2nd degree osteochondrosis of the supporting pillar cervical region is a pathology that people of different ages face.Many ignore the symptoms of the initial phase of the disease, degenerative and dystrophic processes more actively proceed, pain appears.
Doctors advise pay attention to signs of osteochondrosis in the cervical zone.Do not wait until the cartilage between the discs is destroyed, which will condemn the patient the constant pain, violation of neck mobility.It is important to know: with a serious degree of discogenic pathology, cerebral hypoxia develops, dangerous brain disorders appear and the risk of increasing ischemic stroke.
general information
The first degree of the disease continues almost asymptomatic: sometimes weak neck pain appears, with palpation you can feel a slight muscle tension.If you start treatment over time: gymnastics, analgesic intake, chondroprotectors, vitamins, massage, just interrupt the initial degeneration process.
In the absence of proper treatment, the disease progresses.The second degree of cervical spine osteochondrosis is often detected by doctors in patients with headaches, unpleasant sensations when tilting and spinning the head, restriction of movement, tension of neck and shoulder muscles.
Important points to 2 degrees of osteochondrosis in the cervical region:
- A crack of the fibrous ring appears, the instability of the cervical spine develops;
- Crime in the diffusion process, which guarantee complete nutrition of intervertebral discs, adversely affect the condition of cartilage tissue, the destruction of an important element begins.The violation of the amortization structure leads to a decrease in the disc, the vertebrae approach, the head and neck movements cause pain;
- The pressure in the nerve roots increases, periodic pain appears.They can be eliminated with painkillers, but unpleasant sensations return rapidly after the drug expires;
- In the second stage of the disease, there is no active compression of the vertebral artery, but patients feel other signs of pathology: lethargy, sleep disorder, increased fatigue, decreased performance level;
- With cervical osteochondrosis, the pain is located not only in the problem area, but also spreads to the back of the head, the upper back, shoulders.The progression of the disease against the impaired innervation of adjacent departments causes brain complications;
- In the absence of treatment, maintaining the action of negative factors, the pathology leads to 3 degrees with active damage to the fibrous ring and hyaline.Investigation are intervertebral protrusions and hernias, constant pain during vertebrae friction, problems with the mobility of the cervical zone and exposed neurological disorders.
The reasons for the development of the pathology
Osteochondrosis in the cervical region develops in relation to the background of the following factors:
- hypothermia;
- Violation of posture;
- Calcium deficiency and vitamins;
- the habit of sitting, curved, tilting the head down;
- Long work on the computer;
- genetic predisposition;
- cervical lesions;
- Excessive load in the neck zone, very active movements of the head;
- Inadequate mineral metabolism for the bottom of various pathologies;
- endocrine diseases;
- In the process of performing professional tasks, the head is often thrown back.
2nd degree osteochondrosis of the Cervical Department Code according to ICD - 10 m42.
Cervical osteochondrosis symptoms
The progression of neck osteochondrosis indicates an increase in pain syndrome, a deterioration in unpleasant and well sensations on the upper back, especially after stress or prolonged stay in a position.The closer the vertebrae move, the more the ligaments actively give up, muscle tension seems to maintain the ideal position of the support pillar.
Subluxation vertebrae in combination with a decrease in the influence of muscle structure increases discomfort in the affected area.The displacement of an elastic that the placement causes increases the pain during the turn, flexion and extension of the neck.
Disc protrusion changes the correct position of neighboring bone structures, a violation of the posture appears.If you do not start treatment, continue non -controlled analgesic intake, you will soon find negative symptoms of 3 degrees of cervical osteochondrosis.
Diagnosis
The treatment is performed by a vertebrologist.You can also contact a neurologist.
To make a diagnosis, the profile expert clarifies the clinical picture and an anamnesis, prescribes an X -ray of the cervical department and magnetic resonance imaging.With severe muscle spasm, electromyography is required, if the patient complains about pronounced brain disorders, the vessel dopplerography will be required.
Observation!After diagnosis, doctors often observe that the patient develops a third degree of disease, but active process progression can still be recognized using instrumental studies.If you do not urgently start treatment, symptoms of vertebral artery compression, followed by impaired brain circulation, the development of hypoxia of an important organ will soon appear in full force.
Effective areas of therapy
After the diagnosis, the doctor recommends eliminating the factors against which the disease progresses.If degeneratively stopped - dystrophic changes in cartilage, soon the pathological process will affect bone structures and blood vessels, a set of negative characteristics will appear.With a serious degree of pathology, it is difficult to interrupt the process of cartilage destruction, damage to the fibrous ring, doctors reveal the protrusion and hernia of the discs.
Medication
The doctor selects several drug groups:
- Chondoprotectors.Compositions interrupt the destruction of the Hyalin joint, activate the process of cartilage tissue regeneration.The course is 3 months.
- Aine.Eliminate inflammation in nerve roots, reduce pain and swelling, improve the mobility of the problem area.Drug forms: transdermal plaster, capsules, suspensions, tablets, gels, ointments.
- Muselaxantes.They help in painful muscle spasm, facilitate movement, relax muscle fibers.
- Vitamins B..Neurotropic substances are indispensable for restoring the transmission of nerve impulses by pinching structures sensitive to the bottom of the progression of osteochondrosis.
- Analgesics.With headaches, discomfort against the bottom of muscle tension, damage to intervertebral discs, common painkillers should be taken.It is necessary to remember: painkillers reduce only discomfort, but without the treatment of osteochondrosis, unpleasant sensations in the cervical zone, shoulders, headaches and brain disturbances will intensify as orthopedic pathology progresses.
- Sedatives.Sleep disorders, headaches, discomfort in head movements negatively affect the condition of the nervous system.Patients get angry, insomnia appears more often.Vegetable compounds and synthetic medications help: desert tincture, soothing, valerian pills and root -based tincture, mint decoction, lemon balm.
Corticosteroids and blockade of vertebral spine drugs in 2 degrees of discogenic pathology in most cases are not necessary: dystrophic and degenerative processes in intervertebral discs, adjacent tissues are not so active that they cause painful pain.To facilitate the condition of the complex of these medications.It is impossible to use powerful painkillers without prescribing a doctor: with 2 degrees of disease, there are sufficient preparations for moderate effects of exposure.
Other treatment methods
The patient should remember: exclusively with medications, it is impossible to interrupt the progression of cervical osteochondrosis.Complex therapy is a prerequisite for restoring the structure of depreciation, reducing pain, eliminating muscle spasm and normalizing neck mobility.
Effective Methods:
- Neck massage, including point;
- the use of lyapko and the Kuznetsov IPPLitor;
- Hirudotherapy;
- acupuncture;
- Physiotherapy: ozioceritic applications, mud, UHF, electrical and phonorophoresis with analgesic drugs and effective anti-inflammatory drugs;
- Physiotherapy exercises and special exercises for cervical osteochondrosis;
- Manual therapy;
- Wearing a collar of range.
Possible complications
Without complex and timely therapy, osteochondrosis progresses, brain dysfunctions appear at the bottom of the vertebral artery compression, compressed nerve roots.The more the patient advances the visiting a neurologist or a vertebrologist, the more actively intervertebral discs are destroyed, the risk of severe brain disorders increases.
The progression of cervical osteochondrosis usually causes various pathologies and dangerous conditions:
- dizziness for cervical osteochondrosis in combination with nausea and fainting;
- Ischemic stroke;
- Escoliotic changes;
- the development of a low -orientation cone in the neck, which is popularly called the "hunchout widow";
- Pain syndrome in the neck zone, nape.The discomfort is improved by the alteration of weather conditions, head movement;
- Heels in blood pressure;
- Protrusion and a more dangerous form of pathology with a rupture of a fibrous ring, bright pain syndrome - intervertebral disc hernia;
- serious headaches, including the nature of migraine;
- Numbness of the cervical region, shoulders, unpleasant tingling, pain and decrease in hand sensitivity.
For the prevention of cervical osteochondrosis, preventing the transition from pathology to a more severe 3 degree, the patient should prescribe a doctor, take medications, gymnastics to the neck, participate in massage sessions, influence the problem area using a transdermal adhesive.It is important to abandon smoke, eat right, not bend, more often changes the head position during the business day, but avoid sudden movements.The willingness to be treated, irregularity of procedures, reduction in the course of chondroprotectors, frequent stress, hypothermia, hypodinamia are factors that increase the risk of cervical osteochondrosis progression.