1How to recognize cervical dislocation: symptoms and treatment of trauma
- 1.1Cervical dislocation
- 1.2Causes and symptoms: how to distinguish from a fracture
- 1.3Congenital dislocation of the neck (dislocation of the neck in newborns)
- 1.4First aid for the victim
- 1.8How to correct the dislocation of the neck?
- 1.9Features of treatment of congenital dislocation
2Subluxation and cervical vertebra in a child and a newborn: symptoms and treatment of the neck
- 2.1Classification of dislocations and subluxations
- 2.2The causes of dislocation and subluxation
- 2.3Features of dislocation and subluxation in children
- 2.4Symptoms of dislocation and subluxation of the cervical vertebra in a child
- 2.6First aid
- 2.7Treatment and its characteristics in children
- 2.8Consequences of dislocation and subluxation of the cervical vertebra in a child
35 consequences of subluxation of the cervical vertebra (atlanta) - in children and adults
- 3.1Anatomy of the Department
- 3.2Causes of subluxation
- 3.6First aid
- 3.7Methods of treatment
- 3.8Medication Therapy
- 3.11Exercise therapy
- 3.13Rehabilitation period
- 3.14Possible consequences
4Dislocation of cervical vertebrae - danger nearby
- 4.1It all happened, but how?
- 4.2As a result of which this happens
How to recognize cervical dislocation: symptoms and treatment of trauma
Dislocation of the neck - trauma is complex and dangerous. Left without treatment, not diagnosed in time, it can lead not only to disability, but also to death. Such damage is often complicated by neurological abnormalities, so do not hesitate with the diagnosis and treatment.
The medical name of the most frequent damage to the dislocation of the first cervical vertebra is the prolapse of the capsule of the cervical spine. This department of the spine is very mobile, and it can be damaged, even by performing simple physical exercises.
Complicated with the problem of muscle displacement, sprains and dislocation of the internal processes of the spine, often a dislocation is accompanied by a fracture, and in this case, the spinal cord may be affected. In case of damage, it is impossible to trust treatment not to specialists, not having sufficient education and experience to diagnose and carry out correction or treatment is impossible.
The doctor who conducts the diagnosis should know how the damage occurred, the symptoms that the patient is experiencing. After a visual inspection, usually for the completeness of the situation, a special diagnosis is appointed (X-ray, MRI, spondylography).
MRI of the cervical spine. At the level of СЗ-С4-fracture-dislocation with the formation of local angular deformation of the vertebral column at the level of C2-C4.
Causes and symptoms: how to distinguish from a fracture
The most frequent causes of damage, according to statistical data, are:
- sharp movements (skating, swimming with diving, physical education lessons with gymnastics elements, training with simulators);
- injuries sustained after waking up (sharp head elevation in an uncomfortable position).
The most obvious symptom of damage is pain syndrome, the patient is hard to turn his neck, he turns the whole body, while the pain can be felt in the shoulder, arm. The pain is attached to the following symptoms:
- difficulty swallowing;
- problems with vision;
- limited movement;
In the presence of a fracture, these sensations are added:
- involuntary contraction of adjacent muscles;
- difficulty breathing or even suffocation;
- severe edema, patient may have painful shock.
Therefore, for an accurate diagnosis, an x-ray (bone position snapshot), MRI (spinal cord examination), CT (detailed bone tissue examination) is prescribed.
Congenital dislocation of the neck (dislocation of the neck in newborns)
Birth trauma in children is most often associated with the narrow birth canal of the mother, and, unfortunately, Diagnose the dislocation of the cervical vertebra or see the symptoms visually at once is not always represented possible.
With such an injury, a child can significantly lag behind in development, mental and physical, a complication can be paralysis of the lower extremities, dysfunction of the nervous system, in the period of further growth - deformation of bones and joints.
In the absence of contraindications, operative treatment of such lesions is performed, otherwise prescriptions are made that improve blood flow and facilitate the condition of small patients.
First aid for the victim
In case of cervical dislocation, hospitalization is necessary, the site of damage should be fixed so that when it is delivered to a medical institution, there is no re-injury. In case of edema it is advisable to make a cold compress to the victim, it will ease the pain.
In no case should you try to direct the dislocation yourself: if the situation is complicated by a fracture, you can touch the spinal cord, and this is fraught with a disability or fatal outcome.
With dislocations of the cervical vertebra, doctors will prescribe conservative and surgical treatment. The conservative method suggests stretching using the Glisson loop.
A qualified physician conducts the dislocation, after which the patient is given a restorative procedure and wearing a special fixation bar.
Depending on the complexity of the injury, the patient is prescribed: manual therapy, reflexotherapy, therapeutic massage, drugs that relieve pain symptoms and swelling, and muscle heating.
To help with the dislocation of the cervical department, traditional medicine can only help alleviate pain symptoms or restore after re-adjustment.
To alleviate the pain, compresses made of herbs are prepared.
For example, fresh leaves of wormwood are ground into gruel and compress on a sore spot, wrapping in a damp cold kerchief.
Effective in heating the muscles of ointments from natural components:
- Ointment from willow buds:kidneys are crushed into flour, mixed with butter (preferably home-made) in equal parts.
- Chamomile ointment:crushed flowers mixed with butter knead to homogeneity.
Both ointments are prepared in small amounts: they are not stored for a long time. Lubricate the diseased area until the pain is felt.
How to correct the dislocation of the neck?
Some doctors perform the procedure under anesthesia, while others prefer to control the process, focusing on the patient's feelings. The procedure is as follows:
- The patient occupies a comfortable position on the chair, relaxing the body.
- The doctor lifts the patient's head, which in this case should not move after the movement of the doctor.
- During the process, the ligaments are stretched, a gap is formed between the vertebrae, in which the displaced vertebra takes its place.
The second method of correction for Rishe-Gunther is carried out with anesthesia:
- The patient assumes the position of "lying on his back dangling his head and neck down.
- The doctor fixes the Glisson's loop on the waist of the patient and, holding his head, holds the loop tension.
- Assistant surgeon nurse hands around the patient's neck, placing the edge of the palm on the site of the injury.
- As a result of the gradual extension procedure, the doctor tilts the head in the right direction, and the vertebra takes its place.
After this, a number of physical procedures are needed, restoring the muscles and ligaments that remove inflammation.
Features of treatment of congenital dislocation
The main sign of dislocation of the neck at birth is torticollis. The sooner a diagnosis is made, the greater the chance of successful treatment. With a timely statement, specialists conduct a correction using the Glisson loop:
- the whole procedure is extremely cautious;
- the load increases gradually;
- the doctor does not leave the child for a moment while drawing;
- with a characteristic crunch, the surgeon immediately reduces the load and sends a small patient to the X-ray.
If the diagnosis is established after a long period of time, the treatment uses the brackets of Cracield.
This treatment is complicated by the fact that to fix the braces it is necessary to make holes in the skull, after the procedure, edemas will appear. After the edema subsides, the doctor will impose special orthoses.
Wear these adaptations the child should not less than two months. During this time, the efficiency of the whole department should be restored.
Any trauma to the spine, even those that seem insignificant, can lead to serious consequences. Therefore it is important to know and recognize the symptoms of damage and not to brush it off, but to consult a doctor.
About dislocation of the lower cervical vertebrae with visual illustrations in detail tells the video.
A source: http://prosustav.ru/travmasustava/vyvihi/shejnyj-vyvix-u-vzroslyx-i-detej.html
Subluxation and cervical vertebra in a child and a newborn: symptoms and treatment of the neck
In children, however, as in adults, dislocation of the cervical vertebra is considered one of the most common injuries.
In some cases, the dislocation of one of the vertebrae of the neck happens even in newborns during the birth, which is due to the weakness of the ligaments and the immaturity of the entire musculoskeletal system.
In the future, a similar injury can occur for various reasons.
In the article you will learn in detail about the dislocation and subluxation of the cervical vertebra in a child and a newborn, as well as the treatment of trauma.
Classification of dislocations and subluxations
Most often dislocation and subluxation are subject to two cervical vertebrae (the first and second), called the axis and the atlas.
In addition to the congenital subluxation of the vertebra, which usually appears in the process of childbirth, there are several more varieties of this trauma, which are quite often found in children of different ages and even in adolescents, in particular:
- Subluxation of rotary, which occurs in most cases with a sharp turn of the head, its tilt or rotation. This subluxation can be of two types. In the first case, both vertebrae are affected, with almost the maximum turn of each vertebrae relative to each other. Outwardly it is expressed as a syndrome of the neck curve, and the child's head leans to the side. In the second case, only one of the joints is blocked, while the second shows a state of incomplete rotation. External symptoms of this condition may be insignificant or absent completely.
- Active type of subluxation. Most often, such an injury occurs with muscle tension or a sharp and very active movement. The child thus experiences severe severe pain, accompanied by a sudden contraction of the neck muscles, which leads to the blockage of the injured joint, usually partial. As a rule, the direction of such an injury occurs by itself after weakening the muscle spasm.
- Subluxation of Kimbek. This kind of subluxation can have several characteristics, in particular: transcendental displacement, when the tooth fracture of the axis occurs; translational displacement, when in the course of trauma a ligament of the tooth-like process is broken, and also the peridental dislocation, at which the axis tooth slides out of the ring atlanta. The neck becomes convex, the movements are completely blocked, and the head has to be supported by the hands in order to alleviate the pain a little.
- Subluxation of Cruewell. Displacement usually occurs with severe overloads or injury due to too weak ligaments, due to the presence gaps between the inner surfaces of the vertebral rings and the tooth-like processes, and also because of the undeveloped teeth. Often this trauma becomes a companion of such ailments as Morkio and Down syndrome, as well as rheumatoid arthritis.
- Displacement of Kovacs. It is this subluxation that is often called habitual because it appears due to instability and weakness of the ligaments of one segment of the spinal column. Sometimes such a phenomenon occurs due to a congenital anomaly or as a result of improper treatment of the resulting injury. In this case, when the neck is bent or turned, the vertebra is slid back, but it immediately becomes in place when the neck is turned back to its natural position. Sometimes a significant factor in this condition is a significant burden on the muscles of the neck. If at such a displacement the nerve is entangled or clamped, then a symptom similar to hernia occurs, while the condition is accompanied by muscular tension, pains in the limbs and lumbar region, leg cuts, as well as atrophy of the foot muscles.
The causes of dislocation and subluxation
If an adult man has vertebral dislocations in most cases with a certain external force or habit of sleeping on his stomach with a turn of his head into one side, in children, the cause of this situation is most often an unintended arbitrary and sharp contraction of the neck muscles, although the trauma factor is also not is excluded.
Some children can turn their heads on themselves in an absolutely unnatural position for them, which in aggregate with high mobility and children's physical activity often leads to the appearance of subluxation or dislocation.
However, in children the state of subluxation occurs much less frequently than in adults.
Because children's joints and cartilage, like ligaments, have high elasticity and flexibility.
Joints have higher mobility, so their articulation, even when injuries are often more resistant than adults.
Dislocation in newborns may occur during childbirth, if at the time of passage of the birth canal the head of the crumb deviates from the main axis.
But a dislocation and subluxation in a baby can occur after birth due to the immaturity of the ligament apparatus, for example, when the head is turned to the wrong position.
In children of the older age group, the trauma may appear in various sports, for example, when roller skating, skating, falling, diving and swimming.
At gymnasts dislocation and subluxation is not uncommon, since it can arise when performing various figures and exercises, in particular, somersaults or a rack on the head.
Features of dislocation and subluxation in children
Most often, two cervical vertebrae are subjected to dislocation because their structure is somewhat different from the rest.
In most cases, the child has a dislocation or subluxation of 1 (first) vertebra, called the atlas, because it is the most vulnerable.
But it should be remembered that it is here that the spinal cord passes, the damage to which on this part of the spine can be dangerous for life.
The first vertebra has the form of a peculiar ring, while its lateral parts are much denser than the posterior and anterior.
In the second vertebra, the lateral parts are also thickened, but its appearance in some ways resembles a ring..
At the front of the vertebra is a special process, located in the inner ring of the atlant, where it slides, providing movement of the joint..
Rotation of the head is ensured by the fact that the articular surfaces have a special coating in the form of a capsule, on the surface of which there are folds.
It is this joint that ensures the rotation of the head in different directions, and the other vertebrae of the neck allow only to make inclines. When injuries are received at this location, head turns become impossible.
Symptoms of dislocation and subluxation of the cervical vertebra in a child
General signs of dislocation of the neck in the ribs are divided into two categories: specific and nonspecific symptoms. A nonspecific group usually refers to the manifestation of pain, a sensation of tension in the neck, its immobility, the appearance of puffiness and swelling at the site of injury.
In children, in some cases, you can feel by hand the available offset.
Symptoms of this group, as a rule, do not give a definite idea of the characteristics of the injury, its type and nature.
To a specific group include symptoms that allow you to get an idea of the injury and understand its features.
This includes the presence of pain in the region of the jaws, in the shoulder region and practically along the entire length of the spine, the appearance of convulsions in the hands and a decrease in strength in them, dizziness, tinnitus, severe headaches, violation sleep.
If the lesion has a sufficiently serious scale, then numbness and weakness can spread to the lower extremities.
Often with such trauma you can note the lock of the rotation of the head, first of all to the side that is sick. Visually, sometimes it can be seen that the child keeps his head constantly turned to the side opposite to the trauma.
When a subluxation occurs in the joint between the 2nd and 3rd vertebrae, the symptoms include the appearance of pain in the neck, a swelling of the tongue, and problems with swallowing.
Any diagnostic measures for neck damage begin with a full examination of the patient, while the doctor will ask the child to do some movements, after which he will probe the alleged place injury. In some cases, a special analysis of a diagnostic nature can be carried out.
Of course, the main method of diagnosis, which allows you to accurately determine the type of dislocation and all its features, is an X-ray study, which in this case can be carried out in three forms at once, in particular:
- Radiograph taken through the patient's mouth. Only this type of research can give a complete overview of the first two vertebrae of the cervical region, which allows to detect dislocation and subluxation of the Atlantean of a rotational nature.
- Chest X-ray. This method of investigation allows you to get an overview of the processes of the joints, as well as the holes between the vertebrae. To conduct it, the patient should tilt the head in the side at an angle of 45 °.
- Spondylography. The study allows you to see the condition not only of the vertebrae itself, but also the joints between them, as well as the intervertebral discs. Typically, this method of diagnosis is often the main. Two other methods are in most cases carried out only when the spondylography was not enough to make a diagnosis.
It is important that first aid is provided not only in a timely manner, but also correctly, as this is often depends on the complexity of the correction process, as well as the duration of further treatment and the follow-up period rehabilitation. If there is a suspicion of a dislocation or subluxation of the neck joint, the first thing to do is to immobilize all the vertebrae of this department.
If there is no special medical corset, you can simply put the child on a smooth, hard surface before the ambulance arrives.
Until nowa special bus should be builtto prevent any possible (even minor) movement of the cervical region or head. The child should be reassured, try to explain to him the importance of the existing condition and the need for immobility.
The tire can be two light plates, two any objects located on both sides of the head, creating an obstacle to possible involuntary movement. After this, ice should be applied to the injury site to prevent the formation of edema, which will complicate the diagnosis and further correction.
With dislocation and subluxation of the neck, you should not try to take the child to the hospital on your own, it's best to wait for emergency doctors with special equipment.
In no case should you try to direct the dislocation yourself. Even an experienced skilled doctor will not try to correct the dislocation of the neck without carrying out all the measures of diagnosis and determining the existing trauma features and type.
Treatment and its characteristics in children
Treatment of dislocation of the vertebrae of the neck always begins with the correction of the injury, and it is very important to place the displaced joint as soon as possible and more correctly in its natural place.
To correct dislocations and subluxations in children in medicine, there are several methods at once, the choice of which depends not only on the characteristics of the existing trauma, but also on the age of the patient.
Most often to correct the neck apply:
- Technique of Vityuga, used mainly to correct subluxations, in which there are no serious complications. Before the procedure, the place of injury is anesthetized locally, so that not only the pain is eliminated, but also brought to the normal tone of the neck muscles. After this, in very many cases, the dislocation of the dislocation occurs independently when the head is slightly tilted or turned. If this does not happen, the doctor will correct the injury manually with little effort.
- Gleason's Loop. This technique is most often used for the management of dislocation for older children, as well as for adolescents, since the procedure takes considerable time. The victim is laid on a flat hard surface so that his head is slightly raised and placed above the body. A soft cloth loop is attached to the child's chin, the weight of which is fixed to the ends of the child, its weight is always calculated strictly individually. Suspended weight exerts a certain pressure on the jaw and cervical region, which leads to its gradual extension and correction of the dislocated joint.
- Leverage method. At the same time, the correction is made in one moment. The procedure can be carried out with or without local anesthesia, depending on the complexity of the dislocation and age of the child.
After correcting the dislocated joint, the neck should be fixed and immobilized for at least 1 month.
It is most convenient to do this with a special medical device called the Shantz collar..
The dimensions of such a device are different, so finding a suitable option for a particular child will not be difficult..
Such treatment is considered conservative, and its purpose is to provide the possibility of muscle building and cartilage tissue in the injured area to further ensure the stability of the joints of the cervical department.
It is important that the wearing of the collar of Shantz be carried out within the prescribed time, in order to prevent the occurrence of a habitual dislocation in the future.
Consequences of dislocation and subluxation of the cervical vertebra in a child
The main dangers of dislocation or subluxation, as a rule, arise when trying to perform self-treatment without resorting to a specialist of proper qualifications, as well as in case of refusal to carry out restorative procedures and non-observance of medical recommendations.
It is important to remember that the repositioning of the dislocation is only the first part of therapy, after which it is necessary to go through a period of immobilization and further recovery. Self-medication in this case, as well as an unauthorized change in the schedule of rehabilitation, can lead to very disastrous consequences and many complications.
Often the self-healing of such a dislocation results in the complication of trauma by an additional rupture of ligaments or the appearance of a dislocation of the full category.
Do not and independently prescribe medications, because the selection of each remedy is carried out only individually, and a violation of this rule can cause malfunctions in many systems and bodies. Only physicians should prescribe physiotherapy procedures, as well as conduct them, otherwise the opposite effect can be obtained together with the expected benefit.
A source: https://1travmpunkt.com/vyvihi/raznye/shei-u-rebenka.html
5 consequences of subluxation of the cervical vertebra (atlanta) - in children and adults
The subluxation of the cervical vertebra is a serious injury that requires compulsory diagnosis and assistance from a physician.
Symptoms and severity of the patient's condition depend on what caused the problem and in what area it is localized.
Refusal of treatment in adults and children entails dangerous consequences - frequent headaches, depression, development of diseases of the upper spine.
Anatomy of the Department
Dislocation of the atlas - vertebra C1, due to the peculiarities of its structure. This is the link between the neck and the skull, which provides the head tilt. The remaining vertebrae provide rotational functions.
If the C1 shifts relative to its axis, the remaining vertebrae become anatomically incorrect. A person can not tilt his head, there is pain, puffiness.According to statistics, the Atlantean shift is one-third of all damage to the collar zone.
The remaining vertebrae may shift in a situation where a person sharply "throws" the head backwards. Practice shows that the "victim" of sudden movements becomes C2, the zone C5-C6. C6-C7.
Causes of subluxation
Rotational subluxation C1 and other types of neck injuries in adults appear due to the following circumstances:
- head blows.
- Features of labor activity (professional sports, work of drillers, etc.).
- Falls head down.
- Exercises and training without observing safety measures (possible injury factors - ridge sport, somersaults, bar exercises, etc.).
The rotational subluxation of atlanta in adolescents is due to the underdevelopment of the ligamentous-muscular system. Injuries provoke sudden movements, falls, physical exercises.
Dislocation of the cervical vertebra in a child is often the result of incorrect birth. If the negligent obstetrician deflects the baby's head aside, the immature system of vertebrae deforms.
- subluxation of cervical vertebra
The first symptoms of subluxation of the cervical vertebra are:
- soreness in the collar zone, radiating to the shoulders, back;
- anatomically incorrect position of the head;
- impossibility of turning the neck;
- dizziness and headache;
- discomfort during palpation;
- cramps of the hands, numbness of the fingers.
Subluxations in severe form lead to loss of consciousness, reduced visual acuity.
Untreated pathology eventually leads to frequent headaches, decreased quality of sleep, increased fatigue, weakness of the hands.
If vertebrae C2-C3 have suffered, then the specific symptoms of subluxation are difficulty in swallowing food, swelling of the tongue. If the problem is localized in the vertebrae C3-C4, the patient feels chest pain, possibly a bloating.
There are practically no signs of a rotational subluxation of the atlant in a newborn.
As the baby grows up, it becomes necessary to perform more complex movements in the cervical region, which leads to the development external manifestations of pathology - abnormal gait, increased irritability, rapid fatigue, frequent migraines and etc.
Scientists share a dislocation of the neck into four types, differing in characteristic features and factors of occurrence.
- Rotational subluxation of cervical vertebra C1
This is the rotation of vertebra C1 relative to C2. The reason for its appearance is sharp twists and turns of the head. This pathology is often detected in newborn children.
According to statistics, it is on atlantoaxial subluxation that 31% of vertebral column injuries occur. Pathology requires compulsory treatment, because the displaced vertebra compresses the blood vessels, which leads to a violation of intracranial pressure.
Other characteristic symptoms of subluxation are sleep disorders, migraine headaches, muscle weakness. In some cases, a violation of the respiratory function.
This is the opening of the aperture between the first and second vertebrae. The main cause of the sudden head movements. The problem occurs mainly in children under 18 years of age. It is due to the immature state of the musculoskeletal system.
This is the most rare and dangerous type of subluxation. The person feels the strongest pain of the head and the collar zone due to the squeezing of the vessels and nerve endings, unable to turn his head, his neck acquires a convex shape. To avoid dangerous consequences, urgent hospitalization is required.
This is a subluxation between C1 and the axial vertebra. Its causes - excessive load on the cervical region or anomalies of its development. Pathology occurs in children with Down syndrome and elderly people with arthritis.
The key method that is used to determine the subluxation of the cervical vertebra C1 is X-ray. It is made of the following projections:
- additional projections, appointed in accordance with the peculiarities of the case (oblique shots, roentgenogram through the mouth, etc.).
Additional diagnostic methods are CT and MRI.
Diagnosis of displacement of cervical vertebrae is made on the basis of external examination, collection of patient complaints (edema, pain, muscle spasm, etc.), instrumental research data.
Providing correct first aid with subluxation of the first cervical vertebra helps to avoid serious consequences. Doctors do not recommend that the eyewitnesses of the event take any action. Their main task is to completely immobilize the victim.
If the victim is in the car, first you need to fix the neck with a sprained vertebra using a special tire, and only then remove the patient from the vehicle.
If the tire is missing, you can prepare it from improvised materials.To do this, roll the cotton in several layers, wrap it in gauze and apply it to the damaged spine. The dressing should reliably fix the patient's head, but do not interfere with his free breathing.
The task of eyewitnesses of an accident is to call an ambulance or deliver the victim to the hospital on their own. One can not be slowed down: puffiness develops with each hour, unpleasant sensations intensify, and problems with breathing are possible.
Methods of treatment
Treatment of subluxation of the cervical vertebra is designed to solve the following problems:
- elimination of pain;
- restoration of the anatomically correct position of the vertebra;
- elimination of problems with lymph flow and blood flow, return neck mobility.
The choice of treatment measures depends on the features of the case and the diagnostic data.
With subluxation of the cervical vertebra, drug therapy does not replace the correction. Its task is to facilitate the patient's condition, accelerate the process of recovery of the affected vertebrae. The patient is prescribed the following complex of drugs:
- vitamins of group B - contribute to the elimination of neurologic symptoms, improve blood circulation.
- Painkillers - used in the form of blockades that remove the sensitivity of nerve endings.
- Muscle relaxants - relieve muscle spasms.
- Neotropic drugs - normalize the cerebral blood flow, promote the speedy healing of the affected vertebrae.
Drug treatment is prescribed after the cervical vertebrae has been repositioned. It relieves pain in the area of the collar zone, promotes resorption of puffiness.
Treatment of rotational subluxation of atlanta in children should be started as soon as possible, because increasing swelling causes breathing problems, makes it difficult to use therapeutic measures.
The main method of treatment is vertebral repositioning. It is conducted by a trauma doctor after receiving the radiography data. For the procedure, a special device is used - the Glisson loop.
The mechanism is as follows: the patient lies on a hard couch, under his head is a flat cushion, the neck section is put on a hinge, the rear straps of which are thrown over a special block. To the ends of the loop, a cargo is attached, the mass of which is determined by the doctor individually for each case..
The traumatologist pulls the loop, and then unfolds the patient's head. Depending on the characteristics of the subluxation, this manipulation is carried out slowly, with a gradual increase in the mass of the load, or sharply, simultaneously..
The successful procedure ends with a characteristic click, after which the patient feels the disappearance of pain and obstacles to the movement of the head.
When the vertebrae is in place, the neck is fixed in anatomically correct position with the help of the Shantz collar. This is a hard corset for the neck zone, which should be worn for at least 1-2 months.
Manual therapy can be used from the first days after subluxation. It helps stretch the first cervical vertebra in a child or adult, improve blood circulation in the damaged area, relax the spasms of the muscles.
In order not to cause harm to the patient with subluxation, the doctor uses gentle methods - rubbing, stroking, kneading.
To eliminate the consequences of subluxation, a simple self-massage is used. The patient gently rubs his cheeks with movements from nose to ear, kneading the area of his clavicles.
To cure the subluxation of the cervical vertebrae, there is not enough medication. The patient shows a set of special exercises selected by the doctor, taking into account the individual characteristics of the case.
Physiotherapy exercises with subluxation begins immediately after repositioning and overlapping the fixation bar. The first exercises do not involve cervical vertebrae. The doctor can advise:
- flexion-extension of the hands with an expander;
- lead-breeding of elbows of bent hands;
- lifts of feet;
- walking on socks, etc.
After removing the tire, new methods of therapy are added. For example, the patient pushes his head forward, opposing the palm of his hand. When the doctor marks the first progress, he will allow the movement exercises: slopes, head turns, etc.
This is the installation of special needles on the biologically active points of the collar zone. The method is aimed at achieving the following results:
- acceleration of regeneration of damaged vertebral tissue;
- removal of pain syndrome and limited movement of the neck;
- relaxation and toning of the muscles.
To treat subluxation in this way should be a qualified acupuncturist. Procedures are conducted in courses of 10-15 repetitions.
A patient who underwent a rotational subluxation of the cervical vertebra needs to be restored. Initially, it consists in immobilizing the collar zone - the patient is shown the constant wearing of a rigid corset.Loads on other parts of the spine are minimized.
The duration of immobilization after displacement of the vertebrae is 30-90 days. When the collar of Shants is removed, other methods of therapy after neck injuries will be connected: exercise therapy, physiotherapy, massage.
Rehabilitation is longer, if the matter is not limited to the usual repositioning, and the patient required an operation. The term of wearing a collar is up to six months.
Dislocation of the cervical spine - a serious injury, which involves mandatory treatment. Delayed therapy and ignoring the recommendations of the physician entail the following adverse effects in children:
- abnormal posture
- unstable gait;
- difficulties in development and training;
- increased fatigue.
In adults, untreated subluxation causes superficial sleep, which does not bring cheerfulness, fatigue, frequent migraines, and reduced visual acuity. In some cases, intervertebral hernias may develop.
The subluxation of the cervical vertebra in a child and an adult is fraught with dangerous complications. To reduce the likelihood of injury, you need to follow the following medical advice:
- take care of your own collar zone. To do this, at least 3-4 times a seven-day period to perform preventive gymnastics, alternate work in a static position (for example, at the computer) with a light self-massage, charging.
- Prevent physical activity involving the neck, thoroughly warming up the muscles.
- Watch your health and when there is stiffness in the movements of the neck in time to go to the medical institution, to comply with all the orders of specialists.
Subluxation of the cervical vertebrae is a dangerous trauma. The lack of timely treatment can lead to a violation of the blood supply to the brain and death.
A source: https://SkeletOpora.ru/travmy/podvyvih-shejnogo-pozvonka
Dislocation of cervical vertebrae - danger nearby
Among the traumatic injuries of the musculoskeletal system, fortunately, the subluxation of the neck is not so common.
Often the symptoms of dislocation of the cervical vertebrae are treated erroneously, not all doctors are even able to recognize them in time, and then to prescribe adequate treatment.
Such a dislocation is very dangerous and can make a person not only disabled (especially if it is incorrectly fixed), even a fatal outcome is possible. Everyone agrees, it makes sense to understand a trauma of this kind.
It all happened, but how?
In the cervical spine, all cervical vertebrae are connected in a special way, which ensures their maximum mobility. In addition, the mobility of the cervical spine is carried out with the help of muscles and ligaments, disks.
In all, the cervical section contains seven vertebrae, which are, as it were, strung one on top of the other. In addition, the structure is strengthened and retained with the help of muscles and ligaments. This leads to the fact that each vertebra has its own specific interval of motion and does not go beyond it.
The structure of each vertebra, muscles, ligaments provides quite complex neck movements.
Due to the fact that there is some tension in the ligaments from one vertebra to the other, the vertebrae do not move, except in situations where there is a forced overstretch or a sharp turn. As a result, the vertebra is displaced from its place. Similar can be found in the child in connection with a weak ligamentous apparatus.
When there is a subluxation of the neck, the axis of the spine is not held at the expense of above and below the underlying vertebra, but with the help of muscles and ligaments. The head gradually bends under the weight of its own weight.
The more time passes from the moment of injury, the more the slope increases. Initially, a person simply has to support his head with his hands.
This condition is called "guillotine because the head is held at this moment only at the expense of muscles and ligaments.
If it is not immediately eliminated, spinal cord injury may occur. Also, the dislocation of the cervical vertebrae may have a different degree of complexity. Partial, or rotational subluxation of the neck is the most mild option.
A more complicated situation arises if there is a complete displacement of the vertebra and jamming of its processes. Displacement of the first and second vertebrae is rare, they are held by a large number of ligaments. The most common displacement occurs from 3 to 7 vertebrae, especially when it comes to the child.
As a result of which this happens
Often, the causes of damage are related to road traffic injuries. When there is a sharp braking, the head resembles the end of the whip, which from the whole stroke leads to a dislocation of the vertebra in an adult or child.
Unsuccessful flexion with bending or diving with a blow to the head against the bottom also results in a subluxation of the neck. Lead to this may be a somersault when there is a stretching of the ligamentous apparatus and muscles.
Especially often this mechanism works in the child.
The cause of the injury may be the position during sleep, when excessive bending and subsequent sharp rise occurs. With an excessive inclination of the head, there is also often a subluxation of the neck. Sometimes this happens in the newborn, especially when applying obstetric forceps.
Initially, the symptoms are manifested by the limitation of movements of the cervical spine.
With one-sided displacement, the head of the victim is tilted in the opposite direction, often this symptom in the newborn child resembles a torticollum.
With a bilateral dislocation of any cervical vertebra, the head leans forward.
Symptoms are supplemented by severe pain as a result of stretching the muscles and ligamentous apparatus of the cervical spine. And the more time has elapsed since the time when the stretching occurred, the pain becomes stronger..
The horizontal position becomes a real torture, the symptoms are manifested with aching pain, the cervical section does not fully unbend. If it is necessary to turn it, it can be done only with hands or with the whole body..
A newborn child, except for the restriction of the movement of the cervical spine, there is a prolonged crying.
In addition to pain, other symptoms that are not completely pleasant also join. They show up with a crunch when you move your head, with pain, with dizziness, your eyes become dark. Painful sensations are capable of radiating to the area of the shoulder or arm.
Often restriction of movements leads to statement of the wrong diagnosis. All is written off on a sprain of ligaments, myositis of muscles, at the child suspect a torticollum.
Symptoms try to treat doctors of many specialties, but this should be done by the traumatologist after the examination.
The dislocation of any cervical vertebra should be corrected only by this specialist.
Excessive stretching and dislocation can easily be diagnosed using an X-ray. It will show the deviation of the axis of the spinal column, which is very important for the child, when, basically, all the vertebrae consist of cartilages.
Depending on the situation, the doctor chooses the type of anesthesia or does without it at all. Then treatment provides for the correction of the dislocation. The doctor is guided by the sensations of the person, if the dislocation is not complicated, he is guided by the following way:
The victim is put on a chair.
It is necessary to warn a person that there may be discomfort or soreness.
The victim should relax as much as possible, hang with his whole body on the chair, the body should serve as a counterweight. During this period, the head is covered from the sides, stretching is performed, the person should not rise.
Such treatment and exercises are carried out until the vertebra is in its place..
Enough of one correction, but often required three times, the doctor must make sure that the treatment was successful and the vertebra in its place..
This will say the independent turns of the head of the victim. Carry out such exercises must be done once, the vertebra should be in place from the first time.
Next, a person wears a special collar, which is forbidden to be removed until the ligaments are fully strengthened. The treatment continues, painkillers and decongestants are prescribed.
When the collar is removed, the doctor prescribes an ointment with anti-inflammatory and analgesic effect. Use the ointment throughout the treatment period, rub it three times a day, always on clean skin.
Ointment is sometimes required to be selected in each specific case, taking into account individual sensitivity.
On the advice of the attending physician exercises are carried out. They are very carefully applied to their implementation, because incorrect exercises lead to a repeated dislocation.
Correctly chosen exercises are used to strengthen the ligament apparatus and muscles.
Before exercising or after exercise, you can use an ointment.
Treatment will be simply inadequate if you do not use massage. Massage, like exercise, should be prescribed and monitored by an experienced specialist.
Additionally, during the massage, ointments can be used..
Treatment with ointment and massage promote deeper penetration of active substances into tissues..
In addition to using massage, special gymnastic exercises, treatment is supplemented with physiotherapy.
With some ointments are used, they allow you to penetrate deeper into the active substances.
Ointments are used throughout the treatment period, in particular, in combination with ultrasound and in the form of compresses. Dry heat is shown on the neck area.
A source: http://drpozvonkov.ru/travmy/luxus/vyivih-shei-kak-proyavlyaetsya.html