Cervical osteochondrosis

The cervical osteochondrosis, whose concentration is noticed, as can be determined by the name, in the neck, is a fairly common pathology.Cervical osteocondrosis, whose symptoms cannot always be considered unequivocal exclusively as this disease, taking into account the characteristics of its localization and local processes, often leads to the treatment of other areas, these symptoms are so contradictory.

General description

Mainly the development of cervical osteochdrosis occurs due to a sedentary lifestyle, which is particularly contributed to a significant passage from physical work, although to a moderate degree previously widespread to work intellectual, which, again, is accompanied by a seated job.

In general, before moving on to the consideration of symptoms inherent in the cervical osteocondrosis, I would like to note that it can be seen in it some differences compared to the symptoms that accompanies osteochondrosis as a whole, which perhaps should not be particularly surprising, given the anatomical characteristics that the interested parties have (for themselves).

The vertebrae concentrated in the neck adjacent to each other quite strictly.In the meantime, the frame located in the cervical region is not developed too well, which is contributing to the factor to the movement of the vertebrae.In turn, causes the compression of nerves and blood vessels, which in the cervical region is more than abundant.So, for example, it is here that the vertebral artery works, with whose help the blood supply to the brain is guaranteed (or rather, its rear parts, presented in the form of a brain or an oblong cerebello).

The compression (i.e. compression) of the vertebral artery due to a decrease in blood circulation can cause the ischemia of the spinal cord and the brain and if we consider acute variants of this course, therefore they even cause a spinal blow.By the way, such an artery lesion can be judged by the appearance of symptoms in the form of a violation of the coordination of movements, frequent dizziness, as well as disorders associated with vision and hearing.

The overall compactness that the cervical department has can cause that even a slight muscle tension or vertebral movement will lead to squeezing nerve endings, which implies pinching in the cervical nerve, which can also be subjected to vascular structures.Osteophytes, which are formed against the background of these conditions, lead only to a deterioration of the situation, given the characteristic of the compactness of the cervical region.It reminds our readers that the small growths that are formed directly on the bones are determined as osteophytes, those substances that are formed in the pathological process essentially of the hypertrophic process (i.e. in the general understanding of hypertrophy - this is a process in which an increase in a separate part of the body/organ act in a separate part).

The cervical osteochondosis causes the development of protrusions and hernias in the spine, whose effects, in addition to characteristics such as the vertebral shift, the stress of the vertebrae and the formation of osteophytes, also shakes the nervous root and therefore lead to the development of edema and childhood in it.Consequently, returning, once again, to the compact dimension that the spinal canal of the department of interest for us has, remains to accentuate that the spine completely covers its volume, following which further compression occurs - this time directly in the spinal channel.As a pronounced manifestation of such a course of the disease, pain syndrome is observed.

In addition, osteochondrosis can also lead to squeezing the brain and, given the characteristic of the narrowness of the spinal canal of the department in question, it occurs much more often than when they consider the processes in the lumbar and chest parts.It is noteworthy, the damage area is reduced with cervical osteochondrosis not only to the defeat of the neck and head itself, but also to the defeat of the limbs (according to the upper, such a result is diagnosed much more often).Given these characteristics of the cervical osteocondrosis, it is the one who becomes one of the frequent causes of patient disability.

Therefore, let's try to summarize in which, in particular, I would like to touch those factors again that lead to the compression of the nerve and vascular structures in the osteocondrosis of the cervical region.

• Slipping (or movement) of the spinal disc.This state implies a specific definition: Spondilolistz.For the most part, this type of shift is minimal in terms of onset in practice, moreover, it is important that even a slight movement causes the development of paralysis, not to mention the most serious change, which leads to anything else as a fatal result.
• Osteophytes.Cervical osteocondrosis, as we have already noticed, causes the development of corresponding growth, that is, osteophytes.In turn, they are found from the sides of the vertebral bodies, lead to the irritation of those muscles that adapt them directly, which guarantees an increase in their tone.The load that affects the vertebrae is therefore increased, this already causes an increase in pressure on the intervertebral disc in the same height.Against the background of this process, the risk of protrusion increases.Osteophytes directed to the passage of the vertebral artery can cause narrowing.
• Professor formation, spinal hernia.All this is one of the options for the result of the development of relevant processes for cervical osteochondosis.
• Changing the height of the spinal disc (i.e. its flattening).In frequent cases, a reduction in height occurs due to a decrease in the size of the intervertebral hole.In addition, it is important to note that even an unsuccessful neck rotation can lead to subluxation of the cervical vertebrae, following which further compression is guaranteed (i.e. compression).

Cervical osteochondrosis: symptoms

The changes that occur with the spine with cervical osteochondrosis occur in combination with many clinical manifestations.It is interesting to note that the list of them can be assigned to about three dozen options, while the most interesting and unexpected for the patients themselves may prove to be the fact that in addition to the "traditional" pain in the neck, symptoms that do not fall completely under the first look under the disease must be faced.So, for example, not everyone will introduce pain to the elbow joint, weakness of the legs or visual disorders, as well as some other events that we will try to cover even in the following consideration.

To represent those basic symptoms that can accompany the cervical osteochondrosis, we conventionally distinguish three main groups determined for them in accordance with the predominant involvement of the central nervous system in the pathological process.

• The Group.This includes the neurological symptoms of the disease, considered as complications, which arose due to the influence of the process directly on the discs and on the nerve roots, as well as on the nerves and the plexus (in other words, the process concerns the peripheral section of the nervous system).
• II group.In this case, we are talking about the relevant symptoms for cervical osteochondrosis, which manifests itself with the direct effect of the pathological process on the spinal cord.
• III Group.Symptoms associated directly with the processes that occur in the brain with cervical osteochondrosis and, therefore, in the cranial nerves, in the structures and shells of its hemispheres, in the trunk and in the brain vessels.

In short, for each of the groups it can be seen that the symptoms of the cervical osteochondrosis of the first group are mainly in pain, the symptoms of the second are in motor disorders and that the symptoms of the third are in the phenomena associated with the pathological effects exerted on the vessels in the vascular phases.Of course, in frequent cases, there is a manifestation of these symptoms not only in their pure form, but also in the form of combined with each other, which, however, does not exclude the possibility of determining the main group of the options listed based on the symptoms.

Cervical osteochondrosis: symptoms of the first group

As we previously noticed, the first group contains symptoms in the form of painful manifestations, which occur due to the damage in the nervous system of the peripheral department.This includes both constant pains in the neck (defined by "cervical cerebrals") and cervical roots, cervical shutter.In addition, muscle, joint pain (wrist articulation, elbow articulation or shoulder), pain in the chest area (which can imply pain in the heart, liver) may also appear.

It should be noted that neck pain is the first symptom of cervical osteocondrosis and is observed in almost all patients with this diagnosis.These pains appear in the morning after the awakening, intensifying at the time of the attempts to roll in a liar position, as well as with laughter, cough, turned without success of the head or when sneezing, which is already possible in any other position of the body.The nature of the pain can be defined as a perforation and stupid, in some cases the pain can shoot, however, regardless of a specific option, the location of these pain is focused on the depths of the neck.As for the duration of pain, it can be periodic and constant.

The pain, which appears with awakening, is subject to reduction of one's intensity, which occurs during the day, their complete disappearance becomes possible.Irradia of pain (its distribution) to the shoulder region and the surface of the neck is not excluded.

You can also see the tension of the muscles of the neck (moderate), the difficulty of breathing in the cervical region.The acute period of the manifestation of the disease is characterized by the adoption of a slightly peculiar pose by the patients, in which they strive to keep their heads slightly under the slope forward and at the same time to the side.In the case of a shift, it is often observed limited in the rotation movements made by the head.

Frequent characteristic symptoms of cervical osteochondrosis are distinguished by the presence of noise phenomena that occur at the time of the rotation of the head in the form of a creaking and cod, which allows you to bring an analogy with the friction of the stone on the sand.Often in such cases it is possible to diagnose the statute of the course of the cervical osteocondrosis, excluded in the part of the listed symptoms of patients by attention.

In addition to the cervical pain and the shutter, the osteochondrosis of the cervical region can occur in a complex with cervical and cervical radicalitis, these states manifest themselves in the form of pain concentrated in the higher cervical departments and in the neck.The strengthening of pain is noted at the time of transforming the head into one direction or other, to a lesser extent, such a manifestation of pain is relevant in other actions.Often the spread of pain with cervical osteochondrosis occurs to the shoulder belt and hands (one or both).In particular, this happens at the time of muscle tension, directly related to specific roots of the nerves, whose compression occurs from the vertebrae.

Provisionally, it can be noted that cervical radicolitis represents about 90% of cases of squeezing roots in 6 and 7 departments, in 5% - in 5 and 8 departments.Therefore, the defeat of the sixth department leads to the appearance of unpleasant sensations or pain, concentrated within the structure of the front external surface of the forearm region with a thumb;The involvement of the seventh cervical column leads to unpleasant sensations and pain in the middle finger;The involvement of the eighth root leads to the appearance of unpleasant sensations and little finger pain.

If the injury affects the upper vertebrae and cervical discs, this can lead to the involvement of the occipital nerve innervous the skin in the occipital process.This manifests itself, respectively, with nape pain, are constant, characterized by periodic reinforcement.In addition, the Nape area loses sensitivity, it is possible to detect a specific sore point in the form of a painful seal and stress.

Cervical osteochondrosis often leads to the development of crooked, which is due to a spasm of the neck muscles against the background of the head of the head and the curvature of the characteristic neck of this state.In this case, in patients, the head is slightly moved to the side/forward or on the side/backwards.There is practically no possibility of moving the neck, an attempt to turn towards the head is accompanied by the appearance of a certain pain in the neck, behind or in the back of the head.

The compression of the vases for osteochondrosis due to insufficiency for this reason of the blood supply leads to the weakening of the wrist in the radial artery and the pain attacks with the simultaneous pale of the fingers.

Another manifestation of cervical osteochondrosis is a complication in which the concentration of pain in the shoulder joint occurs, which is defined asShoulder -Shoulder periartritite.It develops due to violations in the area of innervation of the shoulders, due to which the dystrophic changes gradually, the growing degrees.These disorders appear with the beginning of a painful process that accompanies cervical osteochondrosis, but for a long time they are simply invisible.

The main symptoms of this pathology are pain in the articulation, as a rule, which occurs without visible causes, the manifestations of this pain in an improved form are noted at night.Subsequently, the kidnapping towards the hand leads to pain (mainly on the external part of the joint), the survey determines the painful areas.Due to the patient's desire to guarantee the rest of the painful limb, the articulation becomes firm against the background of the muscle contraction reflected in it ("frozen shoulder").Subsequently, in the absence of treatment, raising the hand more than above the horizontal level becomes impossible.

Cervical osteochondrosis: symptoms of the second group

The symptoms of the second group consist of syndromes that occur against the background of cervical damage of the spinal cord.Two mechanisms can bring it, it is a compression, which is produced by the disk with a multipoose nucleus due to the softness of its consistency or the injury to the spinal cord on the side of solid discs (long -standing) or extensions from the vertebrae of the rear neck.In women, the first is most often observed, in men - the second mechanism.

The symptoms of this course are often accompanied by weaknesses of arms and legs and in the legs there is an increase in tone without loss of muscle weight, in the hands, on the contrary, the tone is reduced, the volume is reduced.Sensitive muscle contractions in their hands can also develop, without pain.Very often, such a complication is diagnosed at the age of 40-55, a little less often - at the age of the senile and even less often - at the age of young people.The relevance of this complication can be discussed in the presence of a patient in violations associated with cardiac activity (arrhythmias) or atherosclerosis.

The changes deriving from the spinal cord are defined asMyelopathy, develops against the background of pathological changes in the disc located in the area between the 5th and 6th cervical vertebra.Its development can cause its development of the spine, excessive excessive, affecting the muscles of the shoulder belt, as well as negative emotions and alcohol poisoning.

One of the varieties of manifestation of myelopathy is the disappearance of temperature and sensitivity to pain due to the characteristics of the listed clinical manifestations.Consequently, patients lose the possibility of feeling irritating effects that in one way or another on the skin in the cervical region, the upper parts of the chest and arms (on the one hand).Therefore, the plot that has lost sensitivity has the shape of a fencing.Together with the listed symptoms, spontaneous pain arise (breakage, pain), the hand is weakened from the side of the defeat.

Another type of manifestations of cervical osteochondrosis is the "semiconductor disorders syndrome" which occurs with an insufficient supply of the lateral pillars of the spinal cord (its departments) with blood.This leads to an increase in the thoroughness of the lower limbs marked when walking/standing, as well as intermittent chromium.Nun of the hands, as well as unpleasant sensations in them (which is relevant for the daytime time), in some cases, these manifestations are noted in the feet are not excluded.When closing your eyes, a violation of coordination occurs.The phenomena listed, despite their constancy, do not limit the ability to work.

Cervical osteochondrosis: symptoms of the third group

The third group of symptoms contains the brain manifestations of the disease in question, which occur due to the lack of blood flow in the system responsible for the supply of the brain trunk with blood.The vertebral arteries act as main ships that form this system.We highlight the main types of syndromes that are relevant in this case.

• Hypothalamic syndrome.It is diagnosed more often, manifested in symptoms that indicate compromised hypothalamus, or rather, in the form of neurotic disorders.This is irritability and increase in fatigue, anxiety and touch, the instability of moods and sleep disturbances (its superficiality, sleep is characterized by ease of increase without a sense of rest, difficulty in falling asleep).Furthermore, the possibility of concentrating on something is lost, the ability to remember is that the reduced and unpleasant sensations often appear in various organs.The serious cases are accompanied by the appearance of without cause, anger, desire, anxiety.Patients are pale, have a cooling of the limbs, an increase in sweating, increase pressure and wrist.Appetite, like sexual desire, is reduced, urination is accelerated.
• Drops Syndrome.It consists of the attacks of a fall without cause in a patient fainting with simultaneous loss of consciousness (perhaps without his loss), which also occurs due to the vascular spasm.The restoration of consciousness occurs quite quickly when the patient is laid in a horizontal position (the head is lowered).After an attack, the patients pronounced weakness in the legs and breaking, headaches is possible.
• Vestibular bar syndrome.The only manifestation of the syndrome in the initial phase of the disease is the dizziness that occur due to the sensitivity of the vestibular apparatus to the lack of blood supply.Nausea and vomiting are possible in combination with some fluctuations in the movements of the eye bulbs, while walking.
• Kochlear bar syndrome.It manifests itself in the form of a ring and noise in the ears, mainly on the one hand.The hearing can decrease, the congestion of the ear occurs, mainly the syndrome is associated with the previous one, however, its independent course is not excluded.By the way, it is not always easy to determine the connection with the cervical osteochondosis with these symptoms.
• Sydrome Gworight-Board.The main events consist in the appearance of the presence of an object unrelated to the throat that causes difficulty in swallowing, even this feeling of dry throat is possible with itching.The voice loses its sound, survival appears in the larynx and throat, pain in these areas.During the conversation, fatigue is noted, which requires a break, difficulties are possible in swallowing thick foods together with the spasm of the esophagus and the reduction of these events occurs after rest.
• Visual disorders.Various types of visual disorders: "fog" in front of the eyes, a drop in visual acuity, etc., alternation of various violations during the day.

Treatment

A complete recovery with the disease we are taking into consideration is not possible, since its treatment is generally focused on slowing down the current process and, in particular, a specific period of the course of the disease.The exacerbations require hospitalization and semi -water regime.

As regards drug therapy, it consists in the appointment of various types of analgesics, the possibility of using the muscle blocking of Novocaine is not excluded.Parallel to the treatment, the main emphasis is on vitamin therapy, it is possible to prescribe muscle relaxants.The effectiveness of the results in the treatment of cervical osteochondrosis is obtained in the use of physiotherapy methods (electrophoresis using anesthetics, ultrasound procedures, etc.).The treatment of cervical osteochondrosis also implies the need to wear the collar of soles so called, the massage procedures are prescribed for periods of remission.

The diagnosis of cervical osteochondosis is carried out by a neurologist and the direction for this specialist can be obtained with an incorrect prerequisite in the need to visit Laura, therapist, cardiologist and other specialists.

Migraine is a fairly common neurological disease, accompanied by a pronounced paroxysmal headache.The migraine, whose symptoms are actually in pain, concentrated from the middle of the head mainly in the eye, in the temples and in the forehead, in nausea and in some cases in vomiting, they occur without reference to the tumor formations of the brain, with blows and serious head injuries, although it can indicate the relevance of some pathologies.

Chronic fatigue syndrome (Sokr. Cu) is a state in which mental and physical weakness arises, due to unknown factors and which last for six months or more.Chronic fatigue syndrome, whose symptoms should be associated with infectious diseases, is also closely associated with an accelerated rhythm of life and an increase in the flow of information that literally collapses to a person for their subsequent perception.

Ischemic stroke is an acute type of cerebrovascular cerebral circulation due to the insufficiency of rendering of accounts in a certain area of the blood brain or the complete cessation of this process, moreover, is damaged by the brain tissue in combination with its functions.The ischemic stroke, whose symptoms, as well as the disease itself, are often observed among the most common types of cerebrovascular diseases, is the cause of the subsequent disability and often fatal result.

Avytaminosis is a painful state of a person who occurs due to an acute deficiency of vitamins in the human body.Distinguish between the deficiency of spring and winter vitamin.In this case there are no restrictions on the floor and age.

Asthenovegetative (ABC) syndrome is a pathological process in which a functional violation of the autonomous system is taking place, which is responsible for the functioning of the internal bodies.Very often, this violation derives from the inability of a person to respond adequately to stressful situations.

With the help of physical exercises and abstinence, most people can do without medicine.