Cervical osteochondrosis

Cervical osteochondrosis, whose concentration is observed, as can be determined from the name, in the neck, is a fairly common pathology.Cervical osteochondrosis, whose symptoms cannot always be considered unequivocally exclusively as this disease, taking into account the characteristics of its location and local processes, often lead to the treatment of other areas, these symptoms are so contradictory.

General description

Mainly the development of cervical osteochondrosis occurs due to a sedentary lifestyle, which contributes especially to a significant change in physical work, although in a moderate degree previously extended to intellectual work, which, again, is accompanied by sitting work.

In general, before the consideration of the symptoms inherent in cervical osteochondrosis, I would like to notice that it can be seen in certain differences with respect to the symptoms that accompanies the osteocondrosis as a whole, which, perhaps, should not be surprising, given the anatomical characteristics that the specific ones, which interest us (in itself).

The vertebrae concentrated on the neck adjacent to each other with enough force.Meanwhile, the framework located in the cervical region does not develop too well, which is contributing to the factor to the displacement of the vertebrae.In turn, it causes the compression of the nerves and blood vessels, which in the cervical region is more than abundant.So, for example, it is here that the vertebral artery runs, whose help is guaranteed blood supply to the brain (or rather, its posterior parts, presented in the form of oblong brain and cerebellum).

Compression (that is, 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 that course, even cause a spinal race.By the way, such an injury of the artery can be judged by the appearance of symptoms in the form of violation of the coordination of the movements, frequent dizziness, as well as disorders associated with vision and hearing.

The general compact that the cervical department has can cause even slight muscle tension or vertebral displacement will lead to squeeze nerve endings, which implies pinching in the cervical nerve, which can also undergo vascular structures.Osteophytes, which are formed at the bottom of such conditions, lead only to a deterioration in the situation, given the characteristic compact of the cervical region.Remind our readers that the growth of small sizes that are formed directly in the bones are determined as osteophytes, those substances that are formed in the pathological process in the essence of the hypertrophic process (that is, in the general understanding of hypertrophy, this is a process in which an increase in a separate part of the body/organ) acts.

Cervical osteochondrosis causes the development of protuberances and hernias in the spine, whose effects, in addition to characteristics such as vertebral displacement, stress of vertebrae and the formation of osteophytes, also squeezes the nerve root and, therefore, leads to the development of edema and inflammation in you.As a result, returning, again, to the compact size of the spinal channel of the Department of Interest for us, it remains to be accentuated that the column covers its volume completely, as a result of which additional 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 squeeze the brain and, given the characteristic of the narrowness of the spinal channel of the department in question, occurs much more frequently than when considering the processes in the lumbar and thoracic parts.It is remarkable, the damage zone is reduced with cervical osteochondrosis not only to the defeat of the neck and head itself, but also to the defeat of the extremities (according to the upper part, such a result is diagnosed with much more frequency).Given these characteristics of cervical osteochondrosis, it is he who becomes one of the frequent causes of patient disability.

So, let's try to summarize in what, in particular, I would like to touch those factors that lead to the compression of nerve and vascular structures in the osteochondrosis of the cervical region.

The structure of the cervical region

  • Sliding (or displacement) of the spinal disc.This state implies a specific definition: Spondylolistz.For the most part, this type of displacement is minimal in terms of its occurrence in practice, in addition, it is important that even a slight displacement causes the development of paralysis, not to mention the most serious change, which leads to anything else as a fatal result.
  • Osteophytes.Cervical osteochondrosis, as we have already pointed out, causes the development of the corresponding growths, that is, osteophytes.They, in turn, are found from the sides of the vertebral bodies, lead to the irritation of those muscles that adjust them directly, which guarantees an increase in their tone.The load that affects the vertebrae increases, this already causes an increase in pressure on the intervertebral disc at the same height.In the context of this process, the risk of bump increases.Osteophytes directed to the passage of the vertebral artery can cause narrowing.
  • Protuberance formation, spinal hernia.This whole is one of the options for the result of processes development that are relevant to cervical osteochondrosis.
  • Change the height of the spinal disc (that is, its flattening).In frequent cases, there is a reduction in height due to a decrease in the size of the intervertebral hole.In addition, it is important to keep in mind that even a failed rotation of the neck can lead to a subluxation of the cervical vertebrae, as a result of which additional compression is guaranteed (that is, compression).

Cervical osteochondrosis: symptoms

The changes that occur with the column with cervical osteochondrosis occur in combination with many clinical manifestations.It is noteworthy that the list of them can be assigned around three dozen options, while the most interesting and unexpected for the patients themselves can be the fact that, in addition to the "traditional" pain in the neck, one must face symptoms that do not fall completely under the first look under the disease.So, for example, not everyone will introduce pain in the articulation of the elbow, the weakness of the legs or visual disorders, as well as some other manifestations that we will also try to cover in consideration below.

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

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

In summary, 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 the symptoms of the third are in phenomena associated with the pathological effects exerted on the vessels on vascular phenomena.Of course, in frequent cases, there is a manifestation of these symptoms not only in their pure form, but also in the form of combination 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 indicated above, the first group contains symptoms in the form of painful manifestations, which occurs due to the damage to the nervous system of the peripheral department.This includes constant pains in the neck (defined by "cervical cerebrals") and cervical radical, cervical shutter.In addition, muscle, joint pain (doll joint, elbow joint or shoulder), pain may also appear in the chest area (which can imply pain in the heart, the liver).

It should be noted that neck pain is the first symptom of cervical osteochondrosis, and is observed in almost all patients with this diagnosis.Such pains appear in the morning after the awakening, intensifying at the time of attempts to roll in a liar position, as well as with laughter, cough, unsuccessful turn of the head or sneezing, which is already possible in any other position of the body.The nature of pain can be defined as a drilling and stupid, in some cases pain can be triggered, however, regardless of a specific option, the location of this pain focuses on the depths of the neck.As for the duration of pain, it can be newspaper and constant.

The pain, which appears with the awakening, is subject to a reduction in its own intensity, which occurs during the day, its complete disappearance becomes possible.The irradia of pain (its distribution) to the region of the shoulder and to the surface of the neck is not excluded.

The voltage of the neck muscles (moderate), you can also observe the difficulty of breathing in the cervical region.The acute period of the manifestation of the disease is characterized by the adoption of a somewhat peculiar pose by patients, in which they strive to maintain their heads slightly under the slope forward and at the same time aside.In the case of a change, limitation is often observed in the rotation movements made by the head.

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

In addition to cervical and shutter pain, the osteochondrosis of the cervical region can occur in a complex with cervical and cervical radiculitis, these states are manifested in the form of concentrated pain in the upper cervical departments and in the cloud.Strengthening pain is observed at the time of turning the head in one direction or another, to a lesser extent, such manifestation of pain is relevant in other actions.Often, the propagation of pain with cervical osteochondrosis occurs at the waist of the shoulder and hands (one or both).In particular, this happens at the time of muscle tension, directly related to specific nerve roots, whose compression occurs by vertebrae.

Tentatively, it can be taken into account that cervical radiculitis represents approximately 90% of cases of root reduction in 6 and 7 departments, in 5%, in 5 and 8 departments.Then, the defeat of the sixth department leads to the appearance of unpleasant sensations or pain, concentrated in the framework of the anterior outer surface of the forearm region with the thumb;The participation of the seventh cervical column leads to unpleasant sensations and pain in the middle finger;The participation of the eighth root leads to the appearance of unpleasant sensations and pain in the little finger.

If the lesion affects the upper vertebrae and cervical discs, this can lead to the participation of the occipital nerve that innervates the skin in the occipital process.This is manifested, respectively, with pain in the neck, they are constant, characterized by periodic reinforcement.In addition, the neck area loses sensitivity, a specific pain point and painful stress can be detected.

Cervical osteochondrosis often leads to the development of Crooked, which is due to a spasm of the neck muscles against the head of the head of the head and the curvature of the characteristic of the neck of this state.In this case, in patients, the head moves slightly to the side/forward or to the side/back.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, shoulder or on the back of the head.

The compression of the vessels for osteochondrosis due to the insufficiency for this reason of the blood supply leads to the weakening of the pulse in the radial artery and with pain attacks with the simultaneous pale fingers 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 periartritis.It develops due to violations in the area of innervation-shoulder, because the distributing changes gradually, the grades grow.These disturbances 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 the pain in the articulation, as a rule, which occurs without visible causes, the manifestations of this pain in an improved way are observed at night.Subsequently, abduction towards the hand leads to pain (mainly from the outside of the joint), the survey determines the painful areas.Due to the patient's desire to guarantee the rest of the painful limb, the joint becomes more rferral at the bottom of the contraction of the reflex muscle ("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 at the bottom of the cervical damage of the spinal cord.Two mechanisms can lead to it, is compression, which occurs from the disc with an octopoose core due to the softness of its consistency, or spinal cord injury from the side of the solid (long and long) solid discs of the vertebrae of the posterior neck.In women, the first is more often observed, in men, the second mechanism.

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

The changes that arise in the spinal cord are defined asMyelopathy, develops at the bottom of the pathological changes on the disc located in the area between the cervical vertebrae 5 and 6. Its development can cause its development of the spine, excessive excessive, affecting the muscles of the shoulder waist, as well as negative emotions and alcohol poisoning.

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

Another type of manifestations of cervical osteochondrosis is the "semiconductor disorders syndrome" that occurs with insufficient supply of the side pillars of the spinal cord (its departments) with blood.This leads to greater fatigue of the lower extremities marked when walking/standing, as well as intermittent chrome.Nun of the hands, as well as unpleasant sensations in them (which is relevant for time during the day), in some cases, such manifestations are observed in the feet are not excluded.When closing your eyes, there is a violation of the coordination.The listed phenomena, despite their own perseverance, do not limit the ability to work.

Cervical osteochondrosis: symptoms of the third group

The third group of symptoms contains the cerebral manifestations of the disease in consideration, which happens due to the lack of blood flow in the system responsible for supplying the blood brain rod.The vertebral arteries act as the main vessels that form this system.We highlight the main types of syndromes that are relevant in this case.

  • Hypothalamic syndrome.It is more frequently diagnosed, it is manifested in symptoms that indicate deteriorated hypothalamus, or rather, in the form of neurotic disorders.This is irritability and increased fatigue, anxiety and touch, instability of moods and sleep disorders (their superficiality, sleep is characterized by the ease of promotion without a sense of rest, difficulties in reconciling sleep).In addition, the possibility of concentration in something is lost, the ability to remember is that reduced and unpleasant sensations often appear in several organs.Severe cases are accompanied by the appearance of fears without cause, anger, yearning, anxiety.Patients are pale, have a cooling of the limbs, increased sweating, increased pressure and pulse.The appetite, as sex impulse, is reduced, urination is rapid.
  • Fall syndrome.It consists of the attacks of a fall without cause in an fainting of the patient with simultaneous loss of consciousness (possibly without his loss), which also occurs due to vascular spasm.The restoration of consciousness occurs rapid enough when the patient is placed in a horizontal position (the head is lowered).After an attack, patients have pronounced weakness in the legs and decomposition, headache is possible.
  • Vestibular barrel syndrome.The only manifestation of the syndrome in the initial stage of the disease is the dizziness that occurs due to the sensitivity of the vestibular device to the lack of blood supply.Nausea and vomiting are possible in combination with some fluctuations in the movements of eyeballs, instability while walking.
  • Kochlear Canyon Syndrome.It manifests itself in the form of sound and noise in the ears, mainly on one side.The audition 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 cervical osteochondrosis with such symptoms.
  • Sydrome GWoright-Tablero.The main manifestations consist of the appearance of the presence of a strange object in the throat that causes difficulties to swallow, this sense of dry throat is also possible with itching.The voice loses its loudness, survival appears in the larynx and throat, pain in these areas.Fatigue is observed during the conversation, which requires a break, it is possible to swallow thick foods along with the esophagus spasm, and the reduction of such manifestations occurs after the break.
  • Visual disorders.Several types of visual disorders: "fog" in front of the eyes, a fall in visual acuity, etc., alternation of several violations during the day.

Treatment

It is not possible a complete recovery with the disease we are considering, because its treatment generally focuses on slowing down the current process and, in particular, a specific period of the course of the disease.Exacerbations require hospitalization and semi -water regime.

As for pharmacological therapy, it consists of the appointment of various types of analgesics, the possibility of using the novocaine muscle blockage is not excluded.Parallel to treatment, the main emphasis is in vitamin therapy, muscle relaxants can be prescribed.The effectiveness of the results in the treatment of cervical osteochondrosis is achieved in the use of physiotherapy methods (electrophoresis using anesthetics, ultrasound procedures, etc.).The treatment of cervical osteochondrosis also implies the need to use the Thants collar called SO, massage procedures are prescribed for periods of remission.

The diagnosis of cervical osteochondrosis is carried out by a neurologist, and the direction of this specialist can be obtained with an erroneous assumption 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 suffering, concentrated in half of the head mainly in the eye, temples and forehead, in nausea and, in some cases, it occurs without reference to the tumor formations of the brain, to strokes and serious head injuries, although it may indicate the relevance of certain pathologies.

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

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

Avitaminosis is a painful state of a person who occurs as a result of acute vitamins in the human body.Distinguish between spring and winter vitamins deficiency.There are no restrictions on the floor and the age group, in this case.

Asthengetative (ABC) syndrome is a pathological process in which there is a functional violation of the autonomous system, which is responsible for the functioning of internal organs.Most of the time, such a violation arises as a result of a person's inability to respond properly to stressful situations.

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