Cranealgia is called headaches that are localized at the bottom of the backbone ("Craneo" translated from Latin means "skull"), quite often accompanied by the compression of nerve roots. "Cervico" - a prefix belonging to the neck, "Vertebro" - everything related to the spine. That is, the vertebrogenic cervicocranaglia is a headache caused by pain syndrome or other unpleasant sensations in the cervical area caused by diseases or spinal pathology. Specific headaches in the skull are caused by violations of the passage of nerve pulses by fibers or insufficient blood supply to individual parts of the brain, which may cause an increase in intracranial pressure and the strongest pain. Treatment of headaches such etiology requires a special approach, ordinary analgesic drugs, as a rule, do not bring the expected relief to patients. Cranalgia can cover only the occipital part of the head or spread to whiskey, a parietal region or frontal, in some cases manifests itself unilaterally. The nature of the pain is also unequal: there may be a driving and pressing, chronic or sharp, parlorious with spasms and burning disease. It is often accompanied by dizziness, nausea, coordination disorder, limited neck mobility, impaired hearing and vision functions, muscular weakness or numbness of the upper limbs. Increased in physical exertion, sharp movements, supercooling, long stay in forced poses. Most often, the vertebrogenic cervicocranalgia is preceded by the development of osteochondrosis (the disease of the spine, in which intervertebral discs are wearing). A sedentary, low-effective image of modern life, bad habits and unfavorable ecology gradually have a detrimental effect on cartilaginous fabrics. The walls of the disks begin to crack and stupid, and the student inside the student - lose moisture. The spine becomes becoming less mobile, flexible and no longer able to withstand former loads. For a long time, the symptoms of the cervical osteochondrosis can practically do not disturb the patients and attract attention to strong pain already at the launched stages when the protrusion or hernia of the intervertebral disk was formed. Similar manifestations (gradual wear and aging of the anatomical structures of the disk, dystrophy of the outer fibers, pathological changes in longitudinal bundles, the growth of osteophytes) are noted with spondylise of the spine, the treatment of which is carried out mainly in the elderly. In addition, the causes of the development of cranialgia can be traumatic damage to the spine or nearby soft tissues. Splitting of the vertebral discs, the growth of osteophytes (bone growths), the formation of vertebral hernia provokes the compression of nerve roots coming from the spinal cord (root syndrome), blood vessels located in the neck (vertebral artery syndrome or hypertensive syndrome - the difficulty of outflow of venous blood from the brain) And this in turn leads patients to the clinic treatment of headaches. Manifestations of the symptoms of the disease are completely dependent on the stricken areas. For example, with compression of the cervical nerve endings, the occipital or facial character of pain sharp, shooting, as a rule, one-sided. Dizziness, nausea is usually not marked, there may be difficulties with speech, swallowing. Cranealgia is enhanced even with minor physical exertion and squeezes a little at rest. Insufficient blood supply to the brain vessels (vertebarian insufficiency) in the syndrome of the vertebral artery has a communal parietal symptoms. Painses cover the back of the head, the temporal shares, eyes, carry a pulsating and burning character. Accompanied by dizziness, a sense of rotation of the surrounding world or the person, nausea, vomiting, disorders of hearing and vision organs (noise in the ears, darkening in the eyes or flashing "butterflies", pulsation in temples). Patient annoy bright light and noise. Such double-sided manifestations arise in hypertensive syndrome, only the character of pain is painfully pressing with an increase in intracranial pressure and / or blood pressure. In all cases, anxiety, insomnia, tear, burning in the dark area, redness of the skin of the face and eyes are noted. Thus, to properly diagnose the causes of the reasons that caused vertebrogenic cervicocranalgia and adequate treatment, the patient needs to closely differentiate the symptoms and the nature of their change and report them in the center of the headache to their attending physician when collecting anamnesis. To install the final diagnosis, the attending physician will prescribe a patient with radiography if more detailed data is needed, it is possible to assign computed tomography or MRI of the spine, tomography of the brain. The state of blood vessels, the direction, the intensity and the rate of passage of blood fluid will show dopplerography. It will be necessary to hand over common clinical and laboratory tests, make a cardiogram. The treatment of headaches will be complex, aimed at eliminating the pathologies of the spine and removing pain syndrome. With compression of nerve roots, anti-inflammatory drugs and agents that improve the conductivity of nerve fibers, neuroprotectors, vitamins of group V. Factors associated with blood vessels will be eliminated by vasodilators that improve blood circulation and outflow of venous blood with drugs. In the initial acute period for removing pain in the neck and spasms of soft tissues, miorylaxants and / or local painkillers (from lidocaine or novocaine) can be assigned. A good healing effect in all periods of treatment is provided sessions of manual therapy (massage, reflex and relaxotherapy, acupuncture, etc.), physiotheredresses (swimming, leafing, electrophoresis, shock-wave therapy, etc.). Independent treatment of vertebrogenic cervicocryolgia anesthetic, anti-inflammatory and antispasmodic preparations, as a rule, does not bring the expected relief to patients, since only pain is removed, but not the cause of its occurrence. Competent treatment can be assigned only a highly qualified doctor if there are the results of all necessary research.
Causes of disease development
Manifestations of Cervicoranalgia
Cranealgia is called headaches that are localized at the bottom of the backbone ("Craneo" translated from Latin means "skull"), quite often accompanied by the compression of nerve roots. "Cervico" - a prefix belonging to the neck, "Vertebro" - everything related to the spine. That is, the vertebrogenic cervicocranaglia is a headache caused by pain syndrome or other unpleasant sensations in the cervical area caused by diseases or spinal pathology.
Specific headaches in the skull are caused by violations of the passage of nerve pulses by fibers or insufficient blood supply to individual parts of the brain, which may cause an increase in intracranial pressure and the strongest pain. Treatment of headaches such etiology requires a special approach, ordinary analgesic drugs, as a rule, do not bring the expected relief to patients.
Cranalgia can cover only the occipital part of the head or spread to whiskey, a parietal region or frontal, in some cases manifests itself unilaterally. The nature of the pain is also unequal: there may be a driving and pressing, chronic or sharp, parlorious with spasms and burning disease. It is often accompanied by dizziness, nausea, coordination disorder, limited neck mobility, impaired hearing and vision functions, muscular weakness or numbness of the upper limbs. Increased in physical exertion, sharp movements, supercooling, long stay in forced poses.
Most often, the vertebrogenic cervicocranalgia is preceded by the development of osteochondrosis (the disease of the spine, in which intervertebral discs are wearing). A sedentary, low-effective image of modern life, bad habits and unfavorable ecology gradually have a detrimental effect on cartilaginous fabrics. The walls of the disks begin to crack and stupid, and the student inside the student - lose moisture. The spine becomes becoming less mobile, flexible and no longer able to withstand former loads.
For a long time, the symptoms of the cervical osteochondrosis can practically do not disturb the patients and attract attention to strong pain already at the launched stages when the protrusion or hernia of the intervertebral disk was formed.
Similar manifestations (gradual wear and aging of the anatomical structures of the disk, dystrophy of the outer fibers, pathological changes in longitudinal bundles, the growth of osteophytes) are noted with spondylise of the spine, the treatment of which is carried out mainly in the elderly. In addition, the causes of the development of cranialgia can be traumatic damage to the spine or nearby soft tissues.
Splitting of the vertebral discs, the growth of osteophytes (bone growths), the formation of vertebral hernia provokes the compression of nerve roots coming from the spinal cord (root syndrome), blood vessels located in the neck (vertebral artery syndrome or hypertensive syndrome - the difficulty of outflow of venous blood from the brain) And this in turn leads patients to the clinic treatment of headaches.
Manifestations of the symptoms of the disease are completely dependent on the stricken areas. For example, with compression of the cervical nerve endings, the occipital or facial character of pain sharp, shooting, as a rule, one-sided. Dizziness, nausea is usually not marked, there may be difficulties with speech, swallowing. Cranealgia is enhanced even with minor physical exertion and squeezes a little at rest.
Insufficient blood supply to the brain vessels (vertebarian insufficiency) in the syndrome of the vertebral artery has a communal parietal symptoms. Painses cover the back of the head, the temporal shares, eyes, carry a pulsating and burning character. Accompanied by dizziness, a sense of rotation of the surrounding world or the person, nausea, vomiting, disorders of hearing and vision organs (noise in the ears, darkening in the eyes or flashing "butterflies", pulsation in temples). Patient annoy bright light and noise.
Such double-sided manifestations arise in hypertensive syndrome, only the character of pain is painfully pressing with an increase in intracranial pressure and / or blood pressure. In all cases, anxiety, insomnia, tear, burning in the dark area, redness of the skin of the face and eyes are noted.
Thus, to properly diagnose the causes of the reasons that caused vertebrogenic cervicocranalgia and adequate treatment, the patient needs to closely differentiate the symptoms and the nature of their change and report them in the center of the headache to their attending physician when collecting anamnesis.
To install the final diagnosis, the attending physician will prescribe a patient with radiography if more detailed data is needed, it is possible to assign computed tomography or MRI of the spine, tomography of the brain. The state of blood vessels, the direction, the intensity and the rate of passage of blood fluid will show dopplerography. It will be necessary to hand over common clinical and laboratory tests, make a cardiogram.
The treatment of headaches will be complex, aimed at eliminating the pathologies of the spine and removing pain syndrome. With compression of nerve roots, anti-inflammatory drugs and agents that improve the conductivity of nerve fibers, neuroprotectors, vitamins of group V. Factors associated with blood vessels will be eliminated by vasodilators that improve blood circulation and outflow of venous blood with drugs.
In the initial acute period for removing pain in the neck and spasms of soft tissues, miorylaxants and / or local painkillers (from lidocaine or novocaine) can be assigned. A good healing effect in all periods of treatment is provided sessions of manual therapy (massage, reflex and relaxotherapy, acupuncture, etc.), physiotheredresses (swimming, leafing, electrophoresis, shock-wave therapy, etc.).
Independent treatment of vertebrogenic cervicocryolgia anesthetic, anti-inflammatory and antispasmodic preparations, as a rule, does not bring the expected relief to patients, since only pain is removed, but not the cause of its occurrence. Competent treatment can be assigned only a highly qualified doctor if there are the results of all necessary research.Author: K.M.N., Academician Ramtn M.A. Bobr
What is cervicocranialia
Cervicocranialia, or cervicogenic headache, - pain emanating from the sheino-occipital region. Cervicocranialia takes 15-20% among patients experiencing chronic headache. Currently, more inclined to believe that in most cases cervicocranaly is functional pain than pain associated with the structural changes in the cervical.
Cervicokranialia is manifested if those neck structures that are capable of giving pain impulse are involved in the pathological process. These include:
- Neck muscles and their attachment places;
- own bundles of the cervical spine;
- the outer layer of the fibrous ring of the intervertebral disk;
- roots of spinal nerves;
- vertebral arteries;
- The joints of the vertebrae and the Atlantoocciplian articulation.
The propagation of pain from the podental region into the innervation zone of the trigeminal nerve (temporal area, forehead, orterity) is due to the peculiarity of the neuroanatomy of the upright department, namely: the presence of neural bonds with a spinal core of a trigeminal nerve that lies in the fatal brain, and His lower part reaches the upper cervical segments of C2-C3.
Cervicocranialia Against the background of long-term work at a computer, repeated covenants of the neck, disorders of the posture or a combination of these factors are quite common. In some patients with a gradual onset of pain in the neck, the cause of symptoms are degenerative changes in the spine.
A sudden beginning of pain in the neck and head is often associated with an acute injury in contact sports, traffic accidents, weightlifting classes, with sharp slopes ahead or a lift, twisting neck or combinations of these movements. In addition, if there is damage to the ligament apparatus, pain in the neck and head may occur even after sneezing due to a strong adaptive muscle spasm. Also one of the most common causes of acute pain in the neck with the irradiation in the head, shoulder, hand, the forearm is the hernia of the disk, the submission of the facet joints.
In 26% of cases, the cause of cervicogenic headaches are congenital anomalies of the cranitonetebrone region, one of the most frequent - anomaly of Arnold-Kiari, characterized by the omitting of the cerebellum tonsils into a large occipital hole.
Cervicocranialia, as a rule, has a certain relationship with damage to the structure of the upper level.
The following characteristic symptoms of Cervicoranalgia can be distinguished:
- The pain is strictly unilateral;
- The pain begins from the subtlety region, from where it extends to the area of the temple, forehead and eyes from the same side;
- The pain may be accompanied by nausea, vomiting, light and sound-friendly;
- Sometimes we have tearing on the affected side, redness of the sclera and conjunctiva;
- The pain monotonous, which is extremely rarely noted the pulsating nature of pain;
- pain in the intensity from moderate to severe;
- The pain is intensified when the neck, a long non-physiological position;
- A reflected pain in the hand on the side of the lesion, not related to the damage to the spinal nerve surface, may be noted;
- restriction of mobility of the cervical
- The pain can continue from a few hours to several days and even weeks.
- Depending on the structures of the central nervous system involved, such symptoms as dizziness, step-down when walking, difficult to swallowing, weakness in the limbs, the fuzzy of vision, flickering of flies in front of the eyes.
The main manifestation of cervicoranalgia, distinguishing it from other forms of headaches is a limitation of mobility in the cervical department, a feeling of stiffness, which can spread on the chest spine. This symptom often appears after a long position in an uncomfortable posture, sharp movements in the neck and is accompanied by a characteristic pain.
The headaches associated with the neck must have at least one of the following properties:
- The source of pain in the neck is clinically confirmed, from where the pain extends to the temple area, forehead and societies strictly on the one hand;
- Headache should be preceded by the movement in the neck, a long inconvenient position of the head, pressure on the upper half of the neck or the base of the skull on the side of the headache;
- Limited volume of movements in the neck;
- Pain in the neck, shoulder or hand is not a root nature;
- Headache must fully pass no more than 3 months from the start of treatment;
- Often, in the history of the disease of the neck injury (whip injury, the bruise of the cervical spine, stretching the ligaments, the sublinks of the facet joints).
The diagnosis of cervicocranalgia, as well as any other headache, assumes, first of all, the exclusion of serious causes of headaches, such as: brain tumors, meningitis or spinal injuries. In most cases, the doctor, on the basis of the history of the disease, studying symptoms and physical examination, can diagnose or decide on the necessary additional survey.
Due to the presence of vegetative symptoms: Eye edema, redness of sclera and conjunctivations, strong tear, light and sounding on the side of pain - most often have to carry out differential diagnosis with migraine.
Treatment of cervicocranalgia
In the preparations for the treatment of cervicogenic headaches in the first row, manual therapy is in combination with other non-drug treatment methods: Igloreflexotherapy, LFC, physiotherapy. The good results of treatment with soft manual therapy can be achieved during cervicastronealgia on the background of the cervical osteochondrosis.
Get rid of pain and remove the stress in the neck will help the orthopedic collar of the chance, the wearing of which is shown during long-term work at the computer, driving a car, etc. Thanks to maintaining the neck in the correct position, unloading and relaxing the muscles of the neck, which leads to a gradual extinction of pain syndrome.
Reception of a brief course of drugs from a group of non-steroidal anti-inflammatory, muscle relaxing and vitamins of group V.
In extreme cases, in the absence of positive dynamics from conservative therapy, operational intervention may be required.
Vertebrogenic cervicalgia is a neck disease, which is characterized by pain, restricting mobility, crunch and tension of cervical muscles, dizziness, vision disorder and vegetative dysfunction.
The disease usually comes suddenly, delivering a lot of inconvenience. It is connected with pathologies in the cervical spine.
The following diseases become most often the cause of cervicalgia:
- Inflammatory spondlopalitria - intervertebral hernia, rheumatoid arthritis, etc.;
- Osteoporosis of the spine;
- Tumor, injury.
Scheme: The cervical spine
The patient survey is carried out using an X-ray apparatus, sometimes prescribed magnetic resonance or computed tomography. This makes it possible to learn about the causes of the disease.
To the emergence of vertebral cervicalgia lead:
- Damage to the spine tissue tumor or infection;
- Long-lasting head in an uncomfortable position;
- Sedentary work;
- Mental overvoltage;
- Physical overload of the muscles of the cerheth-collar zone.
You are offered to your attention a video in which diseases causing pain in the neck area are clearly demonstrated:
The patient's survey begins with the analysis of pain syndrome and the collection of anamnesis.
The doctor establishes under what conditions the pain was first manifested. Perhaps it became the result of unusual posture at work or during sleep, sharp turn of the head, heavy nose or other causes.
In addition to MRI and CT, myelography, electrosurography, EMG, and other diagnostic methods are also used.
Acute vertebrogenic cervicalgy It is characterized by cutting pain, the cause of which lies in hernia or degeneration of an intervertebral disk, its injury or overvoltage.
Chronic vertebrogenic cervicalgy Requires peace, medicinal manipulations and gymnastics.
If the painful syndrome gives one or both hands, then the case is most likely concerns Cervicarity ,At the same time, the pain may have a different character: the patient cannot fully use the hand, it is limited in motion, weakness and numbness is manifested.
If the painful sensations are given to the occipital region, then it is most likely that Cervicokranalgia . The main symptoms of the disease are similar to Cervicalgia.
Signs of cervicoranalgia:
- painful pain in the head and neck;
- pain syndrome is complemented by dizziness, nausea, weakness;
- numbness of the muscles of the upper limbs.
Photo: myelogram of the cervical spine
Photo: MRI of the cervical spine
All this in 99 percent of cases becomes the cause of the degenerative process in the cervical spine - osteochondrosis.
Vertebrogenic cervicalgia with severe muscularly tonic syndrome serves as a reason for the formation of a shoulder-paint periacrosis, when the fabrics surrounding the shoulder joint are affected.
In response to pathological changes in the cervical vertebral segment, the patient increases the tone of the shoulder muscles and the restriction appears in the shoulder leader.
The main symptom of Cervicalgia is painful syndrome in the neck of different character:
- speeding, with amplification during physical stress;
- In order to turn or tilt the head, the patient has to turn or tilt the whole body.
The following symptoms are known:
- occipital pain;
- noise in ears;
- numbness, vitality, tingling and crawling goosebumps on the neck, hands or the occipital part;
- voltage and limitation, crunch and clocks in muscles;
- dizziness, etc.
Photo: Neck x-ray
Photo: CT-angiography of the main vessels of the neck
Treatment with conservative methods ↑
As a rule, the treatment of vertebrogenic cervicalgia involves the use of predominantly conservative methods.
Specific techniques are determined after the diagnosis, depending on the situation, the technique can differ significantly in different clinical cases.
Conservative treatment methods include:
- Acceptance of relaxing muscles in spasms of muscle relaxants and anti-inflammatory drugs of anesthetic and nonsteroidal character, eliminating pain, inflammation and swelling;
- Therapeutic gymnastics, therapeutic and physical consumer complex - a key method of dealing with the ailment;
- Physiotherapeutic procedures;
- Sleep on an orthopedic pillow;
- Reducing the painful syndrome by means of tracting treatment is the stretch of the spine.
- Cervical collar.
The popularity of spine stretching has decreased due to increased trauma due to non-professional treatment.
Treatment by folk remedies should have a solid soil under them, be prudent and safe.
With regard to Cervicalgia, one should not rely on a miracle, drinking herbal infusions and making various compresses.
Folk Medicine can only take place along with traditional treatment methods, subject to approval of the attending physician.
- Temporarily fit the pain will help trituration tincture of Barbaris root.
- Baths with mustard, young birch leaves, sea salt and other harvesting of herbs and plants are useful.
What to do with exacerbation?
The pain syndrome is chronic, but after sleeping in an inconvenient position, for example, on a too high pillow, or when overcooling, overvoltage, aggravation occurs.
The patient is experiencing constant painful pains that can last from several days before a couple of months. To achieve a rack of remission of the disease, you need to try to avoid factors provoking the aggravation of Cervicalgia, and, of course, to be treated.
In particular, if the work is sitting, then you need to periodically take breaks, get up and knead a little.
Prevention is extremely important, since if there is no disease itself, it will not be a painful exacerbation.
If you could not care, you need to immediately consult a doctor to adjust treatment, and it will solve the issue of the need to take drugs that shoot muscle spasms, or on the use of other measures.
Photo: Neck massage
Photo: Gymnastics for neck
Frequently asked questions ↑
Of course, at Cervicalgia, physiotherapy is very useful, in particular, thermal procedures, compresses and mud baths, and also need to follow the correct posture.
Massage can be started only after the pain starts to pass, that is, in a subacute stage.
What ointments help?
Mazi, designed to treat osteochondrosis:
- From a group of non-steroidal anti-inflammatory agents with an active substance ketoprofen, for example, Ketonal , Fast Gel etc.;
- Package Mazi, containing local irritating means - Finalgon , Capsica other. Therapeutic effects they do not render, but dull with pain syndrome;
- Comprehensive action comprehensive comprehensive components, for example, Doluben gel .
All these ointments have only symptomatic action, but they are useless in terms of cure.
Does gillotherapy help?
Yes, to some extent, treatment with leeches has a positive effect on the spine. And to begin with the consultation of the attending physician, which will decide taking into account the presence of related diseases.
You can only talk about hardherapy with a moderate painful syndrome, and it is necessary to stretch the spine.
It is always easier to prevent the disease than to spend a lot of time, strength and money for restoration, and Cervicalgia is a good example. The prevention of the disease is regular exercise, massage and swimming. In this video, you are offered simple exercises for the neck, which can be performed even at work, making a small break:
Such events contribute to the development of the moving force of the spine, the muscles are well trained.
It is important to care and prevent supercooling, which can be obtained and at home, thanks to the fan, an open window and a draft, or on the street, including if you dress not for season.
In order to reduce the risk of developing cervical syndrome, sleep on a low pillow, sit in a comfortable position, avoid overvoltages .
Treatment of Cervicoranalgia on the background of the cervical osteochondrosis
The term "vertebrogenic cervicocranalyg" man without medical education will unsubscribe not immediately. For a better understanding, which means such an intricate phrase, we give it an adapted translation from Greek: "The pain of spine origin arising in the cervical department" . And in this definition, the essence of what is happening in the body in the development of this process is very clearly reflected.
Causes of Cervicoranalgia
It's important to know! Doctors in shock: "Efficient and affordable remedy for joint pain exists ..." Read more ...
Most of the diseases that humanity suffers are caused by the most different factors. Cervicocranalgia syndrome is an exception to the general rules. In 99 percent of patients with such a diagnosis, its development is a consequence of the cervical osteochondrosis. And only 1 percent of medical statistics are assigned to injuries or other spinal diseases in the cervical department.
Several mansion is spondylogenic cervicocranialia. The syndrome is manifested by the same symptoms, but it causes them no osteochondrosis, but the destruction of the cervical vertebrae of a human skeleton. The cause of the process is either bone tumors or infectious lesions. Bone tissue during decay irritated nerves located between the vertebrae. This causes painful sensations.
But osteochondrosis is not always accompanied by vertebrogenic cervicoranalgia. For its development requires "provocation from the side". Provocative factors:
- supercooling, especially regular. For example, if you are constantly sitting at work under air conditioning (former), from where it blows right in the neck;
- too sharp turns head or physical activity that caused the overvoltage of the cervical muscles;
- frequent, long stress;
- Sitting work that is complemented by a total latomy in his free time. If, having worked out "shift" at the computer, you come home and sit in the same posture to play, for example, in the online game, vertebrogenic cervicocranialia with muscular and tonic manifestations you are provided - not in a month, so in a year;
- The fact that doctors are called venous hypertensive syndrome. With it, for some of the reasons, the person jumps intracranial pressure, and the outflow of blood from the head and neck is broken.
The diagnosis of Cervicokranialia is sometimes put when the neurous roots are infringed in the cervical area. It is observed quite often during osteochondrosis, although not all patients.
Cervicoranalgia syndrome is manifested by regular headaches. Cranalgia is an unpleasant feeling in the head area. They can occur with different diseases. Suspecting CervicoCartalgia makes sense when the pain affects the neck, and is localized mainly in it, and from there is transported to dark areas. Sometimes soreness can be reached to the front of the skull. In the most difficult cases affects the entire head area.
With vertebrogenic cervicoranalgia, the head can be sick on one side or on both. The character of sensations is the most diverse: burning, pulling or driving. Sometimes the pain affects the ear, and the person goes to the otolaryngologist or independently trying to treat the supposed "Otitis". The last option is the worst, since with its useless, incompetent actions of the patient pulls the moment of starting the right treatment, the launch of the disease.
Some kind of symptomatics is not limited. Cervicastriangia syndrome can manifest itself:
- "Mushkami" before your eyes , temporary dispersion of vision passing quickly, or progressive myopia;
- dizziness, sometimes lasting;
- nausea, with such that almost never leads to vomit;
- edema The front part is typical of the driving pain speaking an increase in intracranial pressure caused by a deterioration in blood outflow from the brain;
- Vegetative symptoms : sweating, rapid heartbeat, redness of facial skin, frowning hands and / or legs. In the latter case, an inverse picture may be observed when the patient "throws in the heat".
Not all the symptoms appear simultaneously, each patient is an individual set. But any clinical picture is necessarily accompanied by the myofascial-tonic state of the muscles. This syndrome is "woodenness", the increased density of the cervical muscles, its tangible pain.
On the one hand, the diagnosis of Cervicoranialia is not so difficult to put. On the other hand, symptoms characteristic of this syndrome may indicate a number of other diseases. Therefore, the survey should be comprehensive and competent.
The first step will be the identification of spinal lesions. This uses:
- Multispiral computed tomography;
- Multi-resonance tomography.
The last study is preferable because it gives the most accurate and verified results.
At the next stage, possible pathologies that have similar symptoms are required. A brain survey is carried out in order to eliminate tumor education, strokes, other global disorders. Next, the patient needs to undergo an ultrasound examination of cervical and head vessels, also need consultation of an endocrinologist: the listed symptoms can talk about the development of diabetes. Do not do without inspection of the therapist and cardiologist who will test the patient on hypertension.
"Doctors hide the truth!"
Even the "running" problems with joints can be cured at home! Just do not forget once a day to smear it ...>
Treatment, as well as a survey, should be comprehensive. Elimination of only headaches will only be temporary, unstable result. The effect is short: the pain quickly returns. If you persist, taking only painkillers, over time you will have to increase their dose over time. Therefore, when cervicoranalgia is revealed against the background of the cervical osteochondrosis, the treatment mainly should be directed to the root cause. It will consist of two equal areas.
It begins the first, since the diagnosis is made, since its task is to remove pain and translating the exacerbation of the cervical osteochondrosis to the incomplete remission phase (it allows you to enter non-good techniques to treatment). The patient is prescribed drugs of several directions.
- Anti-inflammatory drugs of a nesteroid group. They are necessary to remove the painful effect, to relieve the cause of its appearance - pain. At first, they are often injected intramuscularly to faster facilitating the state of the patient. Later go to oral medication. The course lasts from 5 to 7 days;
- Miorolaksants of the central exposure reduce muscle spa, stimulate blood circulation in them, help to eliminate pain. If a patient has chronic cervicocranialia in severe form, at first Miorosanta is also given in the form of injections. Them to take the patient should 2-3 weeks;
- Antioxidants, which contain tilomic acid, vitamin complexes with an increased fraction of vitamins of group B, are directed to the regeneration of nerve fibers, restoring their functions, the overall strengthening of the nervous system as a whole. The course of admission of this group of medicines is long, a neurologist is appointed, but not less than a month.
Chronic vertebrogenic cervicocranialia requires symptomatic therapy. Perhaps the pressure correction will be necessary, elimination of dizziness or nausea, the stimulation of microcirculation - all these nuances are specified and taken into account by doctors with additional inspection.
To stabilize the state of the patient, the drugs will not be enough. Physiotherapy techniques are required that wear a restorative-supporting nature, accelerating the impact of medicines, fixing the effect achieved.
Only a doctor should appoint a physiotherapy course. Under vertebrogenic cervicoration, not all procedures are shown. Self-medication in this regard can cause irreparable damage to the body. For example, rigid manual therapy with the diagnosis not only worsens the condition of the patient, but also provides its complications, the number of which becomes irreversible.
Among the procedures allowed to use the most effective and widely used are:
- Training treatment . Simply put - gradual and empty pulling of the spine. It uses a special apparatus; During its use, the patient relaxed on the couch. It does not experience any discomfort at the same time: the procedure is performed softly and smoothly. The stretching time is determined by a physiotherapist; the number of "approaches" is at least four;
- Massage, again soft, but felt. During the massage, the intensity of pain syndrome decreases, the blood supply is stimulated, the muscle corset in the affected cervicoration zone is strengthened, the overall muscles are cleaned. A set of massage techniques, the number of sessions is always individually and depends on the development of the patient's muscular corset;
- Igloreflexotherapy She is acupuncture, launches protective and restorative mechanisms of the organism itself. Can be carried out both manually and special apparatus; Sometimes combined with additional administration of drugs into reflex points;
- Vacuum gradient therapy eliminates blood circulation pathology in bone tissue;
- Hitherotherapy stimulates the blood supply of cells, due to which of the inflamed areas of decomposition products are removed much faster. This entails the acceleration of regeneration of intervertebral disks, general recovery. A side, but very valuable effect - rapid removal of swelling and eliminating stagnant phenomena. It is provided by biologically active substances present in the saliva leech. This impact is actively used when the patient has the intolerance to pharmacological preparations;
- Physiotherapeutic procedures appointed at Cervicalgia include Electrophoresis , ultraviolet irradiation, revitalization, magneto-, shock-wave and electrotherapy.
Often, doctors also recommend to wear a special "cervical collar" during exacerbations. With cervicalgia, pain syndrome during corners and movements, the neck is enhanced. The collar holds back sharpness of turns heads, limits their degrees. The patient should listen to the advice of the observer doctor.
A little about prevention
If you were diagnosed with CervicoCartalgia, you will have to take care of your neck to the end of your life. In principle, there will be no special restrictions on your daily existence. But it must be remembered that the permanent pose with the head-down closer approaches another relapse. If the specifics of your work is such that it is impossible to avoid this position, take a break every hour, breaking away from the screen, trying carefully and diverse your head (for example, a good exercise: "Write a nose" every one of the letters of the alphabet in the air).
Avoid drafts. Since your workplace is located at the window, sit on the chair, riding the neck with a scarf, at least light, gas or silk.
Ask at the attending physician of the diet: during the articular diseases, restrictions on some products are superimposed. Try not to retreat from the recommended menu even on great holidays.
Take care of comfort in a dream. Often, the exacerbation of Cervicoranalgia is provoked by an uncomfortable pose, from which the neck is crushed.
With such a diagnosis, therapeutic gymnastics becomes mandatory. Its frequency, intensity, the set of exercises is selected individually, under the guidance of a specialist in this area. You only need the regularity of gymnastics. The most effective exercises:
- Breathing lying : The patient falls on his back, one palm places on the stomach, the second - on the chest. Inhale / exhale - as slow as possible, in one dimension rate. In the first time, 10 repeats are enough, gradually adding 1-2 times, their number must be touched to 30;
- "Fish" . Performed on the stomach lying on the stomach. The patient should be lifted on his hands, carefully rejected the head back. Hold the position is necessary until the neck gets tired. However, if you have a strong, do not overeat: the maximum allowed time in this position is 2 minutes;
- Rotation head . Lying is required again, on the stomach. Hands stretch along the body, the forehead rests on the floor, the head 10 times slowly and without violence turns to the left, then to the right;
- Pressing chin . To perform the exercise you need to sit even. Inhaling, the patient slowly and gently deflects the head back as much as possible. Exhausted, tilts her forward. Ideally, the chin should nourish to the base of the neck. 5 times will be enough.
It is advisable to repeat the whole complex for the day repeatedly. If you have in working hours there is no possibility to perform gymnastics, do not forget to do at home, at least in the morning and in the evening.
Therapeutic physical culture facilitates the course of acute periods, retrieving the onset of the next relapse, helps to quickly restore the form after its end.
Vertebrogenic Cervicoranialia is almost incurable, it can only be stopped and reduced manifestations to a minimum. A regularly performed gymnastic complex, treatment massage courses significantly reduce the risk of re-inflammation in the neck. But if nevertheless, recurrence happened, consult a doctor and do not try to treat yourself, even if you already encountered this syndrome and think that you know the treatment scheme. Everyone changes in our lives, and faster everything is a state of health. The course of treatment that was used six months ago, now, in new circumstances may already be far from perfect. It is necessary to adjust it, and only a specialist can hold it.
How to forget about pain in the joints?
- Sustainacles restrict your movements and a full life ...
- You are worried about discomfort, crunch and systematic pain ...
- Perhaps you tried a bunch of medicines, creams and ointments ...
- But judging by the fact that you read these lines - they didn't help you so much ...
But orthopedist Valentin Dikul claims that there is a really effective remedy for joint pain! Read more >>>
Publication date February 2, 2018. Updated July 23, 2019.
Definition of the disease. Causes of the disease
Cervical pain syndromes Widespread among young people of working age. Most often, the disease is associated with dystrophic changes in the spine with osteochondrosis and spondyltroatrosis, which arise due to degeneration of the disk and the arcottopic joints, and then the bodies of adjacent vertebrae are involved in the process, the ligament, muscle and nervous system.
Causes of dystrophic changes of the disk and the arcottenized joints:
- inflammatory processes;
- surgical interventions;
- mechanical load on cartilage (excess body weight);
- long-term microtraumaticization with a forced pose;
- excessive functional overload, physical work;
- genetically determined inferiority of cartilage;
- spinal development anomalies, leading to the stress on the joints and discs;
- microcirculation disorder (decrease in the permeability of the synovial membrane, a decrease in local blood flow);
- hypermobility and instability;
- Stenosis of the spinal canal.
When you find similar symptoms, consult your doctor. Do not self-medicate - it is dangerous for your health!
Symptoms of Cervikalgia
Compression option The vertebral syndrome is characterized by an acute, "shooting" pain arising after exercise, decreasing alone and amplifying when coughing, sneezing. Vertebrian deformations are sharply expressed, as a rule, with a scoliotic component, there is a significant stress of paravertebral muscles and a significant limitation of movements in the cervical spine. The symptoms of the "tension" are sharply expressed.
Discussion option The vertebral syndrome is characterized by pain that occurs in the process of static-dynamic loads, hypermobility in the affected segment, the lack of pronounced myofixation at the stage of progression of exacerbation, and at the regression stage - an increase in the degree of peace severity with a simultaneous decrease in the volume of movements.
Doubli version The vertebral syndrome is characterized by pain and discomfort in the cervical spine at rest, a decrease in vertebral deformations, the stress of paravertebral muscles and limit the volume of movements after physical activity, as well as soreness during muscle palpation in the area of several segments.
Aseptic-inflammatory version It is characterized by pain with a sense of stiffness, which passes after movements and usually disappears in the evening, the maximum voltage of the paravertebral muscles, vertebral deformations and the restriction of movement in the morning and the minimum - in the evenings, hyperesthesia in the area of the spine, detecting with the palpation of the articular structures of not only affected Departure of the spine, but also located near the departments.
In patients with cervicalgia, leading syndrome are a painful syndrome from the feeling of discomfort to a sharply pronounced and limiting the volume of movements in the cervical spine. More than half the smooth of the cervical lordosis is marked. The muscle tone is elevated, more often amazed short occipital muscles, stair and elaimers of the neck. In manual testing, functional blockages are determined mainly kraniocerevical transition and the lower spine.
When the process is localized in the upright department, the pain spreads on the back of the neck and the extinct areas of the neck, sensitive disorders are detected in the innervation zone of C1-C4 roots. More often, however, the root syndromes in the most mobile bottom of the spine are noted.
- Isolated damage to the root C1 meets very rarely. It innervates the bottom oblique muscle of the head.
- The spread of pain, sensitive and motor disorders are detected with the damage to the root C2 in the dark-temporal and lateral submandibular areas;
- C3 - in the occipital region and the front sections of the neck;
- C4 - in the field of adrenal and clavicle, the atrophy of the back muscles of the neck (trapezoid, belt, racming, the longest muscles of the head and neck) are determined;
- C5 - in the area of the neck, the adapter and the outer surface of the shoulder, the weakness and hypotrophy of the deltoid muscle are determined;
- C6 - in the field of adapters with the propagation of the outer surface of the shoulder and the forearm to the I and II fingers, decreases or there is no reflex with the two-headed shoulder muscles;
- C7 - on the outer and rear surface of the shoulder and forearm with the propagation of the finger to the III, the reflex with the three-headed arm of the shoulder is reduced or lack;
- C8 - on the inner surface of the shoulder and forearm, including IV and V fingers, the hypotrophy of inter-emergency muscles, weakening or loss of supinator reflex is determined.
The cervical pain syndromes are also characterized by vegetative neurosistrial and trophic disorders. The degree of severity of vegetative dystonia syndrome has a great influence on the course of the disease. In such patients, the disease has a more severe and protracted flow with frequent relapses, the severity of biomechanical disorders and especially segmental vegetative manifestations is significantly higher, whereas in patients with unfinished SVD, the disease is more often a regulations. Long flow of pain syndromes contributes to the formation of even more pronounced SVD and an increase in the sympathetic tone.
Pathogenesis of Cervicalgia
The main link of pathogenesis of cervical syndromes can be considered chronic microtravum, which leads to the mismatch of the metabolic processes of cartilage tissue. As a result, the content of glycosaminoglycans is reduced, the exchange of chondrocytes and the cartilage matrix, collagen structure, contributing to the weakening of the fixation properties of the intervertebral disk and causing irritation of the receptors of the sinoutelectribral nerve receptors is disturbed.
Irritation of the sinoutelectric nerve can also occur due to:
- protrusions of the intervertebral disk;
- vascular disorders;
- cellular immunity reactions;
- scheduling process.
Classification and stage of development of cervicalgia
For practical health care is most relevant Classification I. P. Antonova (1985), which considers cervical pain syndromes from the standpoint of spondylogenic development theory and highlights reflex syndromes:
- Cervicophery with muscle-tonic, vegetative-vascular or neurodistrophic manifestations;
- root syndromes and root-vascular (radiculosia).
When making a diagnosis, it is also proposed to note:
- nature of the course of the disease;
- character and degree of disturbed functions;
- The severity of pain syndrome;
- localization and degree of severity of motor, sensitive, vegetative-vascular or trophic disorders;
- Frequency and severity of paroxysms.
Diagnosis of cervicalgia
In the diagnosis of cervicalgium are widely used Neuroorthopedic methods With which it is possible to estimate the functional state of the spine - disorders of posture, gait, muscle-tonic reactions (changes in the statics and dynamics of the spine, the smoothing of the neck lordosis, hyperlordosis, scoliosis, restriction of active movements, contractures and muscle rigidity).
Via Neurological examination A topical diagnosis is carried out to determine how and to what the nervous system is affected, disorders of sensitive, motor, vegetative and reflex character are identified. To objectivate the dynamics of patients, a visual-analog scale is used to estimate the subjective feeling of pain in the treatment process. The conservation of skeletal muscles is estimated both palpatory and using hardware motonometry to objective the state of the muscular tone and its assessment in the treatment process.
The severity of scoliosis at the cervical level is estimated at 2nd degrees:
- Scoliosis I degree - the magnitude of the angle between the vertical line conducted through the vertex of the spinning process of CIV, and the line conducted through the spiny processes of all cervical vertebrae, to 15 °;
- Scoliosis of the second degree - the value of the angle is greater than 15 °.  [nine] [fourteen] 
To determine the degree of severity of dystrophic changes, differential diagnosis with other diseases of the spine, evaluating the functional state of the ligament and the degree of lesion of the intervertebral disk are used X-ray method .
Often the severity of clinical manifestations of the disease does not depend on the degree of radiomorphological changes. More informative are x-ray methods using contrast substances:
In the diagnosis of vascular disorders during cervicoranalgies can be used Radiographic and angiographic examination methods . However, these examination methods should be applied with caution only by testimony due to possible complications.   With the help of computer tomography, changes are detected, which makes it possible to limit the use of myelography. The great advantages of the CT has in identifying lateral hernial protrusion. In addition, when conducting a CT on the same device, it is possible to clearly detect a decrease in the density of the vertebragraph bodies with beginning osteosclerosis and osteoporosis.  MRI is extremely important for the diagnosis of damage to the spinal cord, cervical roots and vertebral arteries without the effects of ionizing radiation. With the help of it, you can accurately determine the location of soft hernias of disks, osteophytes, identify the compression of the nervous root, with high accuracy to determine the level and nature of the lesion. In recent years, MRI has also been used as a new non-invasive method for diagnosing vascular lesions.
With help magnetic resonance angiography The images of the sleepy and vertebral arteries and their branches are obtained without artifacts from bone structures, which is especially important in the study of the vertebral arteries passing almost throughout the bone canals. With the use of special preparations, you can achieve accurate three-dimensional visualization, without resorting to the use of contrast agents. With the help of special techniques, it is possible to quantify the bloodstream. [nineteen] 
Sonsographic method It takes a certain place in the diagnosis of cervicoranalgia, it is advantageous to differing from other methods of accessibility, lack of radiation load and restrictions on the frequency of use in real time.
Functional echospondylography Allows real-time determining the stability of the vertebral motor segment and the vertebrae offset relative to each other.   In determining hemodynamically significant occlusive lesions of the internal carotid, general sleepy, plug-in arteries and a shoulder barrel, as well as the vessels of the upper extremities in the neck pain syndromes, the method of ultrasonic dopplerography is of great importance, with which it is possible to determine the degree of violation of the suspension of the vessel, deformation, development anomalies, Arterial and venous aneurysms, vasospasm. [thirty]
To assess the contracting properties of muscles in reflex and neurodistrophic manifestations of disease, high-quality and quantitative assessment of local dystrophic changes of muscles, differential diagnosis of spondylogenic pathology with other nosological forms used Electromyiography . In the electroencephalographic (EEG) examination, the activating effect of the reticular formation of the brain stem on the cortical bioelectric activity due to the constant pain impulse, which is manifested by the EEG flattening. [eighteen]
Treatment of cervicalgia
The reducing treatment of the SBS should be timely, complex, differentiated and taking into account the pathogenetic mechanisms, the severity of pain syndrome, the features of the course of the disease and the stages of exacerbation.
An integral part of the complex treatment of cervicalgium is physiotherapy, since it has the wide opportunities of the impact on the leading links of pathogenesis and activation of sanogenetic reactions, positively affecting the body as a whole, without giving allergic reactions. Physiotherapy has significantly reduced and less expressed side effects compared with drug therapy, almost all types of physiotherapy are used, including natural treatment methods. 
So, to stop painful syndrome, used:
- anesthetics electrophoresis;
- Pulse currents: DDT, SMT;
- A variable low-frequency electromagnetic field;
- ultraviolet and infrared radiation;
- ultrasound or phonophoresis analgin, anesthesine;
Pronounced anti-inflammatory and absorbent action possesses UHF therapy Used in acute and subacute stages of the disease, with a long chronic process, paraffinostotoceliterate therapy is successfully used. This enhances immunological processes, stimulates the functions of the reticulous endothelial system, improves the trophic and reparative processes in tissues, microcirculation, and also has an analgesic and antispasmodic effect.
Laser radiation It has anti-inflammatory and painful effect, especially infrared laser. In addition, laser radiation contributes to the normalization of the disturbed microcirculation, activate the trophic processes in the focus of inflammation, a decrease in tissue edema, stimulating the processes of regeneration in the nervous tissue, having favorably affecting the recovery of excitability and contributes to a slowdown in the further degeneration of cartilage tissue.
Ultrasound and ultrafonophores Drug substances have the most pronounced stimulating effect on the processes of recovery, as they affect the trophic and adaptive functions of the body, have a resolution, anti-inflammatory, antispasmodic, fibrolitic, hyposensitizing, and a pronounced analgesic effect. The specificity of the action of ultrafoforesis depends on the pharmacological effect of the injected medicinal substance. Thus, the phonoforesis of the hydrocortisone is more expedient to use with aseptic-inflammatory mechanism of the vertebral syndrome, and the euphilline or ganglerone - with vascular disorders and phenomena of peripheral angiospa, with the root pathology, the administration of acetylsalicylic acid is most justified.
Methods aimed at eliminating hemodynamic disorders are Pulse therapy especially Interferencing и Magnetotherapy. They are aimed at the normalization of the pathologically modified tone of the main arteries and the capillary bed, improving microcirculation. In addition, reduce spasm of vessels and reduce the sensitivity of nerve gradation darsonvalization and ultra-thin therapy.
Specific treatment methods applies Kinesotherapy which is due to a wide range of action and influence, the lack of negative side effects and the possibility of long-term use can be used at all stages of the disease.
Massage - The most frequently used type of passive kinesotherapy, which has not only direct mechanical effect on tissue, but also having neurohumoral and reflex reactions from various systems by type of motor-visceral reflexes, which normalize the tone of blood and lymphatic vessels, increase the tone and elasticity of the muscles and improve their contractile function. [eight] [eleven]  
In the complex treatment of SBS, both orthopedic measures are also widely applied as Orthezion When dysfixing the spine and tracting therapy, which leads to a decrease in the muscular-tonic syndrome, contributes to the expansion of the intervertebral holes, reduces the intraids pressure and reduces the disk protrusion. 
Osteopathy - Leading method of non-drug treatment. Today, various techniques are widely used, starting with "hard" chiropractic and ending with "soft" osteopathic, and the doctor's efforts are aimed at eliminating the pathology and the development of compensatory reactions. Frequently cited by osteopaths E.T. Still wrote that "any method (treatment) is good if it brings the result." Osteopathy in the complex reducing non-drug treatment of the SCBS is applied independently and in combination with other types of impact, to which physiotherapy and therapeutic physical culture belong. [one] [sixteen] [twenty] 
These treatments can be successfully used at all stages of medical rehabilitation. Manual therapy is used both independently and in combination with other methods of treatment that increase its effectiveness, such as physiotherapy, therapeutic physical culture, balneotherapy, therapeutic blockade and drug therapy. The greatest effect is noted when combining manual therapy and needleflexotherapy. Today there has been a great experience of using reflexotherapy in the treatment of SBS. The acupuncture has an adjusting, stimulating and normalizing effect on the functional state and the reactivity of various organism systems, adaption-trophic function and metabolic processes, affects the vascular tone, improves microcirculation, contributes to the improvement of cerebral and peripheral blood flow, relaxes spashed muscles. [fifteen] 
A comprehensive, comprehensive examination of patients allows differential diagnosis to evaluate biomechanical disorders, to identify the aggressive course of the disease factors, determine the severity and nature of vegetative violations, which contributes to the efficiency of therapeutic and preventive measures in cervical pain syndromes.
Since the SBS is characterized by chronic recurrent flow, along with treatment, issues of primary and secondary prevention are very important. For the implementation of primary prevention, the main requirement is to conduct an active lifestyle with a normal load on the spine, rational alternation of labor and recreation, appropriate to the treatment of physical education with the inclusion of exercises aimed at strengthening the muscles of the back and abdominal press, as well as the correction of incorrect posture.Headaches
In a certain percentage, cases are due to problems in the neck and are calledCervicocranalgia
. Such pains are usually associated with changes in neck or head structures or may be reflected in character (for example, from the top of the back, jaw or shoulders).
A sudden beginning of pain in the neck and head is often associated with injuries in contact sports, road traffic accidents, weightlifting classes, with sharp slopes ahead or ahead, twisting neck, or combinations of these movements. In addition, if there is damage to the ligament apparatus, pain in the neck and head may occur even after Chihana due to a strong adaptive muscle spasm. Also, one of the most common causes of acute pain in the neck with irradiation in the head, shoulder, hand, the forearm is the hernia of the disk, the sublinks of the facet joints. The gradual start of pain in the neck and head often occurs in patients who are long sitting at a computer, repeated neck inclons, a violation of the posture or a combination of these factors. Also a frequent cause of pain, maybe the hernia of the disk. Elderly patients with a gradual onset of pain in the neck, one of the most likely causes of symptoms are degenerative changes in the spine.
Headaches have many reasons and are often connected with certain pains in the neck. Such headaches are known as Cervicogenic headaches And often due to myofascial pain and muscular-tonic syndromes of various etiology and types. But it is necessary to take into account that pain in the neck and at the same time in the head can be a sign of serious diseases such as, for example, meningitis or brain tumor, and may also be due to the neck injury and it must be considered when Diagnostics of Cervicoranalgia .
Muscular causes of cervicoranalgia
Muscle problems can lead to such pains, especially if there are problems in the muscles passing from the lower jaw towards the head. These muscles are connected to the base of the skull and can be spashed due to poor posture, redundant loads or stress. Usually, the headache associated with muscle problems is also felt as pain when moving in the shoulder. With a pressure on the pain area (in the neck or shoulder), the headache is usually changing. The pain may be mild medium or intense, durability from several hours to several weeks.
There are three main nerves, C1, C2, C3, which go straight into the head of the cervical spine.
These nerves innervate the muscles around the skull in the top of the neck and can be painted as a result of inflammation or long-term voltage. Muscles such as Semispinalis Capitus, Capitus Long, and Longus Capitus, Capitus Lateralis, are responsible for the movement of the head back, forward and on the sides, respectively. The triple nerve innervates the facial muscles, and the second cranial nerve provides the sensitivity of the back of the head. These two nerves are located at the top of the neck, so any damage or injury in this area can lead to pain, which can come from the bottom of the head of the head and irradiate into the top of the head, eyes and face. Pains in the neck and head can also be due to myofascial syndromes associated with muscle such as Upper Trapezius, Sternocleidomastoid, Splenius Capitis, Splenius Cervicis, Semispinalis Capitis, Semispinalis Cervicis, Longus Capitis, Longus Colli, Multifidi and Rotatores Omohyoid.
Degenerative changes in the spine
Structural involutionary degenerative changes in intervertebral disks and vertebrae can cause reflected pain in the head, as a rule, in the rear of the head.
The hernia of the disk in the cervical spine is one of the most common causes of pain in the neck, with a possible irradiation in hand, shoulder and often in the head, but more often the headache is due to secondary muscle spasm. Pain may increase with palpator pressure in the neck area and often pain is accompanied by restriction of mobility in the neck. Sometimes pain may be absent in the neck, but can only be pain in hand or only headache. As a rule, pain in the hand is accompanied by numbness, feeling tingling in hand. Pains caused by the hernia disk are often enhanced with long static loads (for example, during the seat), when the head turns.
Injuries of the neck
Injuries of muscles, ligaments, tendons, joints, discs and nerves in the top of the neck can lead to chronic pains in the neck, in the head. The most characteristic of injuries as "whip injury" arising during falling or road traffic accidents or sports injuries, such as the subluxilies of "Facetic joints", which are well treatable with manual manipulations. Bad posture, repeated movements and stress loads can also cause the sublits of the facet joints, which can lead to local pain in the neck and chronic headaches.
Rales (donkeys) of the connective tissue surrounding articular joints are usually the result of excessive tensile tissue when twisting, extension slopes, especially against the background of posture disorders. The tension of the ligaments is usually manifested by pain in the neck on one side, which can irradiate into the lower part of the head. As a rule, such states are accompanied by muscle spasm.
Damage to the facet joints often occur as a result of a sharp movement of the neck, collision during the occupation of contact sports. Usually in such cases there is a constant, stupid pain, which can be localized in the back of the head, the upper part of the forehead, behind the eye, in the area of the temple and less often, around the jaw or ear. Usually, the headache is associated with pain in the neck, stiffness in the neck and the difficulty of turning the neck. Pains can enhance with palpation in the area of the cervical spine, as a rule, on one side of the neck, just below the base of the skull. Sometimes there may also be such symptoms as a feeling of tingling, numbness, nausea or light dizziness.
Arthritis of the cervical spine
The most common cause of chronic pain in the neck leading to headaches is osteoarthritis, which is due to degenerative changes in the joints of the vertebrae. Usually, only changes in the joints of the three top vertebrae of the neck are the cause of cervicogenic headaches. Osteoarthrosis of the neck (spondylosis) is degenerative changes in the facet joints, which leads to the formation of osteophytes and swelling of the disks. These degenerative processes can generate chronic, stupid or sharp pains in the neck and pain in the back of the head.
In addition to involutionary degenerative changes in the cervical spine, changes in the joints can also be due to systemic diseases such as rheumatoid arthritis or psoriatic arthritis, in which inflammation in the joints may cause pain in the neck and cause chronic cervicogenic headache. Such reasons Cervicogenic headaches It is much less common than osteoarthritis (spondylosis), but painful manifestations caused by inflammatory diseases of the neck joints, more intense and long.
Many serious illnesses or conditions can lead to chronic headaches and are often accompanied by pain in the neck. These are diseases such as brain tumors, brain abscesses with localization in the occipital part, the tumor of the cervical spine, the disease of the Pedge. Sharp head pains and in the neck can be due to infectious diseases such as, for example, meningitis. In addition, sharp pains in the neck and head can be due to the fractures of the spine due to injuries, sports, accidents. As a rule, pain syndrome has acute character and it is preceded by an episode of injury. The fracture may appear both pain in the neck and head, and such symptoms such as disorders of movements in the limbs, sensitivity disorders. Therefore, when diagnosing pains in the neck and head, it is necessary to take into account the possible genesis of pain in the neck and head, which requires emergency medical care.
Head fights related to the neck ( Cervicocrania ), as a rule, has a certain relationship with the neck injury and in such cases the headache may be on the one hand, pain can be at the base of the skull, forehead, in the dark part around the eyes. As a rule, the pain begins in the neck area, and does not carry in most cases a pulsating or sharp nature.
Other features of the headaches associated with the neck of the neck is the frequent presence of such symptoms as nausea, sound sensitivity and light, dizziness, difficulties in swallowing, blurredness (often only on the side of the headache), tear and sometimes vomiting, in those Cases when pain has a serious genesis. Sometimes there is swelling around the eye on the side of the head, where the pain is felt. Pains can be enhanced when the shoulders move. Headache content may be from easy to severe, durable from several hours to several days or even weeks.
Head-related headaches must have at least one of the following properties:
1. Headache must precede:
- Traffic in the neck
- Long inconvenient head position
- Pressure on the top half of the neck or base of the skull on the headache side
2. Limited volume of movements in the neck
3. Pain in the neck, shoulder or hand
If there are all three properties, then most likely that the headache is due to problems in the neck.
Characteristics of the headaches associated with the neck
- Often, presence in the history of the disease of the neck injury (the bruise of the cervical spine, tensile ligaments, fusions of the facet joints)
- One-sided headache
- Sometimes pain can be on both sides
- Pain is localized at the base of the skull, in the forehead area, on the sides of the head or around the eyes
- Pain can last a few hours or days
- Headache usually begins in the neck area
- Headache in the intensity from moderate to severe
- Headache not pulsating
- The pain is not sharp
Other features that are celebrated with the headaches associated with the neck:
- Sensitivity to sound
- Sensitivity to light
- Difficulties with swallowing
- Fucetitude view on the headache side
- Toothing on the headache side
- Eyes around the eye on the headache side
Diagnosis and treatment
Diagnosis of CervicoCartalgia It assumes, first of all, the exclusion of serious causes of headaches, such as brain tumors, meningitis or spinal injuries. Based on the history of the disease, the study of symptoms and physical examination, the doctor, in most cases, can put a preliminary diagnosis and decide on the required volume of the survey. Instrumental research methods (radiography, CT, MRI) allow you to put an accurate diagnosis. If necessary, laboratory research methods can be assigned a differential diagnosis.
Treatment of cervicocranalgia It depends on the origin of pain and, as a rule, effectively to the use of a complex of medical measures (drug treatment, physiotherapy, massage, acupuncture and leafc).
Vertebrogenic Cervicocranialia is a prefabricated syndromic concept, denoting one of the options for a clinical picture during cervical osteochondrosis.
Information for doctors: In the Russian version of the ICD 10, the vertebrogenic cervicoranialium is encrypted by code M 53.0. The diagnosis should include a variant of the course of the disease (acute or chronic), its phase (exacerbation, incomplete remission, remission), the severity of pain and muscular-tonic disorders.
The diagnosis is established on the basis of x-ray confirmation of the problems with the spine (including the presence of cervical osteochondrosis, protrusions or hernia of intervertebral disks, the anomalies of the development of vertebrae, etc.), as well as in the presence of a characteristic clinical picture including the following symptoms:
- Pain in the neck, irradiating (giving) to the occipital part of the head.
- Tension muscles of the occipital region.
- Noise in ears.
- Flushing flies before eyes.
- Restriction of head turns.
It should be said that no specific signs of vertebrogenic cervicoranalgia in neurological status is not determined. With vertebrogenic cervicranalgia, pain in the head can be caused by the squeezing of the vertebral arteries (the so-called vertebral artery syndrome), and the osteoskhodnosis of the cervical spine should also be separated as the cause of the existing symptoms from other causes of headaches. That is why it is desirable to carry out further research:
- Woods of the vessels of the head and neck with functional samples (head turns).
- MRI brain and craniteractor transition to eliminate focal pathology.
Treatment should be complex, as is the treatment of any problem with the spine. Depending on the severity of the muscular-tonic syndrome (the leading pathological mechanism of headaches development is Miofascial - the tension of the muscles and the fascia of the tendon helmet of the head) is assigned to the necessary dosage of the muscle relaxants (Middokalm, Bulosan, Sirdalud). Miorlaxants are usually appointed for a period of 2 weeks to one month.
Effective anti-inflammatory therapy is also needed, which may include various preparations (diclofenac, ketonal, meloxico, Kebrex, Aeral and others). It should be remembered about the need to protect the gastrointestinal tract when the risk of developing gastrophotas. Anti-inflammatory therapy should last at least 3-5 days, but also not exceed two weeks due to the risk of developing complications from the stomach and other organs of the gastrointestinal tract.
The third main point of treatment of Cervicoranalgia is neuroprotective therapy, which most often advocates vitamins of group B (Combiliphene, Milgamma, Unigamma and others). Neuroprotective therapy should continue after removing acute symptoms. In the acute period, it is recommended to use diadinamic currents in combination with exercises of the exercise.
As prevention, it is necessary to deal with therapeutic physical education aimed at strengthening the muscular corset of the cervical spine. The massage method for vertebrogenic cervicoranalgia should include a long preparatory process (stroking and rubbing), while the kneading is almost not carried out. It is better and more efficient to use point exposure and other manual techniques on the scalp area - after all, the relaxation of the tendon helmet can give a rapid and pronounced state relief.
Important! The preservation of headaches after the complex treatment of vertebrogenic cervicocranalgia and the removal of the muscular voltage of the collar zone and the pain of the cervical spine must be a reason for the beginning of the diagnostic search for a different cause of cephalgic syndrome.