Everything you wanted to know about cervical hernia
A herniated disc is the protrusion of fragments into the spinal canal of the spine. Such protrusion is often seen in the cervical spine and is called the hernia of the cervical spine. It leads to compression of nerve fibers and the development of persistent pain.
The disease affects mostly men from 45 years. Prerequisites to the development of hernias are injuries and degenerative diseases of spine (osteochondrosis).
What is a hernia
The Intervertebral disc is a: centrally located gelatinous nucleus pulpous, surrounded by elastic fibrous ring. Fibrous ring is tightly attached to the adjacent vertebrae and provides flexibility and mobility of the intervertebral joint. The kernel performs the shock-absorbing function.
Trauma or degenerative processes, the integrity of the fibrous ring is broken and a pulpous nucleus shifts outwards. This condition is called protrusion. In the complete rupture of the annulus pulpous nucleus partially extends outward with formation of herniated discs, for example, of the cervical or lumbar spine.
Causes of herniated discs in the cervical spine
The Main reasons for the formation of a herniated disc of the cervical spine are degenerative process or injury.
Recall that the cervical spine is the most mobile, it is taking every possible movement with large amplitude. Cervical vertebrae and intervertebral discs here are more fragile and smaller than the thoracic and the lumbar spine, therefore more often exposed to injury and wear out faster.
Most Often, the hernia is localized between the fifth and sixth or sixth and seventh cervical vertebrae, as in these intervertebral joints are the most frequent awkward sudden movements (flexion and extension, for example, during sudden braking of the vehicle).
Clinical picture – symptoms
The Main symptom of a hernia of the cervical spine is pain caused by nerve root irritation or compression. The pain can be from moderate to severe episodic more constant and depends on the size of the hernia.
Pain radiating along the strangulated nerve fibers and may be determined in the hands, the head and the heart. The pain on the back of the neck accompanied by muscle tension and some straightening of the cervical lordosis. It increases with coughing, sneezing and head tilt.
Unpleasant feature of this localization protrusions are severe consequences due to the anatomical structure of the cervical spine.
The Spinal canal is narrower here than in other departments, and even relatively small herniation can cause compression of the spinal cord.
symptoms of cervical disc hernia will be joined by dysfunction of the pelvic organs (incontinence of urine, and in severe cases, and feces) and the lower limbs, until the development of paralysis.
So at the slightest sign of a hernia of the cervical spine should be consult a doctor and pass a comprehensive examination. Early treatment of this disease will help you avoid disability in the future.
Headaches, dizziness, tinnitus, numbness of fingers and pins and needles, stiffness when moving the neck, unsteadiness of gait, poor memory, unstable blood pressure, and nausea are also symptoms of herniated discs of the cervical spine.
because Of these diverse manifestations of this pathology are often confused with other diseases, such as vascular dystonia or hypertension, which leads to wrong treatment and progression of the pathological process.
The Main clinical studies are radiography and magnetic resonance imaging. Be sure to conduct a comprehensive examination to exclude serious diseases such as tumor of the brain and spinal cord, metastases to the spine and diabetic polyneuropathy.
As more research is assigned a myelogram, CT scan and electromyography, during which the estimated time of the nerve impulse.
Treatment: conservative (without surgery) and surgical
Treatment of a hernia of the cervical spine can be enjoyedconservative and surgical methods.
By conservative methods include the following activities:
- Protective regime, of the rest, it is advisable to wear a soft corset.
- Intake of medicines, possessing anti-inflammatory, analgesic and antispasmodic action. Such drugs include NSAIDs (Diclofenac, Movalis), glucocorticoids (Hydrocortisone) and muscle relaxants (Mydocalm). Most often the drugs are administered in pill or injectable form.
- With the ineffectiveness of these procedures often resort to blockades in which drug (novokainova-steroid compound) are introduced directly to the site of compression. Blockade carried out by the course no more than three to five injections. Manipulation performed by a doctor.
- Treatment of cervical hernia without surgery includes a variety of physiotherapy procedures (electrophoresis, laser therapy, magnetic therapy, DDT and others), massage, application of manual and osteopathic techniques, reflexology, stretching and physiotherapy.
All these methods are aimed to alleviate muscle tension, improve blood circulation spine, improving its flexibility and elasticity and strengthening of the neck muscles. Stretching is carried out already during the cold period, its aim is to increase the distance between neighboring vertebrae, allowing the nucleus pulpous to stand in its place.
- Popular today is laser treatment, in which a special electrode is fed to the rupture of the fibrous ring, tissue herniation is exposed to laser radiation. Such exposure leads to rapid healing of the defect. A similar effect is observed during electrophoresis with karipazim.
Surgical treatment of herniated discs of the cervical spine as a rule, consists in the excision of pathologically changed tissues, causing compression of the nerve roots. This interference is called a discectomy or microdiscectomy.
Today, as an alternative to open traumatic intervention widely used endoscopic and microsurgical techniques.
During the endoscopic procedure all manipulations are carried out under the control of a miniature endoscope performed through a small incision in the area of operations.
Microsurgical operation is performed using a special surgical microscope. These techniques allow to reduce the recovery period.
When a significant destruction of the disk is replaced by a special prosthesis.
Methods of traditional medicine
Treatment of cervical hernia folk remedies should be started only after consulting with your doctor.
- To relieve pain attack well help compresses with a horse fat. It melt in a water bath and applied to the neck in dense tissue, which is covered with foil, wrap neck scarf. The relief comes after about two hours.
- rubbing the sore spot fir oil in the morning. In the evening, do a light massage with honey and Shilajit, then rubbed a warming ointment, for example, finalgon and left in place with a scarf. The course lasts for two weeks.
- Rubbing with garlic tincture. 300 grams of fresh garlic scroll through a meat grinder and insist on 150 grams of vodka in a dark place for 10 days. Then RUB the tincture obtained the neck, and put her soaked in a rag to the sore spot, bundled up with a scarf for an hour. The procedure was repeated every other day until disappearance of pain.
- Wrap with leaves of Kalanchoe. Fresh leaves of Kalanchoe crushed and the resulting slurry is fixed to the neck with a bandage or band-aid overnight. Such compresses are doing two weeks.