Osteochondrosis is a degenerative-dyconny disease with the basis of intervertebral disks.The development of the spine is to develop, excessive microtraumatization, extreme static and dynamic cargo, inherited tendency, developed until developed age.The most common localization of the lesion is a cervical and waist waist.This is due to their greatest mobility and burden.
General concept of osteocondrosis
With time loses intervertebral disk fluid and loses shock -Sorbing function.Physically less durable.The fibrous ring, located on the edge of the disk, is gradually in a delicate, cracking form.Pulpic core changes along the peripherals in cracks and forms that occurProtub(local protrusion, 1 degree).According to intensive physical activity, protrusion increases spasmodically and may change the lynx of vertebral channel.In this case, they are talking about the disk "about (2 degrees).Sometimes the free fragments of the nucleus can occur -Sequestr.
In the early stages of the disease, pain, posterior can be explained by threatening the fibrous ring and irritation of the ligament.Pain can be localized locally locally in local or neck, as well as remote areas.The pain can be reflected behind the head of the cervical osteochondrosis, knife and cross-section, shoulder carriers and hands.
Pain is accompanied by reflex spasms of segmental muscles.This phenomenon has a protective nature and stabilizes the specified part of the spinal column.With time, the muscle contraction becomes an independent source of pain.While rotating the intervertebral hole, the hernia squeezes neighboring nerve roots.Radicular pain, a localized shooting, permereating character during the innervation of the nerve.Relevant neurological manifestations are accompanied by:
- reduction in sensitivity;
- failure of reflexes;
- muscle weakness.
Disk Degeneration violates the normal anatomical rate between the components of the spinal column: discs, spines, joints and ligaments.The gradual decline in the highness of the intervertebral disk leads to the change of articular relations and the formation of vertebrae dislocation.This fact shows the instability of the spinal column and reduces resistance to injuries, which can cause osteocondrosis.
Age, the stability of spine is restored due to the thickization of hypertrophy of osteophytes, hypertrophy of articular processes, discs, articular ligaments and capsules.The final stage of the pathological process is called spondylosis.This time a decrease pain.
Basic symptoms of cervical osteocondrosis
Cervical segments, nerve roots and their veins, spinal cord and ships and spinal arteries can be squeezed.Compressing the spinal cord is possible due to posterior intervertebral hernia or rear osteophytes.A narrow vertebral canal people are especially prone.The brawl, cervical osteocondrosis is developing very quickly, and the symptoms of the current block of the brainer Fluvin are softer.
It is very difficult to clinically distinguish between tumors and hernia clinically.Osteocondrosis of cervical spine, legs, sensitivity, sensitivity, pain and weakness, pain and weakness, are self-evident by a spastic term.In some cases, the signs of compression are combined with the symptoms of the spinal cord substance, resulting from the congestion of spinal artery and radical ships.
The symptoms of damage to the antioti horns and ventral departments suddenly can suddenly develop (blood supply to the front spinal artery) with the participation of pyramid.Previous syndrome occurs: the spastic day of the arms, feet, the sluggish sfincter function is slow.Sometimes the signs of gross violation of deep sensitivity in hands are developing.After 2-3 weeks, the symptoms of the spinal kick begin again.In terms of the volume of pathological attention, we can say about the severity of the residual events.
Cervical Myelopathy
Myelopathy is a chronic occupation for cervical osteocondrosis.The great role in the development of this syndrome is played with the compression of blood vessels.The defeat of the ventral parts of the most characteristic, side poles and front horns.Spasticity of the legs, legs, in the spasticity of the legs, the violation of the deep sensitivity of the legs (the classic triad).
In a number of patients, Lermitta's symptom appears: the feeling of passing through the radiation of the pain in the hands of the electricity and with the irradiation of pain in the legs.It is possible to develop side amyotrophic sclerosis without bulbar symptoms.
The important role in the confirmation of the miyopathy is performed by MHI and CT, which reveals the bark bag with osteoophytes and thickened yellow gang.
Signs of radicular compression
Since the main disks are faster, the spondylarthroz develops in the relevant segments.Osteofites narrow intervertebral holes and squeeze the roots (squeezing the tear in the epidural space more often at the epidural space).The growth is wounded while moving his head, which further narrows the intervertebring hole.Develop jet inflammatory reactions.
Clinical manifestations:
- C3 -Coreshok (Cervical Vertebra, below 2, is quite rarely) - the relevant half of the brain, the feeling of pain, swelling of the tongue, a compromise in the throat;
- C4 -KoreShok - Appropriate shoulder flow, a decrease in the tone of the muscles of the muscles of the clavicle, the tone of the neck muscles (3 and 4 causes the appearance of a change of change in the liver);
- C5 -Dekor - Pain on the side of the shoulder neck and shoulder outer surface, hypothrophy of deltoid muscle;
- C6 -KoreShok (one of the most common localizations) - pain in paint, knife, shoulder shoulder 1 finger, parupesia, two-headed muscles weakness;
- C7-Koreshok-Acran spreads into 2-3 fingers accompanied by weakness of the paresthesia, three-headed muscles;
- C8 -Koreshok - Pain extends to the elbow surface of the 5th finger, accompanied by paresthesia.
Cervical Reflex syndromes
Vertebral syndrome shows itself with acute cervical pain (peastard, cervicures), less chronic or subacute pain.The main sources of pain syndrome are a fibrous ring, the back longitudinal ligament, joint capsules, intense muscles.Krivosheya is not pronounced as the curvature of spine at the waist level.
The pain is aching, lighting to the back of the head.Stay in a position while driving or stretching.The pain of palpation, inclined processes and pains of joints (more than 3-4 cm along the back surface of the neck) is determined.It is not only the back, but also the muscles of the back of the back (front stairs, etc.) are characteristic.
Front stairs syndrome
The staircase muscle tension occurs very often with cervical osteocondrosis.Muscle, stressful grade, compared to the intense and healthy side, is determined by the side of a rising sternum coated muscle.Due to the tension, the compression of supravichical ships, it is accompanied by pain and swelling, sensitivity and motor activity (along the elbow nerve) in his hand.The pain is strengthening in a horizontal position.
Small chest muscle syndrome
The development mechanism is similar to the previous one.The squeezing of the frozen beam of the dam occurs in the conditions of hand abduction between muscle and shoulder bone (or corave process).The chest is accompanied by pain in the shoulder blade, hand.
The current features are often accepted as a heart pain with the VSD (no sharp attacks, the effects of nitroglycerin or sedatives are not increased during the movement and palpation of pain points).
Rear Sympathy Syndrome
The idea that occurred as a result of irritation of the sympathetic plexus of the vertebral artery, is characteristic of vasomotor disorders.Plexus's branches are located in the tissues of the brain and skull.Clinically self-evident in dizzy, ears, spectacular disorders, anxiety.
The combinations of the spinal column are an important pathogenetic factor in the development of ostebral arteries, along with atherosclerotic damage to the brain and spinal cord.
Opinion
In most cases, pain in the hands and neck are associated with cervical osteocondrosis.Some patients cause pain, intervertebral disk corners, others - osteophytekits and arthrosis of the waist joints.Each of these options may cause local or reflected pain, radicular syndrome and myelopathy.Such pathologies should be excluded when examining patients with pain in the neck:
- tumors of the spine;
- Epidural abscess;
- spondylitis;
- Subarachnoid bleeding;
- meningitis;
- Hall abscess;
- Stratification of carotid arteries;
- The fracture of cervical vertebrae.