Osteochondrosis is a common degenerative-dystrophic disease in which the structure and function of the vertebra and the disc are impaired, causing an invasion of the roots of the disc nerve and thus causingsymptom. Osteochondrosis is a chronic pathology that arises under the influence of many etiologies - from the evolutionary and anatomical characteristics of the human skeleton structure to the influence of external factors, such as working conditions, lifestyle, excess weight, injury and other factors. Usually, bone necrosis of the cervical and lumbar spines is diagnosed as the most exposed to stress. Treatment of cervical necrosis is complex and long-term, mainly aimed at alleviating symptoms and preventing complications.
Symptoms
Upper spinal damage can manifest itself as a range of symptoms, depending on the location and severity of the dystrophy process, as well as the severity of the original structure of the column. ancient life. Often, patient complaints are lessened to at first glance unrelated symptoms, which can complicate the diagnosis and treatment of the disease.
In general, cervical spine tumors clinic is a series of following syndromes:
- Vertebrae, characterized by a variety of pain in the occipital and neck.
- The spine, in which there are symptoms of impaired mobility and internal sensations, in addition, a dysfunction of the area of the cervix causes progressive atrophy of the muscles of the shoulder and arm.
- Lenticular form, manifested by painful symptoms of the peritoneum and thoracic organs, requires further careful diagnosis to distinguish osteecrosis from diseases of the internal organs.
- Spinal artery syndrome in degenerative cervical degenerative disease - vestibular disorder manifested by headache, hearing loss, dizziness, up to loss of consciousness.
These phenomena occur when cerebral ischemia caused by an infringement of the vertebral artery and an impaired blood supply.
How to treat cervical bone tumor?
Bone tumors of the cervical segment develop gradually and patients often seek treatment when they are already in the stage of clinical manifestations that affect their quality of life, in an exacerbation stage. How to treat cervical fibroids, only to decide the doctor after proper diagnosis, self-medication in this case is unacceptable.
Treatment of cervical necrosis has the goal of eliminating pain, inflammation, partially or completely restoring affected tissue structures, and preventing complications.
Primarily outpatient treatment, all home procedures can only be combined with a medical prescription, after instrumental and laboratory diagnosis.
In severe cases, at a more advanced stage of neurological damage and concomitant pathology, inpatient treatment of cervical osteoporosis capable of surgical intervention may be indicated.
Medicines for cervical osteonecrosis
It includes the appointment of drugs that relieve pain and inflammation symptoms. In the acute phase, the drug is presented in the form of an injection, after pain relief, the patient takes a tablet, the drug that acts locally in the form of an ointment and continues to be injected.
Nonsteroidal anti-inflammatory drug. They are considered the drug of choice in the treatment of cervical bone necrosis for pain relief and inflammation. These are drugs based on diclofenac and indomethacin, available in different dosage forms. They reduce swelling of soft tissues, thereby reducing pain, local agents have a warming effect, helping to improve blood flow in the affected cervical area. These medications are used for 5-10 days, sometimes up to 2 weeks. In the acute phase, NSAIDs are prescribed in the form of injections, after a few days the patient switches to oral tablets. It should be remembered that long-term treatment with NSAIDs negatively affects the mucous membrane of the gastrointestinal tract, for this reason, the course of treatment usually does not exceed 10 days.
Sedative drugs such as gerbera, glycised, valerian alcohol, peony, and herbal teas are recommended for long-term pain relief and patient risk of neurological disorders, contributing to increasedEffective treatment of cervical fibroids. Local stimulants. These are topical ointments and gels that have warming, irritating, and distracting effects. They are not used in the treatment of the acute phase. They contain biologically active substances of plant and animal origin, for example, bee or snake venom. This group includes viprosal, apizartron, menovazin, nayatoks. In the case of hypersensitivity to the components of the drug and has a high irritating effect, it is better not to use them, so as not to cause even greater edema. Vitamin. During additional treatment and recovery, multivitamin complexes are recommended. Usually, this is a group of B vitamins, whose representatives are involved in ensuring normal neurotransmission, as well as vitamins A and C, to strengthen the vessel wall and improve blood flow. Taking vitamins reduces vestibular disorders - motion sickness syndrome, dizziness, hearing loss.
Chondroprotectors. These are substances that contribute to the repair of cartilage tissue of the cervical disc. These include glucosaminoglycans and chondroitin sulfate. Treatment of degenerative cervical vertebrae with drug chondroprotectors is carried out for a long time, 6-12 months.
Orthopedic Treatment
Discomfort symptoms in the cervical spine are often irritating and exacerbated by incorrect body posture during sleep, in a forced position or trauma. Hence, the treatment complex also includes methods like:
Collar, or Collar. It is prescribed individually to each patient, after medical consultation, as it comes in a variety of types. A collar is a dense roller with a frame that fastens around the neck and fixes the vertebrae where it is needed. Therefore, the neck is not bent and the head does not turn to the side, which ensures immobilization of the affected area, which is very important in the acute phase. Shants collars can also be made in the form of two rollers with an inflatable layer, the air being pumped in with a rubber bulb. The swelling of the cushion between the spinal stretch rollers, this can increase the distance between the joints in the cervical spine. The degree of elongation is determined by the doctor, should not solve this problem on his own to avoid damaging the nerve bundles of the neck. During recovery, a fully inflatable collar is used to retain some of the neck and head mobility.
It is possible to wear necklace at home, no more than 3 hours a day, the general wearing time is about a month. The final wearing rules are determined by the doctor, depending on the severity of the condition and symptoms.
Right posture. While sleeping, it is necessary to maintain the body in an anatomically correct position, when the nerves and blood vessels of the cervical spine are not compressed, an orthopedic mattress and pillow can be used to do this. During waking up, the patient needs to control the body position, choose the right furniture with the right height. Prolonged. The procedure of treatment involves stretching the ligaments of the spine to increase the distance between the vertebrae by 1-3 mm. The traction force minimizes or completely eliminates compression of the herniated disc herniated root or vertebral convex foci. Procedure to remove disc, reduce muscle spasm. Pulling should be done under fixed conditions by a doctor and after the procedure, the cervical spine is fixed with a necklace or similar devices for several hours. The average tooth extraction treatment is from 10-20 sessions.
Massage
Cervical degenerative massage is an important and compulsory part of treatment, along with medication therapy. It is prescribed during remission, to speed up recovery and prevent relapses. The massage used both classical crafts and its types from the methods of oriental medicine.
Well-done massage stimulates blood circulation in the neck and collar area, improves the properties of damaged tissues, reduces muscle and blood vessel spasm, and helps the patient feel more relieved. . The usual course of massage treatment is 10-14 courses, every other day or every other day, every 3-6 months. In the case of severe pain, massage therapy of bone necrosis is not performed. At home, you can massage the affected cervical area yourself.
Physical therapy exercise
Exercise therapy is always done, except for periods of paroxysmal pain. Exercises for cervical vertebrae can be done at home, although you should do it under the supervision of a instructor until done correctly. The exercise set includes:
Turn your head to the side. Head tilted back. Lift shoulders with arms fixed or relaxed, holding for 15-20 seconds in this position. Static load, when the flexural and stretching muscles of the cervical region are stretched, the head does not move.
Total repetitions 5-7 times, one session lasting 15-20 minutes. As part of the therapeutic complex, exercise therapy helps accelerate the recovery process and increase the likelihood of remission.
Physical therapy and reflexology
In the treatment of cervical spinal necrosis, electrophoresis with NSAIDs, anesthetics, endocrine drugs are used, diadynamic currents, laser therapy and shock waves are also effective. Physiotherapy at an early stage of development can be completely cured, and in difficult cases, increases the time of remission. These treatments are used during rehabilitation following treatment exacerbations.
Acupressure is a method that acts on certain points of the body where the internal organs are illuminated, also used during recovery and helps reduce inflammation, improve blood flow, reduces tissue congestion and reduces muscle spasm. Among the treatments, acupuncture, acupressure, and therapies are often applied - medicated leeches placed on the skin of the cervical region.
Using these methods can shorten the time and amount of medication taken, and promote recovery.
Things to do from home
If the patient's condition permits it, symptoms of cervical fibroids can be treated at home. For example, therapeutic exercises can be performed at home if there are no contraindications and the constant supervision of a specialist is not required. It should be remembered that the appearance of pain and scratching in the neck is the reason to stop and seek qualified treatment.
The application of topical ointments in the form of ointments, gels, and lotions is also done at home, according to the prescription.
In addition, it is possible to treat at home with some physiotherapy devices - for magnetic therapy and ultraviolet radiation, and devices for acupressure.
Folk remedies are also used in the form of a compress and applied to the affected cervical area from mashed potatoes, horseradish leaves, propolis, aloe vera, and other herbal ingredients. Traditional methods of treating cervical fibroids are relief, temporarily relieving pain, reducing edema, warming the affected part and you should not limit them alone.
All cervical fibroids treatments must be complementary and carried out in consultation with a doctor, after a comprehensive diagnosis.
Medical treatment for cervical necrosis involves the use of conservative methods for adequate pain relief and without the risk of significantly disrupting the patient's daily activities.
Symptoms of the disease
The continuous bending, lifting, rotating and twisting over the years of life of course negatively affects the health of the neck and the quality of its structural components. With all these repetitive neck tensions, it's not surprising that about two-thirds of people experience neck pain at some point in their lives. Painful sensation can be the alarming symptom of a disease such as bone necrosis.
Attention! Cervical spinal tumors are considered to be one of the common diseases. This disease usually affects people of working age, who have sedentary lifestyles.
At first, there were no symptoms. However, in the event of symptoms such as a persistent headache, as well as pain in the heart and below the collarbone, the disease should be treated immediately and effectively.
Degradation can lead to the following manifestations:
- acute pain;
- double vision;
- dizziness;
- numbness in the shoulder and nape area;
- weak in the shoulder, arm.
This discomfort and loss of mobility can significantly affect career, family, and quality of life.
The cervical spine is made up of seven bones called vertebrae, which are separated from each other by plates filled with gel-like substance. This design provides neck stabilization, smoothly rotating it from side to side and tilting back and forth smoothly.
Over time, these natural dampers wear out and can start to degrade. The space between the vertebrae is narrowed and the nerve ends are pinched. This process is called cervical osteoporosis. Of particular note is that research shows that about 25% of asymptomatic people are under 40 years of age and 60% over 40 have some degree of bone necrosis. As the osteoporosis progresses, the neck becomes less flexible, the pain increases, and a feeling of stiffness in the joints, especially towards the end of the dayIt is for these reasons that bone necrosis develops.
Attention! Its complications can be life-threatening.
Diagnostic and Treatment Features
The diagnosis includes the following general actions:
- initial test;
- MRI (magnetic resonance imaging);
- X-ray inspection
Drug therapy is the basis for the treatment of fibroids of the cervix combined with massage. Effective treatments include the following:
Acupressure- ;
- electric stimulator;
- manual therapy.
Physiotherapy can also help relieve pain in the long run. The most commonly used methods include:
acupuncture- ; electrophoresis
- ;
- microcurrent electric excitation; laser therapy
- .
Usually, this process of treating this fibroids takes about 14 days.
Simultaneously with ice or hot compresses, with the help of a special medicine, will be able to relieve pain and control pain and inflammation. In addition, neck and neck exercises, performed independently or with professional support, will also be helpful. Exercise helps maintain flexibility. Exercise, especially stretching the neck as much as possible, is essential to maintaining neck flexibility. A specific exercise set should be developed exclusively by a doctor or physiotherapist.
Medicines that can help with pain include nonsteroidal anti-inflammatory drugs and pain relievers.
Attention! You should not take these medications for more than seven days without consulting your doctor, as kidney failure can be among the serious unwanted side effects they can cause.
Steroids and muscle relaxants may also be used.
Treatment for exacerbations
During the acute phase of the disease, when severe pain prevails over the clinical setting, the primary goal of medical treatment is pain relief. In such situations, for a limited time, be very careful and proficient, and only under the supervision of a doctor can you take pain relievers (e. g. , tramadol, oxadol, ortofen)or more complicated drugs (arcoxia). They can relieve pain and muscle tension.
Nonsteroidal drugs, mainly used as pain relievers, can also eliminate the cause of pain - inflammatory edema, which constricts blood vessels and nerves.
The use of muscle relaxants allows you to reduce muscle spasm, normalize the condition of the cervical vertebrae, nerve endings and blood vessels. The use of vitamins is very important.
For severely pinched nerve ends, an anticonvulsant is recommended. If the pain is not relieved by other ways, it will be blocked with novocaine.
If the osteoporosis of the cervical spine is acute and accompanied by severe pain, specialists also use lidocaine, topical corticosteroids to reduce muscle tension in the motor phase. spine and pain relief.
In the treatment of acute pain, the drug is administered by injection, which can then be treated in the form of pills and alleviate the state of health using an ointment.
Antidepressants are prescribed as a supplement under certain circumstances. These drugs help mentally tolerate very intense pain and specific disorders associated with the cervical spine.
Remission Treatment Recommendations
Suggested light stage treatment time:
- activates blood circulation in major and peripheral vessels;
- improves metabolism;
- restores and renews bone and cartilage tissue structure.
For this purpose best suited:
- anti-inflammatory gels and ointments containing steroids and analgesics; The
- ointment, which works towards the hot spot of the diseased area, is capable of increasing blood flow to the diseased area and improving tissue nutrition.
Chondroprotectors (chondroxide ointments and tablets) help restore cartilage disc.
Massage creams and ointments containing bee venom and botanical extracts have regenerating, anti-inflammatory, and analgesic effects. A massage, if done properly, can be done at home to alleviate the discomfort. In order not to harm the body, you need to follow a few simple rules:
- do not press too hard on the neck and back;
- all movements must be top to bottom.
Topical anesthetic creams include capsaicin. The cream is also effective in treating pain associated with bone necrosis. Need to apply cream to the skin feeling the most painful.
Attention! Be sure to wash your hands after applying the cream, especially capsaicin, as it can cause irritation on the skin of your hands or other parts of the body when touching your hands.
An unpleasant symptom like dizziness, accompanied by bone necrosis, occurs due to vasospasm and inflammation of nerve tissue. To cope with this helps vasodilation and means of improving blood circulation in the vestibular apparatus.
Vitamin B is also included in the complex therapy of cervical necrosis, as it has the following properties:
- restores tissue sensitivity;
- reduces nerve damage.
You need to be very careful about the fact that, while there are many different quality drugs available for the treatment of osteonecrosis, taking many of them often has side effects. Figure. The condition of the back improved but difficulty appeared in different organs. Therefore, the drug is only intended to complement the complex of other methods of fighting the disease.
Thanks to the integrated approach, a positive dynamics of the healing process can only be achieved if the whole set of treatments are carried out in a consistent, regular and systematic manner.
Usually, the patient does not pay attention to the pain in the neck that can cause complications.
Surgical treatment
If the pain persists after six months, while the medication has been sufficiently treated and daily activities become more difficult, your doctor may recommend surgery. The activity will be aimed at stopping the movement of the affected cervical spine. It will include removing the disc, as well as inserting a metal device or bone graft to help maintain or restore the normal height of the disc space as well as the stability and alignment of the neck. Special plates can be used to provide desired fixation between two vertebrae.
Attention! Patients should be aware that surgery that results in severe neck pain is much less reliable than surgery to relieve pain caused by bone necrosis in another part of the body. Therefore, if the only symptom is or is mainly neck pain, then surgery should be recommended only as a last resort, and after all other tried treatments have failed.
Precautions
Preventive methods to reduce recurrence are formed by the complex of exercises of physical therapy and massage therapy. Correct prevention is an important step to success.
It is also very important to note that you need to adhere to a moderate daily diet, minimally, if you do not want to completely eliminate salty and spicy food to minimize swelling and improve metabolism. metabolism. Yoga and swimming are also very helpful. Among the non-traditional methods, acupuncture and hirudotherapy are often used.