Neck pain

MECHANISM OF APPEARANCE OF PAIN

Osteochondrosis is a chronic disease of the spine, which is characterized by the development of irreversible changes in the intervertebral joints and discs. The direct cause of the development of osteochondrosis is a prolonged increase in the load on the spine, associated with the erect position of a person, a long stay in unnatural postures (for example, during prolonged work at the computer) and other factors. The result of these processes is a violation of the blood supply and nutrition of the intervertebral discs, which leads to the appearance of microcracks in them. At the final stage of the development of the disease, as a result of the progression of dystrophic processes, the strength of the articulation between two adjacent vertebrae is disturbed;

MAIN SYMPTOMS

  1. Neck pain – sharp, shooting, aggravated during movement. The pain may be unilateral (with the defeat of one spinal nerve) or bilateral.
  2. Crunch in the neck – occurs when turning and tilting the head, sometimes painful.
  3. Headache – radiating to the temporal and occipital region.
  4. Pain in the shoulder girdle – in the shoulder, shoulder blade, sometimes in the entire arm on the affected side.
  5. Frequent dizziness – due to impaired blood supply to the brain.
  6. Violation of sensitivity in the occipital region – caused by damage to the spinal nerves.

ADDITIONAL RESEARCH

  1. X-ray of the cervical spine. It is carried out in two projections (in a straight line and in the side). This study allows to assess the symmetry of the spinal column, to identify the places of thinning of intervertebral discs, narrowing the gap between two adjacent vertebrae.
  2. Computer tomography (CT). It allows you to study in more detail the damaged structures and assess the nature of the pathological changes in the structure of the vertebrae themselves.
  3. Magnetic resonance imaging (MRI). If CT gives accurate information about bone formations, MRI allows for a more detailed study of soft tissues in the area of study. Using MRI, it is possible to determine the nature of damage to the intervertebral disc, the degree of compression of the spinal nerves and damage to the blood vessels of the neck.

MEDICAL TREATMENT

1.Neroid anti-inflammatory drugs

(NSAIDs) -diklofenak, ketorolac, nimesil.

2. Narcotic analgesic drugs-morphine, tramadol, codeine, omnopon.

NON-MEDICATED TREATMENT OF NECK OSTEOCHONDROSIS

1. Therapeutic gymnastics

In case of cervical osteochondrosis, it is recommended to perform a set of exercises that will help reduce pain, improve microcirculation and strengthen the cervical spine.

Cervical osteochondrosis exercises include:

  1. Bending of the head, while you need to try to reach the chin to the chest.
  2. The extension of the head.
  3. Tilt the head to the right and left, while you need to try to touch his ear shoulder.
  4. Turning of the head to the right and left.

All exercises should be performed slowly and smoothly, trying to avoid sudden movements. It is recommended to start with 5 – 7 repetitions of each exercise, performed 1 – 2 times a day. With good portability, the number of repetitions and runs can be increased.

Daily implementation of the described set of exercises will prevent the development and slow the progression of cervical osteochondrosis.

2. Massage

With cervical osteochondrosis, massage of the shoulder girdle, neck area, neck and head has a beneficial effect.

The positive effects of massage are:

  • improving the blood supply to all structures of the neck;
  • muscle tension relief;
  • reduction of pain.

3. Acupuncture

The principle of acupuncture is the introduction of thin needles in special points of the human body, which leads to certain neurological and endocrine changes in the area of impact. It has been scientifically proven that correctly performed acupuncture improves microcirculation in the cervical spine, eliminates soreness and muscle spasm, and also contributes to the normalization of metabolic processes in tissues.

4. Manual therapy

Manual therapy involves the treatment of various diseases of the musculoskeletal system with the help of certain tactics and techniques performed by the hands of the doctor (chiropractor).

The main effects of manual therapy are:

  • elimination of muscle tension;
  • elimination of tension in the spinal column;
  • improving the blood supply to the cervical spine;
  • creating conditions for the restoration of damaged structures.

5. Physiotherapy

This term combines a set of procedures in which the human body is exposed to physical energy that has a beneficial effect on damaged tissue.

With cervical osteochondrosis can be applied: Electrophoresis – an effect on the body tissues with a constant electric current. Magnetotherapy – exposure to tissue by an electromagnetic field. Laser therapy – effects on tissue with laser radiation. Shock wave therapy – the impact on the area of damage sound waves. All the above methods contribute to the improvement of microcirculation in the cervical spine, improve the nutrition of nervous formations and accelerate metabolic processes at the cellular level, which contributes to the speedy recovery of damaged tissues. Do not skip the following posts. Consider other causes of neck pain.