Osteochondrosis of the cervical vertebrae: diagnosis and treatment

the girl has a pain in her neck

Do you experience back pain and numbness in your limbs?These are the first signs of osteochondrosis.Insufficient mobility in the lifestyle, sedentary work, stress on the neck and spine lead to cartilage wear and loss of moisture, which leads to damage.

In cervical osteochondrosis, degenerative changes occur in the intervertebral discs.Not only the discs are damaged, but also the vertebrae and joints in the cervical region.If the disease is not treated for a long time, the general well-being of the patient worsens: constant headaches, appearance of spinal hernia, deterioration of cerebral circulation, as a result of which cognitive functions decrease.

Reasons for the development of osteochondrosis

Incorrect sitting position, in which the neck is pulled forward, leads to the development of cervical disease.In this case, excessive pressure occurs on the intervertebral discs, which leads to changes in the nucleus pulposus and compression of blood vessels.This is the position a person takes at the workplace in front of a computer.Therefore, office workers are most often exposed to the development of osteochondrosis of the cervical vertebrae.

computer guy

In addition, the reasons for the development of the pathology can be:

  • incorrect load distribution when carrying bags;
  • too soft a place to sleep (the spine bends in an unnatural shape);
  • genetic predisposition;
  • lack of vitamins and trace elements in the diet;
  • disorders of the endocrine system;
  • curvature of the spine and bad posture during active growth of the body;
  • cervical spine injuries;
  • the presence of bad habits.

Stages of the disease

Only an experienced doctor after examination and palpation can determine whether your pain symptoms are signs of the development of cervical osteochondrosis and what is the stage of development of the disease.In general, cervical osteochondrosis goes through four stages of development:

  1. Nucleus pulposus - the central part of the intervertebral disc during the first stage undergoes moderate dehydration.As a result, the supporting and cushioning functions of the intervertebral discs are gradually lost.During the first stage, you will feel pain with sudden movements, hypothermia and staying in one position for a long time.
  2. The second stage of development is characterized by the appearance of congestion and spasms, which press the capillaries and blood vessels, preventing normal blood circulation.As a result, the frame of the intervertebral disc thins, forming a protrusion (bulging forward or backward).Under the influence of excessive load, osteophytes of the cervical vertebrae are formed.Pain sensations are localized in one place;with sudden turns and tilts of the head, displacements of the cervical vertebrae may occur.
  3. Extrusions are formed as a result of thinning of the intervertebral discs.The edge of the nucleus pulposus interrupts the annulus fibrosus and extends beyond the edges of the vertebral body.Muscles and nerve endings are compressed.Pain is felt in the neck, back and limbs.
  4. In the fourth stage of the disease, the intervertebral discs are displaced and central and lateral hernias are formed.In addition, scars form on the discs, which leads to immobility of the affected joint.The patient experiences constant pain in the back, which spreads to other parts of the body, a constant feeling of fatigue, asymmetry of parts of the body occurs.
neck and back pain

Symptoms of cervical osteochondrosis

The symptoms of osteochondrosis of the cervical spine are manifested differently depending on the stage of development of the pathology.In the early stages, it can occur practically without symptoms.Neck and back pain can only occur if you stay in one position for a long time or bend or turn sharply.

In the later stages of development, a crunch is heard in the spine, back pain spreads to other limbs, and numbness of parts of the body appears.During the formation of osteophytes and extrusion occur:

  • headache in the back of the head and the parietal part;
  • speech disorders and numbness of the tongue;
  • reduced sensitivity of the neck skin;
  • breathing disorders;
  • changes in blood pressure;
  • heart rhythm disorders;
  • noise and congestion in the ears;
  • seizure.

Symptoms of osteochondrosis of the cervical spine in women are much more pronounced than in men.This is due to the fact that women have a predisposition to vascular diseases and a more fragile structure of the bone segments of the spine.Signs of the disease begin to appear when the intervertebral discs change.This leads to disruption of normal blood circulation and causes severe headaches, dizziness and neuroses.Exacerbation of the disease in women often occurs during menopause, when the body undergoes hormonal changes.

Symptoms of cervical osteochondrosis in men are similar to those in women;erectile dysfunction may be observed separately.

Headache with cervical osteochondrosis is caused by poor blood circulation in the brain and spinal cord.When the vertebrae are displaced, they compress the arteries and the oxygen content of the blood decreases.Unfortunately, such pain may not go away even after taking strong painkillers.That is why it is important to approach solving the problem comprehensively.Dizziness with cervical osteochondrosis may be accompanied by darkening of the eyes and the appearance of tinnitus.This happens because a spasm of the muscles causes a decrease in the supply of oxygen to the brain.

A lump in the throat with osteochondrosis of the cervical vertebrae, as well as burning, difficulty breathing and muscle spasms are common.The disease provokes compression of the nerve fibers of the cervical vertebrae to the head and neck.Disturbances in nerve impulses cause sore throat.

Due to spasms of blood vessels and irritation of nerve endings, spikes in blood pressure occur.Increased low pressure in osteochondrosis indicates that the blood supply to certain areas of the brain is impaired, as the vertebral artery is pressed by the intervertebral discs.As a result, oxygen starvation occurs and blood pressure rises.

a doctor runs an MRI

How is osteochondrosis of the cervical vertebrae diagnosed?

Diagnosis of the pathology begins with a consultation with a specialist.At the first manifestations of osteochondrosis, consult a rheumatologist, neurologist, surgeon or traumatologist-orthopedic.The doctor will ask about the symptoms and the frequency of their occurrence;you must provide the specialist with a complete medical history and the results of previous tests (if any).The specialist will perform a visual examination and palpation and refer you for tests.During the examination, the doctor pays special attention to the mobility of the neck, muscle tone, skin sensitivity and identifies the most painful areas.

In order to determine the state of the muscles, ligaments, blood vessels and detect inflammatory processes or tumors, an informative and safe diagnostic method is prescribed - MRI of the cervical spine.During MRI of osteochondrosis, the patient lies on a special sliding table with his back.Rollers are placed on the patient's head to relieve muscle tension, and the limbs are secured with belts.Any slight movement during the procedure can affect the quality of the result.The mass is then moved into the CT scan area.The procedure does not cause pain.The tomograph makes a lot of noise during the scan, so you can use headphones to avoid discomfort.

If MRI is contraindicated, there are other diagnostic methods such as computed tomography and radiography.X-ray is suitable only for primary diagnosis and does not give a layered image of the affected tissue.However, this study is the simplest and most economical, which allows you to examine the patient's body in several projections.Due to the strong irradiation of the body, X-rays cannot be performed frequently.

During a CT scan, a scan is performed using one or more beams of ionizing rays.They pass through the human body and are recorded by detectors.The detectors move along the patient's body in opposite directions and record up to 6 million signals.The image shows tissues of different densities with precise determination of organ boundaries and affected areas in the form of a section.The procedure allows you to get an image layer by layer.

doctor

Treatment of osteochondrosis of the cervical vertebrae

How to treat cervical osteochondrosis will be determined only by a doctor after an examination, studying the medical history and obtaining the results of hardware diagnostics.If the disease is diagnosed at an early stage, treatment will be carried out using conservative methods.In the treatment of osteochondrosis, it is important to adhere to an integrated approach - take medication, do physical therapy, go to therapeutic massage and avoid heavy physical exertion.

First of all, you need to relieve the pain.Analgesics and local pain relievers are prescribed for this purpose.An orthopedic collar is prescribed for severe muscle spasms.After eliminating the pain syndrome, it is necessary to stop the inflammatory process and restore normal blood circulation.For this purpose, antioxidant and anti-inflammatory therapy is carried out.As additional measures, therapeutic exercises and swimming are prescribed.You can do physical exercises both at home and with a trainer.

If osteochondrosis has become severe, the doctor may prescribe surgery.Surgical intervention is resorted to in rare cases when the pathology develops against the background of other diseases - scoliosis, herniation of the intervertebral discs, curvature or displacement of the spine, injuries.

Treatment of cervical osteochondrosis in women is not particularly different from treatment in men.However, doctors often recommend women to do external compresses to warm and strengthen the neck muscles.

Experts recommend preventing various back diseases from early childhood.To do this, you need to form proper posture while walking and sitting at your desk.Proper nutrition and proper strengthening of the back muscles will help you avoid negative consequences in the future.