Cervical osteochondrosis or spondylosis occurs as a result of changes in the form and structure of vertebrae.Despite the fact that the cervical region is short enough in relation to the overall length of the spine, it may be the most important part of the spinal column.Each couple of neighboring vertebrae forms intervebrebral holes through which nerve roots go and go to every muscle and the body of the upper body.Through other holes - in the lateral processes of these vertebrae - vital vessels ensure blood supply to the brain.
Causes of osteochondrose of the spine of cervix
The causes of osteochondrosis are:
- injuries,
- "Sedentary" work on a monitor located below the level of the eye,
- Physical work associated with weight transmission,
- The long-term carcass remains a car ride,
- Work "on the phone" without using a remote device (in this case, the operator presses the phone to the ear of your shoulder)
- Constitutional characteristics (distorted, innate changes in the vernica of cervix, short neck)
Forming pathological changes of vertebrae
With osteochondrose, small spots begin to form on the edges of vertebrae, which can injure the structures that are nearby.It usually happens in response to surplus loads on the ceriška uteri, and not just the result of "aging" intervertebral joints (recollection of being used to be degenerative osteochondrose, then a natural "disease, such as osteoarthrosis).As the disease develops, the plaque of the vertebral closing and the amount of intervertebral discs appear.These discs are normal to play the role of shock absorbers between vertebral, and, among other things, prevent damage to the roots of the spine.In addition to progressive osteochondrose, the protruding (hernia) of the intervellation core jacket, where all the pressure is higher and more pressure while weakening "ligaments from all sides.This hernia is capable of squeezing spinal structures and causes neurological manifestations of the disease.
What are the symptoms of cervical osteochondrose?
Osteochondrosis of cervix with heart syndrome
Each neck pain is forcing the pathology of the neck of the spine.As for growth, intensity of pain syndrome is divided into 4 phases, the first patient feels stiffness, tingling, feeling "hardest - pain is so intense to bring the patient's real estate and performance.
In addition to the pain syndrome in the cervical and occipital area, the patient notes "reflected" pain in the upper dust, branch branches.
Osteochondrosis of cervix with radio cylinder syndrome
They talk about involvement in the rooting process, when pain, stiffness and tingling spread to the lower jaw, the upper back, forearm and fingers.At the same time, the patient draws attention to the fact that "she seemed to" her hand ", was uncomfortable. There was a morning stiffness in the joints of the fingers,. Development of radicular syndromes, during the examination, may notice the decline in the upper extremity muscular force.
Osteochondrosis of cervix with "vertain syndrome"
O Involvement in the blood vessel process (squeezing them by hernial protrusion or osteophytes), they say the patient complains of frequent headaches, especially after a long stay in a certain position), when he is worried with the ears and dizziness.This clinical situation is well discovered by the use of ultrasound (with "Ultrasound mode"). In the query, the narrowing of their lumens, because the change in blood flow in spinal branches is expressed.
Osteochondrosis of cervical spine with "heart (hearted) syndrome"
This syndrome forces the patient to contact the cardiologist above all, because the main appeals relate to the pain in the left half of the chest, the Subcopular region, which is weakened or intensified when physical activity is performed or physical activity.After the exclusion of myocardial infarction and other heart disease, the patient comes under the observation and treatment of neurologists and orthopedists.
Diagnostics
To clarify the diagnosis, four methods are used: radiography, ultrasound, calculated tomography and magnetic resonance.
The most favorable method is still radiography of cervix, most informativeness is a radiography in the side projection ("side view").This method enables the first approximation to establish the presence of violation, gross structural changes in the vertebrates.
Ultrasonic examination (ultrasound) is done to clarify the state of the rooky arteries.With the help of this method, they find out whether blood flow is upset, and if so, to what extent and what obstacles arise and where they are localized.
Computer Tomography (CT).It allows you more precise to estimate the state of bone structures, the bone density degree allows you to see less osteophyte (bone growth) than possible with x -ray.
Magnetic resonance imaging (MRI).This type of test is necessary for suspicion in hernia, the exact localization of damage to the spinal cord and the degree of this damage.This study is necessary if the question is raised from the surgical treatment of the spine of spine.
Cervical osteochondrose treatment
Medicine treatment
Standard set of cervical osteochondrose treatment reflects the purpose of treatment: Relieve pain syndrome, removing painful muscle cramp and inflammation of nerve roots, increasing the mobility of the spine.In order to achieve these goals, primarily using painkillers, NSAIDs - non-asterical anti -infalm raters, relaxant muscles.It should be borne in mind that self-identification from these groups can be dangerous, because there is a possibility of misinterpreting symptoms, as well as underestimation of the side effects of these medicines.Local (BASEL) medications from the NSAIDs in the form of gel are widely used, and if pain stops, the same medications can be used already in the form of fat.
For the treatment of osteochondrosis on deeper, systemic levels, systemic drugs were used.These substances return the structures of the cartilage of vertebral, prevent their further damage.Courses for treatment are long, the effect takes many months.
Cervical osteohondrose has significant differences from the pathology of another spine.The neck pain in this case cannot be caused by signals from the suffering of spinal nerves, but with painful chronic muscle transparencies - all together are called muscle - tonic syndrome.This is a complete "benign" condition, which is treated well with the same drug set: not -steroidal anti -infalmalmator medications, muscle relaxants, using intramuscular "blockade" using steroids.Usually, the doctor reveals sharp pain when examining thus-wereked "triggers" points along the entire spine of cervix, as well as in the muscles of the upper belt.More often such pathology occurs in women, mostly younger than 40 years.Despite the impaired syndrome of pain, vascular-norne structures remain intact, the blood flow of the head does not suffer.
Hand therapy
This method of treatment can be effective for recently caused (often as a result of small injury, subclusion) pain in the neck, and not accompanied by dizziness, other changes in the nervous system and circulatory system.It is permitted to resort to manual therapy only after the fundamental test, in addition, the doctor who performs this procedure should have sufficient experience in the field of traumatology and orthopedics.With "old" forms of illness the use of hand therapy is dangerous!
Two methods of this type of intervention are known:
- manipulation (sharp short influence of a significant force whose goal is to eliminate subbruxation, well-known "bone clicks");
- Mobilization (method is based on a smooth neck after warming and relaxing the muscular corset door).
The combined method based on a combination of two main ones is used.It is important to remember that in addition to these controincinces, manual therapy is prohibited for any disease, accompanied by increasing blood pressure, for any thyroid and ENT or ENT-organs pathology.
Cervical osteochondrose treatment at home
Medical gymnastics for cervical osteochondrosis
First and the main rule for beginners to involve physiotherapy exercises are not performing exercises, exceeding painful sensations.Of course, you should not start in the "acute" period when the pain just appeared.Another important recommendation is avoiding sudden movements and circular movements in the cervical area.
Each lesson has to start with short lightly self-opted neck muscles.
Following "Warming" heating:
- The hands are lowered with the body, shoulders are even, the back is straight (you can check holding lightly pressed heels, blades and butt to wall).We walk in a place of 1 min on the entire foot, 1 min - in socks, 1 min - on the heels.
- The starting position is the same.We press brushes in the fist, lowering your shoulders, our hands are corrected.The movements are slow, make 20 reps, the last increase is over 5 seconds.We ensure that neck muscles are not "tight."
- The starting position is the same.We tilt our heads turn right then on the left side.The movements are smooth, one slope to 8 accounts, at the end point of the inclination - hold 8 seconds.
- The starting position is the same or sitting in a hard chair.Smooth head slope forward, at the end point - keep 8 seconds
- The starting position is the same or sitting in a hard chair.Slowly tilting the head forward, until the chest chin, then slowly turn your head to the right (in 4 accounts) and left (4 accounts).Don't allow muscle strain.
- The starting position is the same or sitting in a hard chair.We lift your shoulders on 4 accounts, and then we also lower them in 4 points.10 reps.
- The starting position is the same or sitting in a hard chair.We raise our shoulders, but now we do circular movements in front of backwards, 8 accounts.10 reps.
- We align your back, check your posture.On 4 accounts, we reduce shoulder blades behind your back, trying to connect them, at the end time we retain 8 seconds, and then we return to the starting position.
Pillows
As already mentioned, the hyperstinity of the neck muscles is the first and often the main reason for the development of cervical osteochondrosis.Rational selection of pillows and mattresses, ensuring a relaxed and comfortable position during sleep, is not less than gymnastics, physioculars and drugs.
When choosing the mattress, pay attention to the filler composition (the products are suitable, at least semi-made of coconut chip, ie there are sufficient stiffness degrees).Mecci spring mattresses do not provide enough straightening spine.The most optimal sleeping sleep is on the side, pull one or both knees on your stomach.The pillow should be located in such a way that it fulfills the entire space between shoulders, ear and maturity, the parietal part (crown) head is on the same horizontal line with the spine.To avoid too high and too low as well as soft pillows.The ideal option is a product of ergonomic shape, ie in this case, with a small leal on one side.
General recommendations
Pay attention to holding.During walking or in a standing position, the position is position when the chest protrudes forward and the stomach retreats.
Avoid long-term stay in a seated position.It is known simply the rule of prevention of cervical osteochondorosis: after every 60 minutes of work, it takes a 10-15 minutes of walking or warming.
The work chair should have a high head restraint or back.
In the sitting position, the legs should rest on the floor, and the neck should not be tense.For this purpose, use special orthopedic devices: rollers under the door when driving in a car, a pillow under your back.
Avoid lifting weight.If necessary, kneel, press a heavy object in the body, and then stood smoothly using the leg muscle strength, but not "thrust" the back.
Don't lean with your legs straightfoot.Use racks, desktops to bring an object closer to yourself, not to convince your face in the subject.Try doing homework sitting on a chair or gymnastic ball.
If you need to use a mop, broom or rake, don't load your arms, back and neck, don't lose weight laterally.
Avoid bathing in the style of brass.