Dorsopathies of the cervical spine: causes and treatment
Many tormented by the question: how to treat such a disease, as dorsopathies of the cervical spine? The cervical spine is susceptible to negative influences, because the cervical vertebrae are much smaller in size, but they have to withstand considerable weight of the head. The neck is very mobile and is associated with muscle exertion. In addition, in the cervical region there are various joint cartilage and large vertebral artery. As a result, begin to occur degenerative processes that lead to the defeat of the strongest of the vertebrae.
Depending on the localization of lesions of the joints of the spine, dorsopathy is divided into three main groups:
Disease of the thoracic spine (if you look at the statistics of diseases, it is extremely rare). Dorsopathy of the thoracic spine is most often characterized by acute lesions of the lower thoracic discs, close to the loin.
Dorsopathy lumbar and sacral spine (in this area is the most common disease).
Despite the fact that dorsopathy lumbar sacral spine is far more common than cervical, lesion of the cervical vertebrae is the most dangerous as it violates the blood circulation of the brain and affects the Central nervous system.
Deformity of spine causes compression of nerve endings
As for diseases of the lumbar spine, though they are extremely painful, however, does not carry such a serious complications.
In this case, doctors prescribe physiotherapy for lumbar spine, observance of rest and refraining from physical labor.
In addition, there is a classification dorsopathies, based on the kind of lesion of the spinal ridge:
Distorting the view. It occurs as a result of disruption of the normal arrangement of the joints of the spine relative to each other, different curvatures, and many other pathological changes in the lumbar spine, including disc protrusion and intervertebral hernias.
Spondylopathy. Manifests itself in humans as a result of severe spinal injuries and various diseases that cause degenerative changes in the bones of the body such as tuberculosis, cancer of the spine and syphilis.
Discogenic. The development of such lesions is the result of severe degeneration of cartilage of the spine, which leads to displacement of the vertebrae and herniated disc.
There are 8 main factors that cause dorsopathies of the cervical spine, namely:
Age-related changes in the body that are exacerbated by sedentary lifestyle.
The stress and anxiety.
Violation of metabolic processes in the body.
Professional activity, requires individuals to lift heavy objects or prolonged stay in the same position.
Frequent illnesses caused by viral infections.
The compression of the arteries leads to malnutrition of the brain
This dorsopathy most often manifests in the form of osteochondrosis, which is known to be the main cause severe pain in the back, it’s dorsalgia. In this disease of cartilage in the joints of the spine is much thinner, due to which he loses the ability to function normally.
In addition to osteoarthritis, other sources dorsopathy often become:
- different curvature of the spine, such as scoliosis, lordosis or kyphosis;
- degenerative disease of intervertebral discs;
- intervertebral hernia;
- inflammation of the nerve roots;
- a variety of spinal injury: contusions, sprains or fractures;
- various joint disease or bony skeleton of the body;
- specific disease: tuberculosis of the spine, syphilis, etc.
Disease of the cervical spine, symptoms of which mainly depend on the stage of disease and severity of the vertebral joints, manifested by the following features:
The strongest pain in the shoulders and neck, which are significantly aggravated by physical exertion, besides during sleep.
Sharp, burning and throbbing headache that is not relieved with painkillers exist.
Dorsalgia is a very strong pain in the area of the affected spine.
A significant decrease in motor functions of the cervical spine. The patient has difficulty in tilting the head forward or turn right and left.
Weakness, lack of vitality, drowsiness and fatigue.
Numbness in the neck and also hands and fingers, temporary loss of sensation, partial paralysis.
A lot of noise in the ears.
Expressed pain behind the breastbone and in the heart.
Sleep at night.
The increased weakness of the hands.
Galloping blood pressure.
Strong dizziness and nausea.
Loss of consciousness, fainting.
Eye noticeable deformity of the spine.
You need to understand that dorsopathy cervical and cervico-thoracic or thoracic spine, the symptoms of which are sometimes similar, are different diseases and therefore require different approaches and treatment.
Diagnosis of the disease
Important role in the diagnosis plays a thorough medical examination, which first drew attention to such symptoms as:
Different shoulder height and the violation level of the pelvis.
The asymmetry of the hands and feet.
Insufficient flexion of the spine.
The finding of the blades is not on the same line.
Further, it examines the spine along its entire length, thus revealing the most painful areas of the back, as well as the protrusion or, alternatively, collapse of the vertebral joints. In addition, the specialist must inspect immediately adjacent to the sore spine muscles and ligaments to determine their tone and tension level and to detect tumours.
To date, the main technical ways to detect various lesions of the spinal column, including dorsopathies of the cervical spine is:
- radiography (to determine major changes in the spine, but useless in the early stages of dorsopathy);
- computed tomography (helps to detect more small lesions of the vertebrae at an earlier stage of the disease);
- magnetic resonance imaging (gives the most complete picture of changes in the spine, effective even at a very early stage of the disease, it is recommended for use in the diagnosis of dorsopathy lumbar and thoracic).
Treatment of dorsopathies of the cervical spine, as well as thoracic or lumbar, and should be done not only at the time of exacerbation of the disease but also during remission. Treatment will significantly increase the time between attacks and markedly reduce their intensity.
Treatment of dorsopathies in the time of aggravation consists of the following:
At this point, the patient should observe complete bed rest to ensure the affected spine functional rest.
As additional funds to support the spine you can use a special medical corset for the neck.
To reduce pain and eliminate excessive tension in the back muscles, as a rule, treatment includes the use of nonsteroidal anti-inflammatory drugs.
Special warming cream contribute to the rapid removal of swelling and elimination of inflammatory processes in soft tissues adjacent to the painful region of the spine.
If the treatment dorsopathy through the above-mentioned methods have not yielded the desired result, to facilitate the serious condition of the patient prescribe procaine blockade, which are injected directly into the affected area of the spine.
To prevent circulatory disorders in the vertebral artery compression and re-raise all exchanges processes to a normal level, patients are assigned compulsory acceptance of anti-ischemic funds.
As an effective means for the prevention of severe chronic pain of the lumbar back (or, as it is also called dorsalgia) are advised to use chondroprotectors that contain substances similar in composition to components of cartilage tissue of the spine. These drugs have a pronounced regenerating and anti-inflammatory properties that help to improve the condition of the joints and regain mobility.
Therapeutic exercises and a variety of water treatments help to improve metabolism and nutrition of the affected joints of the spine and normalize blood circulation in them. However, for best result, these classes should be held regularly.
Physiotherapy can reduce pain and eliminate inflammation in the diseased vertebrae. However, it should be noted that the treatment with the application of this procedure will be useful to the patient only in the period of remission.
Therapeutic massages contribute to the rapid relaxation of overused muscles, increase blood supply in the cervical spine and beneficially affect the organism as a whole.
Traction of the spine affected by osteoarthritis or other diseases of the lumbar back, with the help of special equipment, helps to increase the space between the joints of the spine, to reduce pain and helps to normalize the work of the spinal column;
Surgical treatment. Surgery is used when dorsopathy not more than 0.3% of cases. The main purpose of this surgery is the restoration of the fibrous membranes vertebral cartilage during the formation of protrusion or intervertebral hernia. In addition, physicians may insist on carrying out the operation and in the case that dorsopathy remains active for more than 5 months, and the treatment of conservative methods do not bring relief.
In addition, used manual therapy, hirudotherapy and magnetotherapy.