Degenerative disc disease (low back pain) the cervical spine in neck pain symptoms of pain in the hands and irradiate the main reason. Begins to show signs of pain when the cervical spine starts to collapse due to one or more intervertebral discs degeneration.
Some people's predisposition to development, degenerative disc disease, perhaps it has a genetic component. Also speed up trauma, cervical spine degenerative changes and sometimes lead to development.
Cervical degenerative disc disease treatment gives good results are the only time that a regular character, and consistent and systematic. The list of the most common causes of back pain the spine in patients with symptoms of working age from sitting in front of computer for a long time. Usually the care of patients with pain and do not seek medical help , nor leads to complications.
Risk factors for degenerative disc disease of the cervical spine
Involusyonel almost all people sooner or later develop degenerative changes to the cervical spine during early development there are some factors which can make more likely the emergence of degenerative disc disease or symptoms. These risk factors may include:
- Genetic. Some twin studies show that genetics plays a huge role, more the first symptoms of cervical spine degenerative disc disease and early developmental life fast.
- Obesity. Risk weight that is associated with degenerative disc disease (degenerative disc disease).
- Throughout the property. This habit may prevent food drives and hydration to accelerate their college.
- In addition, spinal cord injury or cervical spine degeneration may sometimes speed up the process run.
Symptoms
Symptoms degenerative disc disease cervical spine can vary widely different people.
Osteochondritis is when symptomatic, pain occur suddenly or develop gradually. Symptoms vary, some discomfort in the neck with severe pain radiating to his hand, so exhausting, numbness and / or weakness on Nov.
Basic symptoms:
- Neck pain. Low-intense pain in the neck, the stiffness of the ground is the most common the most common symptom of degenerative disc disease, cervical spine. However, sometimes the pain intensified suddenly and last for a few hours or days.
- Neuralgia. The tendency is such a pain, acute or with a sense of radiating electric shock, shoulder, arm, hand and / or toes. Typically, the pain is felt only on one side of the body.
- Neurological symptoms, a brush in hand and / or toes. May occur with tingling pins and needles, numbness and / or weakness may be spreading to the upper extremity. Such symptoms can interfere with daily activities, for example, printing, clothing, or hold objects.
- Move the pain intensifies. In general, the pain himself because of a degenerative disc, generally, improved ride and reduced, while is a very good choice.
- Itself comes from the pain, and degenerative disc, then most likely spontaneously a few weeks or months. However, other symptoms of degenerative disc disease of the cervical spine to treat chronic and often require, for example, that the model starts at the neck joints degenerate and / or the engine occurs, the nerve root.
Less common symptoms
Sold more cervical spine, the spinal canal is narrowed the more likely and increase the risk of spinal cord compression. If it turns out spinal cord compression , myelopathy and allergy like symptoms are visible then:
- The difficulty, transport, hand and / or foot
- Problems with coordination and / or balance
- Control, loss of bowel and / or bladder
- Weakness and / or numbness anywhere below the neck
- Shooting pain in the extremities, aggravated may be inclined forward
Cervical myelopati - this is a serious condition and requires immediate medical attention. Typically, this situation is the result of people over the age of 50.
Diagnosis
Diagnosis was degenerative disc disease of the cervical spine can be spotted based on these data:
- Her medical history. First, you will need to examine the detailed symptoms and medical history your doctor.
- Physical examination. Then a doctor guidance, a physical examination, by controlling the range of motion neck and neck. During the test, it may be desirable to inform patients and perform certain movements, increases or decreases neck pain.
- If the pain is intense, or current neurological symptoms such as pain, tingling, or weakness, shoulder, arm or hand, then the doctor, most likely, assigns carrying medical imaging .
- Medical imaging methods (radiography, CT, MRI, PET). A doctor, to find symptoms needed to get the correct one nor Genesis painting, texture (disc) more then likely will be assigned to the MRI. MRI, or perhaps radiography, computed tomography confirm, Do you have symptoms, degeneration, both, that arises another situation (e.g., osteoarthritis or stenosis) can cause symptoms.
- After you have confirmed a definite diagnosis of degenerative disc disease of the cervical spine, as well as any other relevant to understand the genesis of particular situations determine the symptoms and effective treatment program.
Osteochondrosis associated with whiplash condition
Disc degeneration other pathological conditions often improve, or at the same time, or in some cases, a cause other. The most common cases are as follows:
- In the event the hernia occurs in the cervical spine, the annulus fibrosis and causes disc degeneration is the result of degeneration of the fat content except for the integrity of the ring. But accelerates degeneration after injury that may occur at the end of disc herniation, disc and development that leads to degenerative disc disease, cervical spine .
- Cervical osteoarthritis. Within the vertebral column begins to decrease as disk drives and disk space when you start moving the joints promote cartilage formation may cause abnormal wear cervical spine osteophytes model.
- Cervical spinal stenosis, the spine. In this case, the resulting osteophytes or disc herniation and spinal canal narrowing (spinal or foraminal hole that passes here (where the sport are going nervous).
But you need to understand, sometimes, some people are born already is not associated with the development of osteochondrosis spinal canal narrowing and symptoms.
Cervical radiculopathy symptoms of pain, tingling, numbness and / or weakness radiating to the shoulder, hand and arm, you may experience one or more nerve roots or irritation then zasvetilsya. If the stenosis caused by herniation of the spinal cord of motor, disc, or osteophytes, may develop a myelopathy. Possible symptoms are pain, tingling, numbness and / or weakness can be felt everywhere at a level, neck and low compression level. For example, a person may be tingling or weakness in the legs, problems with balance, bowel and bladder control or even difficulty.
If you have symptoms of myelopathy is important, timely seek medical attention, the condition can progress and, if untreated, may develop abnormalities and eventually paralysis of the limbs.
Treatment
Usually, when osteochondrosis conducted remedial activities because of the symptoms reduce the symptoms of whiplash. Firstly, treatment of degenerative disc disease in the cervical spine that is used in non-surgical treatment methods.
In rare cases, pain and symptoms persist or worsen, despite treatment or if there is risk of spinal cord injury within a few months, then solved about it, it's a process.
Conservative treatment options
Cause osteochondrosis treatment for neck pain, the doctor usually recommends one or more of the following treatment options:
- A holiday or lifestyle change. Some actions may be the more you have, the neck, e.g., neck stretching, advanced computer while it is running. The right to change diet or certain activities a few days or weeks generally reduces pain. In addition, the correct posture to protect proposed (instead of sitting on the stoop, or driving forward during flexion of the neck, etc.). Eating healthy food, sufficient hydration and health smoking is useful for disk.
- Pain management, medication, etc or the help of injection. Which can give a certain effect over-the-counter pain relievers. If the pain is severe, may be assigned, a more powerful painkiller such as oral steroids, Nov relaxers, and even opium.
Model injection, such as injection, nerve block or epidural. Local corticosteroid injection to reduce inflammation structure that may contain them:
- Caudal epidural injections
- Joints injection model
- Caudal epidural steroid injection Interlaminar
- Transforaminal epidural injections
- Selective nerve root block
- Blockade medical branches
- Ice and heat can be used to treat degenerative disc disease, cervical spine.
- LFC. Most non-surgical degenerative disc disease treatment programs, such as specific exercise program that will involve the cervical spine and isometric stretching .Selection of the qualified expert must exercise ( doctor, LFC), such as insufficient exercise can cause corruption of that situation . Also ,the exercises should be chosen according to the individual characteristics of a particular person . In general, the neck pain and increasing strength and flexibility can reduce the risk of degenerative changes to a degree of slow disks.
- Manual therapy. The cervical spine may be a manual set up and qualified to improve health, range of motion, and / or reduce pain. Depending on the symptoms a physical examination required for a particular patient and / or manual manipulation before visualization of the neck.
- Physical therapy
- Ankara
- Acupuncture
- Copthorne
Surgical treatment, degenerative disc disease of the cervical spine
Surgery treatment degenerative disc disease in the cervical spine, often there are two situations:
- Existing neurological symptoms such as numbness of the hands continuous and / or bowel control or weakness or trouble walking. If neurological symptoms are at risk of whiplash osteochondrosis cause irreversible nerve damage and surgery may be recommended to reduce the pressure limit.
- Chronic pain is serious and surgical treatment and daily activities over the course of treatment for at least six months would be difficult to detect. The best surgical results for patients with chronic pain prescribed for other conditions such as neck instability motor segments of the state and / or radiculopathy.
Basic surgical treatment methods of degenerative disc disease of the cervical spine include:
- Anterior cervical discectomy and Fusion (ACDF).
- Artificial disc instead.
In addition, there are a number of other surgical treatment for degenerative disc disease of the cervical spine:
- Endoscopic decompression of the first
- The first is endoscopic foraminotomi
- Percutaneous decompression
- Intra-disk electrothermal therapy used
- Radio first endoscopic discectomy
- Spinal cord stimulation
- Radiofrequency ablation
- Epidural lysis of adhesions
Surgical decompression for the neck, the nerve root and / or spinal cord, and, therefore, decrease neurological symptoms such as pain or weakness, hand, trend, good remote results - a positive prognosis 80% up to 90% .