1Pain in the shoulders and neck
- 1.1Psychosomatics of the disease
- 1.2Causes and symptoms of the disease
- 1.3Arthrosis of the shoulder joint
- 1.9Shoulder-flap periarthritis
- 1.10Intercostal neuralgia
- 1.11Angina pectoris and myocardial infarction
- 1.13Healing measures
- 1.141. Necessary intervention in case of exacerbation
- 1.152. Treatment for remission
2Pain in the cervical spine and shoulders: causes and treatment
- 2.4Neurological disorders
- 2.7Medication Therapy
- 2.9Manual therapy and massage
- 3How to quickly and effectively tire the pain in the cervical spine?
4Pain in the cervical spine
- 4.3Herniated disc
- 4.4Stenosis of the spinal canal
- 4.5Muscle spasm
- 4.6Ankylosing spondylitis (Bekhterev's disease)
- 4.7Rheumatoid arthritis
- 4.8Rheumatic polymyalgia
- 4.11Acute thyroiditis
- 4.13Causes of pain in the cervical region in children
- 4.14Cervical lymphadenitis (complication of sore throat)
- 4.15Rigidity of the occipital muscles
- 4.16Intracranial hemorrhages, abscesses and tumors
- 4.17Other reasons
- 4.19Reflected pain
- 4.21First aid
- 4.22When should I see a doctor?
- 4.23Methods of treatment
Pain in the shoulders and neck
Pain in the neck and shoulders is familiar to every second person. This symptomatology has a different etiology, but it is quite successfully treated with the help of complex therapy and auxiliary methods.
In some cases, in order to avoid serious consequences, it is enough to perform exercise therapy, proper nutrition and a radical change in one's own way of life.
As a rule, with myositis of the neck muscles, immediate therapy is required.
Psychosomatics of the disease
The appearance of cervical pains significantly complicates a person's life, because even a small turn of the neck leads to acute pain.
Medicinal preparations can be relieved of it, however psychosomatic plays an important role.
Therefore, it is recommended to seek counseling from a psychotherapist who, together with other specialists, will determine the cause of such a condition.
For example, if there are long pains in the cervical spine of the patient, then he does not want to objectively evaluate the events and bear responsibility for them.
In other words, this person does not want to see what is happening behind his back and can pretend that it is absolutely indifferent to him.
Although, in fact, he internally worries about this, which negatively affects his psychological calmness and only strengthens the symptomatology.
Causes and symptoms of the disease
First of all, it is necessary to determine the reasons why the shoulders and neck ache and only then appropriate therapy is prescribed.
The main factors in the development of pathology are the following diseases:
Arthrosis of the shoulder joint
This disease has a degenerative character and is most common in patients after 45 years, but sometimes arthrosis is observed at a younger age. The disease progresses very slowly and at the late stage of development it gives the patient many unpleasant moments.
With the development of arthrosis on the cartilaginous surface of the joint, salt deposits (osteophytes) are formed, under the influence of which the surface part of the cartilage becomes uneven and rough
A characteristic symptom of the disease are pain in the muscles of the affected joint of the aching nature, which increase with increasing physical exertion and changing weather conditions. In this case, a local increase in body temperature in the affected area, the formation of edema, there is a crunch in the joint area.
Cervical arthritis refers to systemic diseases that occur with joint damage, due to the inflammatory process in the articular cartilage.
The protracted process contributes to the almost complete destruction of the joint and the occurrence of severe pain in the cervical spine.
The most common form of arthritis is osteoarthritis, which develops as a result of degeneration of the cartilaginous tissue.
In addition, arthritis is accompanied not only by pain symptoms in the neck and shoulder region, but also by dizziness, headaches, numbness and tingling of the upper limbs.
This disease is characterized by muscle pain and spasms, the causes of which can be various kinds of trauma (in including sports nature), metabolic disorders in the body, infections and general hypothermia organism. Severe pain in the shoulder and neck with myalgia is not associated with muscle strain and body position changes, so they are able to be present at rest.
Myalgia can be accompanied by hyperemia and increased body temperature in the area of inflammation, dizziness, hyperhidrosis, attacks of nausea and vomiting
Pain in the shoulder and neck can be caused by the intervertebral hernia (rupture of the vertebral disc), as a result of increased stress on the spine.
Most hernias occur in patients between 30 and 50 years of age, and especially in professional athletes.
The disease is accompanied by sharp, severe pain, restriction of mobility in the cervical region and numbness of fingertips on the hands. In addition to hyperthermia, the patient suffers from vomiting and frequent attacks of nausea.
If the cause of the myositis is the vertebral hernia, the patient often has a strong headache and the pain radiates to the deltoid muscle, forearm and even to the thorax
Characteristic symptoms of cervical chondrosis are painful attacks in the neck, pressing headache, which gives to the temporal region. In some cases, osteochondrosis provokes heart pain, impaired vision and dizziness.
This degenerative-dystrophic disease affects the intervertebral cartilaginous tissue and is able to show itself at a fairly young age of patients (up to 30 years)
This disease is characterized by inflammation of the nerve plexuses, which are formed by the anterior branches of the spinal nerve.
The main symptoms of plexitis are weakness in the neck muscles, painful attacks in the neck, and in some cases, even hiccups, due to the involvement of the diaphragm in the pathological process of the nerve and the related violation respiration.
Sometimes the patient may have pain in the clavicle, muscle weakness, swelling, paresthesia in the fingers and paleness of the skin of the hands.
This disease occurs quite often, especially after severe physical exertion or joint trauma. Characteristic symptoms of periarthritis is acute, growing pain in the shoulder area, giving up to the upper part of the arm and neck.
Causes of pain symptoms in the development of humeropathy periarthritis is the inflammatory process in the capsule and tendons of the shoulder joint
The patient is unable to perform elementary actions by hand, and takes a forced position (the arm is bent at the elbow and pressed against the chest).
In the anterior region of the arm, a swelling is visually determined.
Most often, pain intensifies at night, which leads to insomnia and irritability of the patient.
The cause of the development of this disease is the defeat of nerve endings in the spinal column. Due to the specific structure of the intercostal nerves, the pain can irradiate to any part of the upper spine.
Acute aching pain with intercostal neuralgia is localized along the nerve (between the shoulder and neck)
Symptoms of the disease - it's hyperemia of the skin on the site of inflammation, tonic twitching after a night's sleep, the patient takes a forced position (slightly bent toward the inflammation). In some cases, pain symptoms lead to insomnia.
Angina pectoris and myocardial infarction
Attacks of angina pectoris are characterized by the appearance of chest pains and unpleasant tingling in the heart. In this case, the pain can be passing (from the shoulder joint to the neck).
With a heart attack, the pain is burning and sharp, accompanied by panic fear of the patient, increased sweating and internal anxiety..
As a rule, attacks of angina pectoris, as well as infarction, can be easily stopped with nitroglycerin, which distinguishes them from other pathological manifestations with similar symptoms..
However, it is important to remember that such symptomatology requires compulsory recourse for medical care, as it poses a threat to the life of the patient.
In addition to the above reasons for the occurrence of pain in the cervical region, often similar symptoms occur in tumorous formations in the upper part of the right lung.
Before beginning any therapy, a diagnosis is required to clarify the factors that led to the appearance of pain symptoms in the neck, arm and shoulder area.
The diagnosis includes the following:
- collection of anamnesis (when this or that region began to be sick and the possible causes of this condition);
- visual inspection with palpation;
- performing a general blood test;
- a blood test for determining the amount of specific substances indicating rheumatoid diseases;
- carrying out ultrasound of the shoulder joint, as well as soft tissues;
- Ultrasound of the gallbladder;
- arthroscopy of the shoulder joint;
- MRI of the cervical, occiput and cerebral vessels;
- To exclude cardiac abnormalities, the ECG is performed;
- radiography of the lungs.
Arthroscopy allows surgical intervention on a joint without incisions
It should be borne in mind that when any pain occurs, a thorough diagnostic examination is necessary and then, depending on the cause, the treatment of pain in the shoulders and neck is prescribed.
The relief of pain symptoms in the neck and shoulder area directly depends on the cause of development of this condition and, as a rule, is divided into 2 stages:
1. Necessary intervention in case of exacerbation
In acute period for the rapid and effective removal of pain in the neck use medications (ointment, injections, pills).
During this period, the following groups of drugs are appointed:
Another reverence: the treatment of arthritis of the shoulder joint
- NSAIDs and analgesics. For relief of acute pain, the use of Dexalgine, Baralgina, Ketorol, Diclofenac, Xefokam, Ibuprofen, Meloxicam and other similar drugs is recommended;
- Muscle relaxants. These drugs eliminate pathological muscle spasms. The most commonly used are Midokalm, Tizalud and Sirdalud;
- Glucocorticosteroids and anesthetics. Drugs of this group are most often prescribed to perform a blockade in the cervical spine, when it was not possible to get rid of the pain in other ways during the treatment. These include Novocaine, Lidocaine, Kenalog, Diprospan;
- Chondroprotectors. If the neck region hurts, chondroprotectors are used for a long course, as an auxiliary therapy aimed at restoring the cartilage tissue and stopping its destruction. Chondroprotectors include Teraflex, Structum, Dona, etc.;
- In addition, in the treatment of an acute period of the disease, vitamin preparations (mainly group B), anticonvulsant, decongestants, and if necessary a patient is prescribed a course antidepressants.
Auxiliary techniques, when joints hurt, for example, gymnastics, massage and physiotherapy, are prescribed only after withdrawal of acute symptoms under the supervision of a doctor
2. Treatment for remission
In the remission phase of treatment, a special restorative complex of exercises for pain in the neck and shoulders, which includes:
- self-massage and professional massage;
- Chinese acupressure;
- manual therapy (acupuncture);
- traction of the vertebrae;
- use of orthopedic products;
- treatment with the help of folk recipes;
- Restorative therapy (sanatorium-and-spa);
- application of innovative physiotherapy techniques to obtain a positive non-surgical result (HILT - therapy, electrophoresis and laser therapy).
HILT therapy (laser treatment) is considered the most effective non-surgical way in the fight against serious pathologies
If all of the above measures are ineffective, surgery is performed.
Indications for the operation are various complications of diseases of the spinal column (the back hurts as a result of the formation of a hernia, canal stenosis, spondylolisthesis, instability of the vertebrae, etc.).
In addition, the question of surgical intervention is solved in the case of the presence of a chronic pain symptom that does not stop with the help of conservative therapy for six months.
It is important to consider that surgical intervention in any form is a certain risk for the patient, and in the case of the spine especially strong, therefore, before deciding whether to perform the operation, it is necessary to weigh all possible risks and effects.
In order to prevent radical intervention in the body, you should seek medical help in a timely manner and follow all medical recommendations.
Only with an integrated approach and close interaction with the attending physician can you achieve a successful result.
A source: http://MoyaSpina.ru/lechenie/boli-plechah-shee
Pain in the cervical spine and shoulders: causes and treatment
The neck has the greatest mobility among all parts of the spine.
This is an indispensable component of a person's full life, providing orientation and adequate response to external circumstances.
In such a small body volume the most important structures of the nervous, vascular and endocrine systems are concluded, without which it is impossible to imagine the functioning of the organism.
Many people are concerned about pain in the cervical region. They force you to consult a doctor and look for ways to solve the problem with the spine. But first of all it is necessary to determine what these symptoms are associated with.
Given the functional and anatomical features of the cervical spine, it can experience loads that are often excessive. Many people have to spend a long time in uncomfortable poses, which also provokes the appearance of pathology.
At the same time, pain sensations are the result not only of external influence, but also of internal disorders in the body.
And in order to find out the origin of the symptoms in a particular patient, it is necessary to analyze the possibility of developing such conditions:
- Intervertebral hernia.
- Rheumatoid arthritis.
- Curvature of the spine.
- Bechterew's disease.
- Traumatic injuries.
These diseases have a different origin: inflammatory, degenerative-dystrophic or traumatic.
Sometimes one person can find a combination of several diseases, which makes it difficult to determine the cause of pain in the cervical spine.
But with proper medical experience this will not affect the accuracy of the diagnosis.
Determine why there are pain sensations in the neck, helps clinical examination and additional methods.
Diseases of the spine are accompanied by a rather characteristic symptomatology from the side of the neck and back.
First of all, the patient presents the doctor with the main complaints, which are most noticeable. And pain is the leading symptom in the defeat of the cervical spine.
It becomes the reason for active actions. Based on the diagnostic importance of this feature, the physician performs its detailed elaboration.
During the survey, you can identify such characteristics of pain:
- Aching, stitching, burning, shooting, pulsing.
- It is localized in the neck or shoulders.
- Gives in the head, arms, thoracic area.
- Pronounced, weak or moderate.
- Prolonged or short-term.
- Constant or paroxysmal.
As a rule, these sensations are amplified because of movements in the neck: the inclination or turns of the head. Sometimes just the slightest action is enough to cause pain.
This is the primary cause of the suffering of patients. Many are worried about not only the neck, but also the back, which allows to judge the prevalence of the disease.
If the pain is localized in the shoulder or left arm, then it may create the impression of a possible heart disease. In this case, it is necessary to exclude ischemic disease or other causes.
In favor of the vertebrogenic process, the tension of the neck muscles, the soreness of the near-vertebral points will testify. Sometimes the physiological lordosis is flattened.
The examination also shows a limitation of mobility in the neck.
Pain in the cervical spine is the most vivid symptom that requires careful study.
Pain in the cervical spine can become widespread.
And this is due not only to their irradiation into the head region, but also to the involvement of other mechanisms in the pathological process.
It is known that in the neck area there are important vessels that feed the brain and divert venous blood to the heart.
With many diseases, the compression of the vertebral artery passing through the neck can occur. This causes the occurrence of headaches. Often develop and other changes that provoke such a symptom. The most common types of headache are:
- Arteriospastic - common, bursting.
- Arteriodilator - pulsating, in the nape of the neck or temple.
- Venous - stupid, with a feeling of "heavy" head, arising in the morning.
- Likvoorigentrenzionnyj - raspirujushchie, pressing on eyeballs, amplify at natuzhivanii, tussis.
- Muscular - covering the head in the form of a helmet or hoop.
In many cases, this is accompanied by other signs: dizziness, nausea, noise in the ears, flashing "flies" before the eyes. This situation requires differentiation with brain diseases.
Diseases of the cervical spine are a frequent cause of headaches.
When the cervical spine is aching, it may indicate irritation of the spinal roots due to their compression or inflammatory processes. Over time, patients begin to observe other manifestations associated with a violation of nerve conduction:
- Feeling of numbness, crawling "creepy burning or tingling.
- Decreased skin sensations.
- Change of vitality of tendon reflexes.
- Feeling of weakness in the hands.
- Sweating or dry skin.
This is due to the involvement of sensitive, motor and vegetative fibers that go into the root.
With some diseases of the spine and injuries, the spinal cord itself can also be damaged with conductive pathways. In severe cases, paresis and paralysis are observed, covering almost the entire body..
Such a situation should be considered in the context of spinal pathology and differentiated with similar diseases..
Neurological disorders in the spinal cord can have a pronounced degree, which causes patients to lose their ability to work and even self-service.
Pain in the neck and back require additional research.
Depending on the expected pathology, mainly various tools are used. But laboratory methods find their application.
To establish the origin and nature of problems with the neck, the following diagnostic procedures allow:
- Radiography in several projections.
- Magnetic resonance and computed tomography.
- Biochemical blood tests (rheumatic tests, markers of inflammation, calcium metabolism parameters).
If the patient is concerned with headaches, then it is recommended to pass the encephalography, and with neurological disorders - electromyography. When unpleasant sensations spread to the shoulder or the left arm, an ECG will additionally be required.
Having determined why there are pains in the cervical spine, it is necessary to begin treatment activities. They include a set of tools that allow to normalize the motor function and eliminate pathological formations.
The choice between conservative and operational methods is made based on the results of diagnosis and the general condition of the patient. Of the general recommendations, it is worth mentioning the mandatory condition for optimal treatment - unloading and rest of the cervical department.
It is carried out using the collar of Shantz.
Whatever symptoms disturb the patients - pains in the neck, shoulders, thoracic area or other areas of the back - to treat the pathology of the spine begin with the drugs.
It is medicines that are an important part of conservative therapy. They allow to influence various links in the mechanism of development of skeletal pathology, eliminating not only local changes, but also correcting general disorders in the body.
In diseases of the cervical department, such drugs are used:
- Anti-inflammatory (Xefokam, Arthrosan, Diclobert).
- Chondroprotectors (Chondroxide, Teraflex).
- Muscle relaxants (Midokalm).
- Vascular (Actovegin).
- Vitamins (Milgamma).
- Metabolic (Mexidol).
- Neurotransmitters (Neuromidine).
Do not lose relevance and medicine for topical application - ointments, gels, patches. If severe pain is concerned, paravertebral blockades with anesthetics can be performed.
In order for the treatment to go smoothly, you should follow all the doctor's recommendations for dosages and the course of taking medications.
Treatment of diseases of the cervical region can not do without therapeutic physical training. It can be performed after the subsidence of acute manifestations of the disease and removal of the collar of Shantz. For each person sets of exercises are developed, which will suit him.
As a rule, perform gymnastics aimed at expanding the volume of movements and strengthening of the neck muscles. In the first case, various inclinations, head turns are performed.
In the second, exercises with post-isometric relaxation are recommended, when the static tension of the muscles alternates with their relaxation.
The duration of training will depend on the severity of changes in the neck.
If as a result of the pathology of the spine pareses or paralysis of the limbs appear, the gymnastics becomes a constant companion of medical and rehabilitation measures. It can be carried out for a fairly long time, until the motor functions are restored.
Manual therapy and massage
The cervical department requires a very cautious attitude, especially with various diseases.
Therefore, when conducting manual therapy, it is necessary to trust only qualified and experienced doctors.
With adequate exposure, the functional capabilities of the spine can be significantly improved by expanding the volume of movements..
The necessary components of the treatment include massage neck and collar zone and back. It helps to improve blood circulation in soft tissues and relieve muscle tension, thus preparing a patient for physical exercises..
Manual therapy and massage have a direct impact on the pathological focus and surrounding tissues, than complementary conservative treatment.
Do not forget about the possibilities of physiotherapy.
The methods used in such treatment have an anti-inflammatory and relaxing effect, improve microcirculation and metabolic processes in various tissues. Most often, in the pathology of the spine in the cervical region, it is recommended to use:
- Wave therapy.
- Laser treatment.
- Water and mud therapy.
Procedures are appointed by the physiotherapist after agreement with the attending physician, as there are certain limitations for patients with concomitant diseases.
If conservative treatment is found to be unsuccessful or showed insufficient results, then it is necessary to make a decision about surgical intervention.
This situation often occurs with severe lesions of the cervical region, expressed pain syndrome. The operation allows you to remove the source of symptoms - bone proliferation, intervertebral hernia, the consequences of injuries.
Sometimes it is necessary to carry out additional stabilization of cervical segments by spondylodease.
When the neck hurts, it is necessary to call the doctor in time. You can not wait until the condition worsens. The earlier the treatment is started, the better the results will be obtained in the future.
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How to quickly and effectively tire the pain in the cervical spine?
If there was a pain in the cervical spine, you need to immediately determine its cause. The source of discomfort can indicate both a simple overstrain of the muscles, for the elimination of which you need massage and relaxation, and a pathological process that requires comprehensive treatment.
Patients often complain that they have a cervical spine. This condition can be caused by a variety of reasons. The neck is the support for the head, hides the spinal cord, flowing into the medulla oblongata and the central nervous system. It is important to find out the source of discomfort in a timely manner and begin treatment.
If the patient is concerned about pain in the cervical spine, the causes are often covered in osteoarthritis. Pathology proceeds by deformation of the cartilaginous tissue and the synovial membrane of the joint.
Occurs as the wear and tear of the musculoskeletal system, and therefore often manifests itself in older patients.
The main symptom is characterized by high intensity pain combined with a feeling of stiffness in the occipital region.
The combination of the main symptom with intense pain in the lower back and lower extremities indicates the course of osteochondrosis. It is expressed in the form of deformation of the intervertebral discs and cartilages, which leads to a decrease in the flexibility of the spinal column.
Often, the appearance of discomfort in the neck leads to muscle spasm, which is due to a sharp contraction of muscles, squeezing the vessels and nerves in this area. The patient experiences severe pain, which hinders his movements.
The aging process is accompanied by deformation changes in the spine, which often leads to narrowing of the spinal canal.
Disturbance occurs because of the expansion of joints and ligament tightening, caused by wear and trauma.
The main symptom is manifested due to pressure on the nerves in the occipital region..
In children, the development of uncomfortable sensations can be associated with complications after angina. Inflamed lymph nodes cause nerve irritation and pain in this department of the spine..
Sometimes unpleasant sensations can be caused by the pain reflected in the occipital zone. Dysfunction of the digestive system, heart disease, lungs, purulent processes, growing tumors - an incomplete list of atypical causes of discomfort.
Causes and treatment of discomfort in the cervical area requires the patient to accurately describe the unpleasant sensation. By the degree of localization, the following types of pain are distinguished: cervicalgia, cervicocranygia and cervicobrachialgia.
In the first case, discomfort is felt only in the cervical region. Often expressed in the form of a shooting sensation arising from the seizure of the sinuvertebral nerve.
Characterized by acute pains, which increase with minor bends.
Cervicalgia is a common symptom not always associated with systemic pathologies. It can be caused by being in a draft, choosing the wrong pillow, exerting excessive stress due to prolonged physical exercise or long sitting at the table, injuries.
Cervicocranium refers to the pain radiating to the head. It is characterized by a feeling of constriction, pulsation.
In this case, the patient tends to take the least discomforting position, because of which the muscles experience additional stress.
Cervicocranialgia is most often the result of ongoing inflammatory processes, injuries or deformation of the cervical vertebrae. The main symptom may be a headache, weakness of the forelegs and neck, tinnitus.
Cervicobrahialgia is accompanied by the irradiation of an unpleasant sensation in the arm. Most often its source are some joint diseases: rheumatoid arthritis, Bekhterev's disease, etc. The main symptom is accompanied by a feeling of weakness, tingling, goosebumps.
Evaluating the patient's condition, one can notice tense muscles in this area, limited amplitude of movements. Raising hands is accompanied by clicks, crunching.
These signs increase with sudden changes in temperature (from a warm room to frost), physical exertion, long-term stay in one position.
It is necessary as soon as possible to put the patient in a horizontal position on a pillow of moderate stiffness..
It is important to take a position that provides complete relaxation and rest to the affected area..
If the patient is sure of the cause of discomfort in the cervical region, you can impose a cold (with slight trauma) or hot (with muscle strain) compress, apply ointment.
If the patient periodically has a sore neck, you must constantly maintain a straight posture, regardless of the occupied position - lying down, sitting or doing the exercise. Working at the table, you should stretch your crown up with your shoulders lowered and your chest stretched.
A common cause of pain is improperly selected bedding. When buying a pillow pay attention to its thickness, tightness, material.
Excessively soft or rigid lining leads to head failure or abnormal compression of the muscles, which provokes a breakdown of cerebral nutrition, which can cause a headache.
If persistent pain is experienced within 3 days, which does not stop with muscle relaxation, the application of warming and cooling compounds, you should immediately consult a doctor. Urgent skilled care is required in case of traumatic source of discomfort, irradiation of pain to other sites.
Treatment of diseases manifested by discomfort in the cervical spine includes measures aimed at coping with acute discomfort and preventing repeated attacks. Traditional therapy involves the following measures:
- medicamental treatment - taking painkillers, anti-inflammatory and soothing agents;
- physiotherapy - for the speedy elimination of discomfort sensations through acupuncture, acupuncture treatment, massage.
An additional kind of therapy for cervical pain is therapeutic gymnastics. Performing a complex of exercises helps to reduce the intensity of pain, increase the elasticity of ligaments and the elasticity of muscles. Standard physical therapy includes the following manipulations:
- put the palm on the frontal lobe and press down on it for 5 seconds, then alternately put your hand to the back of the head, side parts of the head, chin and make a similar gesture;
- lift your chin and turn your head one by one to the right and to the left, and do the same movement with your head down;
- slightly throwing his head back, you need to try to alternately touch the right and left ear to his shoulders.
Each exercise should be done in 15 seconds for several approaches. The whole complex should be done at least 5 times, during the working day or between household chores.
For the prevention of repeated seizures, it is necessary to maintain a straight posture and not slouch, if there is a head pain - walk more often outdoors, go swimming to relax the muscles and better saturate the brain oxygen.
If there is pain in the cervical spine, you need to analyze the unpleasant sensation to determine its possible source. It is necessary to ensure this area of rest.
It is necessary to occupy a comfortable position, ensuring its relaxation, and apply a cold and hot compress. If the measures taken have not brought the desired effect, they turn to a specialist.
A source: http://spina-health.ru/bol-v-shejnom-otdele-pozvonochnika/
Pain in the cervical spine
If pain occurs in the cervical region of the spine, it is very important to correctly determine the cause of this pain.
It can be a signal warning about the presence of mechanical problems in the cervical department, or about any systemic disease.
Most often, even if the pain is strong enough, it lasts for a couple of weeks. In rare cases - lasts up to 12 weeks. The sensation of pain can be experienced in the region of the spine, but it can also give in the arm.
Pain in the cervical spine is a fairly common complaint in patients of any age and sex.
The most common causes of such pain are osteoarthrosis of the cervical osteochondrosis or the presence of damaged ligaments of the spine, neck muscles.
But there are other causes of pain in the cervical spine.
With this disease is strickencartilage and synovial membrane of the joint. As a rule, osteoarthritis is the consequences of wear and fatigue of the joints.
Already at the age of 20-30 years permanent damage to joint tissue begins, and in elderly people, changes begin to occur already in all joints: back, neck, hands, knees, thighs.
Symptoms of osteoarthritis: stiffness and pain.
Osteochondrosis isconsequence of the disruptive process in the intervertebral discs, special cartilaginous structures providing mobility and flexibility of the spine. In more severe stages of the disease, vertebrae themselves are destroyed. Often accompanied by severe pain in the lumbar region and lower limbs.
Hernia is a disease that arises from the emergence of any entrails from the cavity in which they are enclosed, accompanied by protrusion of the walls of this cavity.
In hernia, intervertebral discs form such protrusions due toloss of elasticitydue to various diseases.
If before the disease of the spine, most often, was the lot of elderly people or the result of unforeseen damage, then in Currently, more and more young people can find such diagnoses as cervical spondylarthrosis, which is successfully treated by folk means.
Stenosis of the spinal canal
With stenosis, the spinal canal narrows due to aging processes, along withdegenerative-dystrophic changes in the spine.
Because of microtraumas and wear of the intervertebral column, the intervertebral discs protrude, the intervertebral joints expand and the ligaments thicken.
As a result, the spinal canal narrows, the pressure on the spinal cord and on the nerve roots increases.
Spasm is a sudden and involuntary contraction of the muscles, causing severe pain and restricting movement. This is due to the fact that with spasm, the muscle exerts pressure on the vessels and nerve fibers, because of which there is a disruption in nutrition and energy metabolism of tissues.
Ankylosing spondylitis (Bekhterev's disease)
Ankylosing spondylitis (Bechterew's disease) -form of arthritis, affecting the vertebral joints.
In this disease, inflammation does not occur in the joint itself, but outside it, at the place where the ligaments and tendons attach to the bone. Affects the disease, usually smallintervertebral joints, reducing their mobility.
At the same time, there is also an ossification of the ligaments that strengthen the spine, as a consequence - a complete loss of its flexibility.
Rheumatoid arthritis is a systemic chronic connective tissue disease. With this disease occursthe defeat of mostly small joints, which leads to the development of arthritis, deformation of the joints, the violation of their functions.
With rheumatic polymyalgia, rheumatic pain occurs simultaneously in different muscle groups. Muscle pain and stiffness are felt, as a rule, in the shoulder, spine, neck, buttocks and thighs.
Tumors in the vertebral columnare the result of benign or malignant growth of cells in the spinal cord and surrounding tissues.
In the absence of proper treatment, even benign tumors can make a person incapacitated for a long time.
Malignant, fortunately, are rare.
The spine can be infected in various ways:
- a wound, an open fracture, an exposed bone, an operative incision;
- furuncle on the skin, even inflammation of the gums - while the bacteria penetrate into the blood;
- use of non-sterile needles in injections;
- The cause may also be tuberculosis, infectious diseases of the kidneys and urinary tract.
Thyroiditis isthyroid disease, occurring quite rarely, it is purulent and nongual, focal or diffuse.
Meningitis is a disease characterized by severe headaches, high fever, stiff neck, muscle aches and spasms.
Causes of pain in the cervical region in children
The most common cause of pain in the cervical spine in children iscomplication after sore throat, resulting in inflammation of the cervical lymph nodes. But also painful sensations can arise and because of various infectious diseases.
Cervical lymphadenitis (complication of sore throat)
With cervical lymphadenitis, there is inflammation, often purulent, of lymph nodes caused by strepto- and staphylococci. They penetrate into the lymph nodes, increasing them and initiating this disease.
Rigidity of the occipital muscles
Rigidity of the occipital muscles is a pathological condition that appears due to too frequent parcels of impulse from the brain, as a result of which there is an increase in muscle tone and they go tostiff.
Intracranial hemorrhages, abscesses and tumors
Occur due to the increase in the volume of several or one of the media:
- blood that is in the intracranial vessels;
- spinal fluid filling not only the canal of the spinal cord, but also the ventricles of the brain;
- brain, its intercellular fluid and membranes.
Because of the relative insecurity of the cervical spine, it can be prone to pain due to mechanical injuries, even the most insignificant of them can subsequently deliver a lot of unpleasant, painful sensations.
Types of injuries:
- intervertebral discs;
- intervertebral joints, including whiplash;
- muscles and ligaments.
The defeat of the internal organs can also lead to pain in the cervical spine:
- diseases of internal organs;
- disease of the esophagus;
- heart disease;
- intracranial voluminous formations;
- lung cancer.
For the diagnosis of the disease should pay attention to the symptoms that are typical for the defeat of specific organs.
When there is pain in the cervical spine, in the first place, shouldensure a complete peace of mind, fixing it in one position. But in this position, the neck should not be more than two days - this can lead to an even greater risk of injury.
In order to reduce pain, you should use an ointment or a compress with a warming effect. But, if the cause of the pain is trauma, the compress, on the contrary, should be cold.
When should I see a doctor?
- if the cause of the pain is a trauma or a fall;
- if the pain from the neck gives to the rest of the body;
- if the condition after first aid is not improved.
Methods of treatment
Physiotherapy for the removal of pain syndromeand inflammation, to accelerate recovery.
Holistic treatment: acupuncture, acupressure, hirudotherapy, dietary supplements and other similar methods.
It is necessary to improve the passage of the nerve impulse, relax the muscles, activate blood circulation.
Pharmaceuticals- administration of drugs, analgesics, anti-inflammatory, muscle relaxants, injections.
To prevent pain in the cervical spine, you need to adhere to certain rules:
- Dailyperform morning exercises, in which to include exercises for the back.
- Constantlyfollow the posture when walking, and especially with sedentary work.
- It is also importantfollow the back even during sleep. This will help you choose the right pillow, which provides the desired position of the neck during sleep.
A source: http://vashaspina.com/boli_v_spine/sheya/v_sheynom_otdele_pozvonochnika.html