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Osteochondrosis
Filed under Nervous SystemOct 13.
Osteochondrosis - a chronic disease resulting from spinal disc degeneration. Onset of the disease has implications for repeated sharps, which reduces the elasticity of damaged tissue. Process tend to be more spine in the neck or lumbar spine.
Cervical osteochondrosis
Kaklinėje spine in a very agile, and the intervertebral discs in this area is under a lot of physical activity, especially among IV, V and VI, V-neck slenkstelių. Of the cervical spine growths are cavities of the channel, which passes the spinal artery, vein, and sympathetic nerve. The top, spreading, cervical spine plate of the vertical sides of the separated bone edging - a hook shaped sprout near the cervical vertebral transverse processes of the cavity. The intervertebral disc - the articular disc, the edges of adults with lateral vertebral body plates. It is composed of fibrous fibrous ring in the periphery around the center of the gelatinous core.
Very solid nucleus, and therefore play damper function.
It was found that children in the spinal intervertebral discs are powered by the same blood vessels, which provide the cartilage in the side of vertebral body parts. The age of the vessel is empty, and the discs are bekraujėmis plates, foraging in tissue fluid diffusion. Kaklinėje often formed part of ekzostozės (bone growths) from the articular surface of the vertebral body edges.From the side of the cervical vertebrae seem like a tapering, sharp-pointed end back. ROM results in the emergence and neck lordozės. Due to the high mobility and power often develop osteochondrosis tarpsklanksteliniuose disks between IV-V and V-VI of the cervical spine. This place gets the most and neck lordozė. A key hook shaped ataigos merger of the preceding vertebral body, forming a so-called unkovertebralinė connections. It is believed that the hook shaped growths increase can press a vascular-nerve fibers passing lateral cervical spine spines of the middle of the cavity.
Vertebral artery is a branch poraktikaulinės artery. It creeps into the cervical vertebral canal at the sprouting cavity VI neck vertebra, passes through openings in the transverse processes on the surface (at the cervical vertebra II), and then through most of the opening part of the occipital skull inside. Intracranial right and left vertebral arteries merge to form one of the main artery that feeds back its branches brain. Spinal arteries branches of the feeds as well as cervical and dorsal part of the brain and its membranes.
Compressed vertebral artery, there is power supply problems in the back of the brain, although partially offset by the blood flow through the carotid artery branch.
Vertebral vein collects venous blood within the skull and neck, deep muscle tissue. Later, they blend into the anonymous vein branches. Stagnation in the veins of the spine caused by vertebral artery pressing on things, and with clinical cervical osteochondrosis events. When the deformed cervical vertebrae, intervertebral disc height reduction and narrowing of intervertebral spaces, so it passes under pressure through the spinal nerves roots and blood vessels that feed them.
One of the reasons lead to osteoarthritis is the vertical pressure on the spine, which is compressed intervertebral discs, they are poorly supplied with blood, because of the number of early cartilage degeneration starts. Trauma, infection, intoxication, usually speeds up the processes of degeneration. Even the initial stage of the disease, disruption of supply of nutrients is always change and physical-chemical composition of the gelatinous core. Later, intervertebral disc gradually narrows, loses amortization features. Fibrosis ring cracks, cracks appear in it.
If the process involves only a change in the disc, this is called the primary stage. Extraordinary changes in the visible and x-ray.The secondary stage lesions also recorded and related to vertebral bodies. Due to changes in the intervertebral discs adjacent vertebral bodies come together, blending the intervertebral facet joint changes and the movement mechanism.
For this reason, the edges of vertebral joints are formed egzostozės.
In the third stage of the disease occurs osteophyte and spinal mobility is reduced.
Deformed hook shaped growths considerably narrows the channel, which passes the spinal artery. They not only put pressure on the artery, but also the sympathetic nerve.
Neck spinal osteochondrosis begins imperceptibly, slowly progressing, but especially for people whose work is related to prolonged sitting, tilting his head (accountants, bookkeepers, secretaries, hairdressers, dental practitioners, massage), more commonly affects women. Manual workers, people suffering from osteochondrosis rare. Osteochondrosis facilitate development of atherosclerotic events. Vascular-nerve fibers passing through the cervical vertebral transverse processes of the holes can be compressed part of Bird of prey drive (hernia). Too much stress, intoxication, infectious disease, metabolic disorders caused by flares.The first stage of the disease were asymptomatic. In the second stage of the onset of illness associated with vertebral artery, sympathetic nerve and dorsal nerve root compression, although these structural derivatives can be compressed and disc herniation. Šaknelinis isolated syndrome, resulting from the narrowing of the intervertebral holes, and - changes in the cerebral syndrome.
One of the symptoms of osteochondrosis - a sudden, troublesome headaches, the rotating head. This pain is strictly defined propagation area (one side of the head) - which began in the neck, spreading to the occipital part of the forehead and temple, reaches the ear, forehead and eye. Bigger headaches occur at night or in the morning, the day they are reduced or disappear.
Such a manifestation of the disease symptoms explained by the fact that the day when a patient (just reflexively) tries to keep his head in the position of the spine osteophyte neužspaudžia vertebral artery and the sympathetic nerve. At night, when the bag (the patient's words) the pain becomes "hard as stone", the slightest careless turn of the head causes severe pain. Warm, dry and sunny weather, such patients feel better, headaches are reduced.
Drop in barometric pressure column and an increase in moisture content in the air, head back pain worse. Acute pain period hairy head appears on the surface of the skin is expressed hiperalgezija, the pain felt, just touching the surface of the hair. Headache causes constant irritation of sympathetic nerve (which runs along the spinal artery), and - decreased blood flow to the main artery in the environment. Severe headache at the time the patient begins to hurt the eyes, including the pain even more užaštrėja. Complications result weakens visual acuity. The patient sees as if through a mist, or visual field mirguliuojančias "flies." This is due to the lack of occipital brain eating. Often occurs as well as weakness and hearing loss, noise in the ears - sometimes dizziness. After the attacks of headache, hearing restored, dizziness, and no more noise in your ears. Cervical osteochondrosis may be felt pain in the neck and shoulder area. Typical also šakneliniai pain, an increasingly long time, the same head position.
Lateral disc herniation occurs, neck or chest radiculitis pleksitu. Patients complain of exacerbation of pain in the neck and arm, at a certain angle by rotating the head. In most cases pain is spreading outside the upper arm and forearm to the surface of the thumb and forefinger. In the event of violations of segments C 5 - C 6, a significant decrease in reflexes brachial biceps muscle tissues. When the vulnerable segments of C 6 and C 7, causes the pain in the III and IV of the fingers (as well as decrease the sensitivity), while violations of segments of C 7 and C 8 causes pain in the inner upper arm and forearm surface and IV and V fingers. In addition, the decrease in the three-headed arm muscle reflexes.
A very important feature of cervical osteochondrosis - neck crackle, a rocking his head from side to side and bend forward. These sensations are recorded not only in the morning, but touching the neck and tactile way. Sometimes the affected side of the body can cause hand numbness or jogging ants' senses - as well as muscular weakness. Such patients may be diagnosed with hypertension cervikalinė. Palpation tenderness felt paravertebralinės Line, vertebral spines Comb locations on damaged discs intervetebral - spots where the leaves and the little great occipital nerve.
Cervical osteochondrosis is usually given to the head and apykaklinės area (as well - the shoulder strap), the surface of the spine (neck and upper thorax), massage, hand (the affected side of the body) massage.
Lumbar osteochondrosis
Degeneration process involved the lumbar spine intervertebral disc, they become thin, narrow intervertebral opening and the pressure and back (spinal), roots, and adjacent to the passing vessels. Lateral disc herniation can press not only nerve roots, as well as the spinal cord and the shell - these effects are caused by pain. Later, the disease progresses, there egzostozės. From a clinical point of view is defined as deformuojančioji spodilozė. The degree of the deformation process can range from mild to very sharp (full merger vertebrae).
Commonly affected intervertebral discs in between segments IV and V and between V and I of the lumbar spine of Crosspoint. Patients with lumbar osteochondrozėmis complain of pain in the lumbar part, which travels along the sciatic nerve. When the time gets decreased reflexes, muscle atrophy and even peripheral paresis. Pain can cause reflex scoliosis (curved spine), the constantly strained muscles associated with pain sensation. The characteristic symptoms in patients with lumbar osteochondrosis, the spine crackle, turning the waist or bending the body forward, to limit the movements of the lumbar and lordozės flattening. If at the onset of pain in passing, that later, in advanced stages, it becomes permanent. Patients complain of pain in the spine, which occurs in the morning and end of the day - as well as after physical exertion.
The first step of the treatment manual massage treatments to improve blood flow in tissues to prevent adhesions and subsequent perineurinių muscular hypotrophy, and massage stroke made and easy to delete the sacral-lumbar vertebrae - these actions reduced pain, reduced muscle hipertonusą.
Isaiah and the šeivinio muscle nerve paresis during the propagation direction of the target made of damaged muscle massage.
The second phase of the process of carrying out manual massage to strengthen the back and lumbar muscles: deep rubbing, maigymas, padaužymas.
The third phase continues the back and sacral-lumbar massage, in coordination with the exercise, the patient's initial position - standing on the surface side of the massaged.Complex course of treatment should last at least a month, every day. Massage course must be repeated regularly, with the 1-1.5 month intervals, until a clear outcome.
Massage is: the intervertebral discs and soft tissue (surrounding the spinal trunk) nutrition improvement, neck and low back muscles hipertonuso reduction of stagnation in the veins of the spinal withdrawal effects, further degeneration of the process, the stresses to the spinal structures, suspension, arm and leg muscle strengthening (their weakness prevention).
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