Scoliosis of the cervical spine: symptoms and treatment

Cervical scoliosis and methods of its treatment

What is scoliotic disease? What are its forms? How to treat this pathology? questions that arise in people who have faced such a disease as scoliosis. In this article we will try to understand this pathological condition and get a closer look at one of its forms - cervical scoliosis.

Women suffer from a disease more often than men

Scoliosis (scoliotic disease) is a persistent lateral curvature of the vertebral column along the frontal plane with rotation around the axis. How often does this pathology occur?

Scoliosisis a very common disease and occurs from 2% to 41% of the population. Established, women are sick, more often men, the sex ratio was:. Forms of scoliotic disease

The main classification takes into account the level of localization of the curvature. Allocate:

Let us consider in detail the change in the cervical spine. Cervical scoliosis (high scoliosis) is a permanent curvature of the spine in the frontal plane at the level of the cervical spine.

What are the causes of curvature in the cervical region?

In the etiology of the pathology of the spine, a number of theories are singled out, taking into account the main causes leading to curvature.

1. The theory of muscle-ligament insufficiency substantiates the occurrence of the disease in that with rapid growth of the child the growth of the muscular framework does not keep up with the increase in bones, which leads to the development of muscle weakness and ligamentous apparatus.
2. The theory of dysfunction of the endocrine glands explains the frequent occurrence of curvature of the spine in children during sexual development, when there is a hormonal change in the body, which leads to a softening of the skeleton and its increased compliance with loads.
3. Dysplastic theory is based on the fact that dysplastic processes are the basis of changes in bone tissue.
4. Neurogenic connects the origin of scoliosis with pathology from the nervous system (frequent curvature of the spine with syringomyelia).

Classification

Depending on the origin, the following forms of scoliosis are distinguished (Moshkovich classification):

• dysplastic
• idiopathic
• congenital
• neurogenic
• static.

Given the shape of the lateral curvature, the scoliosis of the cervical region can be represented by:

• C-shaped - 1 arc of curvature
• S-shaped - with 2 arcs of deformation
• Z-shaped - with 3 arcs of curvature.

Based on radiological signs, 4 degrees of scoliosis are distinguished:

1. I degree - angle from 1 ° to 10 °
2. II degree - angle 11 ° - 25 °
3. III degree of scoliosis - angle of curvature 26 ° - 40 °
4. IV degree of scoliosis - curvature more than 40 °

What are the clinical manifestations of the disease?

Symptoms of cervical scoliosis are formed by 2 main pathological conditions:

• curvature of the spine in the frontal plane
• torsion around the axis.

Symptoms of curvature in the cervical region

So I-II degrees do not have bright clinical manifestations. At III-IV degrees, in addition to signs of curvature of the spine, there is a general symptomatology.

With an external examination, you can see the asymmetric position of the head: it is slightly offset from the central axis of the body, it is withdrawn to one side.

The inclination and turn of the head, unlike torticollis, are absent! Asymmetry of the head can still be seen at different levels of ears: one ear will find below the second.

The general symptoms that arise in the pathology of the cervical part include: headaches, dizziness, weakness, lethargy.

These signs are due to the fact that in the distortion there is a violation of the architectonics of the spine with partial clamping of blood vessels, leading to impaired cerebral circulation and oxygen starvation. These symptoms appear in the late stages of scoliosis.

Basics of diagnostics

Diagnosis of scoliosis should begin with a measurement of height, standing and sitting, determining the weight, looking at the position of tilting the body forward with the hands down. In this position, it is easy to identify the asymmetry of the body and the curvature of the spine.

The "gold standard" in diagnosis is radiography, with the help of which it is possible to establish the cause of deformation and the degree of curvature along the Cobb angle.

To measure this angle in the image of the spine in the anterior-posterior projection, two lines should be drawn parallel to the plates of the neutral vertebrae.

At the intersection of the lines, the Cobb angle is measured, on the basis of which the severity of the state is displayed. Of the additional methods used MRI of the spine.

Methods of treatment of this pathology

Conservative methods of treatment

At the initial stages, conservative methods of treatment at the outpatient level are used. The goal of this treatment is to inhibit and stop the progression of scoliosis, to improve the statics, to eliminate disturbances caused by curvature.

To begin with, it is recommended to follow the rules of hygiene poses.Sleep on the back with a hard mattress or shield. It is necessary to match the height of the table and chair to the growth of the child.

Physical education and gymnastics are the right way to health improvement

Of great importance is the tempering of the child, the occupation of therapeutic gymnastics and physical training (a combination of swimming and exercises exercise therapy). In order to strengthen the muscular framework, massage and electrical stimulation of the dorsal muscles in the region of the convex side of the curvature is recommended.

Careful attention should be paid to the nutrition of the child: in the diet, proteins should be in the amount of up to 100 grams. per day, be sure to eat foods high in calcium and phosphorus.

Special corsets are used to correct the curvature. But they have one drawback - they lead to muscle hypodynamia and their weakness, which is not very good in this pathology.

Surgical methods in the treatment of scoliosis

If conservative treatment did not lead to stabilization of curvature and the process progresses, then operative treatment.

Since cervical scoliosis forms cosmetic defects in the neck and head, it rapidly progresses and is poorly treated conservatively, and surgical treatment should be resorted to as soon as possible.

Types of surgical intervention:

1. Operations to limit the asymmetric growth of vertebral bodies are represented by epiphiseodesis (resection of part of the intervertebral disc and plates in the region of the convex side of curvature).
2. Surgery to stabilize the curvature of the spine - spondylodesis with bone grafts.
3. Operations to correct and stabilize the curvature.
4. Cosmetic surgery aimed at eliminating defects caused by this pathology.

Observance of hygiene poses, exercise, proper nutrition and constant control of posture will help to avoid the development of scoliosis!

A source: https://vashaspina.ru/skolioz-shejnogo-otdela/

Cervical scoliosis - methods of treatment and prevention

Scoliosis is a disease of the spinal column, which is characterized by the curvature of one or another of its departments. Statistically more common in women.

Cervical scoliosis is a pathology that occurs mainly in childhood. The contributing factors are:

• Congenital dysplastic process in the bones of the spine.
• Rapid growth of the child (bones are formed faster than the soft tissues of the spine, relative muscle weakness leads to an incorrect position of the vertebrae).
• Incorrect body position during class at school.
• Decreased bone mineral density, leading to deformation of the vertebrae (often associated with hormonal changes in the period of maturation of the body).
• Concomitant diseases of the nervous system.

The symptomatology of curvature, methods of treating pathology depend on the stage of the disease. There are 4 degrees of scoliosis:

1. The angle of curvature is less than 10 degrees. Visually not determined. No complaints.
2. The angle is 10-25 degrees. Noticeably the curvature of the neck in the frontal plane.
3. The angle is 25-40 degrees. Symptoms are severe. Significant discomfort, decreased efficiency and quality of life.
4. Expressed curvature with an angle of more than 40 degrees. Complications from the nervous and vegetovascular systems are added.

Symptoms of scoliosis

Scoliosis of the cervical spine is a slowly progressing disease with a chronic character of the course.

The visible symptomatology develops at the 2 stages of development, after several years.

However, in the early period, correct correction is important for the prevention of severe stage and complications of pathology.

Local Symptoms

With an external examination, the spinal curvature in the vertical plane and the rotation of the vertebrae around their axis are detected early in the early stages.

The head is compensated somewhat in the opposite direction to the curvature. At an early stage, the head is never tilted sideways, this makes it possible to distinguish cervical scoliosis from another pathology - muscle torticollis.

Vegetosovascular symptoms

Progressive curvature of the vertebrae leads to a violation of the patency of the adjacent vessels and nerves, which ensure the activity of the brain and spinal cord.

There are symptoms such as headache, dizziness, general weakness. The blood supply to the nervous structures suffers, memory and reaction rate worsen. Weakened nerve reflexes can be detected.

Complications

Expressed scoliosis in the cervical spine leads to the development of osteochondrosis - a pathology of cartilage and bone tissue, which complicates the course of the disease and can lead to disability.

Severe neurologic disorders in the form of paresis (exclusion of the motor and sensitive limb function) and paralysis occur when the spinal cord and nerves depart from it.

Diagnostics

If you or your child showed signs of scoliosis of the cervical spine, you need to see a doctor who will carry out the diagnostic study.

First, the doctor will examine the patient in a standing and sitting position, by indirect signs determine the presence of curvature. Will assess the stage of disease progression.

In the treatment of cervical scoliosis, conservative tactics are most often used, which includes massage, physiotherapy, physiotherapy and lifestyle changes. Operative treatment is rarely used, with severe pathology and concomitant complications.

Medication

The list of drugs used in scoliosis is very narrow. Drugs can only be used to relieve severe symptoms and correct complications.

With the development of radiculitis spinal roots are used non-steroidal anti-inflammatory drugs (Diclofenac, Ibuprofen).

If scoliosis of the neck is complicated by osteochondrosis, chondroprotective drugs in gel form are recommended (chondroxide, chondroitin).

Physiotherapy

The main method of prevention and treatment of scoliosis in the early stages of the disease is therapeutic exercise. Exercises strengthen the muscular framework, firmly holding the vertebrae in the correct position.

Gymnastics is performed 2-3 times a day for 30 minutes to achieve a therapeutic effect. LFK includes head turns, exercises in the shoulder girdle, slopes and rotation in the joints.

The complex of exercises is coordinated with the attending physician, who will help to choose an individual technique of gymnastics.

Physiotherapy and massage

Improve blood supply and relax the muscles of the spine will help such techniques as physiotherapy and manual therapy.

Scoliosis of the neck is an indication for such techniques as electrophoresis, laser treatment, acupuncture, electrical myostimulation. All procedures can be performed only according to the doctor's prescription, after excluding contraindications.

Massage helps strengthen muscle fibers, relieve spasm, improve arterial flow.

Operation

During surgery, the vertebrae are fixed in the correct position with the help of metal structures. Less often, the affected vertebrae are replaced by dentures.

Surgical treatment is indicated for significant deformities when other techniques are ineffective.

Folk remedies

People's treatment has a list of contraindications and is permissible only after consulting a specialist. Compresses are applied with sea salt, dandelion, turpentine, which promote relaxation of the cervical musculature and warming the surrounding tissues of the spine.

Timely prevention

The best treatment for scoliosis and its complications is timely prevention.

1. If the scoliosis of the cervical spine develops in childhood, it is necessary to teach the child to take the right posture at the desk in class at school.
2. In adults, the progression of cervical scoliosis is due to sedentary work. More breaks and gymnastic exercises are needed to relax the musculature of the back and neck.
3. At the first signs of illness use corrective corsets. These designs establish the changed spine department in the correct position. The wearing of the corset should be alternated with physical education for the prevention of muscular fiber atrophy.
4. Gymnastics, morning exercises, physical education are the necessary conditions for controlling scoliosis. Exercising 2 times a day will avoid unpleasant symptoms and serious complications of the disease.
5. Proper nutrition, the use of vitamin complexes and mineral supplements must be agreed with the attending physician. These are important components of therapy and prevention of spinal pathology.

A source: http://MedOtvet.com/scoliosis/sheinyi-skolioz-metodiki-lecheniya-i-profilaktika.html

Treatment of scoliosis of the cervical spine

Table of contents

• Characteristics and causes
• Symptomatology
• Diagnostics
• Methods of treatment

Cervical scoliosis (high scoliosis) 1 is an unnatural curvature of the upper spine (from the first to the seventh vertebrae of the cervical region). The disease occurs quite often, which is associated with a high degree of mobility of the neck.

Characteristics and causes

Scoliosis of the cervical spine is an unnatural arcuate bend of the upper vertebrae in the right or left side. There are several types of cervical scoliosis:

• congenital;
• static;
• idiopathic;
• neurogenic;
• degenerative-dystrophic.

The main cause of development of deformation of cervical vertebrae is heredity. In people with a genetic predisposition, scoliosis develops without the influence of external factors, such as trauma, wrong lifestyle, etc.

There are other causes of the disease. These include the violation of intrauterine development, when the fetus improperly forms the cervical sector. Rarely, the disease causes abnormalities in the development of the cervical region and functional deformation in the departments of the musculoskeletal system.

In childhood and adolescence, scoliosis of the cervical region is most often associated with uneven growth of bones and muscles, an incorrect position of the body when performing any work.

Older people have a disease caused by a general senility of the body, weakening of the muscles and changes in bone tissue.

In addition, deformation of the cervical vertebra often accompanies such diseases as arthrosis, osteochondrosis, etc.

Symptomatology

Scoliosis of the neck is a progressive disease. Initially, the pathology is characterized by a slight curvature, which eventually becomes more pronounced. Gradually the disease progresses, causing complications.

The deformation of the cervical vertebrae at the initial stage can not be visually observed. Therefore, about the development of the illness will tell such symptoms as pain in the neck with its static position for a long time, reduced efficiency, muscle weakness.

Scoliotic deformation becomes noticeable when the angle of curvature exceeds 10 °.

If you look at the person from the front, you can see an asymmetry in the location of the auricles.

From the back there is an asymmetry of the shoulder blades, shoulders, a slight shift of the head to the side. At the late stage of the disease asymmetry of the skull bones is observed.

With the development of pathology, the patient's health deteriorates: pain in the temporal region, nausea, tinnitus, weakness appear. Sleep is disturbed, blood pressure changes, it is impossible to completely bend the neck.

If the blood supply to the head place is disturbed on the background of the disease, there is a deterioration in sight and hearing, numbness of the tongue is noted.

Diagnosis - examination of the patient by a doctor

The diagnosis of the disease begins with a doctor examining the patient. To obtain an accurate clinical picture, instrumental examination is prescribed. It includes:

• radiography;
• computed tomography;
• magnetic resonance imaging;
• electromyography.

X-ray of the upper vertebrae is a mandatory test for cervical scoliosis. The image clearly shows the angle of curvature, which allows to determine the degree of development of pathology. X-ray examination is prescribed both in the late stages of the disease, and in the early stages.

Computer tomography is shown in the late stages of cervical scoliosis. However, with the development of such a method of research as MRI, computed tomography is rarely prescribed.

Magnetic resonance imaging provides a detailed picture of disorders in soft tissues, nerve endings and vessels, which allows to identify and prevent possible complications of the disease.

Electromyography is performed immediately before the beginning of treatment. This method of diagnosing the disease allows you to identify violations in the functioning of the muscles of the cervical region and malfunctions in the transmission of nerve impulses, which allows you to choose effective therapy.

Methods of treatment

Left-sided and right-sided scoliosis of the cervical department are treated equally. The methods of therapy depend on the degree of curvature. At the initial stage, it is easiest to correct the deformation of the vertebrae. But often patients do not go to the doctor on time, because the symptoms do not manifest themselves.

Complex treatment is used to treat major changes. To cure cervical scoliosis in severe form is completely possible only with the help of surgery, since irreversible deformations have already occurred that can not be corrected by massage or physiotherapy exercises.

Drug treatment for scoliosis is used only to eliminate concomitant disorders in muscle tissue and nerve endings. The main healing procedures are massage, physiotherapy and physiotherapy.

Therapeutic massage performed by a qualified specialist reduces the symptoms of the disease, stimulates blood flow to the spine and brain, corrects the deformation of the vertebrae.

Physiotherapy includes:

• electrophoresis;
• UHF-therapy;
• ultrasound;
• mud treatment;
• paraffin applications.

Physiotherapeutic procedures also correct the curvature of the vertebrae, improve blood flow, increase muscle strength, reduce pain syndrome.

Therapeutic physical education provides regular intensive classes for 20-30 minutes daily. At the beginning of treatment the patient is supervised by a specialist.

Surgical intervention involves the elimination of complications of scoliosis and correction of the position of the vertebrae. In severe cases, the vertebrae are replaced.

During sleep, it is better to place a hard cushion or special orthopedic shield under the neck. If necessary, use the orthopedic corset or collar for the cervical department.

On the Internet you can find many photos of how to correctly use these items.

It is important to strengthen the body as a whole. For this excellent walks in the fresh air and moderate exercise.

During the recovery period, a special diet should be followed: include more dairy products in the diet, as well as products with high energy value and a sufficient amount of protein, calcium and phosphorus.

A source: https://OrtoCure.ru/pozvonochnik/osanka/shejnyj-skolioz.html

Scoliosis of the cervical spine

Various pathologies of the spine are present quite often.

One of the most common diseases is the curvature of the spinal column. Nevertheless, scoliosis of the cervical spine is not an independent violation.

This pathology is always combined with the lesion of the thoracic department. Therefore, doctors often diagnose "cervico-thoracic scoliosis".

In any case, the appearance of the first signs of curvature should be the basis for a referral to a specialist who will prescribe effective treatment.

Causes

Cervical scoliosis occurs at any age. Sometimes it develops in children in the first months of life. Today, it is customary to single out such causes of the onset of the disease:

• displacement of the bone tissue of the head in complicated childbirth;
• rickets, which leads to the bending of bones in young children;
• asymmetry of the skeleton and muscles - with the rapid development of the child's body can not gain the right amount of muscle tissue to maintain bones;
• infection;
• violation of the hormonal background - they often soften the bone structure and lead to an increase in muscle tone;
• disturbances in diet;
• diseases of the nervous system;
• violation of posture;
• traumatic spine injuries;
• not enough active way of life.

Classification

Currently, there are quite a few varieties of this disease. So, doctors distinguish such forms of scoliosis:

• congenital;
• static;
• idiopathic;
• Neurogenic.

Depending on the shape of the curvature, scoliosis is divided into such varieties:

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• C-shaped - has one arc of curvature;
• S-shaped - has two arcs at once;
• Z-shaped - it is characterized by three arcs of deformation.

Depending on the degree of disease, which is determined depending on the angle of curvature, distinguish such varieties:

• 1 degree - has an angle of 1-10 degrees;
• 2 degree - in this case the angle is 11-25 degrees;
• 3 degree - the angle is at the level of 26-40 degrees;
• 4 degree - this parameter exceeds 40 degrees.

This indicator is determined by X-ray examination. In addition, they allocate left-sided and right-sided scoliosis.

Symptoms of left-sided or right-sided cervical scoliosis

To identify left-sided or right-sided cervical scoliosis is quite easy, because it is characterized by a very typical clinical picture:

• slouch;
• asymmetry of the localization of shoulders and shoulder blades;
• curvature of the bones of the face and thorax;
• pain in the back;
• headache;
• dizziness;
• breathing disorders;
• numbness of limbs.

Diagnosis is not possible without radiography

To identify this disease and choose the treatment, the doctor measures the growth of the patient in the sitting and vertical position, determines the body weight, and also conducts an inspection in the torso position forward.

Thanks to these studies it is possible to detect asymmetry and curvature of the column of the spine.

Diagnosis of scoliosis is impossible without X-rays. Thanks to this study, it is possible to identify the causes of deformation and to assess the degree of curvature of the spine.

To measure the Cobb angle, two lines are parallel to the vertebra plates in the image. In the area of ​​their intersection, a measurement of this angle is made. It is on this parameter and assess the severity of the patient's condition.

In addition, the diagnosis of scoliosis is carried out using magnetic resonance imaging, but this method is considered additional.

Methods of treatment

To treat this disease was the most effective, you need to consider the important parameters:

• severity of the disease;
• form of scoliosis;
• general condition of the patient.

Currently, left-sided and right-sided cervical osteochondrosis is treated with conservative methods and surgical intervention. So, conservative treatment is spent for the decision of such problems:

• prevention of progression of curvature;
• improvement of statics;
• elimination of symptoms of the disorder;
• restoration of correct posture without surgery.

To achieve such results, use the healing procedures. Most often, conservative treatment includes the following activities:

• physiotherapy;
• hard mattress application;
• sleep on the back;
• the correct location of the table and chair;
• hardening;
• massage to strengthen muscle tissue;
• electric stimulation of the muscles of the convex region;
• proper nutrition - protein, phosphorus, calcium must predominate in the diet;
• the use of special orthopedic devices.

If conservative treatment of the disease does not give the required results, surgical intervention is indicated. The operations can also be different. Currently, they perform such types of procedures that help to eliminate left-sided or right-sided scoliosis:

1. Limitation of asymmetric development of vertebrae. For this purpose, a certain part of the intervertebral disc and plates are resected.
2. Stabilization of the spinal deformity. To do this, perform spondylodesis with a special graft.
3. Correction with the help of stabilization of curvature.
4. The procedure, which is aimed at eliminating an external defect from pathology.

Scoliosis of the cervical spine is a rather dangerous violation, which can be left-sided or right-sided, accompanied by unpleasant manifestations and leads to dangerous complications. To avoid this, with any changes in the structure of the spine should consult a doctor. Only the timely treatment begun will help to correct this violation.

A source: http://lechuspinu.ru/sheyniy_otdel/skolioz-shejnogo-otdela-pozvonochnika.html

Cervical scoliosis

Scoliosis of the cervical spine is a curvature of the spinal column localized in the region of the 1-7 vertebra (cervical spine). Pathology can develop due to a large number of factors.

However, in about 80% of the total number of all diagnosed cases, the cause of the disease remains unknown.

Scoliosis of the cervical vertebrae can significantly worsen the patient's quality of life and cause new dangerous pathologies.

Cervical scoliosis: symptoms and possible causes of the disease

Scoliosis is a disease characterized by a three-plane deformation of the spinal column. In various clinical cases, bending (rotation) of the skeleton base can be observed when viewed from the side, from the front (from behind) or from its twisting (torsion).

Deformation is localized in one or more parts of the spine, for example, in the latter case, cervicothoracic scoliosis can be diagnosed.

Depending on the shape of the strain, the following forms of scoliosis are distinguished:

• C-shaped - one scoliotic arc is observed;
• S-shaped - there are two arcs of curvature;
• Z-shaped - develops more than two arcs of deformation.

Also, depending on the direction of the scoliatic arc, the following are possible:

• left cervical scoliosis - the curvature is directed from the left side of the trunk to the right;
• right-sided cervical scoliosis - the arc arises from the right side of the body to the left.

In most cases, scoliosis proceeds as follows. An arc of deformation arises.

Due to changes in the condition of the ligaments, the strictly vertical position of the spinal column becomes impossible - even if the patient tries to straighten the neck or back, he will not succeed.

Since human physiology assumes exactly the vertical position of the trunk, in particular, the eyes should parallel to the horizon line, the patient will reflexively bend his back to compensate for the formed lack. As a result, an additional compensatory, scoliotic arc is gradually formed.

Scoliosis in the cervical spine can develop for several reasons:

• defects of intrauterine development - in some cases, deformations of the spinal column arise due to a deficiency of vitamins and minerals in the perinatal period;
• complications of rickets;
• development of adhesions as a complication of infectious processes;
• rheumatism;
• degeneration of the muscles and joints of the neck due to low physical activity;
• consequences of injuries;
• regular long stay in a static posture with a bend of the spinal column - this is often observed if the patient's workplace is equipped without taking into account the rules of ergonomics;
• the effects of a jump in growth in the pubertal period, during which there was no adequate development of the muscles of the back and neck.

According to various estimates, scoliosis is diagnosed in about 30% of all people. More often the disease develops in women. The first signs of pathological changes of the spine can usually be found during puberty - about 14 years. Congenital scoliosis, like the development of deformity in young children, is rare.

The development of the disease is influenced by a large number of factors, but about 80% of cases of pathology do not have a clear explanation.

Scoliosis of the cervical spine can be recognized by the following symptoms:

• rotation or torsion of the cervical spine is the main sign of pathology. In the early stages from the side, the deformation can be almost imperceptible. However, it can be detected on X-ray and MRI images;
• asymmetry of the head, which is tilted to the side;
• pathological development of the bones of the skull;
• reduction in growth.

Deformation of the spine violates the natural physiological processes in the body. Dislocated bones compress vessels and nerve endings, make it difficult to metabolize and regenerate tissues in the area of ​​curvature.

As a result, further symptoms may develop and other diseases develop:

• the destruction of the cervical joints will deprive the nerve roots of natural protection. When the head or neck moves, the nerve endings are squeezed or squashed by the vertebrae, and the person experiences severe pain. Nerve compression can also occur due to muscle spasm, which often develops with insufficient circulation;
• Important points of the circulatory system are located in the cervical spine, thanks to which uninterrupted delivery of nutrients to the brain is ensured. Because of scoliosis, a part of the vessels can be squeezed, which causes a decrease in working capacity, concentration of attention, rapid fatigue, attacks of dizziness and migraine.

Cervical scoliosis: treatment, diagnosis and prevention

Depending on the magnitude of the angle of the arc of deformation, 4 degrees of scoliosis are distinguished:

• 1 degree - the angle of the arc is in the range from 1 ° to 10 °;
• 2nd degree - angle from 11 ° to 25 °;
• 3 degree - angle from 26 ° to 50 °;
• 4 degree - the angle exceeds 50 °.

At 1 and the initial stages of the 2 degree of scoliosis, the deformation of the spine can be detected only by a specialist with this purpose being carried out:

• the test in the slope - the patient tilts the upper part of the trunk forward, and hands it freely downwards. The doctor stands behind the patient and examines the line of the spine;
• physical examination - the development of scoliosis can be traced to a decrease in growth, asymmetric position of the ears, complaints of the patient, indicating the development of complications (periodic migraine, dizziness, fatigue and etc.). Finally, at later stages of the disease, neck deformation is clearly visible from the side even without using special methods of external examination;
• Radiography of the spinal column is the main method of diagnosis. The images obtained allow us to establish the exact localization of the curvature and the angle of the scoliotic arc. To this end, the method of J. is used. Cobb. On the anteroposterior image, a straight line is drawn through the neutral vertebrae of the corresponding arch, then the internal angle is measured at the point of their intersection (Cobb angle). The method is universally accepted in the world medical practice. However, some experts criticize him, because changes in the position of the body during radiography and lack of accuracy in Further measurements can lead to a large enough error, which will lead to false conclusions about the effectiveness ongoing treatment;
• Magnetic resonance imaging of the spine is a more accurate method of diagnosis. Usually, it is used in difficult cases, and also when it is necessary to assess the developing complications.

If further complications are suspected, additional tests will be performed depending on the current clinical picture.

In most cases, conservative treatment of scoliosis is carried out, which includes:

• massage;
• exercise therapy;
• therapeutic swimming;
• a special diet with a high content of phosphorus and calcium;
• wearing special corsets;
• electrostimulation of the neck muscles.

Conservative treatment has the following objectives:

• elimination and prevention of muscle spasms;
• prevention of compression and pinching of nerves;
• stimulation of metabolic processes;
• strengthening the muscles of the neck;
• stimulation of the secretion of the joint fluid;
• restoration of mobility of bone joints.

Data on the effectiveness of conservative treatment are contradictory.

As a rule, complete disposal of scoliosis is possible with the patient's painstaking work and competent selection of a set of medical procedures.

Often, treatment only prevents the further development of the disease and stops the most acute symptoms.

Surgery is indicated for the treatment of severe cases of scoliosis, when the deformation of the spine impedes the normal functioning of the patient or carries the risk of life-threatening complications.

During the operation, metal structures are fixed to the vertebrae, which restore the physiologically correct geometry of the neck. However, it is possible to reduce or completely lose mobility of the corresponding parts of the spine.

Alternatively, individual vertebrae or bone joints are removed and replaced with artificial implants.

Surgical methods of treatment of scoliosis scoliosis show high efficiency, but also require same high qualification of the doctor, because insufficient accuracy of actions can lead to paralysis patient.

Prophylaxis of cervical scoliosis includes:

• timely and complete treatment of infectious diseases;
• exercise, including a moderate load on the cervical spine;
• balanced nutrition and intake of complex vitamin and mineral preparations;
• observance of the daily routine. With sedentary work, approximately every 1 hour, breaks are needed, during which exercises are performed to warm the joints and muscles of the neck;
• prevention of neck injuries.

Therapeutic exercises for scoliosis

In most cases, exercise therapy is the main method that allows you to defeat cervical scoliosis. Exercises restore mobility of joints, eliminate muscle spasms and compression of nerve roots, stimulate metabolic processes and secretion of joint fluid.

All exercises are held at a slow pace. It is a common misconception that scoliosis helps to get rid of sharp and strong physical effects, for example, classes on the bar.

Since patients have decreased vertebral mobility and bone deformation is present, similar methods can lead to tissue destruction, which will cause the deformation of the spine to increase.

The program of lessons is selected individually depending on the patient's condition. In most cases, exercise sessions can be done independently at home, no sports equipment is required.

When performing exercises lying on the floor, you should lay a special gym mat, a thick towel or a carpet with a soft pile.

In the treatment of scoliosis of the cervical spine, the following exercises are shown:

• rotation, tilting and nodding;
• lifting and lowering of the shoulder joints;
• rotation of the shoulder joints;
• lie on the back, hands are locked in the lock and put on the back of the head. The elbows are brought together for a slow inhalation, and for exhalation they are bred on the sides;
• remain in the same position. Legs bend at the knees, feet are pressed to the floor. On the inhale lift the pelvis, while trying to smoothly bend the entire spine, the exhalation return to the starting position;
• lie on the stomach, hands are stretched along the trunk, palms are placed on the floor. On inhale, lift the chest and arch the neck, exhale back to its original position;
• continue to lie on your stomach. For about 3 minutes, massage the area between the back of the neck and the neck. In some cases, the impact may be accompanied by some pain, but at the end of the massage, overall well-being improves significantly. Massage can be performed by another person;
• become on all fours, the spine trying to keep parallel to the floor. On the breath, the spine is bent downwards, the back and neck are straightened out;
• sit down on a chair, hands are lowered along the trunk. Slowly turn the head to the left, then to the right. As training, the chin should be above the shoulder joint;
• continue to sit on a chair. They tilt their head down and try to touch the chin with their chins, then they turn the head back to the extreme position.

Each exercise is repeated 10-15 times. The lesson is stopped when pain, cramps, severe numbness or general condition worsens occur. If, in subsequent sessions, these symptoms recur, it is necessary to suspend therapeutic gymnastics before consulting a doctor.

A source: http://lfk-gimnastika.com/kifoz-i-skolioz/245-shejnyj-skolioz

The causes of scoliosis of the cervico-thoracic spine

Scoliosis of the cervical spine is a pathological condition of the spine, which is more common in women than in men.

Nature of the disease

Scoliosis is a disease manifested by lateral deformation of the spine. This disease is widespread and according to statistics is found in about 41% of the population.

Cervical scoliosis or as it is called high is a persistent curvature of the vertebral canal along the frontal plane near the neck.

A pronounced scoliosis of the cervico-thoracic region. The head is shifted to the left, the left ear is lower than the right ear, the shoulders are located at different levels.

There are several causes of spinal pathology:

• presence of muscle-connected insufficiency. With the rapid growth and development of the child, the muscular corset does not have time to form. This leads to muscle weakness and ligament apparatus;
• failure in the endocrine system. This reason is directly related to the restructuring of the body and changes on the hormonal background. Most often this situation occurs during sexual development;
• failure at the neurogenic level. Scoliosis can provoke syrigoemia;
• the beginning of dysplastic processes. They conduct to major changes in bone tissue;
• presence of infectious diseases;
• injuries;
• presence of cancerous tumors.

We advise you to read about the signs of the intervertebral hernia of the cervical department in order to understand the differences from this disease.

Depending on the angle of the cervicothoracic scoliosis may be:

• first degree. The angle is up to 10 degrees;
• second degree. Here the angle can reach up to 25 degrees;
• third degree. The deformation angle is up to 40 degrees;
• fourth degree. The indicator is more than 40 degrees.

Scoliosis. On the left side - the thoracic region, on the right side - the cervical

Symptoms of the first and second degrees

Cervical scoliosis of the first and second degrees does not have a pronounced symptomatology. At the third and fourth degrees visually noticeable:

• displacement of the head to the right or left relative to the axis of the body. It is diverted to one side, but does not tilt or turn. A clear symptom of cervical scoliosis is also asymmetry in the position of the ears, one of them will be slightly higher than the other;
• asymmetry of the shoulder girdle;
• incorrect development of the skull;
• Deviation of spinous processes to the right or left.

Correct position during sleep is the guarantee of health of the spinal canal. The lower picture is a typical example

In addition, symptoms such as:

• aching headache;
• frequent dizziness;
• constant weakness and lethargy.

This symptomatology is associated with partial clamping of blood vessels, which leads to an unstable flow of blood and oxygen to the brain.

Diagnosis with MRI, CT

Scoliosis of the cervical spine is revealed with the help of MRI, CT, X-ray and visual examination of a person when he bends down and puts his hands down.

Treatment of cervico-thoracic scoliosis

Cervical-thoracic scoliosis is treated with the use of combined methods. Doctors initially use extremely conservative ways to combat the disease and in rare cases resort to surgery.

Among the conservative:

• hardening. This method is useful for general health of the body;
• Exercise therapy. This set of physical exercises is developed or selected individually, depending on the indications, the age of the patient, the severity of the disease and other factors;

More information on what methods of scoliosis treatment are available on our portal.

The easiest exercises for scoliosis of the cervicothoracic spine. The complex is studied and appointed by a doctor

• swimming. This method has a positive effect;
• correct rational nutrition is a guarantee of health. As you know, excess weight and dystrophy provoke a lot of diseases;
• wearing specialized corsets. They maintain the correct position of the spinal canal. Earlier we already wrote about the use of the corset for the thoracic spine and recommended adding the article to the bookmarks;
• manual therapy;
• acupuncture: acupuncture or devices. For example, an applicator Kuznetsova or specialized needle massager;
• massage and self-massage. This is one of the most effective ways. If there is no possibility to use the services of a professional, you can do self-massage on a daily basis;
• physiotherapy: electrophoresis, ultravolding and other methods.

Wearing a specialized collar to correct cervical scoliosis is one of the methods of treatment

Scoliosis of the cervico-thoracic spine is successfully treatable. The main thing is not to start a disease and it's important to have a competent appointment for treatment.

A source: http://MoyPozvonok.ru/bolezni/skolioz/prichiny-skolioza-sheyno-grudnogo-otdela-pozvonoch/