Cervical osteochondrosis, or spondylosis, is caused change in the shape and structure of the vertebrae. Despite the fact that cervical short enough relative to the entire length of the spine, it is almost the most important part of the spine. Each pair of adjacent vertebrae form the intervertebral holes through which extend and are sent to every muscle in the body the upper part of the body and the nerve roots. Through the second hole of the lateral vertebrae have these processes the vital blood vessels offer to blood of the son flow to the brain.
Causes for degenerative disc disease of the cervical spine
Causes of osteoarthritis are:
- "sitting" behind the screen work, which is located below the eyes
- the physical Work associated with carrying
- for long periods of time behind the wheel of a car,
- Work "on the phone" without remote devices (in this case, the operator presses the phone to his ear shoulder)
- constitutional features (torticollis, congenital the changes in the cervical vertebrae, neck, short)
The formation of the pathological changes of the vertebrae
Osteochondrosis of the edges of the vertebrae start form a small wedge, which can damage nearby structures. Most often this is paid in response to the excessive load on the cervical, and not in vain the result of the "aging" of the intervertebral joints (recall earlier it was considered that it was degenerative osteoarthritis natural "age-related" disease and osteoarthritis). Because the progression of the disease paid, the seal zamechatelnyh the spinal discs reduces, and the height of the spacers. Stations were the norm to play the role of shock absorber between the vertebrae, and in addition to prevent damage to the spinal roots. Progressive degenerative disc disease is protrusion (herniation) from the nucleus pulposus of the intervertebral disc, which is the process, the disease is the pressure still more, while at the same time weaken the "Maddy" on the part of the ligaments. Disc herniation This can also compress the spinal structure and cause neurological symptoms.
What are the symptoms of cervical degenerative disc disease?
Osteochondrosis of the cervical spine pain
No reason to pain in the neck suspected pathology of the cervical spine. By increasing the intensity of the pain syndrome is divided into 4 stages, first the patient experiences numbness, tingling, feeling of "tightness" in the area specific muscle groups, the fourth stage – the most severe - the pain is so intense that they lead to immobility, loss and the patient's health.
In addition, the syndrome cervical pain and occipital region, the patient said, "mirrored" (radiating) pain in the upper limbs, subscapular lateral regions of the chest.
Osteochondrosis of the cervical spine with radicular syndrome
Involvement of the nerve roots say, kun pain, tingling numbness spread area and the lower jaw, upper back, forearm and fingers. When the patient draws attention to the fact that "it was like pins and needles" in the hand, uncomfortable sleep. Marked morning stiffness of the joints of the fingers, takes no more than 10-15 minutes. With the development of radicular syndrome research can be used to reduce upper limb muscle strength.
Osteochondrosis of the cervical spine "syndrome vertebral artery"
Involvement of blood vessels (compression of them disc herniation or bulge osteophytes) said, when the patient complains of frequent headaches, especially after a long stay in a certain position, when tilting the head (for example, swim in the breaststroke), if worried about noise in the ears and dizziness. This is a very clinical situation detected by ultrasound (with the "Doppler mode"). Ultrasound to determine the tortuosity of the vertebral arteries, narrowing their lumens. In this case speech about education can go to as expressed by changes in blood flow in the vertebral arteries – a risk factor for stroke.
Osteochondrosis of the cervical spine with "heart (cardiac) syndrome"
This syndrome causes patients to apply in the first place cardiologist, because the main complaints regarding pain in the left side of the chest, subscapular area, which weaken or strengthen, when thornhill or physical exertion by changing the position of the body. Exclusion of myocardial infarction Kun heart and other diseases, the patient and should be monitored in treatment and a neurologist orthopedist.
To clarify the diagnosis used in four ways: radiography, Ultrasound, computed tomography and magnetic resonance imaging.
The preferred method is still the x-ray the cervix, the most informative x-ray lateral projection ("half"). This method allows you to it was published the first evidence that the approximation of the injury, the gross structural changes of the vertebrae.
Ultrasound examination (nail) full Focus the status of the vertebral arteries. Using this method, you can find out as there are no pois in the bloodstream, and if so, to what extent and what kind of obstacles occurred where and they are located in.
Computed tomography (CT). Allows you to to accurately assess the condition of the bone structures, the taste, the bone density gives us the opportunity to see smaller osteophytes (bony growths), is as possible radiography.
Magnetic resonance imaging (MRI). This research is essential for suspected gruzevich and protrusions, the exact localization of a spinal cord injury damage and taste. This research is necessary, if the question of operative (surgical) treatment of diseases of the cervical spine.
Treatment of cervical degenerative disc disease
A standard set of tools for the treatment of cervical degenerative disc disease reflects treatment goals: relieve pain, remove painful muscle spasm inflammation of the nerve and roots, increasing the mobility of the spine. To achieve these goals, and, above all, using pain medications (ibuprofen), Nsaids - non-steroidal anti-inflammatory drugs (Movalis), muscle relaxants (mydocalm). It should be remembered that self-medication with drugs, these groups can be dangerous, because it is likely to mistaken interpretation and symptoms underestimation of the side effects of these drugs. Is the use of topical (skin) medications among the Nsaids the form of gels and subsidence of the pain, these same tools can be applied in the form of ointments.
For the treatment of degenerative disc disease of the deeper, basic level, to use drugs from the group of chondroprotectors, which include glucosaminsulfat and chondroitin sulfate. These nutrients restore the cartilage structure of the vertebrae, preventing their further damage. Treatment is long, the effect lasts for several months.
Cervical degenerative disc disease is significant differences in the pathology of other parts of the spine. Pain in the neck can be in this case, the trigger and the signals suffers from the spinal nerves, and painful chronic muscle tension it is all together called muscular – tonic syndrome. This is perfectly fine is good quality, very treatable with the same drugs: non-steroidal anti-inflammatory drugs (Airtel, voltaren) muscle relaxants which muscle to use these blockages steroid (diprospan). Typically, the doctor sharp pain vas time, when probing the so-called "trigger" points along the entire cervical spine muscles and upper shoulder area. Most often, this pathology occurs in women, most of them under 40 years of age. In spite of the pain syndrome, the neurovascular structures are intact, the blood of the son flow to the head region is not suffering.
This method is not the drug can be effective in the treatment of recently, (often the result of a minor injury, subluxation) pain in the neck are accompanied by dizziness, memory changes and the nervous system to the circulatory system. Resort to manual therapy is permitted, after a thorough investigation, in addition to the medical procedure performed, this should be a wealth of experience in the field and traumatology orthopedics. Kun "chronic" forms of the disease the application of manual therapy is dangerous! Known two ways of this type of intervention:
- manipulation (abrupt short impact on the central role of environmental forces, the purpose is to remove subluxations, known as the "bone snaps");
- mobilization (the method is based on the gradual stretching of the neck after warm-up and relax the muscles of the neck).
Also used the combined method, which is based on the combination of two basic types. It is important to remember that these topics, in addition, manual therapy is prohibited in all diseases associated with elevated blood pressure, nothing and thyroid pathology in otolaryngology.
Treatment of cervical degenerative disc disease at home
Therapeutic exercises with cervical osteochondrosis
The first and most important rule, beginner's do occupational therapy – don't exercise through pain. Needless to say, a man should not start the "acute" period, when vain pain appeared. Another important recommendation is to avoid sudden movements round and movements of the cervical spine.
Each lesson should begin with a short level self-massage of the neck muscles. After this "warming up" to teach:
- Hands lower along the body, up to shoulders, back straight (you can check your posture, lean slightly to the heels, shoulder blades and buttocks against the wall). Walk in place for 1 min. full stop, 1 min, toes, 1 min – high heels.
- The original position – the same. Squeeze hands into fists, raised-lowered shoulders, arms straight. Movements are slow, do 20 repetitions, lifting takes longer than 5 seconds. It's not "squeeze" the muscles of the neck.
- The original position – the same. Tilts his head turns right, then left. The movement of the smooth, single tilt 8 accounts content, its large slope are considered for 8 seconds.
- The original position – the same or sitting on a hard chair. Smooth tilts his head forward, at the stage – 8 seconds waiting for
- The original position – the same or sitting on a hard chair. Slowly tilt your head forward and lock the chin to the chest, then turn slowly head to the right (4 accounts) and left (4 accounts). To prevent overexertion of muscles.
- The original position – the same or sitting on a hard chair. 4 accounts to raise the shoulders, then 4 accounts running smoothly they unfortunately. Of 10 repetitions.
- The original position – the same or sitting on a hard chair. Lift the shoulders, but now perform a circular motion from front to back, 8 accounts. Of 10 repetitions.
- Align the back, check the position (see. teach 1). 4 account, you reduce the blade behind his back, trying to put them together in one paragraph of the content, its great has been delayed for 8 seconds, then return to the starting position.
As already mentioned, hypertonicity of the neck muscles is the first and often the main reason for the development and progression of cervical degenerative disc disease. Rational Ah pillows: and mattresses, ensuring a relaxing and posture during comfortable sleep important as it is one of the exercises, occupational therapy and treatment with medications.
When choosing a mattress pay attention to the composition of the filler (fits products are half done, at least the coconut, which is sufficient stiffness). Soft spring mattresses don't provide sufficient spine straightening. The most optimal position for sleeping is on your side, pull one or both knees to the stomach. The pillow is positioned so that it fills the stuff from the space between the shoulder, the ear of the paddy and the mattress, the top of the head part of the (upper) head is on the same horizontal line with the spine. Avoid too high and too low, and soft pillows. Ideal – polyurethane product is ergonomic, that is, in this case, a small squeeze-roll with one hand.
Pay attention to your posture. Kun or the right to walk in the standing position is the position where the chest comes forward and the stomach.
To avoid a long stay in a sitting position. A well known simple rule for the prevention of cervical degenerative disc disease: every 60 minutes as needed to work 10-15 minutes or walk for exercise.
The work must have a high headrest or backrest.
Sitting position feet should rest on the floor and the neck should not be tense. Use for This purpose, special orthopedic devices: pillows neck, when riding in the car with a pillow under your back.
Avoid lift weights. If necessary, unfortunately, to get to your knees, pushing between the heavy Object the body and then slowly stand up, using the power of the leg muscles, but not the "thrust" back.
Do not lean, straight legs. The use of supports, countertops, in order to subject themselves to the bow and his face subject. Homework try to-do or sitting on a chair with the exercise ball.
If you want to use MOP, brush or rake, do not strain the arms, back and neck, do not bend sideways.
Avoid swimming breaststroke style.