The term "dorsopathy" combines a group of diseases. They are based on the pain syndrome in the musculoskeletal system, which is not due to the pathology of internal organs and pain in degenerative changes in the spine. The term was introduced in the ICD 10 in 2010, due to the fact that the disease is mainly for the able-bodied population.
One of the most common dorsopathies is cervical. Previously, it was known among the masses as "cervical osteochondrosis."Cervical dorsopathy occurs most often in young and working-age. Office workers with a sedentary nature of work are exposed to it in the modern world. Also people who often sit at the computer, do not follow the correct posture.
A bit about the types of pain
- Cervicalgia - is a local neck pain.
- Cervicocranialgia - the pain irradiates into the head.
- Cervicobrahialgia - pain radiates into the arm.
The last two states develop with the involvement of muscles and ligaments in the process.
- Radiculopathy - develops with compression of the nerve roots.
- Myelopathy - is a change in the structure of the spinal cord with a constant effect on it.
Causes of cervical dorsopathy
Features of the structure of the spine in the cervical region and the relationship between the structures of the spinal canal, nerve roots, passing a number of vessels and ligaments, cause the possibility of cervical dorsopathy.
The cervical segment is the most moving part of the spine. Contains in its structure a large number of small ligaments and joints involved in the connection of individual vertebrae with each other.
In dystrophic and degenerative changes in these very ligaments, there is a change in anatomy and the relationship of the components. This leads to squeezing of the spinal roots in the cervical spinal cord. Basilar vessels that go to the head can also be squeezed.
Reasons may be as follows:
- prolonged dynamic and static loads on the cervical section;
- hypothermia, both general and local;
- traumatic injury;
- infectious diseases;
- a violation of the diet and as a consequence of metabolism.
The disease proceeds chronically with relapses caused by the above listed causes.
Pain is one of the leading symptoms. It can be acute in the form of "lumbago" after an awkward movement of the neck. This symptom is called cervicago. The pain syndrome can develop gradually, with increasing intensity. Pain can be, as localized in the neck, and spread to the hands and head.
Restriction in movement and muscle tension - this symptom often accompanies pain and it is its root cause.
Dizziness, headaches, nausea and other general cerebral symptoms develop due to compression of the vertebral artery, partly involved in the blood supply to the brain.
In addition, accompany cervicalgia may irritability, sleep disturbances, tachycardia, increased blood pressure, decreased appetite.
Persistent dizziness is a common sign of cervical dorsopathy
Diagnostic features and the correct diagnosis of
As mentioned above, cervical dorsopathy is not a single disease. This concept is composite, includes a complex of diseases of the cervical department with a similar symptomatology. The doctor's task is to identify the exact cause, as well as exclude other diseases with similar symptoms, including oncology.
Diagnosis is based on the following research methods:
- MRI of the spine in the thoracic region;
- CT of the cervical and CT angiography of the vessels in this area;
- Ultrasound of the vessels of the vertebrobasilar basin.
Magnetic resonance imaging of the cervical spine - the "gold standard" for diagnosing dorsopathy
Treatment: techniques and medications
Treatment is complex and lasting. First of all - the regime, the exclusion of loads and provoking factors. In severe pain - wearing fixing devices, for example, the collar of Shantz.
Drug treatment is complex and long-lasting. It is aimed at both coping with the pain syndrome and eliminating the causes that caused it:
- Painkillers - among them non-steroidal anti-inflammatory drugs( ketonal, nimesulide, lornoxicam) are most effective.
- Muscle relaxants - with severe muscular spasm( tolperisone, tizanidine).
- Preparations of B vitamins are especially effective together with NSAIDs( complex drug Neurobionum, thiamine, cyanocobalamin, pyridoxine).
- Anticonvulsants and antidepressants - in chronic pain and neuropathic pain.
Physiotherapy procedures, such as hydrocortisone electrophoresis, myostimulation, paraffin treatment, are also added to the treatment. Later, they join manual therapy. In the period between exacerbations, therapeutic exercise is shown.
The main thing in the treatment is its complexity, which allows to work on all unfavorable factors and does not allow the process to be chronized.
- Types of pain