Uncovertebral osteoarthritis of the cervical spine
Unco-vertebral arthrosis is a chronic degenerative disease of the spine, in which partial destruction of the cartilaginous tissue between the vertebrae occurs.
In this regard, the normal movement in the cervical region is disrupted and various neurological symptoms appear, as blood vessels and neural bundles pass through this area.
Quick navigation for article:
What are the causes of this disease?
Symptoms and signs
pain in the neck - the first symptom of the disease
There are conditions and diseases, the presence of which contributes to the formation of cervical arthrosis. They can be both congenital and acquired with age disease. These can be congenital anomalies of the development of the cervical region, especially in the area of the first-second cervical vertebra - for example, the occipitalization of the atlant( Olinik syndrome).
From acquired diseases, the development of the disease can be affected by injuries of the cervical spine, flat feet, dislocations of the head of the hip, the consequences of poliomyelitis. Also, a large influence on the arthrosis of the cervical region is exerted by weight, a sedentary lifestyle( physical inactivity), physical work with uneven lifting of weights, etc.
What happens in the spine with this disease
With this disease, first of all the cartilaginous tissue suffers - elastic "gasket"between the vertebrae is the intervertebral disk, which damages the movements and protects the vessels, nerves and muscles passing between the vertebrae from damage.
As the disease progresses, the intervertebral cartilaginous tissue becomes thinner, loses fluid, and along with it, the elasticity necessary for normal work. In parallel, special bony outgrowths begin to appear on the surface of the cervical vertebrae - osteophytes, which grow on adjacent vertebrae towards each other. In addition, the ligaments of the cervical spine begin to calcify and lose their strength and elasticity.Since the intervertebral disc becomes less elastic, it begins to protrude in the front and back, squeezing the ligaments and other surrounding tissues that restrict it, which leads to the appearance of the corresponding symptoms of the disease, especially to neck pains.
One of the first signs of the disease, which appears already in its early stages - it's pain in the neck. The pain in this case is usually very painful and very local - they arise just near the most "problem" cervical vertebra.
This is because the protruding intervertebral discs press on the ligaments that are rich in nerve endings. At the same time, the muscles in the area of the protruding disk reflexively reflex and remain in the spasmodic state for a long time, which worsens the possibility of movements in the neck.
At an early stage of the development of the disease, pain occurs periodically, from time to time, and can be provoked by sharp movements in the neck( bends, inclines) and lifting of weights.
If you consult a doctor at this stage, you can very quickly - within 1-2 weeks, to correct the violations. Without treatment, the disease continues to progress.Further protrusion of cartilaginous intervertebral discs leads to instability in the cervical spine. This is manifested in the fact that from time to time subluxations occur in joints of the arcuate processes that are accompanied by severe blunt pain in the zone of the corresponding vertebra and discomfort in this area - both with the turns of the neck and at rest. In this case, if a person freezes in one pose, then this discomfort and pain begin to increase. Therefore, the patient tries as often as possible to change the position of the neck in order to soften the pain. This is usually helped by gymnastics or walking.
Relief of pain and discomfort can occur both spontaneously and under the influence of manual therapy. In this case, the restoration of normal joint work and the cessation of pain is accompanied by a characteristic click in the joint area.
In addition, another important symptom of the disease is a strong crunch in the neck when making turns, flexion and extension of the joints of the cervical spine.
If the protrusion of the intervertebral discs of the vertebrae is sufficiently pronounced, such hernial structures may squeeze the nerve roots and blood vessels passing nearby, whereby the patient may have various neurological symptoms such as chest and chest pains, blood pressure jumps,, as well as headaches, dizziness, feelings of instability and shakiness.
How to diagnose
To diagnose "uncoovertebral arthrosis," the doctor carefully examines the patient to understand the nature of the pain and the frequency of its occurrence. Upon examination, the doctor reveals painful points in the neck( localization of muscle spasms).But the main method of diagnosing the disease is various imaging methods: the x-ray of the cervical spine and magnetic resonance imaging( MRI).In the images obtained with these methods, the specialist will see osteophytes on the vertebrae( the so-called beak-like outgrowths), as well as signs of ligament and blood vessel damage in the area of the problem cervical vertebrae.
physiotherapy is an important part of the treatment of
Treatment of unco-vertebral arthrosis is most often performed on an outpatient basis, at home. The main goal of the treatment of the disease, especially at the stage of exacerbation, is to relieve the pain and provide muscular rest in the neck area, as in the acute period of movement, as a rule, pain is aggravated.
To reduce motor activity, the methods that limit it are used, for example, the use of the Shants collar, which fixes the neck and minimizes the load on the area of the cervical vertebrae and nearby muscles. As the acute process subsides, a gradual recovery of the motor activity in the neck area is shown, followed by a light massage and therapeutic gymnastics.
Remedies for pain and muscle cramps
For the treatment of pain, prescribe drugs from the group of non-steroidal anti-inflammatory drugs( NSAIDs) - diclofenac, naproxen, nimesulide, celecoxib. These medications should be taken only after consultation with the doctor and individual selection of the drug and its dose. The fact is that some NSAIDs, reducing pain and inflammation, can at the same time adversely affect the metabolism of cartilage tissue and thereby increase the development of the disease.
If the local muscle spasms in the affected joints of the vertebrae are very strong and do not pass by themselves, the use of special medications - muscle relaxants( sirdalud and others) is indicated.
Vascular treatment of
Because this disorder causes a disruption of the nutrition of the cartilaginous and ligamentous apparatus of the neck, it is important to administer drugs that improve microcirculation in tissues and antiplatelet agents in complex treatment. To this end, patients are prescribed such drugs as actovegin, quarantil, pentoxifellin, prodectin and others.
Drugs that improve the recovery of cartilage tissue( chondroprotectors)
To date, there are no medicines that cure arthrosis completely, which would affect the very cause of the disease. However, in recent years, effective drugs have appeared that help stop the destruction of the intervertebral disc cartilage and slow the progression of the disease.
These drugs are called chondroprotectors, and the main active substances in such preparations are glucosamine and chondroitin sulfate. These substances supply cartilage cells with "building material" for the restoration of cartilage;In addition, their administration indirectly reduces the severity of pain in osteoarthritis and improves joint function.
Physiotherapy methods also have a good effect: sinusoidal modulated currents, amplipulse therapy, phonophoresis and electrophoresis with solutions of analgesics( novocaine, lidocaine), magneto-therapy. In the remission stage - in the absence of pain symptoms, therapeutic gymnastics and acupuncture are shown.
Uncovertebral arthrosis of the cervical spine C4, C5, C6: symptoms and treatment
Unco-vertebral arthrosis of the cervical spine is a chronic joint disease in which slow deformation occurs with dystrophic cartilage changes inside the joint.
Consequences are a violation of mobility of limbs and joints associated with this part of the body, poor blood supply and innervation, which in the absence of proper treatment leads to necrotic changes.
What is unccovertebral arthrosis?
Uncovered vertebrae are called hook-like outgrowths on the vertebral surface. In some cases, vertebrae c5 c6 may deform in the cervical region, but much more often than on any other vertebrae, arthrosis c4 c6 occurs.
Unco-vertebral arthrosis of the cervical spine is a disease of the joints of the cervical department of a chronic nature, which is manifested by the presence of hook-like outgrowths in the cartilage that disrupt the normal functioning of the brain structures, the mobility of the upper limbs and the head due to impaired blood circulation, innervation and compression of tissues.
If arthrosis of unco-vertebral joints does not initially cause severe discomfort, then in the future serious complications are possible. Numbness, difficulty in turning the head, dizziness and headaches should alert a person and force him to turn to a specialist to be able to prevent dystrophic changes that can not be cured.
What causes the disease?
It's safe to say that almost everyone is exposed to this disease. The main causes that cause this pathology are the following:
- Excessive stress on the cervical region. Sportsmen and people, whose profession is associated with constant weight lifting, often get physical loads on this part of the spine. As for sports, no load exceeding the normal capabilities of the human body does not pass without a trace.
- Low physical activity and lack of physical activity also lead to dystrophic changes.
- Monotonous movements in the cervical spine. Usually it occurs in people of specific professions: work on the assembly line, for example.
- Overweight. Completeness is accompanied by an excessive amount of fat that accumulates in the intervertebral discs and leads to dystrophic changes in the cartilage.
- Heredity. Wrong articulation of the cervical vertebrae, which leads to a violation of blood circulation, innervation and changes in joints.
- Injuries. Injuries always lead to negative consequences in the structure and functioning of the joints.
- Inflammation. The inflammatory process adversely affects the trophic of the articular surfaces, which subsequently leads to the formation of hook-shaped outgrowths on the vertebral surface.
- Disorders in the functioning of the thyroid gland. Hypo-or hyperthyroidism leads to a disruption in metabolism and trophism.
The cartilage cartridges are broken due to the influence of such factors:
- blood supply disorder( as a result of which all nutrients are delivered in insufficient quantities, and metabolic products are not removed on time, which leads to a slow toxic poisoning of the body);
- innervation( impaired perception of cells by joints of signals or nutrients, which leads to insufficient absorption of oxygen and other necessary elements);
- disruption of the functioning of various organs( excessive or inadequate release of endocrine glands by hormones);
- disturbed metabolism( obesity - a violation of the metabolism of proteins, fats and carbohydrates).
As a result of the violation of cartilage cartilage in the joint capsule, a change in the structure of the joint occurs. But with unco-vertebral arthrosis of the cervical spine, the intervertebral disc is thinning. The body compensatory attempts to facilitate the work of the disc and begins to form a hook-like outgrowth on the surface of the joint. However, any changes in the structure, especially the musculoskeletal system, adversely affect the functioning of other systems. In this case, mainly the nervous and circulatory system suffer. On the surface of the vertebrae there are special furrows, holes and grooves, through which the nerves and blood vessels pass. When these formations are transformed, their compression often occurs, which leads to dizziness, tissue hypoxia, sensitivity and mobility disorders.
What is the symptomatology of the pathology?
At the initial stage of unco-vertebral arthrosis of the cervical region, symptoms are most often absent. Only sharp, clearly localized pains in 1-2 vertebrae are possible with a sharp turn of the head or with heavy physical exertion. With the progression of the disease, pain and crunching are possible with normal exercise, during sleep or even at rest. Sleep usually becomes intermittent due to neck swelling or severe pain.
In the presence of initial symptoms of the disease, timely access to a specialist and observance of all the recommendations in the treatment in almost two weeks, it is possible to prevent the further spread of dystrophic changes in the cartilage fiber. When treating in a more neglected stage, there is no need to talk about complete recovery, since the process of recovery will be very long, the probability of relapse is high.
Signs of neglected diseases are more pronounced, and it is almost impossible to confuse them with other pathologies. The pain is present even in a state of rest, and when the head turns, there is a crunch and a sharp pain, which can irradiate to any place. There is a feeling of numbness in the neck and head, constant headaches, dizziness, impaired coordination and some disorientation in space. These symptoms are a consequence of a violation of the blood supply and innervation of the brain, its hypoxia.
In more severe disorders of unco-vertebral joints, a synovial cyst may form. The tumor squeezes the tissue, so there is a severe pain that can irradiate even in the leg, and in the absence of treatment causes neurotic diseases and paralysis. In addition, if the growth of the tumor is not prevented, it can pass to the dorsal and even the brain. Ultimately, complete immobility in the cervical spine can develop.
Tactics and methods of therapy
As with other diseases, the treatment of unco-vertebral arthrosis of the cervical spine begins with the elimination of the causes that caused this pathology. First of all, this reduces the burden on the cervical region or, if the arthrosis caused no movement, an additional load, which is an element of therapeutic gymnastics performed in the absence of pain. It is necessary to reduce weight, and with it the fat layer in the neck region will go away, which will facilitate the passage of nutrients through the blood vessels and impulses along the nerve fibers.
Both during and after treatment, it is recommended to sleep on a special orthopedic pillow. The attending physician will individually select an orthopedic collar that will expand the intervertebral space and remove the symptoms: reduce pain, swelling, numbness.
The essence of curative gymnastics is to restore mobility in the transformed joints. Charge should be performed in a well-ventilated room or in the fresh air( ideally in a park or in a forest).It is better if the position of the patient is sedentary, so that when there is dizziness there is no chance of falling, bruises and concussion of the brain. Sharp movements should be excluded and when pain occurs, in this case, immediately stop the gym.
According to the doctor's prescription, a neck massage can be performed to restore blood circulation and maintain muscle tone. Massage can be with the use of cooling, warming or anesthetic ointments and oils.
Physiotherapy and acupuncture also have a positive effect on the treatment of unco-vertebral arthrosis of the cervical region.
Uncovertebral arthrosis therapy should be comprehensive, and one of the important elements is taking medications:
- Anesthetic and spasmolytic to reduce pain and spasms, which in late stages of the disease can be quite strong.
- Vasodilators for improving blood supply to the neck and head. Since the vessels are narrowed due to the transformation of the joint, their expansion with the help of medications will strengthen the blood flow and fill the lack of oxygen and nutrients.
- Preparations that improve the nutrition of cartilaginous tissue, which contributes to the rapid restoration of the damaged joint.
- Anti-inflammatory drugs.
- Soothing drugs to keep the patient in a good mood and without the release of adrenaline - a stress hormone that narrows the blood vessels in response to stressful situations and increased nervous tension.
This method treats both the joint itself and adjacent tissues, vessels and nerves.
Although traditional methods of treatment do not have the desired effect of action, their influence makes life easier for the patient. Most ointments and compresses have an analgesic effect. Ointments for rubbing improve the blood supply of tissues that suffer from hypoxia, maintain muscle tone, and the risk of their dystrophy decreases.
In advanced stages of unco-vertebral arthrosis with insufficient effectiveness of medicines, acupuncture and physiotherapeutic procedures is treated by surgical intervention.
Treatment of arthrosis folk methods can only be done when there is no risk of allergic reactions and other side effects that will only aggravate the existing problems. We should not forget that folk methods are only an addition to the basic medical complex.
Unco-vertebral arthrosis of the cervical spine is a serious disease, but with timely access to a specialist at an early stage, it is easy to treat complexly.
Unco-vertebral arthrosis of the cervical spine: when are disabilities given?
What is arthrosis? This is the wear of the cartilage tissues inside the joint. Wear of tissue leads to the emergence of several types of diseases, which are united by one name - deforming arthrosis. Disability with arthrosis can threaten any patient. There are several types of this disease:
- Primary. Most often it affects people who are already 40 years old. It can develop simultaneously in several joints.
- Secondary. Usually does not depend on age. Occurs after an injury or surgery. Most often, secondary arthrosis affects people who have very heavy physical activity on their feet.
- Polyarthrosis. As a result of this variety all joints suffer.
What is the risk of deforming arthrosis? The fact that at first the disease does not cause any pain. They appear later, when the cartilaginous tissue is already partially worn. But even then the pains first arise only when the load, and at rest, the joints can not bother.
Treatment of deforming arthrosis is symptomatic today. Doctors can prescribe anti-inflammatory drugs, in more severe cases - surgery to replace the joint. Sometimes, when the patient's condition does not improve, they can give him a disability.
Depending on where the deforming arthrosis begins, several types of ailment are distinguished:
- Arthrosis of the hip joint.
- Knee joint deformity.
- Osteoarthritis of the cervical department.
Each of these diseases has its own causes, consequences and predictions.
Osteoarthritis of the hip joint
In arthrosis of the hip joint, disorders in the cartilaginous tissues begin imperceptibly. Symptoms of coxarthrosis can develop for several years. Most often it happens that when a patient comes to see a specialist, the disease is in a neglected stage and requires very great efforts for cure.
Today, deforming arthrosis of the hip joint overtakes more and more young people. One of the reasons for this is the limitation of motor loads. Computers, washing machines, the availability of cars have led to the fact that people are moving less and less every year. Their joints do not experience the right load, they begin to break down.
Another reason is completely opposite to the first one. Deforming arthrosis of the hip joint threatens athletes, workers, who have the main physical load on their feet.
Among other reasons for the development of coxarthrosis can be noted:
- hereditary predisposition;
- congenital dislocation;
- inflammation in the hip;
- disease, which lead to the development of secondary arthrosis of the hip joint.
Most often with this diagnosis, patients complain of pain. However, the time of its onset, localization, intensity are so different in all patients that it is impossible to diagnose, based only on the patient's complaints. The doctor will have to conduct a number of studies. And yet the common symptoms with arthrosis of the hip joint exist. Among them most often occur:
- Painful sensations. At the very beginning of the disease, they may be absent, later - only with heavy loads. At the peak of the disease, pain persists the patient even in a state of immobility and rest.
- With arthrosis of the hip cartilage in the affected joint, mobility is gradually limited. The patient can hardly rearrange his legs, often limps.
- Deforming arthrosis gradually leads to shortening of the leg. Naturally, because of this, the patient's gait changes greatly.
- Muscles on the aching leg gradually weaken, their atrophy begins.
In the first stage of the disease, the pain concentrates with the hip joint loads, but quickly passes after rest. On the second - the pain is so strong that when walking it is necessary to take the hip to the side. The third stage threatens to shorten the sick leg. Usually, patients can not move without a cane.
Knee arthrosis deformans
In arthrosis of the knee joint( gonarthrosis), as well as with arthrosis of the hip joint, gradual destruction of the cartilage occurs, but only in the knee region. The primary form of the disease can develop from childhood. The cause may be congenital pathology, insufficient or, on the contrary, too high a load on the children's feet, incorrectly selected shoes.
The causes of the secondary form of arthrosis of the knee joint may be:
- Injuries, dislocations, fractures, ligament ruptures on the legs.
- Operations performed in the knee joint area.
- Insufficient or excessive load on the legs.
- Excessive completeness.
- Diseases accompanied by spasms of the vessels of the legs, convulsions.
- In arthrosis of the knee joint, metabolic disturbances in the patient's body are often observed. Some experts say that it can lead to deformity of the knee joint.
As well as coxarthrosis, deforming arthrosis of the knee joint can not immediately make itself felt. At first, the patient can be disturbed only by the mild infrequent pain that occurs in the morning when he gets out of bed. This is the first stage of the disease.
Over time, the pains appear when climbing the stairs, there is a crunch and difficulty in moving. These are the right signs of the second stage of deformity of the knee joint. Changes that occur in the last, third stage are noticeable even visually. The legs of the patient bend, almost do not bend at the knees.
Treatment of arthrosis of the knee joint is possible, but it requires not only the intervention of the doctor, but also the efforts of the patient himself. Dosed loads on all joints, daily walking, absence of bad habits can stop the development of the disease. Patients who are diagnosed with a third stage of the disease may face disability. It is assigned by the MCEC after passing through several stages of a special examination.
Uncovertebral arthrosis of the cervical spine
Unco-vertebral arthrosis of the cervical spine is another type of deforming arthrosis. The vertebrae of the patient for various reasons lose moisture, "seep", the cartilage is rubbed and thinned, the bony outgrowth gradually grows on the vertebrae. Growing up, they cling to the neighboring vertebrae, bringing the person a tangible pain. But the pain is not the worst thing that can be threatened with unco-vertebral arthrosis of the cervical region. Often the appearance of bone outgrowths is accompanied by the development of a number of neurological ailments that significantly complicate a person's life. Intervertebral discs become non-plastic, protrude, creating pressure on surrounding tissues. Unco- or deforming arthrosis of the cervical spine can lead to infringement of nerve endings, disturbances of cerebral circulation.
Unco-vertebral arthrosis of the cervical vertebra, as well as other types of arthrosis, can be caused by a congenital anomaly. More often, unco-vertebral arthrosis is acquired during life. The causes of the disease may seem frivolous, but they are the ones that can provoke the development of the disease even in young people and adolescents. What are these reasons? Unco-vertebral arthrosis of the cervical region develops if the human body is subjected to constant irregular dynamic loads. This means that unco-vertebral arthrosis of any part of the spine can be called:
- incorrect posture;
- long-term work in the sitting position;
- excess weight;
- by improper position of the body when lifting the load or performing any physical work;
- with excessive or insufficient loads on the spine.
Osteoarthritis of the cervical spine can occur after a back or neck injury. It is important to remember: between the trauma and the onset of the disease can take a long time.
The diagnosis of "unco-vertebral arthrosis of the cervical region" is set by doctors when the cartilaginous discs separating the vertebrae are abraded and the elastic cartilaginous discs are no longer elastic, and the vertebrae are formed with unco-vertebral joints. In a healthy person, they can not be, and in the patient they are formed because the vertebrae of the cervical region are fused with the hook-shaped processes that arise in the course of the disease.
Is disability given with arthrosis, gonarthrosis and cervical arthrosis?
In order to determine the degree of the patient's ability to work with deforming arthrosis, the patient is referred to the MCEC.Disability of 1 st, 2 nd or 3 rd degree can be appropriated only when this commission establishes the degree of violation of the patient's static-dynamic functions that determine his ability to move, work and take care of himself. In this case, the symptoms of cervical arthrosis or extremities( crunch, pain, etc.) are of secondary importance. Disability will be given when the loss of static-dynamic functions will interfere with the full life of the patient.
The MSEC is directed to:
- patients with progressive arthrosis, which is confirmed by X-ray images and exacerbations occurring at least three times a year;
- patients after surgical treatment of coxarthrosis, gonarthrosis or unco-vertebral arthrosis of the cervical spine;
- patients with severe mobility limitations.
At the first( clinico-functional) stage of the passage of MSEC, the patient undergoes a series of studies designed to determine the degree of the disease. At the second stage( social diagnostics), specialists assess the degree of loss of skills of the patient's ability to work and self-service, the level of his social adaptation. Special attention is paid by medical experts to the patient's physical, psychological condition, his rehabilitation potential. The third stage of this examination is designed to determine the level of the patient's needs for protection and assistance. After this, the Ministry determines the disability of which group will be given to the patient.
Disability group criteria
- Persons with disabilities in this group need constant care, can not independently take care of themselves, walk, stand, train or work, and their social adaptation is at the lowest level. Most often such disability is appropriated at 3-4 degrees of knee or hip joint disorders, expressed in unco-vertebral arthrosis of the cervical spine. Invalids of the first group need constant care of outsiders.
- The second group of disability can be awarded if the patient's ability to work, take care of himself or study is significantly lost and can not be carried out without help or assistance. Specially equipped places are required for labor and training of such patients. Most often the second group is received by persons suffering from arthrosis of the third degree, frequent exacerbations, shortening of limbs due to illness.
- Disability of the third group can give to patients whose motor abilities are significantly limited. Such people spend more time on overcoming standard distances, can take care of themselves only with the help of special devices. Their qualifications due to the disease are reduced or completely lost.
Persons with disabilities in the third group can engage in light or mental work. Do disabilities in other cases? Perhaps, but this is decided only by the Ministry of Energy.
Unco-vertebral arthrosis of the cervical spine is a chronic degenerative-dystrophic disease. It affects the arcuate joints that connect the processes of the vertebrae on the posterolateral surfaces of the cervical region. The disease is accompanied by neurological symptoms due to the infringement of nerve structures by bone growths.
Causes of uncoarthrosis of the cervical department of
Most often, unco-vertebral arthrosis develops due to the following reasons:
- heavy physical exertion( especially weight transfer on the shoulders);
- professional sports,
- spine injuries( mainly in the cervical spine),
- sedentary lifestyle( "sedentary work" leads to increased neck strain);
- disorders of the structure of the vertebrae of the cervical region( congenital anomalies cause the wrong articulation of the vertebrae of the neck, which makes the load uneven);
- diseases characterized by impaired metabolism( endocrine diseases, including inflammation, insufficient or excessive thyroid function).
Pathogenesis of Uncoarthrosis
The immediate cause of unco-vertebral arthrosis is insufficient nutrition of articular cartilages, which are represented by intervertebral discs. The support functions of the spine as a result of the thinning of the discs gradually decrease. As an adaptive reaction on the vertebrae, bony growths appear, they to some extent take on a part of the load. But osteophytes change the normal arrangement of nerves and blood vessels, as a result of which these structures can be restrained.
Symptoms of Uncoarthrosis
The initial stage of the disease can occur almost asymptomatically. Minor pain at the end of the day, patients usually write off for fatigue. Severe pain is rare, only with sharp or awkward turns of the head. Unco-vertebral arthrosis of the cervical spine is characterized by steady progression, especially if treatment is not initiated in the early stages. In the future, a person begins to feel pain in the neck already under normal load or as a result of changes in the weather( dampness, rain, snow, etc.).The exacerbation of the disease is most often manifested in the autumn or spring time.
Symptoms of uncoarthrosis is not only a pain syndrome. The main difference between the disease and other forms of osteochondrosis( chondrosis) is a neurological symptomatology. The patient can make the following complaints:
- numbness, tingling and loss of sensation in the hands;
- stably increased blood pressure, which is poorly removed by antihypertensive drugs;
- recurrent nausea( especially at the time of high blood pressure);
- headache down to migraine;
- pain along the nerves( from the elbow to the little finger);
- marked decrease in the volume of mobility in the neck( the patient has to turn around with the whole body).
Other characteristic signs of arthrosis of unco-vertebral articulations include shakiness of gait and imbalance.
Diagnosis of the disease
To begin with, the doctor interrogates and examines the patient to identify the objective symptoms of cervical uncoarthrosis. Then, to clarify the diagnosis, laboratory and instrumental studies are assigned. Radiography is the most important for unco-vertebral arthrosis. In rare cases, use magnetic resonance imaging or computed tomography. Usually, the pathological process is detected in the region of C3-C7 vertebrae. Between them there are processes, where the joints are formed.
Treatment of unco-vertebral arthrosis
Treatment of this disease includes the following components:
Uncovertebral arthrosis of the cervical spine
Neck pain, dizziness, sensation of muscle stiffness - these symptoms may indicate that osteochondrosis and unco-vertebral arthrosis of the cervical region is formingthe spine. Absence of treatment of this pathology can lead to a serious complication in the form of compression of the vertebral artery with impaired blood flow to the brain.
What is unccovertebral arthrosis?
Normally, the vertebrae of the neck are interconnected by intervertebral discs and arcuate joints.
The majority of people after 20 years of age additionally there is the formation of unco-vertebral articulations of the cervical region, they are also called arthrosis of the Lushka - articular formations between the lateral surface of the overlying vertebra and the semilunar protrusion of the vertebra located below.
They are adjacent to the fibrous ring of the intervertebral joint and the intervertebral foramen. Unco-vertebral arthrosis is diagnosed at the level of cervical vertebrae C3-C7.
According to some specialists vertebrologists, the joints of Lyushka represent a certain adaptive mechanism that increases the volume of movements of the cervical spine. However, in the presence of factors provoking degenerative changes in the cartilaginous tissue, uncovertebral arthrosis with bone osteophytes and restriction of the mobility of the spine can form. Especially dangerous are such formations at the level of C5-C6, because in this area the vertebral artery passes in a narrow bone channel and is easily subjected to compression.
Why does the disease occur?
The causes of arthrosis of unco-vertebral joints of the cervical spine can be conditionally divided into congenital and acquired. To innate reasons include the presence of anomalies of the development of the cervical region, for example, the pathology of the atlant.
Other provoking factors may include:
- Cervical injuries, including sports;
- Lack of adequate physical activity;
- Overexertion of the neck muscles during sedentary work;
- Adverse environmental factors.
What are the symptoms of pathology?
Signs of the formation of Lushka's arthrosis are unstable pain in the neck with prolonged static load, a sense of "crunching" when turning the head, tension or soreness of the muscles of the cervical collar zone.
These symptoms can periodically increase, after a rest they disappear on their own. Radiologically, this pathology is most often determined at the levels of C4-C6.
Especially dangerous is the progression of the disease with the formation of pronounced unco-vertebral arthrosis and narrowing of the canal of the vertebral artery.
Because of the irritation of the sympathetic plexus located here and the compression of the artery feeding the posterior parts of the brain, characteristic symptoms may appear:
- The appearance of a headache in one half of the head( hemicranium).Pain sensations are localized in the occipital-temporal region with spreading to the forehead. The pulsing character of cephalalgia is most often noted.
- Vestibular disorders. There may be dizziness worse when the head turns, noise or a feeling of stuffiness in the ears.
- Visual disorders. Characteristic of flashes of sparks or bright dots in front of the eyes, the appearance of dark spots.such symptoms can be amplified by sharp turns or inclinations of the head.
- Autonomic disorders. There are feelings of heat in the body, excessive sweating, cold extremities. These symptoms are usually accompanied by a headache or dizziness.
- With a significant compression of the vertebral artery, drop-attacks may occur, attacks of sudden falling without losing consciousness.
The appearance of these symptoms requires the obligatory consultation of a vertebrologist because such a condition can cause compression of the vertebral artery and cerebrovascular disorders. Only timely treatment will avoid serious complications of the disease
Therapy of unco-vertebral arthrosis
Successful treatment of such pathology as unco-vertebral arthrosis of the cervical region largely depends on the efforts of the patient himself. First of all, it is necessary to revise the motor load, in the presence of hypodynamia, regular physical training should begin. An important point is to observe the correct sleep regimen. The cushion should not be too high and stiff.
Conservative therapy must necessarily be comprehensive and include not only medications, but also exercise therapy, massage, physiotherapy, in the absence of contraindications for manual therapy.
If there are symptoms of exacerbation of the disease with pain and muscle-tonic syndrome, the doctor may recommend the following groups of medications:
- Non-steroidal anti-inflammatory drugs( NSAIDs).It is good to eliminate pain, as well as inflammation in the zone of unco-vertebral arthrosis.
- Muscle relaxants. Relieve excessive tension of the muscles of the neck, restore the volume of movements of the cervical spine.
- Chondroprotectors. They contribute to the restoration of the structure of the cartilaginous tissue of the joints.
- Vitamins of group B. Improve the reparative processes in articular structures, contribute to the reduction of pain.
- Means improving cerebral circulation. They are indicated in the presence of compression symptoms of the vertebral artery.
The main means of prevention is observance of motor activity. During sports, avoid sharp turns of the head and neck injuries. People whose work is associated with prolonged sitting, are recommended courses of preventive neck massage.
Some patients are interested in the question: are the disability group given in diagnosed unco-vertebral arthrosis?
The issue of the disability group can arise only in the case of a significant compression of the vertebral artery with consequent complications: a violation of cerebral circulation, the presence of drop-attacks or severe vestibular syndrome.