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Osteochondrosis and arthrosis of the cervical spine

18 Sep 18

Osteochondrosis of the cervical spine

Osteochondrosis of the cervical spine is a degenerative disease that affects the intervertebral discs in the cervical spine.

Degenerative changes usually develop in the most mobile parts of the spine, therefore, in the cervical spine, due to disturbances in the structure of the vertebrae, the nerve roots at the level of C5, C6 and C7 most often suffer.

Symptoms of cervical osteochondrosis can be observed in people of any age, and especially among the working population from 30 to 50 years old. Some people suffer from this disease, sometimes without even knowing the cause of the ailment, because degenerative changes in the cervical spine occur unnoticed. Timely treatment of cervical osteochondrosis will return a person to excellent health and give him health in the future.

Causes of cervical osteochondrosis

Cervical osteochondrosis has a number of features in comparison with lumbar and thoracic ones. They are determined by the structural features of the vertebrae of this department, the size of the structures of which is much smaller than the vertebrae of other departments. It must be taken into account that the cervical region is the most mobile; it is almost constantly loaded, since it supports the head. Osteochondrosis usually affects the most mobile segments, which subsequently determines the symptoms of this disease.

Despite the prevalence of this disease and advances in modern medicine, the pathogenesis of cervical osteochondrosis is not fully understood. It is known that the disease can develop against the background of metabolic disorders in the cervical spine, which over time leads to changes in the structure of the intervertebral discs and vertebral bodies.

Osteochondrosis can be caused by incorrect posture, excess weight, back injuries, and curvature of the spine. Excessive physical activity, improper training, stressful situations, and a sedentary lifestyle can also trigger the occurrence of osteochondrosis. And, of course, one should not lose sight of infectious diseases, as well as simple hypothermia, since this can subsequently cause the occurrence of osteochondrosis.

Degree of development of osteochondrosis

The disease goes through several stages in its development, during which the spine undergoes pathological changes:

  1. Cervical osteochondrosis 1st degree. Symptoms are minor. Mainly there is tension in the muscle ligaments and slight pain in the area of ​​the nerve nodes. Therapy includes the use of physiotherapeutic procedures, vitamin complexes, and exercise therapy. Ointments for the treatment of neck osteochondrosis during this period are quite effective and efficient.
  2. Osteochondrosis of the cervical vertebra at the second stage is characterized by disc protrusion. There is a decrease in intervertebral gaps and gradual destruction of the fibrous ring. Pain syndromes are likely to occur because nerve endings may be pinched.
  3. At the third degree, all symptoms worsen - the pain becomes constant and severe, spreading to the shoulder area and upper limbs. When you feel the cervical area, the pain increases sharply, numbness of the fingers and muscles may occur, as dangerous hernial formations develop. Stiffness occurs in the joints, and their mobility deteriorates sharply.
  4. Fourth degree. The intervertebral disc is completely destroyed and replaced with connective tissue. Dizziness increases, tinnitus appears, and coordination is impaired, since the vertebral artery that supplies the cerebellum and the occipital lobe of the brain is involved in the process.
  5. Symptoms of osteochondrosis of the cervical spine differ from the manifestations of this disease in other parts of the spinal column. This is due to the fact that in the cervical region the vertebrae are located closer to each other, the intervertebral discs have a relatively small height, which leads to the appearance of a clinic even with the most minor pathological processes. Also in the cervical region, compression of the nerve roots and spinal cord occurs more often.

    Symptoms of osteochondrosis of the cervical spine

    Symptoms of cervical osteochondrosis manifest themselves differently, depending on which vertebrae are damaged by the disease. First of all, most patients feel pain in the neck; pain can also occur in other parts of the body: in the arms, in the heart area, chin, and so on.

    A person may also hear a crunching sound when turning the neck. Due to pinched nerves and blood vessels, a person may experience numbness in the tongue and fingertips. The patient will complain of decreased hearing and vision, high blood pressure and weakness in the muscles of the arms and legs.

    Characteristic syndromes for cervical osteochondrosis are:

  6. radicular syndrome;
  7. vertebral artery syndrome;
  8. cervical migraine syndrome;
  9. hypertension syndrome.
  10. All these syndromes are accompanied, first of all, by different types of pain.

    When a nerve is pinched, the patient experiences acute pain that is descending in nature. The pain spreads from the neck to the shoulder, from the shoulder to the forearm, then affects the fingers or both hands.

    A person experiencing radicular syndrome in the neck may feel “goosebumps” and tingling sensations. The elasticity and firmness of the skin decreases, paleness and slight swelling appear.

    Vertebral artery syndrome

    With this syndrome of cervical osteochondrosis, a throbbing or burning headache appears, spreading to the superciliary region, back of the head, temple and crown. As a rule, the pain is constant, although in some cases it can be paroxysmal.

    Increased pain is observed after prolonged movement or being in an uncomfortable position for a long time. If the body is weakened, nausea and loss of consciousness may occur. Auditory disturbances may occur: noise, decreased hearing acuity, disturbances in the functioning of the vestibular apparatus. Possible effects on vision: decreased visual acuity, eye pain.

    Cervical migraine syndrome

    In case of “cervical migraine” syndrome, irritation of the sympathetic nodes is observed, which leads to impaired reactivity of cerebral vessels and impaired circulation.

    As a result, hypertension may develop, often accompanied by:

    Hypertension syndrome

    In hypertension syndrome, increased intracranial pressure is determined. The headache is more of a bursting nature and may be accompanied by nausea and vomiting. With exacerbation of cervical osteochondrosis, an increase in temperature and an increase in ESR may be observed.

    Why is osteochondrosis of the neck dangerous?

    If the disease occurs at a young age, one should expect possible complications in all parts of the spine:

  11. Herniation of the cervical spine (intervertebral disc);
  12. Radiculopathy of the cervical roots;
  13. Intervertebral protrusion (protrusion) in the cervical region;
  14. Vertebrogenic cervicalgia, cervicothoracalgia, cervicobrachialgia, cervicocranialgia;
  15. In advanced cases, large osteophytes of the cervical spine, paresis, problems with the vertebral arteries, etc. can form.
  16. If treatment for osteochondrosis is started in the later stages, it will only relieve pain and inflammation. It will be more difficult to completely get rid of negative changes. This is only possible with long-term and complex treatment.

    A specialist will tell you how to treat neck osteochondrosis. He may recommend pharmacopuncture, vacuum, manual or laser therapy, dry traction or electrical stimulation. After several sessions the pain goes away. But it is important to carry out the full course of treatment.

    Treatment of osteochondrosis of the cervical spine

    Osteochondrosis of the cervical spine and its complications must be treated using conservative methods that are aimed at eliminating pain syndromes, dysfunction of the spinal roots, as well as preventing the progression of dystrophic changes in the structure of the spine.

    In cases where conservative treatment is ineffective, surgical treatment is performed for certain indications, where the extent depends on the clinical manifestation of osteochondrosis and the level of the lesion. The most effective result in the treatment of cervical osteochondrosis is considered to be a comprehensive treatment of diseases of the musculoskeletal system as a whole.

    Drug treatment

    At home, treatment of cervical osteochondrosis with medications may include:

  17. NSAIDs (eg, diclofenac, ibuprofen, indomethacin) for 1-2 weeks 2-3 times a day. These medications are usually taken after meals.
  18. Muscle relaxants (sirdalud, miolastane) to improve muscle tone and relieve muscle spasm.
  19. Corticosteroids are used for severe pain in combination with analgesics.
  20. Diuretics that reduce swelling in the area of ​​inflammation - veroshpiron, diacarb.
  21. Novocaine and lidocaine blockades - subcutaneous or intramuscular injection of the drug at several points around the cervical vertebrae.
  22. Chondoprotectors for the restoration of hyaline cartilage (artra, rumalon, alflutop).
  23. B vitamins. They improve metabolic processes in nervous tissue and normalize neuromuscular conduction.
  24. Ointments and gels for external use (Finalgon, Fastum gel and others) have some therapeutic effect.

    Physiotherapeutic and alternative treatment

    Non-drug treatment is prescribed for any stage of cervical osteochondrosis and may include:

  25. Amplipulse therapy (treatment with modulated currents);
  26. Reflexology;
  27. Orthopedic gymnastics;
  28. Classes on special simulators;
  29. Massage;
  30. Methods of manual influence;
  31. Electrophoresis (administration of medicinal substances through the skin using electrodes);
  32. Magnetotherapy (exposure to magnetic fields);
  33. Ultrasound therapy;
  34. Laser therapy.
  35. In advanced cases and in the presence of complications, doctors resort to surgery.

    Surgery

    It is required if all measures aimed at relieving the inflammatory process at stages 3-4 of the disease have not led to any results. The usual period of therapy in this case is about six months. But the course of treatment for cervical osteochondrosis can be reduced if the patient experiences a stable deterioration in health. Paralysis of the limbs and unbearable pain are indications for early surgery.

    Treatment of cervical osteochondrosis at home

    At home, cervical osteochondrosis can be treated with no less success than in a clinic. The main thing you need for effective treatment is a systematic and competent approach.

    It is important to include dosed physical activity and neck exercises in the treatment program. It should also be taken into account that the increase in the number and intensity of exercise should be gradual so as not to cause harm to the weakened spine.

    And if you don’t yet know how to treat cervical osteochondrosis at home, we will be happy to give you some useful recommendations. Among the folk remedies for osteochondrosis of the neck, it is recommended to take decoctions or infusions of herbs, as well as rub the ointment into the problem area.

  36. Horseradish leaves. If the vertebrae in the neck are inflamed, take a fresh leaf of horseradish, apply it to the problem area and wrap a scarf around your neck. In a similar way, you can use cabbage leaves, which should be slightly beaten with a kitchen hammer before applying.
  37. Ointment with hops for osteochondrosis of the neck. To prepare it, grind a tablespoon of hop cone powder with a tablespoon of fresh butter or unsalted lard. The resulting ointment is applied to the sore spot and insulated well. With regular use of the ointment, the pain subsides and inflammation goes away.
  38. Elecampane root. It is important to use the roots of plants of the second year of life. Proportions for preparing the decoction are 2 tablespoons of raw materials per glass of boiling water. Boil the roots for 10 minutes over low heat, then strain. Use a decoction of elecampane for compresses on the spine twice a day for 20 minutes. The same decoction is useful for baths, just increase the amount of raw materials to ten tablespoons.
  39. Rubbing. Half a glass of elderberry and two glasses of alcohol are infused for seven days in a dark place. Then rub this remedy into problem areas of the neck.
  40. Compress of honey and grated potatoes: mix the ingredients and place on the neck-collar area for 20 minutes, after wrapping the mass in gauze (to make cleaning easier). Apply it while at rest so that your body position is still and comfortable. It is enough to apply a compress once a week.
  41. Once again I would like to remind you that cervical osteochondrosis can only be treated with complex actions. You need to not be lazy, develop a system and stick to it every day. Treatment at home can provide a significant impact on the healing process. And, of course, you should seek the help of professionals, if possible.

    Video exercises for cervical osteochondrosis

    Therapeutic exercises have no less effect than drug treatment of osteochondrosis, and are the basis of recovery. The exercises will not take much time, especially since they are easy to do at home.

    Gymnastics is aimed at reducing pain in osteochondrosis of the cervical spine, spraining ligaments and relaxing neck muscles. But you need to perform the exercises only after consulting a doctor and very carefully so as not to harm the body.

    Cervical osteochondrosis - we have already encountered this disease more than once, and we fully felt its seriousness, since this problem goes far beyond the cervical region. Sometimes the symptoms of the disease resemble diseases of the brain and cardiovascular system, and at critical moments they can even lead to a stroke. And this makes treatment very difficult. Now it’s time to deal with another type of this disease.

    This is arthrosis of the cervical spine . In fact, both osteochondrosis and arthrosis are one and the same disease, the greedy essence of which is to devour our joints. Simply, the concept of “ arthrosis ” is applicable to all joints of the human skeleton, and “ osteochondrosis ” is applicable to the spine. To be completely precise, osteochondrosis supposedly specializes only in intervertebral discs (a kind of elastic cartilaginous pads between the vertebrae), leaving the facet joints of the spine to its fellow arthrosis.

    In reality, of course, both processes occur simultaneously (arthrosis may be slightly delayed, since the joints are more adapted to stress), and since the destruction of cartilage in the body, caused by internal reasons, has begun, then all cartilage will be destroyed everywhere - both discs and joints.

    Arthrosis of the cervical spine

    Internal reasons can be different:

  42. Inherited mutations leading to collagen
  43. Congenital articular dysplasias , for example, fusion of the atlas vertebra with the skull
  44. Systemic inflammatory processes (rheumatoid arthritis, ankylosing spondylitis)
  45. Specific infections (venereal diseases, staphylococcus), etc.
  46. Diseases of the central nervous system (for example, polio)
  47. Age-related and hormonal changes leading to osteoporotic phenomena
  48. The most common external factors of cervical arthrosis:

    subluxations and fractures of the cervical vertebrae

  49. Increased stress and excessive neck strain
  50. Trauma can cause damage to the intervertebral disc or vertebral joint. This severe damage is not only difficult to treat, but can lead to consequences even after several years. When diagnosing post-traumatic complications, the concepts of “osteochondrosis” and “arthrosis” are differentiated, since their localization is clearly defined.

    What happens with cervical arthrosis of the spine

    When examining an x-ray, the following symptoms are visible, which indicate the development of the disease:

  51. Thinning and destruction of cartilage
  52. Calcification at the site of cracks and formation of osteophytes
  53. Deformation of the joint bone and joint capsule
  54. Decreased joint fluid
  55. Shortening and cementation of ligaments
  56. Symptoms of developing arthrosis of the cervical spine

    • Frequent neck pain, especially after sleep, mainly on one side
    • Signs of pain also appear
      • after standing in the same position for a long time
      • after increased activity and stress
      • when pressing on a diseased vertebra
    • Increased pain when bending or turning the head
    • Impossibility of full range of motion, for example, when trying to:
      • touch your chest with your chin
      • turn your head back, etc.
      • At rest, the pain usually subsides, but as the disease progresses, it becomes chronic.
      • When the neck moves, a characteristic clicking sound occurs
      • The vertebrae look larger, protrusions can be felt on them
      • Uncovertebral arthrosis of the cervical spine

        The proximity of the cervical vertebrae to each other and the narrowness of the cervical spine turn arthrosis into a dangerous disease: Osteophytes begin to affect ligaments, nerve endings and blood vessels (vertebral arteries pass through the cervical spine)

        Uncovertebral arthrosis of the cervical spine may occur . This is a form of the usual, complicated by radicular symptoms, which we observe with osteochondrosis or hernia. Only in this case, when the nerve is pinched by osteophytes, they are even more acute. This is in the literal sense, since the sharp edges of the spines can damage a nerve or vessel.

        Symptoms of uncovertebral arthrosis

      • Severe pain in the neck and head, making it impossible to even move
      • Neuralgic symptoms:
        • Pain radiates to the shoulder area and arms
        • Numbness of the face, fingertips
        • Phenomena of paresthesia in the occipital, humeroscapular regions, and limbs
        • Vertebral artery syndrome
          • shootings in the head
          • dizziness, fraught with loss of consciousness
          • high blood pressure
          • cerebral ischemia and stroke
          • Unexpected causes of cervical arthrosis

            Osteoarthritis of the cervical spine can be seen on an x-ray, but does not appear externally for a long time.

            In addition to the above factors, it can be provoked by completely unexpected factors:

            • Flat feet
            • Pathology of the sacroiliac joint
            • It would seem, what do these defects have in common with the cervical spine?

              The spine is a single mechanism with its own biomechanics. If some link is broken somewhere, then a failure occurs in the overall biomechanical chain

              A person with both flat feet and a dislocated hip walks completely differently:

            • Asymmetry occurs not only in the spine, but also in muscle tension
            • Pain and inflammation appear in the joints
            • The clock on the time bomb called “arthrosis” begins to tick.

              Treatment of this pathology turns out to be ineffective because they begin to treat it according to the standard regimen without eradicating the main cause.

              Treatment of cervical arthrosis

              It is treated in the same way as spinal arthrosis in general.

            • Treatment is preceded by diagnostics, in which
              • X-ray to identify the diseased vertebra
              • for a more detailed study - CT or MRI
              • angiography of blood vessels
              • Then a conservative treatment plan is outlined:
                • Pain relief with NSAIDs
                • Relieving muscle spasms and releasing pinched nerves:
                  • muscle relaxants are used
                  • manual therapy
                  • massage, etc.
                  • Restoring damaged cartilage using chondroprotectors
                  • Physiotherapeutic procedures
                  • Surgical treatment is used for uncovertebral arthrosis with the risk of vertebral artery syndrome. Its essence is to remove the damaged joint and replace it with an endoprosthesis

                  • At the recovery stage, exercise therapy is prescribed and sanatorium treatment may be offered.
                  • With such a diagnosis, it is very important to eat right: foods should contain collagen and essential vitamins
                  • Special recommendations for cervical arthrosis

                  • Since maintaining the correct posture while sleeping is very important, it is advisable to sleep on an orthopedic pillow
                  • It is also prescribed to wear a Shants collar or any other semi-rigid neck corset to relieve and fix the neck during exacerbations.
                  • Arthrosis of the cervical spine is a complex disease, so its treatment is also difficult and lengthy.

                    Health and patience to you!

                    Video: Exercises for the cervical spine

                    Cervicothoracic osteochondrosis of the spine: symptoms and treatment

                    Osteochondrosis of the cervical spine and thoracic spine is a rare but serious disease, since it inflames and destroys the bone and joint structures throughout the spinal column. A doctor is usually consulted already in advanced forms of the disease. Patients often confuse osteochondrosis with a number of other diseases, which is obviously an incorrect and dangerous option for self-diagnosis.

                    More often the lumbar spine suffers from this problem, less often the cervical spine, and in the cervicothoracic region it can only be seen in a few. However, it is with this disease that there is a high risk of disability. The human body will no longer be able to regain its former mobility.

                    The cervical spine is formed by 7 vertebrae, each link of which is significantly different from the previous one. This is the most mobile zone. There are thin intervertebral discs here, because the least load is placed on them. Lordosis is a physiological curvature in which the pathology is directed forward.

                    The thoracic region consists of 12 vertebrae, which differ little from each other in structure. They have virtually no range of motion (active only in professional athletes). The intervertebral discs have strong protection, and the muscular corset covers the vertebrae. Kyphosis is a physiological curvature in which the disease directs the chest backwards.

                    It is for this reason that pain occurs in the area of ​​the cervical spine, and the diagnosis of osteochondrosis of the thoracic spine can be heard very rarely. Symptoms in the latter case may not make themselves felt until a more advanced state. Nevertheless, pathology can develop in two sections at once, which is why it bears such a name.

                    When osteochondrosis of the spine appears, the bone tissue grows together and forms only a slight gap between the vertebrae, squeezing the nerve endings and blood vessels. The muscle layer is replaced by bone growths. With cervical osteochondrosis, the discs wear out, preventing oxygen from entering. This impairs brain function and blood circulation. This process is sometimes isolated into a separate disease - cervical spondyloarthrosis (a particular form of osteochondrosis).

                    The exact nature of this disease is still unknown. It is diagnosed in people over 35 years of age, therefore the main causes of pathology of the cervical and thoracic regions are usually called:

                  • spinal overload;
                  • injuries to the back and various parts of the spine;
                  • professional activity;
                  • poor immunity;
                  • unhealthy diet and bad habits;
                  • hormonal imbalances, stress and unstable psychological state;
                  • spine surgery;
                  • malignant tumors;
                  • heredity.
                  • Young people are susceptible to the disease. The reasons may be:

                  • curvature of the spine;
                  • excess weight;
                  • flat feet;
                  • lack of an active lifestyle - physical inactivity.
                  • Often, the symptoms of osteochondrosis are very diverse, so at the onset of the disease they are often associated with a number of other pathologies, which leads to erroneous diagnoses. Cervicothoracic osteochondrosis acquires its individual characteristics only as it progresses. When these parts of the spine are affected, a person experiences constant and incessant headaches, and as a result of this clinical picture, dizziness occurs with cervicothoracic damage, which provokes a feeling of fatigue.

                    The pressure in the arteries is constantly changing and jumping, stars and dots begin to flash before your eyes. Pain is felt in the cervical and thoracic region, in the arms and shoulders. The patient feels cold and numbness at the fingertips, discomfort occurs in the heart, sternum and in the ribs. The gait becomes uncertain and shaky, coordination of movements is impaired. Men may develop potency disorder.

                    If the disease worsens, the patient will experience blurred vision, surges in blood pressure, shortness of breath, pain when inhaling and a dry cough.

                    Increasing snoring can sometimes indicate a similar diagnosis, since the neck muscles become very tense, putting pressure on the throat. In rare cases, the patient suffers from toothaches and various rashes on the skin (including on the head). Signs of osteochondrosis can be divided into 3 large groups:

                  • illness with reflex syndrome (myalgia).
                  • cervicothoracic osteochondrosis with radicular syndrome (radiculopathy).
                  • pathology with radicular-vascular syndrome (radiculoischemia).
                  • With the development of cervicothoracic osteochondrosis with reflex syndrome, a person experiences severe (shooting) pain when turning and uncomfortable positions of the head. Often they are permanent. Usually the pain is felt in the back of the head, but sometimes it spreads to the upper limbs. The patient may have frequent headaches. Intensifies after walking or active physical activity.

                    If cervicothoracic osteochondrosis is diagnosed, symptoms and treatment will depend on the type of this disease. Thus, a problem with radicular syndrome indicates pinching of nerve fibers between the vertebral body and muscle tissue. Over time, the distance between them decreases, compressing the spinal nerves. In this case, pain is felt in the roots of the entire spine and in the region of the heart.

                    Significant changes occur in the functioning of most internal organs, the functioning of the intestines and blood supply to the brain are disrupted. If the thoracic region is affected, the pain appears sharply and simultaneously. The patient feels numbness and pain in the shoulder blades, armpits and elbows. The disease is often accompanied by a dry, sharp cough.

                    In the latter case, the spinal arteries are compressed due to intervertebral hernias. Since sensory fibers are irritated, pain in osteochondrosis is particularly severe, and any movement causes a new attack. Weakness in the shoulder girdle (Personage-Turner syndrome) may occur, when the body becomes weak and a person lifts his limbs with great difficulty. Additionally, if a certain part of the thoracic spine is affected, the fingers, thighs, legs and feet may go numb.

                    First of all, it is necessary to carry out a number of general studies, since patient complaints are usually very similar to other diseases. For example, in cardiovascular pathologies, the following types of diseases are quite common: hypertension, circulatory disorders in the brain, and vegetative dystonia. Various tumors have similar symptoms. Therefore, a thorough examination is carried out to exclude other possible options. The patient is prescribed:

                  • electrocardiography;
                  • electroencephalography;
                  • Ultrasound of the heart and blood vessels;
                  • Dopplerography.
                  • A more accurate diagnosis can be made with x-rays, since osteochondrosis of the cervicothoracic spine very clearly reveals itself on x-rays (with the mouth open). From the image you can easily determine how strongly the intervertebral discs have fused together and the amount of bone tissue that has grown. This study will show exactly how osteochondrosis has worsened.

                    Necessary medications

                    For this disease, drug treatment is not the mainstay, but still plays an important role in recovery. Any specialist knows exactly what pills are taken for osteochondrosis. Reception begins with non-steroidal anti-inflammatory drugs (NSAIDs).

                    They are produced both in the form of tablets and in the form of ointments, gels and solutions for intramuscular injections. The most famous are Diclofenac and Nimesulide. The drugs are prescribed in a weekly course of several types. They usually remain in the blood for several hours.

                    It is important that the preparations contain chondroitin sulfate. The dosage form of this remedy stops the further development of the disease and restores the growth of damaged tissue. If cervical and thoracic osteochondrosis is diagnosed, treatment using chondroitin sulfates becomes easier, since the effect of other drugs is enhanced and the dosage and course of treatment are significantly reduced.

                    Muscle relaxants will relieve muscle spasms, which cause the main symptoms of cervical and thoracic osteochondrosis, and B vitamins will improve metabolism. One of the famous muscle relaxants is Mydocalm. You should be especially careful when taking it if the patient is prone to frequent allergic reactions.

                    Herbal medicines contain medicinal plants to improve tissue regeneration. Gels and ointments are common forms of release. Such products are sold in pharmacies, but you can make them yourself. Ultra Collagen is the most famous ointment for osteochondrosis, which relieves pain.

                    Chondroprotectors are medications that are aimed at improving metabolic processes in cartilage tissue. These drugs are usually used for several months once a year. For osteochondrosis of the cervical and thoracic regions, they can be taken in the form of tablets or powder (then the effect of the drug makes itself felt only after 3 months), preliminary intramuscular injections. The latter are painful, but at the same time they give an effect after the first use. Over time, there is a transition to tablets.

                    Drug treatment with analgesics is not particularly popular. They act only when administered intramuscularly or intravenously. Steroid medications should be used with great caution due to their strong effects on the body and severe side effects. In the absence of any effect from other means, treatment of the cervical and thoracic regions continues with the help of special blockades with novocaine or a novocaine-steroid mixture.

                    Treatment of cervicothoracic osteochondrosis will consist of a whole range of procedures. Therapeutic massage, for example, will significantly reduce pain, improve blood circulation and reduce muscle tone. With a long course, he will be able to completely restore the former mobility and strength in his arms after osteochondrosis of the cervical and thoracic regions.

                    Be careful when choosing a specialist: a qualified massage therapist will perform the procedure taking into account the individual characteristics of the patient and a number of contraindications.

                    For example, any type of massage (even relaxing) cannot be done if you have cardiovascular diseases, vegetative-vascular dystonia or circulatory disorders. A bad massage therapist can only cause harm during the procedure.

                    In addition, the following manipulations will help:

                  • physiotherapy;
                  • manual therapy;
                  • reflexology;
                  • spinal extension (traction);
                  • cupping for osteochondrosis.
                  • Physiotherapy is a method of treating a disease using physical factors. This way you can influence only certain diseased areas in the body, without affecting other organs. Its effects have virtually no side effects and are painless. Depending on the doctor’s instructions and financial capabilities, they may prescribe: phototherapy, electrophoresis, UHF therapy, etc.

                    Manual therapy is in many ways similar to massage, since it also affects different points in the spine. However, in the latter option, the pressure is applied to soft tissues. In the first case - on the spine, intervertebral discs and bones.

                    Reflexology is better known as acupuncture. Using special needles or massage sticks passing along each vertebra, the nerve endings are irritated. At the same time, pain is reduced, blood pressure is normalized, swelling is relieved and the general condition of the body is restored. Reflexology is contraindicated for any tumors on the body, infectious diseases, blood pathologies, and is also contraindicated for patients with mental disorders.

                    There are several types of traction: underwater (using fresh or mineral water), dry (traction under its own weight), hardware.

                    Physical education in treatment

                    Therapeutic gymnastics (physical therapy) is an important and effective method of treatment. It relaxes tense muscles, restores blood circulation and expands the vertebrae. A set of exercises is usually developed individually by a specialist, but they are carried out according to a common scheme for all.

                    You must start with a warm-up. You should warm up your limbs, shoulders, back, chest, and last but not least, move on to exercises in the cervical region. During the procedure, patients may sit or stand depending on their condition and comorbidities. The following exercise option is considered generally accepted:

                  • Turn your head in one direction and the other 5-10 times. It is advisable to take a sitting position.
                  • Lower your head down as far as pain in the cervicothoracic region allows. Repeat - 10-15 times.
                  • Tuck your chin into your neck, moving it back.
                  • Sit at a table or use special equipment. Lower your elbow to the surface and press your palm to your temple. Tilt your head, slightly preventing this with your hand. Repeat 10 times on each hand.
                  • Place your palm on your forehead and, exerting light resistance, bend down. Repeat 8 times on each side with a short pause.
                  • Raise your shoulders up to the maximum, hold for 10 seconds and slowly lower. Repeat 10 times.
                  • Do a self-massage of the back of your head with your fingertips; you can press hard and deeply, but there should be no pain.
                  • Yoga for osteochondrosis is a common method of treating the disease, which helps not only to get rid of pain, but also to balance the patient’s emotional state. Classes are available to patients of any age, with older people performing simpler exercises. However, over time, people of the older generation master complex asanas and are in no way inferior to the younger ones.

                    Treatment of cervical and thoracic osteochondrosis with yoga begins with one workout and is gradually introduced into daily practice. You can practice using numerous training videos on the Internet. But it is still advisable to seek help from a professional trainer. He will be able to explain in detail the meaning of each asana (posture) and correct if something goes wrong.

                    Yoga for the neck and chest involves proper breathing and stretching of the vertebrae through various poses. The most famous among them are vrikshasana and trikonasana. Vrksasana is done like this:

                  • maintaining balance on one leg, raise the other closer to the groin;
                  • extend your arms up and place your palms together.
                  • Trikonasana has the following algorithm of actions:

                  • spread your legs wide;
                  • turn your right or left foot;
                  • depending on the chosen side, lower your right hand to your right leg on the floor or vice versa;
                  • if stretching does not allow, beginners can lean on the shin.
                  • Many experts prove the effectiveness of yoga, but there is no scientific confirmation whether yoga can completely replace exercise therapy. If a person wants to be sure that he can get rid of pathology, then it is still advisable to give preference to proven exercise therapy.

                    In rare cases, osteochondrosis and panic attacks are directly related. Damaged cartilage is rubbed, after which the vertebrae compress the blood vessels and nerve roots. These two roots pass through the brain and nourish it.

                    As a result of cervical osteochondrosis, the brain does not receive enough nutrition. This causes oxygen starvation.

                    It is this muscle tension that causes an unreasonable feeling of panic.

                    Sudden attacks may be associated with thoracic and cervical osteochondrosis. Such attacks provoke the development of other symptoms:

                  • rapid breathing;
                  • sharp and sudden pain in the heart;
                  • loss of appetite;
                  • chest pain;
                  • excessive sweating;
                  • sudden unmotivated excitement.
                  • During panic attacks, one or more symptoms become acutely worse.

                    During the examination, a diagnosis of dorsopathy of the cervicothoracic spine may be made. These are degenerative changes in the tissues of the spinal column. Osteochondrosis is one of the conditions of dorsopathy, therefore, if treatment is completely ignored, acute spondylosis (dystrophy of the entire spinal disc) may develop, which will lead to forward displacement of the discs.

                    Cervicothoracic osteochondrosis and VSD (vegetative-vascular dystonia) are directly related. The latter arises as a result of the development of the first. Sometimes doctors make the wrong diagnosis, confusing the symptoms. Dystonia occurs due to a malfunction of the autonomic nervous system, osteochondrosis occurs when the vessels of the head are compressed and blood flow is disrupted. The presence of vascular syndrome will be accurately determined by radiography.

                    Another problem is osteochondrosis during breastfeeding. Its causes are identical to the usual type of disease. The most common is excessive stress on the back during feeding and rocking the baby. It is easy to independently prevent the development of thoracic osteochondrosis in women. The following rules must be followed:

                  • The resting place should be equipped as conveniently as possible. For this purpose, various orthopedic pillows and comfortable mattresses are used.
                  • If you use a sling or pillows when feeding, this will significantly reduce the strain on your back.
                  • You need to do simple exercises every day. Moderate physical activity has a beneficial effect on muscles.
                  • There are no special ways and methods to get rid of the problem when treating a pregnant or nursing mother. The scheme for getting rid of osteochondrosis of the thoracic region during lactation is the same. But the attending physician must select methods of therapy (especially medications). Since most medications directly affect the composition of milk and lactation itself, it is more advisable to use various herbal tinctures and ointments.

                    Disease prevention

                    For successful treatment of cervicothoracic osteochondrosis, it is important to follow a number of simple rules. For example, you need to try to keep your back as straight as possible, avoid jumping and falling from high places, and injuring the cervical and thoracic spine. Before playing sports, you should definitely warm up. There is no need to carry weights too often (maximum weight is 10 kg). Any sudden movements can damage the spinal ligaments.

                    If your job involves a sedentary lifestyle, a number of simple exercises can help: twists and bends of the body, which will relax tense muscles. Women should not carry handbags on one shoulder, but change sides from time to time. Be sure to often be in the fresh air and walk. We fight laziness and remember that it is better to prevent than to treat osteochondrosis.

                    Don't forget about sports. The general condition of the spine will be improved by yoga or swimming.

                    Playing sports will help you avoid the problem of excess weight, and it is often under its influence that osteochondrosis develops.

                    If you can't go to the gym, chest exercises can be done at home.

                    An approximate list of exercises that can be done while lying down:

                  • Ex. 1. Bend your right leg, lift it up, repeat with the other leg. Then lift both legs.
                  • Ex. 2. “Bicycle”, known since childhood. First we move forward, and then back.
                  • Ex. 3. Straighten your legs, slightly raise them above the floor, do the “Scissors” exercise. Do not lift your back under any circumstances. If the exercise seems difficult, place your palms under your buttocks or lower your legs a little.
                  • Ex. 4. Lie on your stomach, keep your feet on the floor, fold your hands at the back of your head and lift yourself up. Lock yourself in this position for a while.
                  • If osteochondrosis has been cured, you can visit a massage therapist from time to time for prevention or learn several self-massage techniques. You won't be able to massage your back, but if you press on the right points on your palms, ears and feet, you can directly affect the functioning of your spine. The area of ​​the hand that is responsible for these sections is located on the thumb in the area from the phalanx to the end of the hands, and also in the entire middle of the palm.

                    The earlobe is responsible for the functioning of many organs. Start kneading it, gradually moving up. If everything is done correctly, the ear will turn slightly red. There are many such points on the heel. The area just above it is responsible for the spine.

                    A Russian doctor, doctor of medical sciences and professor claims that with his technique he will cure any joint diseases in a couple of months . Which will completely cure an ancient grandmother with the most advanced arthritis in 78 days. And joint pain, he says, with the right approach will go away in 4 days! And, over 48 years of activity, he confirms every statement with practice.

                    Immediately after the broadcast on the Russia-1 TV channel (on the topic “how to preserve joints at any age”), he agreed to give an interview. Read the interview.

                    Uncovertebral arthrosis of the cervical spine: causes of the disease, symptoms and treatment

                    The spine is one of the most important and at the same time the most vulnerable organs of the human body.

                    An unhealthy lifestyle, unbalanced loads, age-related changes, past illnesses and injuries can cause diseases and deformities of the spine, which negatively affect the body as a whole, a person’s performance and well-being.

                    Diseases are localized in different parts of the spine. Since the spinal column consists of vertebrae and joints, it is susceptible to a disease that affects the cartilage tissue of the joints - arthrosis.

                    Arthrosis is a disease of the joints, expressed in the wear and tear of intra-articular cartilage due to the aging of cartilage cells.

                    Their destruction under the influence of injuries, stress, inflammatory processes or dysplasia of the musculoskeletal system.

                    Some types of arthrosis of a certain localization have their own names.

                    Types of cervical arthrosis

                    Arthrosis of the spine is also called spondylosis, and arthrosis of the cervical spine is also called cervicoarthrosis. The following types of arthrosis are distinguished:

                  • Primary, or idiopathic, affecting the cartilage tissue of the joints for no apparent reason;
                  • Secondary, developing as a result of existing diseases, joint dysplasia or as a result of injury, inflammatory process, endocrine disorders and similar factors;
                  • Localized, affecting one joint;
                  • Generalized, characterized by multiple joint lesions (polyarthrosis);
                  • Deforming - accompanied by changes in the ends of the bones in contact with the joints, leading to pronounced changes in the shape of the joints, disruption of their functions and the appearance of severe pain.

Uncovertebral arthrosis of the cervical spine is one of the types of deforming arthrosis.

It affects the facet joints, is usually localized on 1-2 cervical vertebrae, and is accompanied by the formation of bone growths on their posterolateral surfaces.

Over time, osteophytes (bone changes) become more pronounced, growths impinge on nerves, and arthrosis is complicated by neuritis.

In the early stages of spondylosis, a change in the composition of the synovial fluid that nourishes the cartilage occurs, which is fraught with degenerative changes in the cartilage tissue, but at first there is no deformation of the bones and joints, and with timely diagnosis the process is reversible.

If cervical arthrosis is not detected at an early stage and measures are not taken, it quickly progresses, becomes deforming , and treatment of cervical arthrosis only helps to temporarily relieve pain and restore mobility, but it is no longer possible to return the joints to their previous state.

At the second stage, bone growths form on the edges of the vertebrae, and the cartilage is destroyed , and at the third stage, bone deformation is pronounced, the joint completely loses mobility.

Deviations that cause arthrosis can be either acquired or congenital, genetically determined.

Experts also distinguish such types of arthrosis as: simple vertebral arthrosis of the cervical spine and cicovertebral arthrosis.

Among the reasons it is necessary to highlight the following:

  • heavy physical activity combined with monotonous movements (lifting weights while working or playing sports);
  • static loads on the cervical spine during sedentary work and a sedentary lifestyle;
  • excess weight, fat deposits in the glenohumeral and cervical region;
  • dysplasia (developmental abnormality) of the joint, leading to improper alignment of the articular surfaces and unbalanced pressure on the cartilage. A similar picture can occur with scoliosis and flat feet;
  • injuries and inflammation of joints in the neck;
  • diseases of the endocrine system, especially the thyroid gland, metabolic disorders.
  • In this article you can learn more about the symptoms of cervical chondrosis.

    Symptoms of arthrosis of the cervical spine

    The initial stage of vertebral arthrosis of the cervical spine passes without pronounced symptoms. During this period, sharp, but short-term and local pain, concentrated in one or two vertebrae, can alert you.

    Typically, pain accompanies physical activity, a sharp turn of the head or lifting heavy objects with a jerk.

    Such manifestations cannot be ignored, since at this stage, uncoarthrosis of the cervical vertebrae can be successfully treated, and the pathological process can be stopped in just 2 weeks.

    If the disease is not identified, not cured and progresses, the pain becomes more prolonged and occurs even with minor exertion.

    Pain in the cervical spine can also appear in damp weather, with hypothermia. Painful sensations are accompanied by limited mobility, difficulty bending and turning the head, and movement of the arms in the shoulder joints.

    In the later stages, the pain becomes less acute, but almost constant; it is no longer a reaction to stress, but torments a person even in a state of complete rest.

    Turning the head is accompanied by a specific crunching sound and sleep is disturbed. In addition to the cervical region, pain can spread to the spinal column as a whole, thoracic, and lumbar regions.

    Symptoms of the last stages of the disease are sensations of numbness and tingling in the cervical region.

    The development of uncovertebral arthrosis of the cervical vertebrae ends with a complete loss of mobility in this department.

    Diagnosis of the disease

    At the slightest suspicious symptoms, you must immediately consult a doctor, since only he, using special diagnostic methods, can make an accurate diagnosis and prescribe the correct treatment.

    Enlargement of the vertebrae and the appearance of bone growths can be noticeable during visual examination and detected by palpation , but in the early stages the doctor relies on the patient’s words and the results of hardware diagnostics.

    After examining and interviewing the patient, collecting anamnesis, diagnostic procedures are prescribed.

  • X-rays are used in primary diagnosis to visually detect changes. Images of the cervical spine are taken in different projections. If the images confirm the presence of pathological changes, a more detailed examination is carried out.
  • MRI is a more modern and high-tech method that allows you to complete the picture, clarify the location of the disease, the stage of development, and the degree of spread.
  • Study of blood vessels using angiography . When joints are deformed, the patency and nutrition of blood vessels are disrupted. Angiography makes it possible to find out which vessels are involved in this process and how far it has gone.
  • Treatment of arthrosis of the cervical spine

    To effectively counteract arthrosis, it is necessary to eliminate the root cause of the disease and the factors that provoked its development.

    And then move on to direct treatment. An individual set of measures is developed based on the diagnostic results.

    The cervical spine needs to be immobilized as much as possible and gently stretched so that the load on the intra-articular cartilage is minimal.

    For these purposes, a special orthopedic collar is used. If the disturbances are caused by physical activity, it is necessary to abandon activities associated with it, and adjustments must be made to a sedentary lifestyle.

    With secondary arthrosis, if possible, the diseases against which it developed are treated. The diet is controlled, measures are taken to reduce excess weight.

    An important factor in the treatment of cervical arthrosis is diet, which should be constant.

    It is necessary to avoid animal refractory fats, smoked foods, fried foods and preserves, salt and hot seasonings, alcohol, and carbonated drinks.

    The diet should include cereal bread, fresh vegetables and fruits, and plenty of liquid.

    Drug treatment

    To treat arthrosis, medications of various effects are used.

  • Anti-inflammatory drugs to relieve swelling and reduce pain, internal, in tablets, and external, in the form of ointments, gels, rubbing.
  • Chondroprotectors that restore cartilage tissue.
  • Muscle relaxants that relieve muscle spasms.
  • Drugs that improve local blood supply to affected tissues.
  • Vitamin and mineral complexes to improve joint nutrition.
  • The doctor selects specific drugs for each group based on the severity of the condition , concomitant diseases, and the individual characteristics of the patient.

    We also recommend that you familiarize yourself with the technique of manual lymphatic drainage massage. A very useful procedure, especially if you are faced with muscle spasms. Read more at: http://vsetelo.com/dlya-vzroslyx/massazh-nog/mn-lechebnyj/limfodrenazhnyj.html

    Massage, physiotherapy, exercise therapy

    Drug treatment is effective only in combination with physiotherapy, manual therapy and physical therapy.

    The following physiotherapeutic procedures are used:

  • exposure to pulsed static current , multi-frequency current;
  • magnetotherapy – exposure to magnetic fields;
  • microwave therapy with decimeter waves;
  • in the absence of synovitis - phonophoresis and electrophoresis - local administration of anti-inflammatory drugs via ultrasound or direct current;
  • application heat therapy and local barotherapy , which improve metabolism.
  • The main method of manual therapy is massage, which cannot be performed in the acute stage.

    In other phases, it has a beneficial effect on the picture, improves blood circulation, relieves muscle spasms, and allows you to restore normal functioning of the joints.

    Massage must be performed by a medical specialist.

    Therapeutic exercise and gymnastics

    Any therapeutic exercises for arthrosis of the cervical spine should only be prescribed by a doctor, since the situation may be aggravated by incorrect movements.

    Exercises for the cervical spine should be combined with general strengthening exercises; gymnastics in the fresh air is most useful. There should be no pain or discomfort during exercise.

    Also, in the treatment of uncovertebral arthrosis, orthopedic products - the already mentioned cervical collar, pillow, and special underwear.

    In the last stages of the disease, conservative treatment, even complex, is not effective.

    Treatment with traditional methods

    In combination with drug treatment and procedures, you can use traditional medicine, which comes down to local effects.

    To treat arthrosis of the cervical spine, rubbing, ointments, and compresses are used. Here are some recipes:

  • A mixture of four parts of linseed oil is prepared in a water bath, to which you need to add one part each of turpentine and solid propolis. Used for rubbing followed by wrapping the diseased area;
  • rubbing with a mixture of geranium and sunflower oils, kept in a dark place for 2 weeks;
  • compresses with heated sea buckthorn oil.
  • What else do you need to know about uncovertebral arthrosis?

    Uncovertebral arthrosis of the cervical spine, also known as spondylosis, cervicoarthrosis, is a dangerous disease of the joints of the spine.

    Starting with a malnutrition of intra-articular cartilage, the disease results in their destruction, joint deformation, the appearance of load-compensating bone growths on the vertebrae and severe deformation of bone tissue.

    As it progresses, the pain, localized in the area of ​​several vertebrae and short-term, becomes increasingly long-lasting and spreads to other parts of the spine.

    Limited mobility of the cervical spine is replaced by complete immobility. If at the first stage an integrated approach allows you to completely cure arthrosis, then at the last stage only surgical intervention is effective.

    Therefore, if you experience pain in the cervical region, it is very important to consult a doctor with a detailed description of the symptoms, the nature of the pain and the circumstances of its occurrence.

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