With the spinal column osteochondrosis, many people do not come from popular gears on the TV screen, but from their own sad experiences.The statistics are tough: up to 80% of the population suffers from this disease, which is also significantly younger.If previous complaints about spinal problems were primarily between the older generation, children osteochondrosis are no longer surprising now.And the fault of sedentary lifestyle and so -called "benefits".
The cervical spine is a polyietiology of osteochondrosis progressive disease, which is declared by degeneration of the spinal intervebal discs and degeneration of the dystrophy of the spinal ligament.Everyone knows the symptoms in the first hand, but these knowledge is fragmented;We try to build them and talk about the principles of diagnosing and treating the cervix.
Causes of osteochondrosis
Medicine cannot answer clearly, which is why osteochondrosis occurs.It is reliably known that a sedentary lifestyle is that a modern person tends to negatively influence the progress of this disease.Interestingly, both hypodynamia and colossal athletes lead to the proxy of the discs.The hereditary factor plays a leading role.The following reasons can be distinguished:
- Loaded hereditary history;
- obesity;
- Hypodynamia;
- metabolic disorders in the body;
- Traumatic damage to the spinal column;
- Long static overloads and work by raising weights (work on the computer, weight lifting, miners, moving, etc.);
- Skoliosis;
- dysfunctional environmental situation;
- flat legs and pregnancy;
- Hypothermia and stress that often worsen the disease.
There are many neurological syndrome:
- shoulder -váll periarthritis;
- root;
- heart;
- Vail artery syndrome.
Shoulder -Váll periarthritis.It is characterized by pain in the cervical, shoulder, shoulder joint pain.The shoulder joint is a leading neurogenic contracture, which is protected in nature as it protects the axillary nerve from stretching (antalgic pose).In this situation, the muscles surrounding the joint are tension.The severity of the pain syndrome depends on the degree of aggravation of osteochondrosis: a slight restriction on the amplitude of the joint movement to the so -called "frozen shoulder" when any movement causes severe pain.The pain increases as the shoulder diverts and pronounces as these movements increase the tension of the axillary nerve.
Royshift syndrome (cervical radiculite).Most often it occurs with cervical osteochondrosis.At the same time, the spine of the backbone is due to the "sublime" of intervertebral discs, as well as the growth of osteophants or the rising of the discs.The pain syndrome is specific: intense burn, rupture, urgent pain, which also increases when the patient moves his head.The antalgic pose is also observed in the cervical muscles, sharply tense and pain, and the amount of movements is limited.There is pain between the back of the head, neck, first chest, shoulder, sheets.Typical is to interrupt sensitivity by a type of "semi -blade short -sleeved".
Cardial syndrome.The name of the syndrome is responsible for itself: the clinical picture is very similar to angina pectoris.In this case, there is no organic damage in the heart, at the height of the pain syndrome, the ECG is not detected by the coronary artery blood flow and such patients are well tolerated.The typical properties of angina pectoris: pain occurs after taking nitrates and does not change in osteochondrosis and is disturbed for a long time.Unlike angina pectoris, the localization of pain is primarily in the left heart.By irritation of the root of the C8 - T1 segments, arrhythmias are possible in the form of tachicardia and extrasystole.The reason for this is not to damage the conductor system, but to violate the sympathetic innervation of the heart muscle (extrakardiac damage).In the differential diagnosis of angina pectoris and heart syndrome, the driver is the fact that, in addition to cardial complaints, the patient notes the increase of the shoulder joint and neck to rise or rough movements.
Vail artery syndrome.The spinal artery takes place on a channel formed by holes in the transverse processes of the vertebrae.This artery is coupled, responsible for the blood supply to the brain.Accordingly, the narrowing of this channel has a very negative effect on the nutrition of the brain tissue.The spinal artery syndrome develops directly by compression of the artery and the irritation of the sympathetic nerve plexus around it.Pain in this pathology burns or pulsed in the occlital region, whiskey, teaching arcs, crows.It arises on both sides and on both sides.Patients are usually associated with the condition after sleeping in a non -physiological pose, transport excursions, walking.Outstanding symptoms, hearing loss, dizziness, noise in the ear, nausea, vomiting, loss of awareness and increasing blood pressure.Such symptoms are not specific and very similar to brain stroke complaints.This pathology is characterized by Sixtus Chapel Syndrome: Fainting, which occurs when the head is retracted (severe brain ischemia).In the Vatican, it was described by visitors to the Sixtus Chapel when the frescoes were examined in its arches.It is possible that you may fall with the sharp turn of the head without losing awareness.
As with any diagnosis of medicine, the diagnosis of osteochondrosis was based on patients' complaints, anamnisis of the disease, clinical trial and complementary research methods.The X radiation of the cervix is carried out in direct and lateral projections, if necessary, in a special position (open mouth).At the same time, experts are interested in the height of intervertebral discs and the presence of osteophytes.Among the modern research methods, IAMR and CT are used, which allow the most accurate control of the diagnosis.In addition to the listed methods of further research, related professionals (cardiologist, ophthalmologist, neurosurgeon) may also require consultation and a neurologist examination is simply vital.The neurologist is involved in the treatment of osteochondrosis and prescribes the necessary minimum examination after examination of the patient.
Treatment of osteochondrosis
Osteochondrosis is a polyietological disease as one way of treatment cannot be cured.You can't drink a "magical tablet" and everything goes through, you need to change your lifestyle because trigger is hypodynamia.The least tangible results are easier to access at the initial stage of the disease when the complaints are minimal and there are no compression syndromes and spinal artery.In the acute stage of the disease, when the following groups of drugs were pronounced, the pain syndrome is:
- Therapeutic paravertebral blockade (to relieve pain and remove muscle cramps);
- Nsids;
- Ointment containing NSAIDs and reflex operations;
- muscle lakes;
- B Vitamins V.
As soon as the inflammatory process disappears and the relief of the pain syndrome, they enter physio therapeutic treatment.Most often the following techniques are used:
- laser therapy;
- electrophoresis;
- acupuncture;
- Exercise therapy;
- therapeutic massage;
- Hand therapy.
It is important to understand that osteochondrosis is accompanied by periods of worsening and remission, so it is very important to influence the cause and non -treatment.