With osteochondrosis of the spine, many people are familiar not from the popular gears on TV screens, but from their own sad experiences.Statistics are demanding: up to 80% of the population suffer from the disease, which is also significantly younger.If the earlier complaints about spinal problems were mainly among older generations, now children’s osteocartilage no longer surprises anyone.and the fault of a sedentary lifestyle and the so-called “benefits of civilization”.
Osteocartilage degeneration in the cervical spine is a progressive disease manifested by degeneration of the intervertebral disc and degeneration of spinal ligament muscular dystrophy.Everyone knows the symptoms, but the knowledge is scattered.We will try to build them and talk about the diagnosis and treatment principles of cervical osteochondrosis.
Causes of osteochondrosis
Medicine cannot answer clearly, and this is why osteochondrosis occurs.As we all know, the sedentary lifestyle is that modern people are prone to affect the progress of this disease.Interestingly, the athlete's hypoemia and huge load lead to the agent of the disc.Genetic factors play a leading role.Distinguish the following reasons:
- burden genetic history;
- obesity;
- hypoemia;
- Metabolic diseases in the body;
- Traumatic damage to the spine;
- Long static overloads and weight-related work (working on computers, lifting, miners, porters, etc.);
- scoliosis;
- dysfunctional environmental conditions;
- flat feet and pregnancy;
- Hypothermia and stress often lead to worsening of the disease.
There are several neurological syndromes:
- Shoulder - Shoulder houlditis;
- root;
- heart
- Driven arterial syndrome.
Shoulder - Shoulder houlditis.It is characterized by neck, shoulder, and shoulder joint pain.The main neurogenic association of the shoulder joint is formed, which is protective in nature because it protects the axillary nerve from stretching (venous posture).In this position, the muscles around the joint are under tension.The severity of pain syndrome depends on the aggravation of osteochondrosis: When any movement in the joint causes severe pain, the amplitude of joint movement is slightly limited.The pain increases when the shoulder is transferred and noticeable, because it is these movements that enhance the tension of the axillary nerve.
Royshift syndrome (neck radiant stone).Most often occur in cervical osteochondrosis.At the same time, due to the "sagging" of the intervertebral disc and the growth of the bone of the bone or the protrusion of the intervertebral disc in the lateral direction, the spinal nerves are squeezed.Pain syndrome is specific: intense burning, tearing, stress pain, which can also be exacerbated when the patient moves his head.The neck muscles also noticed venous postures, which are tense and painful, and their amount of exercise is limited.There is pain in the head, neck, front chest, back of shoulder blades between shoulder blades.The type of damage sensitivity through the "half sleeve" is characteristic.
Heart syndrome.The name of the syndrome itself is caused: the clinical picture is very similar to angina.In this case, at the peak of pain syndrome, there is no organic damage to the heart, no ECG invasion of coronary blood was detected, and this patient is well tolerated.A typical feature of angina pectoris: pain occurs after taking nitrates. In the case of osteochondrosis, the pain will not change for a long time.Unlike angina, the pain is located mainly in the left heart.Due to the root stimulation of segments C8-T1, rhythmic interference can be performed in the form of tachycardia and external assault.This is not due to damage to the conductive system of the heart, but rather a sympathetic nerve (extracardiac injury) that violates the heart muscles.In the differential diagnosis of angina and cardiac syndrome, the leading fact is that, in addition to heart disease complaints, patients also point out that increased shoulder and neck pain is associated with weightlifting or demanding exercise.
Driven arterial syndrome.The vertebral artery occurs in the passages formed by the bore during the transverse process of the vertebrae.The artery is paired and it is responsible for the blood supply to the brain.Therefore, any narrowing of this channel will have a very negative impact on the nutrition of brain tissue.Syndrome of the vertebral artery forms directly with the compression of the artery itself and the stimulation of the sympathetic plexus surrounding it.This pathological pain is burning or pulsing in the occipital area and spreads to the whiskey, arc, crow.It appears on both sides.Patients are often associated with this condition in non-physiological positions, transportation travel, and after sleep after walking.There are obvious symptoms, hearing loss, dizziness, noise in the ears, nausea, vomiting, loss of consciousness, and increased blood pressure.This symptom is not specific and is very similar to the complaints of stroke.This pathology is characterized by the syndrome of Sistine Church: fainting after tilting the head (severe cerebral ischemia).He described him to visitors to the Vatican's Sistine Church as they examined the murals in the arches.It is also possible to fall without lowering the sharp turn of the head.
Like any medical diagnosis, the diagnosis of osteochondrosis is established based on patient complaints, anatomy of the disease, clinical examination and auxiliary research methods.If necessary, perform direct and transverse projection of cervical X-rays in a special position (open mouth).At the same time, experts are interested in the height of intervertebral discs, namely the existence of osteosoft.In modern research methods, IAMR and CT studies are used, which makes it possible to verify the diagnosis with the most accurate accuracy.In addition to listing other research methods, it is also necessary to consult relevant experts (cardiologists, ophthalmologists, neurosurgeons) and the examination of neurologists is very important.The neurologist is engaged in the treatment of osteochondrosis, so after examining the patient, he will provide the necessary minimum test as required by his discretion.
Treatment of osteochondrosis
Osteochondrosis is a multi-sex disease used in a treatment method.You can’t drink “potions”, everything will pass because the trigger is sexual artery disease, so it is necessary to fundamentally change your lifestyle.In the initial stages of the disease, the most tangible results are easier to achieve when complaints are small and without compression syndrome and spinal arteries.In the acute phase of the disease, when the following medications are prescribed for obvious pain: Pain syndrome is evident:
- therapeutic disc closure (to relieve pain and remove muscle cramps);
- NSAIDS;
- ointments containing non-lethal and reflexive effects;
- Muscle relaxant;
- B vitamin V.
They continue to undergo physiological treatment as the inflammation process subsides and pain syndromes relieve.In most cases, the following techniques are used:
- laser therapy;
- Electrophoresis;
- acupuncture;
- exercise therapy;
- Treatment massage;
- Manual therapy.
It is important to understand that osteochondrosis will occur with the cycle of aggravation and remission, so it is very important to affect the cause rather than the treatment research.