In today's world, this disease almost all of the people have completed 25 years of age or older. The neck osteocondrose happens a lot more often than in other departments of the spinal cord. The importance of this topic it is hard to overstate.
In this article, we're going to see that this is a disease that manifests itself as a treatment for the neck, osteocondrose, which are the drugs that are effective in the treatment what are the treatments for a non-technical, as well as to learn the answers to some frequently asked questions from patients with the same diagnosis.
Osteocondrose of the cervical spine is the degenerative diseases-degenerative diseases of defeat (phase) of the intervertebral discs in the cervical area, the department of the vertebral column. For this reason, changes in the intervertebral discs, and on the vertebrae and the joints in the cervical spine.
The cause of the degenerative disc disease cervical spine
As a result of the action of the factors is the increase of the load on the cervical spine, the neck muscles trying to compensate for the excess charge of the work, he was the spasm, she stopped the flow of blood to this region, because of which changes occur in degenerative diseases. Due to a number of factors, there are changes in the intervertebral discs of the cervix, it changes its structure, and troubled by your diet, changes occur in the small joints between the vertebrae, appearing as bone, and an expansion of the vertebral bodies, due to the increase of the load, at the modified disc from the spinal.
The factors that have contributed to the development of degenerative disc disease of cervical spine:
- Poor posture and scoliosis
- Lose weight
- The lack of exercise, sedentary work
- Previously, the transferred injury of the spinal column
- The disturbance of the metabolism of the
- A heavy burden of physical
- The stress and constant nervous tension
- The low level of physical fitness
- Hereditary predisposition
- The usual errors are in the position of the body, for example, to hold the headset on the shoulder of the
- The constant tension from the back of the neck, due to the characteristics of labor in the state is in a sitting position) of the truck drivers, the workers in the office.
- Anomalies of development in the area of cervical department of vertebral column
The degree to which the development of degenerative cervical disc disease
The degree of degenerative disc disease is a certain clinic in the paint, and the complaints of the patient. It should not be the concept of the degree of confounding with advanced stages of degenerative disc disease. On stage will be discussed in the following.
The first level
the clinical manifestations are usually minimal, the patient may complain of pain in the area of cervical department of a backbone of a low-key, it can grow when you turn your head. When the physical examination is the inspection, can be identified by a small tension in the muscles of the neck.
The second level
the patient is concerned about pain in the cervical department of a spinal column, the intensity is significantly higher, the pain may be radiating to the shoulder, on the arm. Is due to a reduction in the height of the intervertebral disc, and a violation of the nerves. The feeling of pain is enhanced with the slope and curve of the head. The sick may celebrate the reduction of health, weakness, or pain in the head.
The third degree
the symptoms of degenerative cervical disc disease the worse the pain becomes constant, with the re-radiating to the arm or shoulder. It appears, numbness, or weakness in the muscles of the hand, as well as the hernia of the intervertebral disc. Concerned about the weakness, and shortness of breath. During the inspection, it reveals the limitation of mobility in the region of the cervical department of the spine with pain at palpation of the cervix.
The fourth grade
it occurs in the complete destruction of the intervertebral disc, and the replacement of the connective tissue. It is further enhanced with the dizziness, ringing in the ears, loss of co-ordination, as well as the process that is involved in the injury to the artery that nourishes the neck and the occipital part of the brain.
The clinical Picture of degenerative disc disease of cervical spine — symptoms and signs
The symptoms of the disease, degenerative disc disease of the lumbar disc of the vertebral column that are different from the manifestation of the disease to other departments of the spinal cord. This is due to the fact that in the area of cervical department of a vertebrae are closer to each other, the discs of the spine, have a relatively short time, which leads to the onset of the illness, even when small pathological processes. Also in the area of cervical department it occurs compression of the nerve roots in the spinal cord.
The most common signs of degenerative cervical disc disease — symptoms, such as:
- The pain that is caused: the pain could be in a different location on the neck, in the occipital region, shoulder, or upper limb. The pain in his shoulder or on his arm to appear when a trial is involved, the back of the optic nerve, Innervate the upper limb. The pain in the part of the head to match, by a spasm of the muscles of the neck, which connect to the occipital bone, and the violation of the circulation in this region.
- Numbness in the hands occurs when a damaged spine, which is the motor nerve, Innervate the muscles of the upper arm.
- Decreased feeling in the leg it occurs when the damaged spine, which is the sensory nerves, Innervate the skin of the upper limb.
- Limitation of motion in the cervical region, department of the spine, and knead the dough as it is due to the decreased height of the intervertebral disc, and the appearance of a skeleton-growth on the bodies of the vertebrae, and the defeat of small joints between the cervical vertebrae of the.
- Light-headedness, loss of coordination, weakness, all these symptoms are due to the participation in the process of the anterior spinal artery, which passes them on to its own channel, that is located on the transverse processes are cervical vertebrae. As a result of the development of the degenerative disc disease of the cervix, the formation of fibrous tissue, and the displacement of the vertebrae, increasing circulation in these arteries, which leads to a deterioration of the blood supply to the occipital involvement of the brain and the cerebellum.
- Numbness of the tongue, diminution of hearing and vision
they occur in severe cases, a severe decline in the supply of blood to the occipital share of a brain, the cerebrum and the stem.
The symptoms, depending on which vertebra is damaged
Individually, you may want to highlight the root conditions that lead to one form or another, and sensitive vertebrates of violations. They are all different, depending on the vertebrae compresses the spinal spine:
- S1: it leads to a sense of numbness, and impairment of sensibility on the part of the back of the head;and
- C2: pain in parietal and right at the back of the head;and
- C3: violation of speech, language, pain, and numbness in the hand, where disadvantaged spinal nerve;
- C4 is a pain at the heart of the hypochondrium to the left, on the shoulder blade, trouble breathing, decrease in muscle tone of the neck;
- C5: pain in the shoulder and in other outdoor areas;
- C6: the pain, the giving of the forearm and the finger of the huge hand and also the neck of the spoon;
- C7: pain in the back of the shoulder, the neck with a razor blade, and gives a forearm to the 2 to the 4 fingers of the hand.
- Figure-8: a pain in the neck, the shoulder, the forearm, the pinkie.
A diagnosis of degenerative cervical disc disease
The main methods of diagnosis:
- X-ray of the cervical spine. It is only the method, especially in the early stages of the disease.
- A computed tomography scan. Shows the changes in the bone, but it is difficult to determine the size, and the presence of intervertebral disc hernia, as well as the presence of a disc-spinal-conflict settings (compression, a herniated spinal cord).
- The magnetic resonance imaging. The most informative method. A good view of not only the structure of the bone, but the discs in the spinal column, hernia, its size, the direction of its growth.
- If there is a suspicion of a violation of the circulation of the blood in the vertebral arteries using ultrasound duplex scanning. This method allows us to accurately determine if there is a decrease in the velocity of the blood flow, there is an impediment to the normal circulation of the blood.
Examination of the stage of the disease, degenerative disc disease of the lumbar disc.
- 1 point – the minimum changes in the configuration of the vertebrae, a sweet low-cervical spine (flexion).
- 2 is a phase – instability between the vertebrae, it is possible for the displacement of one vertebra in relation to each other, the torsion (rotation about the axis of the spine), a slight decrease in the height of the intervertebral disc.
- The 3-phase – in reduction of the height of the intervertebral disc in the quarter, relatively located at the top of the unit, changes in the intervertebral joints of the back bone spurs (bony growths), narrowing of the intervertebral holes, and a narrowing of the spinal canal that houses the spinal cord, with their face masks.
- The 4-phase – to- height is a considerable reduction in the intervertebral disc, changes in the intervertebral joints, and the huge back bone spurs, and a significant reduction in the intervertebral holes, and a significant narrowing of the spinal canal, with the formation of the myelopathy.
The principles of treatment of degenerative cervical disc disease
The most important methods for the treatment of degenerative cervical disc disease in the spine is the treatment of medical, nursing, physical therapy, massage neck-neck area, especially effective in the treatment facility when the cervix osteocondrose. The main groups of drugs used for this disease include the following:
| The name of the group | The action | |
| The Anti-inflammatory non-steroidal drugs (NSAIDS) | to reduce the pain that is caused, is to promote the removal of aseptic inflammation and edema in the root of the nerve that is damaged. | |
| Vitamin b-complex | improves the metabolic processes in the nervous tissue. | |
| Drugs that improve the transport and rheological properties of the blood, and the circulation of the blood | to improve the power supply damaged the nerve roots and improves the flow of blood to the head unit to the brain. | |
| Chondroprotectors | drugs to restore the cartilage tissue, including intervertebral disc. | |
| Muscle relaxants | the drugs, the removal of spasm of the muscles. |
Attention! The drugs are not at the destination, they are provided for reference purposes only.
The field of physical therapy in the treatment of degenerative cervical disc disease
| Electrophoresis with drugs of abuse. | Under the action of an electric current, of ions of the drugs come in where you want it. This is done with novocain to relieve the pain, or aminophylline to improve the circulation of the blood. |
| The ultra-sound | it has an anti-inflammatory, analgesic action, but it also improves the metabolic processes in the zone of influence. |
| Magnetic therapy | it has an analgesic action is due to the removal of the edema from the tissue. |
| Laser therapy | by the light of the impact that is obtained from an anti-inflammatory effect and improves the circulation of the blood. |
Therapeutic exercise
The therapy for a year, when the cervix osteocondrose must be performed outside of an acute exacerbation. The efficiency of this technique during the recovery period. During the execution of a complex, it should not be discomfort and pain.
| Exercise # 1 | Lying on your stomach, rest your hands on the floor, lift your head and torso, the back should be in a straight line. Stay in this position for 1 to 2 minutes. Rose slowly dropped to the ground. Repeat 2 or 3 times. |
| Exercise # 2 | Lying on your stomach, stretch your arms along the body, the head, and turn to the left, try to touch the ear to the ground, then turn your head to the right. A total of 6 to 7 times on each side. |
| Number 3 | In a sitting position, out of breath, lean forward, and his head, try to touch your chest and then exhaling as you bend backwards and put your head on it. Repeat 10 to 15 times. |
| Exercise # 4 | Sitting down to apply to the palm of the hand to the forehead, apply pressure with the palm of the hand on the forehead and on the forehead and in the palm of your hand. Keep the exercise within 30 seconds. Repeat 2 or 3 times. |
| Exercise # 5 | Rose slowly, slowly, rotate your head first to one side then to the other side of it. 10 rounds on each side. Be on the lookout for it does not appear dizzy or lightheaded. When asked what the exercise is stopped. |
The most frequently asked questions of the patients, with a collar osteochondrosis and answers
If you are in need of a running neck osteocondrose?
The indications for the operation, the operation is the lack of effectiveness of conservative treatment, in the periods of 6 months, accompanied by a steady armbar syndrome, and signs of damage to the nerve roots, as well as myelopathy. In all other cases, the transaction will not happen.
As long as you can apply a NSAID?
As well as the majority of the NSAIDS do have side-effects on the mucous membrane of the stomach, a prolonged and frequent reception of the data of the medicinal products is not recommended. When you get this group of medicines that you need to strictly adhere to the recommendations of your doctor, the duration of the consumption, you can be on an individual basis, it depends on the stage of the degenerative disc disease, with complaints of the patient, and their co-morbidities.
How effective is it to take chondroprotectors?
At the moment, there is no evidence for the effectiveness and ineffectiveness of these medications. In such cases, the doctors are of the opinion that the drug to apply the best option.
How to get the best vitamins in the form of tablets or injection?
There is no difference in the level of absorption of the drug, when they are two ways to get started you do not. Whereas the pain of an injection, the uptake and incidence of complications, it is recommended to take vitamins of group "A" in pre-formed shapes.
What are the measures that we have taken out the aggravation?
It is best to practice a medical exercise at home 2 + times per year to visit the massage neck-neck area, and to limit the stress load on the cervical spine.