- Features of the radicular syndrome in the cervical part of the
- Main symptomatology
- Diagnostic features
- Treatment methods
- Complementary remedies for
The degree of damage to the spinal nerves determines the severity of the symptoms. The radicular syndrome, as a rule, is caused by osteochondrosis. But after the onset of pathological processes associated with the underlying disease, it may take several years before the symptoms, called radicular syndrome, begin to appear.
Symptomatology is caused by irreversible changes affecting the bone and cartilaginous tissue of the spine. As a result of the underlying disease, the holes through which the blood vessels and nerves come out of the vertebra decrease. This is due to the fact that the thickness of the cartilage decreases, osteophytes are formed, intervertebral hernias appear. This provokes radicular syndrome in cervical osteochondrosis or in the defeat of any other part of the spine.
Features of radicular syndrome in the cervical part of the
In the cervical spine, the vertebral ligaments are stronger than in any other part of the spine, and the minimum distance between the vertebrae. Therefore, the radicular syndrome, which causes cervical osteochondrosis, is quite rare. After all, under such conditions the probability of hernial protrusions is very low.
The most common cause of a complex of symptoms affecting the neck area is the compression of the radicular artery, which provides blood circulation in the nerve roots. As a result, oxygen starvation develops, because of which characteristic symptoms develop.
The main symptomatology of
Symptomatic pattern in the rootlet syndrome of the cervical spine depends on which nerves are affected. Depending on the location of the source, the symptoms may be as follows:
- When the upper spinal cord is squashed( C1 ), the patient suffers from permanent headaches. Pain and numbness affect the nape and the area of the crown.
- The lesion of the root C2 causes the same pain in the same areas. Also, in addition, hypotrophy of the muscles under the chin may occur, which will cause them to sag. This will create the effect of the second chin.
- C3 - pain in the neck on one side( corresponding side of the lesion), numbness of the skin on the corresponding side. Skin and muscles under the chin can also sag. The patient can feel swelling of the tongue on one side, but in fact there is no swelling, sometimes speech is broken.
- C4 - pain near the scapula, clavicle, in the forearm, sometimes there is soreness in the region of the heart and liver. Cervical muscles and muscles in the area of the scapula are weakened. Also, quite often the painful area grows dumb.
- C5 - Depending on the side of the lesion, pain and numbness can occur from the inside of the arm from shoulder to elbow, in the foreleg, neck to the right or left. When the arm moves in the shoulder joint, weakness is felt.
- C6 - the pain is quite extensive. They can spread through the scapula from the neck to the entire hand to the thumb. These same zones can be dumb. Biceps loses its tone, so when you move with your hand, you feel a muscle weakness.
- C7 - pain can affect the neck, the area of the scapula, the shoulder behind and from the outside, the entire arm to 2 and 3 fingers. When you move your hand, you also feel a weakness, but in this case, the tone of the triceps is reduced.
- C8 - from the neck the pain moves to the elbow, and from the elbow to the hand to the little finger. This site grows dumb, and when you move, you feel the weakness of the muscle, which provides movement of the little finger, and triceps.
Regardless of which of the roots is affected, the pains are of one character: sharp, abrupt, resembling shooting
With tilts or corners of the neck, the pain intensifies. Some decrease can be seen with complete immobilization of the affected area.
Features of diagnostics
Radiography is used to determine the affected area. Make a direct and lateral shots, according to which you can estimate the distance between the vertebrae. Based on this information, and make a conclusion about the localization of lesions with radicular syndrome.
More reliable and accurate information can be obtained by performing magnetic resonance imaging. But this method of diagnosis is rarely resorted to because of the high price for it.
Treatment of radicular syndrome is always made individually. First of all, it should be aimed at reducing the manifestations of cervical osteochondrosis.
Essential medicines used for patients in this case are painkillers. In the presence of an acute inflammatory process, injections are most often prescribed, in time you can switch to tablets. The best action is possessed by Ibuprofen, Diclofenac, Baralgin and Analgin. These drugs additionally have an anti-inflammatory effect, which increases the effectiveness of their use.
A good result usually shows the use of pain medications that have a local effect, which also fight inflammation. Most often appointed Finalgel, Finalgon, Naise, Kapsikam.
If the muscles of the back are spasmed, muscle relaxants are prescribed. With their help you can remove the increased muscle tension.
Effective may be Sirdalud and Pentoxifylline
To restore injured by nerve rooting helps the intake of B vitamins. These substances have a neuroprotective effect, restoring nerve fibers. Taking drugs, as well as using a vitamin B-rich diet helps restore normal physiological functioning of nerve endings.
Some patients are prescribed antidepressants if the disease has led to serious sleep disorders.
Complementary treatment for
In acute inflammatory process, the patient is shown a calm. It is necessary to avoid the poses that cause pain, and not to make sudden movements. Before the abating of the expressed pains it is necessary to observe the bed rest, and the bed should be quite rigid.
When the pain subsides, they begin to gradually increase their motor activity. LFK is one of the methods that perfectly complements the medicamental treatment of radicular syndrome and osteochondrosis. It is necessary to perform exercises that strengthen the muscles that support the spine: the muscles of the neck and back.
A noticeable relief comes from massage treatment, massage promotes deep relaxation of muscles, thanks to which the pain subsides
The alternation of physical activity and deep relaxation allows you to quickly strengthen the muscles. In some cases, patients are prescribed acupuncture.
The benefits will come from physiotherapeutic procedures with thermal effect:
- diadynamic current,
- laser therapy,
- hydrogen sulfide and radon baths.
In some cases, surgery may be required. Typically, surgery is required for tumors or intervertebral hernias. But it can be avoided if you seek medical help as soon as the first symptoms of back disease have appeared. Effective treatment of radicular syndrome with cervicothoracic osteochondrosis or with lesion of the solely cervical spine will only be with the integrated approach.