There is noise in the ears, osteochondrosis due to progressive degenerative changes of the spine that leads to damage of the vertebral artery. The main substrate for the emergence of the clinical symptoms is brain damage, and in particular the violation of its circulation. Known fact: the brain consumes about 20 % of all energy produced in the body. This indicates a high intensity of metabolic processes and blood supply to the brain, the slightest breach of which leads to the development of neurological symptoms.
Stuffy ears is the first sign of malnutrition of the brain, which will not only increase, but also accompanied by more serious symptoms. It can be a constant headache, and convulsions or loss of consciousness. Significantly increased risk of ischemic stroke. These symptoms United in the vertebral artery syndrome.
The mechanism of development of neurological manifestations on the part of the brain
The main reason for the emergence of a feeling of stuffiness of the ears is a disturbance of blood flow in the vertebral artery. It provides the blood supply to the cervical spine, the back of the brain, the cerebellum, the inner and middle ear. The vertebral artery is particularly exceptional because it passes through openings in the vertebrae.
How disturbed blood flow in the vertebral artery? It is surprising, but it all starts with the intervertebral discs. Due to the constant load on the cervical spine decreases the number of vessels that were krovosnabzhenie intervertebral disc. He gradually begins to break down. This is manifested in the loss of their liquid, reduce the height that can be detected on the radiograph.
The cartilage tissue that comprises the intervertebral disc begins to lose its strength and elasticity. The violation of its structure entails the inability to perform the functions entrusted to it. Intervertebral disc becomes unable to withstand the normal load.
This creates conditions for redistribution of the load. Point its app become the next vertebrae and other parts of the spine. In order to compensate for the high load, which is not used to the bone, it begins to increase its area. There are osteophytes – bony growths on the vertebrae, which is also visualized on the radiograph. Often, their proliferation in cervical spine directed toward the spinal canal, where the vertebral artery.
First, they irritate the outer shell of the artery by turning your head, which leads to the development of inflammation. With disease progression and increased osteophytes compression of the vertebral artery increases, the conditions for slow blood flow and further blood clot formation. All this leads to a decrease in the blood supply to various parts of the brain.
With the development of thrombosis can tear a blood clot and its migration, occlusion of the vessel and the development of stroke. The constant lack of glucose and oxygen in the brain leads to symptoms such as: headache, stuffy ears, seizures, etc.
Vertebral artery syndrome
Vertebral artery syndrome is a syndrome which occurs because of blood flow reduction in the vertebral artery with cervical osteochondrosis. This syndrome includes:
- stuffy ears;
- dizziness with nausea or vomiting;
- a feeling of instability;
- the darkening of the eyes, feeling of sand or sparks.
Headache permanent character often starts from occipital region and spread to the parieto-temporal lobe. In some patients the pain is throbbing and is accompanied by vomiting. Increased headache after a sharp movement of the neck, usually after sleep. Almost all patients have headache occurs simultaneously with the pain in the neck.
Patients often complain that ears pop. This symptom can be both one-way and hit from both ears. The noise in the ear osteochondrosis pulsating nature. In addition, it lays the ears, patients can note the presence of noise in the ear, temporary or progressive hearing loss. Often it is combined with vertigo, accompanied by nausea or vomiting.
The occurrence of syncope noted very rarely. This is often expressed disorders of blood flow in the vertebral artery. Patients usually attribute the occurrence of syncope with a sharp turn of the head. Violation of blood supply of the cerebellum is manifested by unsteadiness of gait, subjective feeling of instability. On examination, the patients can’t walk in a straight line.
Also characteristic symptoms from the body. Vertebral artery syndrome in the initial stages is manifested in the emergence of feelings of blackouts, the presence of sand or sparks before the eyes. In the initial stages when inspection is determined by a slight violation of the tone of the fundus vessels. In the long course of the disease there are pockets of persistent impairment of blood circulation in the fundus. This condition is accompanied by a significant decrease in visual acuity.
Diagnosis of vertebral artery syndrome in cervical osteochondrosis should be a doctor-neurologist. This is required because the vertebral artery syndrome is very similar manifestations hypertension, atherosclerosis, climacteric neurosis.
How to get rid of manifestations of osteochondrosis
Since impaired blood flow in the vertebral artery arises from the development of osteoarthritis, the treatment is directed to its manifestation. At the moment we haven’t invented a treatment that would lead to a complete cure of low back pain. However, there is a complex of therapeutic measures to reduce headache, tinnitus and other symptoms, achieve remission.
Treatment of osteochondrosis in different periods of the disease (exacerbation or remission) is substantially different. The acute phase is always accompanied by high intensity of pain syndrome, vertebral artery syndrome, a significant deterioration of General health of the patient. Therefore, the aggravation of the recommended inpatient treatment with polupostelny regime.
Events during exacerbation
|Traction of the cervical spine with a loop of Gleason.||Inpatient treatment allows traction of the cervical under the control of the medical staff. Short-term traction with a small cargo offloads the spine and reducing the pressure inside the disc.|
|Is assigned compulsory wearing of the collar Trench.||This reduces the load on the spine.|
|Anaesthesia is given.||During exacerbation medication includes the introduction of painkillers (analgesics).|
|Appointed cardiovascular drugs.||They provide expansion of blood vessels (vasodilators) and prevent the formation of blood clots (antiplatelet agents).|
|When expressed pain syndrome in the neck is carried out preliminary blockade.||This is the introduction of analgesic in the area of the vertebral processes.|
In remission shows a Spa treatment (radon and hydrogen sulfide baths). Useful physiotherapy effects: electrophoresis 2% solution of novocaine. At the same time, recent studies have shown that the heating using paraffin applications negatively affect the course of the disease.
Surgical treatment is indicated only in the presence of a hernia in the cervical spine, which compresses the vertebral artery or the spinal cord. The operation aims to remove a hernia and to stabilize the spine in the affected segment.