Vertebral and vertebrogenic cervicalgia: diagnosis, symptoms and treatment of this disease

The diagnosis of cervicalgia symptoms and treatment neck pain

Pain in the neck at some point have experienced almost all people.

In medicine this condition is called the term «cervicalgia».

As a rule, this pathology is the first and most common symptom of cervical degenerative disc disease.

Without adequate treatment, this condition can cause serious complications and seriously degrade the quality of human life. It is therefore important at the onset of discomfort immediately contact a doctor.

What is the syndrome of cervicalgia?

This pathology falls into the category of the most common diseases of modern people.

According to statistics, pain in the neck experienced by more than 70% of people. The term «cervicalgia» understand the pain, which is localized in the neck and radiates to the shoulder, neck and hands. According to ICD-10 disease code has М54.2 «Cervicalgia: description, symptoms, and treatment.»

To suspect the presence of this disease can be when a person has difficulty with movements of the head – they are limited, often cause painful or accompanied by muscle spasms.

Classification pathology

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At the present time it is customary to distinguish two main types of cervicalgia:

  1. Vertebrogenic. It is associated with disorders of the cervical spine is a consequence of spondylosis, herniated disc, rheumatoid arthritis and other inflammatory processes.
  2. Vertebral. This form of the disease develops due to stretching of muscles or ligaments, myositis, neuralgia of the occipital nerve. Sometimes this pathology is of psychogenic origin. It can be due to epidural abscess, meningitis, subarachnoid hemorrhage.

Vertebrogenic cervicalgia

In turn, the vertebral form is divided into several types:

  1. Spondylogenic this is the result of irritation of the nerve roots. The result is pain that is difficult to remove. Usually this kind of cervicalgia occurs in the case of destruction of bone structures in the result of the osteoma, radiculopathy, osteomyelitis.
  2. Discogenic – develops in degenerative processes in the cartilage tissue of the spine. This form of pathology is often a consequence of degenerative disc disease, herniated disc, etc. It is accompanied by persistent pain, and sometimes requires surgery.
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And the pain in the neck are not always the result of serious disease of the spine.

Cervicalgia usually occurs as a result of high loads on the spine and muscles. That is why the disease depending on the characteristics of the flow happens:

  • sharp – it is characterized by a pronounced pain when turning neck movements, head tilts;
  • chronic – may be accompanied by various painful sensations, which give the back and upper limbs.

Causes of the syndrome

Discomfort in the neck occurs due to irritation of nerve fibers located in this region.

The main reason for the development of cervicalgia is osteochondrosis, which is accompanied by destruction of the nucleus pulposus of the intervertebral disc.

Gradually formed a hernial protrusion, which is annoying at first longitudinal ligament, then the spinal nerve roots.

However, osteochondrosis is not the only disease that leads to disease. The development of pain syndrome in the neck can cause the following pathologies:

  • tumor formation;
  • autoimmune diseases – in particular, ankylosing spondylitis;
  • infectious diseases – retropharyngeal abscess, epiglottitis;
  • spondylosis – degenerative arthritis and osteophytes;
  • stenosis – narrowing of the spinal canal;
  • disc herniation – protrusion or a bulging disc;
  • mental disorders.

The cause of the pain may be hiding in any of the structures in the neck, including blood vessels, nerves, digestive organs, respiratory, muscles.

In addition, cervicalgia may be due to the following factors:

  • a pinched nerve;
  • stressful situation;
  • prolonged stay in an uncomfortable position;
  • uncomfortable head position during sleep;
  • light traumatic injuries;
  • hypothermia.

Symptoms and signs

Pain in the neck area can radiating, pulsating, tingling. Even the slightest movement, physical exertion, or usual cough can lead to exacerbations. Usually characterized by the following symptoms:

  • dizziness;
  • numbness in the neck or upper extremities;
  • noise in the ears;
  • pain in the neck.

It is also found cervicalgia with muscular-tonic syndrome. This state is characterized by soreness and tension of the neck muscles and limitation of mobility.

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You need to consider that prolonged pain in the neck, shoulders, nape of the neck may indicate chronic disease of the spine. In this case, grow and deform the vertebrae and intervertebral discs.

Diagnostic methods

For diagnosis of cervicalgia, is usually carried out following survey:

  1. The x-rays. Although this study can only be considered bone tissue, it is possible to identify the cause of pain in the neck. The show damaged joints, broken bones, aging changes.
  2. Magnetic resonance imaging. This study allows to assess the condition of the soft tissues – nerves, muscles, ligaments, intervertebral discs. With the help of MRI we can detect tumors, infections, hernias.
  3. Electromyelography and analysis speed of nerve conduction. These studies are conducted in case of suspicion on malfunction of the spinal cord. Usually testimony is weakness and numbness of the hands.

How to treat the manifestation of the syndrome?

To eliminate the symptoms of the disease approach to treatment of the disease should be comprehensive.

Typically the therapy includes medications, physiotherapy, physiotherapy. Sometimes there is a need for surgical intervention.

The main goals of treatment are to:

  • the increase in mobility of the cervical;
  • elimination of the pain;
  • the release of the clamped spine;
  • preventing the progression of cervical degenerative disc disease;
  • strengthening muscles.

For pain generally use nonsteroidal anti-inflammatory drugs – paracetamol, ibuprofen, nimesulide.

This therapy should not last very long because it can lead to problems with the digestive system. In severe cases, shows the use of muscle relaxants – baclofen, tolperisone, ciclobenzaprina.

If there is a pronounced tension of the muscles can be assigned to local anesthetics – novocaine or procaine.

In some cases, use of a cervical collar should be worn for 1-3 weeks. To reduce pain may be prescribed traction treatment, which consists in traction of the spine.

Equally important for the successful treatment of cervicalgia has medical gymnastics. Also many patients prescribed physiotherapy – massage, compresses, mud baths.

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Surgery

In some cases there is a need in the surgical treatment of pathology. Indications for the operation is as follows:

  • acute and subacute lesions of the cervical spinal cord, which are accompanied by disturbance of sensation, pelvic abnormalities, Central paresis;
  • the increase of paresis in the area of innervation of the spinal roots in the presence of the danger of necrosis.

Basic methods of surgical treatment in this case include the following:

  • laminectomy;
  • iscathamiya;
  • is foraminotomy.

Preventive measures

To prevent disease, should be very attentive to the condition of his spine. To keep it healthy, you must follow these rules:

  1. In sedentary work, it is necessary to take breaks. It is very important to equip your work place.
  2. Do not lift heavy objects with a jerk.
  3. The bed should be rather hard, in addition, it is advisable to choose an orthopedic pillow.
  4. It is very important to eat a balanced. If you have extra weight, so they must be eliminated.
  5. To strengthen a muscular corset, to be in sports. It is especially important to train the muscles of the back and neck.

Cervicalgia is a serious pathology which is accompanied by severe pain in the neck and significantly affects the quality of human life.

To prevent its development, you need to exercise, to eat a balanced, properly organize the mode of work and rest. If the symptoms still appeared, you must immediately consult a doctor.

Through adequate and timely treatment can quickly get rid of the disease.