the principles of diet for osteochondrosis in our separate article.
Exercises for the treatment of cervical osteochondrosis:
- Self-stretching: in the position with a straight back, it is necessary to lower the shoulders as low as possible, while the neck needs to be pulled upwards. It is necessary to make at least 10 approaches at least 3 times a day.
- Self-massage: grab the neck with a towel, take it by the ends and pull for them alternately, stretching the muscles of the neck. In this case, you need to ensure that the towel does not slip over the neck( did not rub it).
- Gymnastics for the cervical part for osteochondrosis: small neck flexions are shown, as well as turns and inclinations of the head. At a time, 5-7 slopes are made in each direction. It is most useful to perform this exercise after self-massage of the cervical spine.
The basis of the health of the cervical spine is a strong and healthy back, physical activity, comfortable bed with anatomical pillows and mattress, proper posture and proper nutrition.
It is necessary to avoid neck injuries and lifting weights. It is necessary to combine a long sitting with rest periods and warm-up.
This article is based on the materials of the book "Diseases of the spine", ed. Doctor of medical sciences, prof. Yeliseyeva Yu. Yu., M, 2008
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Numbness of the neck muscles, headache, loss of sensitivity in the hands and dizziness - all these are signs of osteochondrosis of the cervical spine. Pathology is closely associated with dystrophic changes in the body of the vertebrae, ligaments and intervertebral discs. Symptoms can occur at any age, but the disease is rapidly growing younger due to the increase in hypodynamia - a sedentary lifestyle, "hang" at the computer, the specifics of work or study.
Normally, the human spine should be almost constantly in motion, with the forced monotonous position of the body, the vertebrae of the neck gradually atrophy and subsequently cease to cope with their functions.
Clinical manifestations of
Symptoms of osteochondrosis in the cervical region are associated with changes in the vertebrae, disorders of the blood vessels and nerve endings.
Cervical osteochondrosis is a common degenerative-dystrophic disease of the spine
. The main clinical manifestations indicate that there has been a movement of blood vessels and nerves.
Groups of clinical signs:
- neurological( impact on the peripheral department of the National Assembly);
- spinal( direct impact on the spinal cord);
- central( violation of nerve endings, "responsible" for the brain).
When exposed to the peripheral NC, the symptoms of pain come to the fore. They can be of different nature and intensity, but they manifest themselves at the very beginning of the pathology in the depth of the neck.
Often with cervical osteochondrosis, shortness of breath( symptom) comes to the fore. It seems to the patient that it becomes difficult to breathe because of a "lump in the throat".The pain is blunt, accompanied by muscle tension and often worse after a night's sleep.
Gradually, the pathological process passes to the hands, they have weakness and numbness. Often the patient complains of soreness in the region of the heart - hence, the pathology has passed into cervicothoracic osteochondrosis. Osteochondrosis is often "masked" for neuralgia and angina.
Brain symptomatology begins to manifest itself when involved in the pathological process of the vertebral artery, which supplies oxygen to the brain. It narrows under the influence of dystrophic changes in the vertebrae of the neck and is not able to fully perform its functions. That is why, with cervical osteochondrosis, the patient complains of headache, dizziness, tinnitus and a vision disorder( a consequence of the vascular bundle being transmitted).
As a rule, 4 stages of osteochondrosis
are distinguished. Headache with osteochondrosis in the cervical spine can not be stopped with the use of analgesics, it increases with tilts and turns of the head.
Symptoms of cervical osteochondrosis with VSD are manifested as signs of unstable blood pressure and neuroses. On the other hand, VSD can be a sign of beginning osteochondrosis. The symptomatology of these two diseases is similar, that's why it is important to undergo a complete examination( tests, X-rays, MRI).
Exacerbations of the cervical osteochondrosis( after a nervous overload, physical exertion) are manifested in constant irritation, bad sleep and rapid fatigue.
Why is osteochondrosis difficult to treat?
The whole matter in the pathogenesis of osteochondrosis, the "root of evil" lies in the degeneration and dehydration of the nucleus of the intervertebral disc. At the initial stage, destructive processes are not accompanied by any symptoms and remain unnoticed. When pain joins, it is no longer possible to reverse the process of changes in the vertebrae of the neck that has begun. Therefore, with osteochondrosis, it remains only to eliminate symptoms and prevent the development of complications.
Therapy of pathology
In the treatment of cervical osteochondrosis, the principle of applying several techniques simultaneously is important. Medical therapy can be well combined with physiotherapy and massage, light exercises and diet.
Treatment with the help of pharmaceuticals has two goals - to remove aseptic inflammation in the area of the nerve roots and reduce the severity of the pain syndrome. In passing, the excessive protective tension of the paravertebral muscles( "defens") is removed.
The following agents are used:
- NSAIDs( anti-inflammatory non-steroid agents) are the main group in the treatment of cervical osteochondrosis.
Active ingredients - ibuprofen, aspirin, orthophen, diclofenac, analgin, paracetamol, nimesulide, indomethacin. All NSAIDs have a direct analgesic effect, reduce inflammation and pain in the pathology zone;
- NSAIDs + antispasmodic.
The combination of these drugs helps to relieve muscle tension and effectively reduce the severity of the pain syndrome;
For the removal of pain, quite often resort to novocain blockades of the
Direct injection of local anesthetic allows to remove muscle tension, inflammation, pain. Blockades are done only on an outpatient basis, it is sufficient to conduct several procedures for effective treatment and relief of pain.
Drugs that effectively protect the cartilage from destruction and stop the degenerative processes of the cervical region are chondroprotectors. But why are they so reluctant to appoint some specialists in osteochondrosis?
Chondroprotectors are a heterogeneous group of l / c, in the composition of which - glucosamine and chondroitin sulfate. In turn, glucosamine is a precursor of chondroitin and its structural element. Chondroitin sulfate is a natural component of any cartilaginous tissue, it is synthesized in the human body by chondrocytes and is part of synovial fluid( "joint lubrication"), supports the hydration of cartilage, stimulates the synthesis of hyaluronic acid and promotes cartilage regeneration. Theoretically, everything is simple: took chondroprotectors - restored cartilage and joint! But independent studies show that the effect of taking chondroprotectors in osteochondrosis is no more than a "snag", a placebo effect. Most patients note that the chondroprotectors did not improve the condition in the osteochondrosis of the neck, in whatever form they were used( tablets, ointments).
Why does this happen?
- The effect of chondroitin sulfate is associated with an improvement in the composition of the synovial fluid, and there are no synovial fluid in the intervertebral discs, which is the reason for the lack of treatment effect by chondroprotectors.
- Chondroitin sulfate, unlike anti-inflammatory drugs, has a high molecular weight, so when applied externally, the active substance simply settles in the surface structures and does not reach the "destination".That is why chondroprotectors in tablets are prescribed in very high doses.
Muscle relaxants for the treatment of osteochondrosis can be prescribed only by the doctor
- . In almost 90% of cases, treatment begins when the intervertebral disc is already destroyed, it is simply impossible to restore its structure.
But do not reject chondroprotectors at once: they undoubtedly will help in the treatment of the earliest detected pathologies of cartilaginous tissue. At the same time, with osteochondrosis, it is recommended to use them in high doses and for a long time, the primary effect may become noticeable after 2-3 months.
Are divided into 2 categories - l / v of central and peripheral action. When osteochondrosis of the cervical region, only muscular relaxants of the central action( baclofen, tizanidine, methocarbamol, cyclobenzaprine, etc.) are prescribed. Peripheral muscle relaxants are used by anesthetists in traumatology and surgery.
Important! Miorelaxants with osteochondrosis of the cervical department are prescribed only by a doctor. Primary reception of the drug is carried out exclusively within the walls of the medical institution under the supervision of the attending physician, in order to provide urgent help in the event of side effects.
Muscle relaxants for osteochondrosis are prescribed to eliminate muscle spasm in the pathology( neck) region, the drug inhibits spinal reflexes, reduces muscle tension and has analgesic and sedative effects. The intake of muscle relaxants is able to increase efficiency in the course of exercise therapy, massage, traction and manual therapy.
The intake of muscle relaxants in osteochondrosis is justified, it helps conservative therapy.
But the side effects of this group of drugs are not a mere formality, with each patient( nausea, dry mouth, drowsiness and decreased concentration, sometimes confusion) to varying degrees. For natural hypotension, muscle relaxants are especially dangerous, they can reduce blood pressure, dizziness, asthenia, ataxia. In some cases, the pressure drop reaches critical numbers( loss of consciousness).
Muscle relaxants can not be used in long-term courses, this leads to a disruption of the functions of the hepatobiliary system and an increase in body weight.
According to the ubiquitous advertising, the ointment can cure osteochondrosis within 30 seconds. Here are two sides of the coin. On the one hand, ointments for osteochondrosis are useless, they are not able to stop the pathological destruction of cartilage and self-treatment of cervical osteochondrosis with the help of ointments is almost doomed to failure. On the other hand, ointments are able to stop the pain syndrome in the neck, remove discomfort and allow the patient to exist for some time more or less tolerably. Conclusion - ointments with osteochondrosis of the neck have a purely symptomatic effect.
For this purpose, the following are used:
- ointments, gels containing NSAIDs( ketonal gel, fastum gel, ultafastin, orthophene, diclofenac);
- topical irritants.
Ointments are used in the initial stages of the development of the
disease. They promote local strengthening of the blood circulation, which leads to a reduction in pain and a decrease in the inflammatory reaction in the neck( finalgon, capsicum, apizarthron, nicoflex);
- ointment complex action.
Often, a doloben gel is used, which includes heparin, which has a positive effect on the blood microcirculation process, dexpanthenol and dimethylsulfoxide, which has an anti-inflammatory effect.
In cervical osteochondrosis the following procedures are shown:
- ultrasound. Anti-inflammatory, analgesic effect, a kind of "micromassage" of tissues;
- Novocain electrophoresis;
- detensor therapy( stretching the spine under the influence of body weight);
- vibrating effect;
- laser and shock wave therapy;
- exercise therapy.
The complex of exercises for osteochondrosis of the cervical spine will help to increase the range of movements, increase the effectiveness of concomitant methods of conservative treatment, reduce the tension in the muscles of the neck and reduce the pharmacological load on the body:
- lying on a flat surface, raise the head and fix it in this position for a few seconds;
- in the position of the raised head, raise the chin as much as possible and hold it for a few seconds;
- in the position on the side, place a low pillow( roller) and raise the head upwards and sideways, fix for 1-3 sec.and let go( 10 times).Repeat on the other side( 10 times);
- in the position on the back to start rotational movements of the head along the axis to the right and left( the ear should touch the floor);
- in the supine position tilt the head to the left and right shoulders.
Diet, Myths and Reality
Most experts claim that the right diet will help with cervical osteochondrosis. One can agree with this, the thesis is quite "politically correct".But, on the other hand, there is reason to argue that a diet for osteochondrosis is nothing more than a myth that is based on other myths.
Five myths about "proper" nutrition in osteochondrosis:
- "for all diseases of the spine it is important to enrich the diet with phosphorus".
This is a myth! Virtually all products of the "monsters" of the food industry manage to add chemicals, many of which are phosphates, which is why the human body receives phosphorus simply in excess.
With such nutrition, the calcium and phosphorus ratio is disturbed, the increase in the proportion of phosphates initiates compensatory processes that increase the level of Ca in the blood. The source of calcium becomes bone tissue, Ca is simply "washed out of bones", that the patient's well-being with osteochondrosis of the cervical region does not improve at all;
- "diet for osteochondrosis should be enriched with calcium."
This is a myth! Undoubtedly, Ca deficiency leads to the defeat of bones, but not to cervical osteochondrosis, but to osteoporosis. There is nothing in common between the two consonant diseases. Although the increase in Ca in the body helps to strengthen bones, but does not relieve osteochondrosis;
- "diet for cervical osteochondrosis implies a restriction on the protein and purine bases."
This myth is associated with another disease of bones and joints - gout - in which the metabolism of nitrogenous bases( purines) is really disrupted. Meat, chocolate, red wine, coffee and cocoa with gout can not be used, and with osteochondrosis such products are welcome, although wine, coffee and chocolate can be limited( it will not be worse);
- "the frequency of food intake for osteochondrosis is at least 5-6 times a day."
Myth! Often, you need to eat with pancreatitis, liver damage, ulcers, gall bladder and other parts of the gastrointestinal tract, but with cervical osteochondrosis, the frequency of food intake does not affect the course of the disease;
- "The diet should contain seafood."
Seafood contains mucopolysaccharides( chondroprotectors), which are believed to help with osteochondrosis.
Doctors advise to include in the menu seafood
Each extra kilogram that "carries" the spine, increases the load on the intervertebral disks;
- vegetable food on the table.
Eco-friendly fruits and vegetables, saturated with microelements and vitamins, contribute to weight loss, improve the work of the gastrointestinal tract, and in combination with seafood supply the body with a large number of nutrients;
- reduction of sharp, fatty dishes, seasonings, extractives and refined carbohydrates.
These substances stimulate appetite, affect the metabolic processes in the body and contribute to weight gain.
According to the research, 75-85% of the population suffer from back pain, and cervical osteochondrosis is associated with 30% of headaches. There is a persistent misconception that osteochondrosis is destiny only for the elderly, it is not so. The first symptoms appear already in 15-20 years, which is due to the early enthusiasm for computers and almost total denial of the young generation of sports.
Clinical manifestations of cervical osteochondrosis are subdivided into reflex and radicular.
Patients are concerned about the so-called lumbago - acute sharp pain that occurs in the cervical spine, increasing with movement. Perhaps the appearance of a crunch when turning the head, sometimes patients take the forced position of the head due to severe pain.
People suffering from cervical chondrosis often complain of headaches of a pressing or compressive nature that can radiate into whiskey and eyeballs. Sometimes the visual acuity can decrease, the patients say that everything floats before our eyes.
When irritating the plexus of the vertebral artery, vertebral artery syndrome can occur, often wrongly diagnosed as a disorder of the cerebral circulation, in which the patient appears dizzy. They can occur with a sharp head movement, accompanied by nausea and vomiting.
One of the reflex syndromes in the cervical osteochondrosis clinic is cardialgic, in which the patient has sensations resembling an attack of angina pectoris. Usually, this phenomenon is combined with other signs of the disease, so it rarely causes difficulties in differential diagnosis with heart disease.
Radicular syndromes occur as a result of compression of the spinal root. The motor and sensory disturbances that appear in this case depend on which nerve root has suffered:
- C1 - impaired sensation in the occipital region;
- C2 - pain in the occipital and parietal areas;
- C3 - decreased sensitivity and pain in the half of the neck where the spinal nerve was infringed, there may be a violation of the sensitivity of the tongue, speech impairment due to loss of control over the tongue;
- C4 - a violation of sensitivity and pain in the humeroscapular area, a decrease in the tone of the muscles of the head and neck, possible respiratory disorders, pain in the liver and heart;
- C5 - pain and impaired sensitivity in the outer surface of the shoulder;
- C6 - pain extending from the neck to the scapula, forearm, the outer surface of the shoulder, the radial surface of the forearm to the thumb of the hand;
- C7 - pain extending from the neck to the scapula, the posterior surface of the shoulder, the forearm to the II-IV fingers of the hand, a violation of sensitivity in this area.
- C8 - pain and sensitivity disorders spread from the neck to the shoulder, the forearm to the little finger.
Treatment of cervical osteochondrosis
Cervical chondrosis is a complex disease requiring long, systematic and gradual treatment. Therapy is aimed at eliminating the pain syndrome and fighting the inflammatory process in the affected area.
Patients are prescribed analgesics( Ketorol, Baralgin, analgin).Recently, the drug Movalis has become increasingly popular in the treatment of degenerative-dystrophic diseases of the spine. This is a non-steroidal anti-inflammatory agent that effectively removes pain syndrome and helps reduce the activity of the inflammatory process. Another advantage of the drug Mawalis is that, unlike other medications of this group, it can be taken for a long time without fear of side effects.
In the treatment of cervical osteochondrosis, the appointment of chondroprotectors( Teraflex, Arthra, Aflutop) is indicated, which slow down the destruction of the cartilaginous tissue. Many doctors believe that the use of these medicines also contributes to the regeneration of cartilage tissue.
The use of external ointments and gels containing irritants( Finalgon, Apizarthron) or non-steroidal anti-inflammatory drugs( Ketonal, Fastum gel), is ineffective. The medicinal substance, which is part of their composition, is unlikely to reach the affected area due to a barrier from the skin, subcutaneous tissue and muscles. Nevertheless, there is a sense in the application of these external means, since when they are rubbed into the skin, a neck massage is performed.
To improve the regenerative and metabolic processes in the affected nerve root, patients are assigned vitamin B vitamins. Very often doctors recommend patients a combined vitamin preparation Milgamma, which is administered intramuscularly.
Non-pharmacological methods of cervical osteochondrosis include acupuncture, hirudotherapy, physiotherapy, physiotherapy, massage, manual therapy.
In severe cases, surgical treatment may be necessary.
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The spine is the backbone of the human body and our well-being depends on its condition in many cases. Eighty percent of people on earth suffer from osteochondrosis, a very serious ailment, sometimes leading to disability. Cervical osteochondrosis is the most dangerous manifestation of this disease. It can squeeze the blood vessels and arteries of the cerebral circulation, thus damaging the health of a person. It occurs in more people than osteochondrosis of the lumbar region. Cervical osteochondrosis treatment with folk remedies gives positive results, based on proven methods for years.
Causes of the disease
The main cause of this disease is a sedentary lifestyle. Many people now work in offices and they have to sit for a long time at the computer for a long time, head down. Returning home on the car, they again occupy an uncomfortable sitting posture. The dorsal and cervical muscles are strained, the vessels feeding the spine are compressed. Due to a lack of diffuse nutrition, degeneration of the intervertebral cartilage begins. Also, the frequent cause of cervical osteochondrosis is the wrong metabolism.
Symptoms of the disease
Evidence of this disease are intensifying headaches, especially in the occipital part, shoulders. The fingers feel tingling, sometimes numb. Often this ailment is accompanied by various symptoms of vegetovascular diseases. It can be dizziness, nausea, darkness in the eyes, noise in the head, weakness. The neck becomes inactive, its turns are painful and are accompanied by crunching of the joints.
Diagnosis of the disease
Before starting treatment, you need to undergo a complete examination to exclude other causes of the disease. Cervical osteochondrosis supervises. After a careful visual inspection and palpation, additional studies are carried out: X-ray of the spine, ECG, doppler vessels and others.
Prevention of disease
For cervical osteochondrosis, one must adhere to a diet. Physical education should be combined with a sparing diet. It is necessary to refuse the use of such products as: grapes, meat broths, wines, sorrel. Gymnastic exercises should be carried out with great care. Give rest to your back so that the neck disease will not worsen. Try to rest more and relax, do not sit for a long time in one position.
Cervical osteochondrosis treatment with folk remedies
Sunflower roots help to get rid of salts in neck diseases. We find and dig out the thick parts of the sunflower root. This is done in the autumn, then mine and dry them, for further preservation. Treatment is carried out with the help of therapeutic tea made from these roots. They, as follows, grind, pour one glass of this mass and pour into a three-liter pot of water. Then they boil for three minutes and drink like tea, after thirty minutes, after eating, three days. Roots fit for making several more broths, only the boiling time is increased by two minutes each time. The course of treatment lasts one month. The food should be of plant origin, for better effect. If you strictly adhere to the recipe, after three weeks, the salt will start to go out, along with the urine. You will understand this by its rusty color. The broth is taken before the clarification of urine.
This recipe is designed to relieve pain from the cervical region. Take one tablespoon of dry burdock leaves and pour into one glass of hot boiled water. Let's brew for thirty minutes and carefully filter. From this infusion it is necessary to make compresses and apply them to the neck. To achieve the best result, after applying the compress, the neck is wrapped in a food film and wrapped tightly with a scarf or towel. Do not remove the compress for fifteen minutes. Then remove it and rewind the neck with a scarf, for warmth. Pain sensations soon disappear.
It is necessary to break fresh berries of red elderberry and make them an infusion for compressing or grinding. The preparation is made this way: one hundred and fifty grams of elderberry is poured into six hundred grams of vodka and insisted for seven days. Then rub this problem with the problem areas of the neck. To make a medical compress, we need to supplement the tincture with three parts of water. We moisten a piece of gauze in the resulting solution and apply for thirty minutes, to a sore spot, well wrapped in a scarf.
For relief of pain, in the neck area, such a compress is prepared: take St. John's Wort, burdock and dandelion roots and mix them in equal proportions. One tablespoon of the mixture pour one glass of water, boil for five minutes and allow to cool, then strain. Moisten a piece of gauze, in this solution and squeeze, then attach it to the neck. Compress the scarf wrap and hold all night.
Useful for this disease honey massage, after it you need to apply a honey compress. You can add to the honey mummy. These procedures are anti-inflammatory and analgesic. Honey, through the skin pores relieves the neck of accumulated salts and toxins.
Excellent remove the pain of horseradish leaves. It, on the back, is adjusted to a problem place and wrapped with a woolen shawl or scarf. You can leave for the whole night, and you can do the procedure in the daytime.
Prevention of the development of cervical osteochondrosis is not difficult. It is recommended to lead an active lifestyle, exercise, or at least perform morning exercises.
An important role in the prevention of the disease is the correct organization of the workplace and the mode of work and rest. People with sedentary work need several times during the working day to perform a small workout, and during work to monitor the posture and position of the head.
It is also important to choose a good comfortable mattress and pillow for sleeping. People suffering from diseases of the spine are advised to use special orthopedic products.
Video on exercises for cervical osteochondrosis and for its prevention
Cervical osteochondrosis - what is it and how to treat it folk remedies / Publications / Rheumatology: a healthy lifestyle, prevention and treatment of diseases
Osteochondrosis of cervicaldepartment of the spine> Diseases> DoctorPiter.ru
- work associated with lifting weights
- work associated with frequent changes in body position( turning, bending and unbending, jerking)
- long stay in uncomfortablestanding, sitting, lying, lifting and carrying heavy loads, performing any work that exerts a strain on the cervical spine and the spine as a whole
- excessive physical activity in the undeveloped musculoskeletal system
- nerve strain, stresses
- use of incorrect pillows intime to sleep.
When there is no strength to endure the pain, take an anesthetic from the home medicine chest( "Analgin", "Baralgin", "Tempalgin").If these drugs do not help, you will have to take non-steroidal anti-inflammatory drugs( "Nayz", "Ibuprofen", "Diclofenac").However, these drugs have a negative effect on the gastrointestinal tract, so without consulting a doctor, you can use them only as an emergency measure, and then you should consult a specialist for advice. Reduce the intensity of pain can be, using anti-inflammatory analgesic ointments - Diclofenac, Butadion. Or warming and "distracting" - "Finalgon", "Capsicum", "Viprosal"( with snake venom), "Virapin" and "Apizarthron"( with bee venom).If there is edema in the area of inflammation, you can take diuretics or infusions of herbs for 3-4 days, if there are no contraindications. During the day, you can wear a pepper plaster, it also has a distracting effect, but at night it is useless. If problems with the neck are the cause of numbness or pain in the hand, smear it with any ointments is meaningless, the medicine should be applied to the affected area - the neck.
If you use a special collar of Shanz to immobilize your neck, do not wear it for long. Being still, the neck muscles weaken and atrophy, it becomes even difficult for them to keep their heads on their shoulders.
Physiotherapy exercises can not be done during the period of exacerbation - it can be started only after the exacerbation is removed.
Diagnosis is established using radiography, computed tomography and magnetic resonance imaging. To check the condition of the vessels of the neck, ultrasound dopplerography or duplex scanning is prescribed.
Treatment of cervical osteochondrosis should be as comprehensive as possible, using both drug and non-drug therapy, as well as in preventing possible complications.
Drug treatment consists in the administration of drugs that relieve pain and inflammation( "Naiz", "Ibuprofen", "Diclofenac", "Voltaren"), as well as drugs that improve cerebral circulation. In addition, when pathological muscle tension is recommended, taking medications for relaxation( "Midokalm"), as well as vitamins in a therapeutic dose( nicotinic acid, vitamins B-B1, B6, B12), calcium, phosphorus, magnesium, manganese.
Common drugs( mainly dietary supplements), which are called chondroprotectors and promise to repair intervertebral disc tissues, according to doctors, are useless. Clinical evidence of their effectiveness is not.
A major role in the treatment of cervical osteochondrosis is attributed to physiotherapy - electrophoresis, magnetotherapy, water procedures( various therapeutic baths, showers), paraffin applications. ..
The methods of alternative therapy are widely used: reflexotherapy, manual therapy, massage, hirudotherapy, apitherapy, osteopathy. However, the most important for the treatment and prevention of osteochondrosis is therapeutic gymnastics.
To prevent problems with cervical osteochondrosis, remember the reasons for its development and the appearance of complications and, if possible, warn them. Since the main cause of cervical osteochondrosis is a sedentary lifestyle and the unphysiological position of the body in tension, it is necessary to do daily exercises for the neck, including them in the morning exercises or performing them in the workplace. In this case, remember that the circular rotation of the head doctors do not recommend, their implementation is fraught with injury to the neck.
Exercises in the sitting and standing position
1. Put the palm to your forehead, press your forehead against your palm, straining your neck muscles. The palm should resist forehead pressure for 7-10 seconds. Perform the exercise 3-4 times. This same exercise, repeat, putting the palm to the back of your head 3-4 times.
2. Attach the left palm to the left temple and press it on the palm, straining the neck muscles for 7-10 seconds. Perform the exercise 3-4 times. The same exercise repeat, pressing the right temples on the right palm.
3. The two above exercises can be done differently: stick your forehead against the wall and press it, straining the muscles of your neck. Then bend into the wall with the back of the head, then the left, then the right half of the head.
4. Tilt your head slightly back. Overcoming the resistance of the strained muscles of the neck, gradually lower it. Finish the exercise by pressing your chin against the jugular fossa. Repeat the exercise 5-6 times.
5. Stand up straight, shoulders are deployed. Slowly turn the head as far as possible to the right 5-6 times, then turn left.
6. Lower your chin to the neck and in this position, turn your head slowly: 5-6 times to the right, then to the left.
7. Tilt the head slightly back. Try to reach the right ear to the right shoulder, then left - to the left shoulder. Repeat each exercise 5 times.
8. Tie your fingers to the back of the head, draw your elbows, place your chin on the folded forearms. Tie your fingers together so that the edge of the palm rest against the back of the head, lift the forearms together as high as possible. Remain in this position, without straining, 10-15 seconds.
Exercises in the supine position:
1. Lie on your back, straighten your legs, hands stretch along the body. Bend your knees and hold them in your arms, pull them to your stomach, raise your head in this position and touch your forehead with your knees. Slowly straighten your legs, lift your head. Do the exercise 4-5 times.
2. Bend your knees and grasp the edge of the couch or the back of the bed. Slowly lift the trunk, reaching out to the brushes of the hands. Do the exercise 4-5 times.
3. Lie on your stomach with your legs straight. Hands lie along the body. Leaning on legs, a stomach and the bottom part of a body, lift a head and shoulders. Do the exercise 4-5 times.
4. Lie down straight, spread your arms to the sides. Slightly tearing off the floor, turn the body to the left, reach out with your right hand your left palm. Do the same, reaching out with your left hand to the right hand. Do the exercise 4-5 times.
5. Lie on your stomach, hands stretch along the trunk with your hands palm up, chin - on one level with the trunk. Relax and slowly turn your head to the right - to the starting position - to the left. Try to turn your head so that it touches the ear of the floor. Do the exercise 8-10 times.
6. Lie on your stomach, with your chin leaning against your palm, relax your neck muscles. Turn your head to the right and left, trying to touch the ear of the floor. Do the exercise 8-10 times.
Regular execution of the complex of exercises will help to relieve muscle tension and regulate blood circulation in the collar zone, as well as improve the mobility of the vertebrae themselves. However, when performing exercises, you should monitor your sensations - do not increase the intensity of movements and tension, if there are painful sensations. In such cases, exercise should be done with great care and not for long.
For the prevention of osteochondrosis, doctors recommend that you regularly visit an orthopedist from an early school age and, if necessary, adjust the spinal curvature and posture disorders. To form a muscular corset - to go in for sports, first of all by swimming. Eat foods that provide the body with calcium and magnesium( fish and seafood, spinach, beans, nuts, seeds, peas, bread, dairy products, cheeses) and vitamins. Do not allow the accumulation of excess weight. Follow the recommendations of doctors when working at the computer. Do not carry bags, hanging them on your shoulder.