Cervical osteochondral disease.

The pain in the neck is a shocking sign.Maybe it's just an overvoltage, you just need to relax and relax.But what if the pain is related to osteochondrosis in the cervical spine?It is important to think carefully about symptoms and treatment because complications affect the most important organ - the brain.

What is cervical osteochondral disease

Osteocartilage degeneration in the cervical spine is a degenerative disease of the human bone cherry system.It causes the destruction of the cervical intervertebral disc, the growth of the bone tissue of the vertebral bone, and the formation of the growth on its surface.

The cervical vertebra consists of seven vertebrae, the first vertebrae is elucidated by the skull.The anatomical and functional units of the spine are the spinal motor segments.This is a joint complex, the movement of the spine.The complex consists of two vertebrae, intervertebral disc, joint surfaces (facets) of the vertebrae, nerves, ligaments and muscles.

Osteochondrosis begins with damage to the intervertebral disc and affects all surrounding tissues.Over time, this process can lead to violations of the biomechanics of the entire spine.As osteochondrosis develops, hernia in the intervertebral disc, hernia that squeezes nerve roots and blood vessels may form.

The pathological process in the intervertebral disc occurs in four stages: diet, attenuation of ligaments, disc damage and nerve compression.

• Stage 1.The strength and metabolic conditions of the intervertebral disc are violated.Due to the characteristics of the structure, the disc is consumed only during movement.If that is not the case, the change in malnutrition tissue begins: the disk is starving and dehydrating.Loss of water causes the disc to fail to perform depreciation.The load on the fibrous annulus will increase, and cracks and tears will appear.Currently, mild pain may occur.
• Stage 2.In the second stage, ligaments in the vertebrae segment occur.Connection moves pathologically.The pathological process in the intervertebral disc is aggravated, and the hernia (prolapse) begins - seeping into the serous nucleus through the fibrous annulus.Pain becomes periodic.
• Stage 3.In addition, the disc is completely damaged.The lung core of the disk exceeds the fiber ring.The resulting hernia can invade the nerve roots.The inflammation process develops.This is manifested by the aggravation of pain in SO known as radicular syndrome.
• Stage 4.In the fourth phase, failure affects the nearby fabric.The radiation artery can be squeezed, resulting in a lack of blood supply to the spinal cord.As a result, the spine can be completely fixed.

The first sign and main symptoms

At the beginning of the development of osteochondrosis in the cervical area, discomfort, exercise limitations, and neck aches.Usually, this doesn't matter.

Over time, the pain can increase and become painful, burning, head, neck, shoulder, shoulder injury - perhaps this develops a syndrome of the vertebral artery.The arteries are squeezed or spasmed, and blood flow is disturbed.

Ophthalmic problems associated with spasm in vascularity often occur during stages 1-2 of cervical osteochondrosis.The eyes are darkened, flickered, the appearance of the "fly", the colorful spots in front of the eyes - all of which are symptoms of osteochondrosis.

The most common symptoms of cervical osteochondrosis:

1. Migraine, dizziness, nausea and cough.
2. Hearing impairment, ear pain, face.
3. Movement disorder in the hands, legs.The sensitivity of the skin on the head may be a gap.
4. Pain in the hands.If the nervous spine is pinched, the entire area where he sends impulses may be injured or “falling down.”

In addition to the above symptoms, you can also distinguish between three major pain syndromes and osteochondrosis in the cervical spine.This syndrome is an overall symptom.The identification of major pain syndromes is important because the entire treatment regimen is based precisely on pain elimination.If you don't know the source, it's impossible to eliminate it.

• Miofancial syndrome- Pain in skeletal muscle and adjacent fascia.This violation is associated with overload, where spasm, hyperosmotic, lymph nodes (trigger points) of internal muscle pain occur.
• Rook syndrome- Pain caused by long-term squeezing the spinal nerves.The hernia formation process of spinal osteochondrosis leads to the pinching of nerve fibers and subsequent inflammatory responses.The pain spreads along the nerves.
• Syndrome- Pain in vertebrates.The vertebrae of the second cervical vertebra has articulation processes that are interconnected with the arched (engraved) joints.As osteocartilage degeneration, the disc is destroyed and its height decreases, which leads to the fact that the joint capsule of the arched joint is at constant tension.This can cause pain.Additionally, by the end of the day, the pain increases, especially in the long-term forced position.

Causes of cervical osteochondrosis

One of the key causes of osteocartilage degeneration is the evolution of the spine to high vertical loads.People's ancestors walked on four legs like other mammals.They do not have osteochondrosis because in the horizontal position of the body, the pressure within the pulse is half the vertical direction.By evolutionary standards, a straightening transition occurred not long ago, and the spine had no time to adapt to high vertical loads.Therefore, along with straightening, a person also gains a disease of the musculoskeletal system.

A person's neck is more fragile, making it structured.A person's cervical department consists of seven small mobile vertebrae illuminated by the type of the pyramid of children.This design is almost impossible to be called stable outside the rest of the rest.Additionally, the muscle frame in this area is weak and the load can be high - all of which makes the neck vulnerable.Any harm is full of consequences.Even if the damage is in another spine, the load redistribution can cause osteochondrosis.

Another factor is aging.The formation of bone and cartilage fabrics ends at 21, after which an irreversible aging process (degeneration) begins.The cartilage food is only due to diffusion and begins to collapse gradually if the disc is not nourished.

In addition, the development of cervical osteochondrosis contributes to:

1. Autoimmune disease.They involve their own body cells during the pathological process of cartilage tissue destruction.
2. Infection, hormone failure, slowing down in metabolism - all these circulatory diseases can also serve as factors in the development of osteochondrosis.
3. A sedentary lifestyle, where a person is in a forced static position for most of the time.
4. High loads lead to injury can lead to compression.
5. Genetic defects are associated with weaknesses in the musculoskeletal system and inferiority in cartilage fabrics.

The spine in the cervical spine is very narrow, so it is high load, and any violation or injury can lead to compression of the spinal cord.This is very dangerous.

In addition, a large number of nerve ends and blood vessels in this area pass through.If the blood stops flowing into the brain in the appropriate volume, a stroke may occur.

diagnosis

In the main diagnosis of cervical osteochondral bone marrow, doctors collected the patient's medical history.He found that no matter what happens in the cervical spine, it will be painful at what intensity, load or rest at what time, load or rest at what time.

During the examination of the neck, the doctor feels the cervical spine and muscles, lymph nodes.Assess the number of exercises, not including or confirming Rooser syndrome.

Afterwards, laboratory diagnosis for the rule of autoimmune diseases is specified: general blood tests, ESR, rheumatoid factor, antigen HLA B27.

The main roles in diagnosis are radiation photography, computed tomography and magnetic resonance imaging.

• rnntGensographyIt helps to evaluate the status of bone structure, soft tissue and cartilage in the picture.To visualize these structures, contrast media were introduced: angiography, recording, bone marrow science.
• Computed tomography (CT).The method also uses the principle of x-ray photography, but using computer processing, you can get a series of pictures of the longitudinal and transverse parts where you can see the bones and cartilage.
• Magnetic Resonance Tomography (MRI).It is the "gold standard" for diagnosing pathology, including cartilage and soft tissue.MRI not only gives the structure of an organ and tissue, but also gives their functions.In the case of frequent complications of osteochondrosis, spinal hernia is present.MRI allows you to diagnose the hernia formation process early.

treat

The treatment of osteochondrosis in the cervical spine is reduced to a conservative approach.Initially, the pain syndrome is removed and various procedures are prescribed.But in the most extreme cases, surgery becomes the only way out when the pain is not more than three months and the medication does not help.

Non-surgical treatment methods

Osteochondrosis has hit the bone-peritoneal system for more than a year, so treatment will take time.Patience must be gained.Conservative therapy task:

1. Eliminate pain.
2. Remove inflammation.
3. Restores the function of the spinal cord root.
4. Strengthen muscle corset and ligaments.

Conservative treatment includes medication and physical therapy.Preparations help relieve aggravation and pain during physical therapy – starting the process of self-modifying the body.

During severe pain in radiation syndrome, SO is performed called "lockdown": the drug is administered near the spine where the spine is inflamed.

Physical therapy is based on natural and artificial recreation of physical factors: cold, heat, current, magnetic radiation, laser, etc.For reconstruction, special equipment, equipment, manual methods are used.

• Laser Therapy- Biological activation of the disc regeneration process.The body began to cheer itself.
• Plasma therapy (PRP therapy)- Plasma isolated from the patient's blood.Plasma is rich in platelets, growth factors, and hormones.After injection, local immunity increases and the regeneration process starts.
• acupuncture- Use special needles to stimulate nerve endings.Improving metabolism in affected areas can relieve pain.
• Shockwave therapy- Exposed to high frequency waves.Allows you to start the natural recovery process.
• Exercise therapy- Exercise therapy.It can be active (sports therapy) and passive (massage, traction).LFK strengthens the back muscles and traction relieves tension and pain.Taking into account the individual characteristics of the patient.
• Manual treatment and massage- Exposure to soft tissues and joints to restore homeostasis and synchronize the process.Return to fluidity and eliminate pain.
• recording- Special gypsum bonding to the skin where it is necessary to affect muscle stretching and compress receptors.It both relaxes and increases the tone of speech.

During acute pain, patients are advised to wear special bandages and collars around their necks.

The positive effects of conservative treatment are achieved within 2-3 months.If there is no result, the patient is advised.

Methods for surgical treatment of osteochondrosis

In the case of cervical osteocartilage, operation is an extreme measure that requires special indications.The following operations are recommended:

1. The pain cannot be eliminated for more than 3 months of treatment.
2. Hernia with intervertebral disc.
3. The sensitivity in the limbs disappears

Postoperative rehabilitation also takes time, which may include treatment and treatment.

Cervical osteochondrosis is a complex degenerative disease.You can't treat it.This serious invasion in the musculoskeletal system can lead to disability.Neck pain can become chronic, and osteochondrosis can spread to several parts of the spine.Timely prevention can prevent the development of this disease.

prevention

In order to maintain the health of the cervical spine, daily physical exercise is required.Food from the disc occurs during exercise, so it is very necessary.Importantly, the load is optimal and regular.

If work is related to the constant discovery in a static position, it requires regular warmth.After the weekdays, you can lie on a flat surface for a while and place the roller under your neck.This method will help restore the cervical bending of the spine and remove muscle tone.

In preventing cervical bone cartilage, the correct posture during sleep is important.If a person has a pain in his neck in the morning, then the muscles don’t have time to relax and recover.

Here, a separate orthopedic pillow will help.

Don't postpone treatment

Your doctor will help you choose your recovery plan.He will evaluate the status of the spine on MRI images, report the probability of absorption and the likelihood of treatment.