Osteochondrosis is most often observed in the cervical spine, due to the anatomical characteristics of the structures of this department. First, cervical vertebrae are very strongly located. And secondly, the muscle structure of the neck is poorly developed. It is for these reasons that cervical vertebrae and compression of nerve roots, blood vessels are so easily inferior cervical vertebrae are more often affected than the upper ones.
Cervical osteochondrosis cyptoms
The clinical symptoms of cervical osteochondrosis are extremely diverse. Many people do not even suggest all types of symptoms (hand pain, dizziness, etc. ), may be associated with neck pathology. In general, all symptoms that occur with cervical osteochondrosis can be considered within three syndromes:
- Brown-compression syndromes;
- Syndromes of irritating reflexes;
- Vail Artery Syndrome.
Crost compression syndromes
In the context of cervical osteochondrosis, intervertebral hernias, as well as osteophytes, can be formed. These structures compress nerve roots, which leads to the occurrence of symptoms of radiculitis. The compression of each column is associated with specific reflex, motor, sensitive disorders:
- By compressing the spine of C1, pain occurs as well as impaired sensitivity (decreased sensitivity, numbness, tingling of the skin, sensation of goose bumps) in the parietal area;
- By compressing the spine of C2, the pain develops, as well as a change of sensitivity in the parietal and consumed area of the head;
- By compressing the spine of C3, the pain is observed as well as a change in neck sensitivity. In addition, a person can be disturbed by the feeling of swelling of the tongue, on the one hand, the difficulty movements of language and the impairment of speech.
- By compressing column S4, pains are observed as well as a change in sensitivity in the clavicle. ICOT, DISFONY CAN OCCUR. Since the diaphragmatic nerve fibers pass the spine, with spine compression, breathing, heart pain can occur.
- By compressing the spine of C5, shoulder pain develops, as well as a change in skin sensitivity on the external surface of the shoulder.
- By compressing the extension of C6, the pain spreads from the neck to the shoulder blade, as well as the external surface of the shoulder, the forearm and the brush thumb. There is a violation of skin sensitivity in this area. The two -glued muscle is exaggerated, the reflection is reduced.
- By compressing the spine of C7, the neck pain spreads under the shoulder blade to the outer surface of the shoulder, forearm and fingers II -I of the hand. There is a violation of skin sensitivity in this area. The muscle of three glued is exaggerated, the reflection is reduced.
- By compressing the spine from C8, the pain of the neck spreads in the hand to the little finger. Skin sensitivity in this area is disturbed. Hypotrophy and a decrease in the muscle reflex of three glued.
For root syndrome, acute pain and its strengthening when moving the head are characteristic.
Irritate syndromes reflexes
The initial stages of osteochondrosis are characterized by the occurrence of reflex syndromes. With cervical osteochondrosis, the following options for reflex syndromes may occur:
- Cervicalgia is a painful pain in the neck, which is as much as possible after waking up in the morning, as well as turning the head, cough and even laughs.
- Cervicobrachialgia - Pain focuses on neck and nape.
- Cervicobrachialgia - Pain in the neck, shoulder and forearm.
A cervicobrachalgia can occur with muscle, vegetative-tasular and neurodistrophic manifestations. Tonic muscle syndromes are the result of reflex muscle spasm. The following muscle syndromes are distinguished:
- Lower oblique muscle syndrome - manifests by constant painful pain in the neck and back of the head on one side, which intensifies significantly during head curves;
- Reflective-reflection syndrome manifests itself with painful pain in the neck and upper corner of the scapula and shoulder or even on the lateral surface of the chest. One feature is an increase in pain during pronation of the brush opened by the lower back.
Neurodistrophic syndromes include shoulder -filled periartrosis, shoulder shoulder, shoulder syndrome. The shoulder - shoulder periaresis - characterized by pain in the shoulder joint, intensifying during shoulder movements or raising his hand up. The pain can radiate to the arm, neck. The skin in the shoulder joint is swollen. For shoulder syndrome, the presence of signs of a spatular periartroz in a combination with vegetative and trophic vascular changes in the articulation and brush of the wrist is characteristic. The brush skin becomes edematosa, its color changes, the local temperature increases. Epicondis's shoulder is a neurodistrophic change in the shoulder rod at the place of fixing many muscles. It is manifested by constant pain in the rod area, intensifying the implementation of abrupt movements in the elbow or brush.
Vail Artery Syndrome
The vertebral artery occurs in the channel formed by the processes of cervical vertebrae. The vessel provides the blood supply to many brain structures. Vase narrowing is possible both due to its reflex spasm and mechanical compression. By restricting the vessel, vertebral artery syndrome is formed, which are characterized by the following symptoms:
- Cranially: painful and constant headache more often, with note more intensified with head movements. The pain spreads from the back of the forehead.
- Sortility of the scalp, determined with light touch, even when combing hair.
- Kohleola -coolarnyi violations: They are manifested by dizziness, tinnitus (playing in the ears), a slight decrease and a violation of balance.
- Visual disorders: Darkening and shaking flies before my eyes.
- Neurasthenic syndrome: irritability, emotional lability, sleep disturbance.
- Vegetative symptoms: heat, chills, hand cooling.
- Fluctuations in blood pressure.
- With the compression of the vertebral artery caused by a sharp twist of the head, a person may lose consciousness. This option is also possible: a person falls as if prepared, but at the same time is conscious. This violation is called fall attacks.
Treatment of cervical osteochondrosis
It is very difficult to combat osteochondrosis advancedly. Several medications are used to eliminate the symptoms of the disease. A no less significant role is played by therapeutic gymnastics as well as physiotherapy, massage. In some cases, using a special collar is very useful. Popular remedies will help complement treatment.
Wearing a cervical necklace
Using a collar helps relieve neck muscle tension and also provides the correct position to the spine, thus eliminating compression of the vertebral artery and nerve roots. Cervical necklaces are rigid (Shantsa collar), as well as inflatable. Shanz collar is a dense structure that is attached to the neck. He assumes all the severity of his head, thus relaxing the tense muscles of the neck. Inflatable necklaces are a device that needs to be placed in the neck and, with the help of an attached pear, the air of the pump. The inflated necklace pulls the spine. The collar is not used all day, but a few hours a day. On average, the duration of device use is a month. Note: The need to use the necklace is determined by the doctor. In no case do not put it on your own without a doctor's medical prescription. In some cases, the collar can prevent vessels and nerves, which can cause serious consequences.
Cervical osteochondrosis exercises
Therapeutic gymnastics is recommended for all patients with osteochondrosis in the absence of contrasts. The performance of physical exercises during the exacerbations of the disease is against -indicated. Therapeutic gymnastics can be done after the pain decreases. Regular exercise performance allows you to strengthen muscle structure and reduce load on intervertebral discs. Regular physical activity contributes to the improvement of blood supply in the neck and as a result of the normalization of metabolic processes that occur in intervertebral discs. An approximate set of exercises for cervical osteochondrosis:
- Feels in a chair. Turn your head to the right and left.
- Include your head down, touching the chest seizure.
- Pull your neck back as you drew a chin.
- Put the palm of your forehead and press it while it is important to tilt your head forward, resisting.
- The palm must alternately need to be applied to the temples and absolutely as in the previous exercise to put the resistance to the movement of the head by hand.
- Raise your shoulders as much as possible, count up to ten. Then lower your shoulders and relax. After ten seconds, do the same handling.
All exercises should be repeated ten times.