Congenital deformations of the neck and chest. Scoliosis

Decor elements 02.06.2021
Decor elements

Smooth spine is not only a beautiful posture, but also the health of the whole organism as a whole. The curvature of the cervical vertebrae is dangerous not only by pain syndrome, but also a deterioration in the blood supply of the brain, which is caused by the transfer of the artery. Such pathology is not uncommon: more than 40% of the world's population suffers from scoliosis.

REFERENCE! The cervical scoliosis is a disease affecting the seven first vertebrae. Almost always it comes in aggregate with chest scoliosis.

Doctors distinguish several factors capable of proving the emergence of a disease:

  • Heredity (genetic predisposition in which pathology is developing without the influence of external factors).
  • The injuries of the spinal column.
  • Neurological diseases (for example, Siringomyeliya are a heavy, progressive, chronic disease of the central nervous system, in which cavities are formed in the oblong and spinal cord).
  • Lifelong lifestyle couple with an unbalanced diet.
  • Incorrect formation of a cervical department during intrauterine development.
  • With the rapid growth of the child, the muscles do not have time for the development of bones, the bundling apparatus weakens and does not support as a spine.
  • The dysfunction of the endocrine glands occurs during puberty may adversely affect the skeletal structure - makes it pliable and soft.
  • Complications during childbirth - when the newborn is shifting the bone tissue of the head.
  • Rakhit, transferred in childhood, often leads to the curvature of the skeleton.
  • In children and adolescents, pathology can manifest itself because of the wrong posture during school sessions.

Types


There are several classifications of scoliosis of the cervical spine.

Taking into account the curvature allocate:

  1. S-shaped (having 2 deformation arcs).
  2. Z-shaped (3 curvature arcs).
  3. C-shaped (with 1 curvature arc).

By degree:

  • I - the angle of curvature ranges from 1 to 10 degrees (the patient does not complain about unhealthy, there is no external changes).
  • II - from 11 to 25 degrees (visually you can notice the curvature of the neck).
  • III - from 26 to 40 degrees (the patient experiences significant discomfort, the quality of life is worsening).
  • IV - 40 degrees and more (except for external signs there are complications from vegal and nervous systems).

By classification, Moshkovich is distinguished:

  • congenital;
  • dysplastic;
  • idiopathic;
  • static;
  • neurogenic.

ON A NOTE! People of any age are subject to scoliosis of the cervical spine. In women, it develops two times more often than in men. The main percentage of ill older than 10 years. Right-sided scoliosis is less common than left-sided.

Symptoms

The clinical picture of scoliosis of the shop includes the following symptoms:

  • in the neck there are painful sensations passing on the back of the head, the skin of the face, the shoulder belt. Often pain appears in the heart area. Nitroglycerin does not remove it, helps the reception of painkillers ("Baratgin", "Citramont", "Askofen");
  • when lifting weights or other physical exertion in the upper part of the body there is discomfort. When moving the neck and turns of the head, the "plugness" is felt, there is a refractory;
  • since the blood supply in the brain deteriorates, it is possible to periodically numb a language and a loss of taste sensations, a decrease in hearing acuteness and vision. Often there are nausea and dizziness, the "flies" flashes in front of the eyes, noise in the ears;
  • the infringement of the vertebral artery cause the loss of skin sensitivity, the weakening of the muscular strength, the "gravity" in the head, the numbness of the limbs.
  • in the late stage of the disease - the asymmetry of the blades and shoulders are pronounced the curvature of the bones of the chest and face. Notably wrong formation of bones of the skull, an uneven contour of the shoulders.

Diagnostics


The first signs of the cervical scoliosis are detected during the primary visual inspection. For this, the doctor asks the patient to lean forward and lower his hands. The doctor inspects the vertebral line, detecting asymmetry and the place of curvature.

The next stage of diagnosis is the direction to the x-ray. It is appointed both in the early and later stages. In a picture, parallel to the vertebrae plates, two features are carried out. The angle measurement is performed in the area of \u200b\u200bintersection of these lines. This parameter (called the Cobb angle) allows you to estimate the severity of pathology.

The third stage earlier includes computed tomography, but with the development of such a method as magnetic resonance tomography, the first is prescribed extremely rarely. MRI allows you to see the condition of nerve endings, vessels and soft tissues, and prevent possible complications.

Before starting treatment, the doctor conducts electromyography.

REFERENCE! Electromiography (EMG) is an examination, during which the doctor is estimated to be the condition of peripheral nerves and skeletal muscles. The procedure is completely safe, so it can be prescribed both adults and small children.

Treatment

Conservative technique

A suitable method of treatment chooses a doctor. Conservative methods are applied on an outpatient level, if the violations are not critical. Basic goals: Improve statics, suspend the development of scoliosis and return even posture without surgery.

  • He must sleep at a special orthopedic mattress and hard roller. It is impossible to heat and injure the neck.
  • The table and chair used for work or study must be properly adjusted.
    It is useful to temper and attend massage sessions to strengthen muscle tissue. A short massage of the occipital part and the neck of the patient can do yourself independently (it is useful to do after a long seating in one place).
  • In the treatment of a child, a special power circuit is drawn up: products with a high content of phosphorus and calcium include, the protein rate per day is at least 100 grams.
  • Medicase treatment is introduced in cases where it is necessary to stop expressly pronounced symptoms. These are mainly chondoprotectors and anti-inflammatory non-steroid drugs.

    REFERENCE! Chondroprotectors - medicines, the main components of which are glucosamine and chondroitin sulfate. They restore the cartilage tissue, increase its elasticity and include immune processes. Gel preparations "Chondroitin", "Chondroxide" are recommended for accompanying osteochondrosis.

  • Muscle stimulation by electric shock, wearing special corsets, treatment with laser, acupuncture.

Medical Physical Culture Exercises (LFC)

Allows you to strengthen the muscular frame, removes pain syndrome, improves blood flow. Classes need to be conducted 2-3 times a day for half an hour.
The patient can offer the following exercises:

  • Head slopes alternately to the left and right shoulder.
  • Turns from one side to another, right to left and back.
  • Rocks head small amplitude.
  • Smooth slopes of the head, while you need to touch the chest chin.
  • Slowly turn the head to the left-right, touching the chin to the left and right shoulder.
  • Turning the chin, pull the neck. It is impossible to throw the head at the same time.
  • Rotation with shoulder joints.
  • The fingers linked to the "castle" put on the back of the head and make a slow breath. At the same time elbows are reduced. Bred in exhalation.
  • In position lying: the patient bends his legs in the knees and clips tightly to the floor of the foot. At inhalation, the pelvis rises up, on the exhalation returns to its original position.
  • The patient stacked on the stomach, the hands pulls along the body, the palm puts on the floor. In the breath pulls the neck and raises the chest, the exhale goes back.
  • Standing on all fours, the patient on the breath beats the spine down, aligns on the exhalation.
  • The patient sitting on the chair, lowering his arms along the body. Smoothly turns his head from side to side.

ATTENTION! If, during physical education, a person notices a deterioration in the state, he starts seizures or numbness - he needs to report this to his attending physician.

Surgical

Surgical intervention is allowed if the conservative methods of the result cannot be brought (in 4 stages) or bring little benefits (at 3 stages):

  • The surgeon removes damaged parts of the intervertebral plates and disk.
  • With the help of metal designs, the vertebra are recorded in the necessary position.
  • With strong damage, the affected areas are replaced with prostheses.
  • Cosmetic defects generated due to surgery are smoothed.

For full recovery takes half a year. The first 3 months are spliced \u200b\u200bbones, so the patient needs to use special devices that support the head, or gypsum bandages. After 5 months, the patient begins to visit the rehabilitologist.

The cervical scoliosis is a dangerous violation, accompanied by unpleasant manifestations and causing hazardous complications. To avoid the development of a disease, with any suspicions of changes in the spine, you should visit the doctor as soon as possible. His recommendations must be performed immaculately - only at the same time the treatment will bring tangible benefits.

Scoliosis is the deformation of the spine in several planes around its axis. It arises in any of the spine departments: from the lumbar to the shadow.

The curvature of the cervical spine is also called "high scoliosis". This disease is much more characteristic of women, they have 3 times more often than in men. Arises in childhood. Therefore, parents should think about the correct formulation of the diagnosis and treatment of treatment as early as possible.

This will help the child to avoid problems with the neck and back in adulthood.

However, if the curvature is already present in an adult, it does not mean that the treatment has already been late: it is necessary to start the posture correction and the position of the head at any age when problems have appeared and the final diagnosis has been established.

For the prevention and treatment of joint diseases, our permanent reader applies the popularity method of non-operative treatment recommended by leading German and Israeli orthopedes. Carefully reading him, we decided to offer him and your attention.

Causes of the appearance of curvature in the cervical spine

There are two types of scoliosis: congenital and acquired. Congenital - associated with tribal injuries and requires a special approach to treatment, depending on the nature of the injury.

Acquired curvature does not have any one specific reason. As a rule, it is called immediately by a complex of several factors. Therefore, there are several medical theories about why it arises:


The severity of the disease is also varied by the number of arc of curvature (from one arc to three) and in terms of severity (from the first to the fourth stage):

  • first - from 1 to 10 degrees;
  • the second is from 11 to 25 degrees;
  • third - from 26 to 40 degrees;
  • fourth - more than 40 degrees.

Symptoms of cervical scoliosis

The symptoms of curvature is divided into common and specific (characteristic only for this pathology).

At the first two stages of the disease, there are still no vivid manifestations. However, on the third and fourth severity of the deformation of the spine can already be seen with a naked eye. It is characterized by asymmetry in the head position, it can be tilted forward either in one of the sides, the right or left, sometimes you can see that the patient's ears are at different height relative to each other. Also very noticeable violation of the symmetry of the shoulder contour, changes in the symmetry of the pelvis are already visible at the last stage. In some cases, in the absence of treatment, the abnormal development of the bones of the skull becomes visible. All these symptoms are a reason to immediately consult a doctor and begin treatment.

Most patients, as a rule, complain about the difficulties in motion, pain when turning or tightened the head. Some patients come to a doctor with complaints solely on the aesthetic effects of curvature, especially for the initial stages of the disease.

General symptoms include headaches, fast fatigue and general weakness. The patient may also experience dizziness, especially when trying to sharply tilt the head. All this arises due to squeezing blood vessels and as a result - circulatory disorders, including in the brain.

Often, at the first second degree of cervical curvature, a person does not pay attention to the problems. As a rule, all the symptoms are written off on fatigue or overvoltage. But if a person complains about his headache, and on pain in the neck at the same time, this is a bright sign of the beginning of serious problems.

In some countries, the first stage of scoliosis is not considered a disease at all and does not require any interference from doctors. However, despite this, it should be aware of it and take measures to maintain this department in a healthy state. After all, the very fact of a small anomaly already talks about increased risk and the possibility of deterioration.

Diagnosis of the disease

To accurately determine the degree of scoliosis and its type can a doctor on the basis of both a visual inspection and after studying the patient's X-rays. It is not necessary to engage in self-diagnosis: the definition of the spinal curvature is a sphere of activity only orthopedic doctors, and independent intervention can end the state deterioration, and even serious consequences for the patient.

The main way of visual diagnostics is as follows: the patient is proposed to lean forward and lower his hands. In this position, the doctor will be well noticeable by the deformation of the spine and the displacement of individual vertebrae relative to each other.

But the main method of diagnosing curvature in the spine, especially in its cervical department, is a radiographic study. A snapshot allows you to accurately set the angle of curvature, its degree, and sometimes learn the cause of the deformation. This is done by calculating the Cobb angle. To measure it, you need to spend two parallel neutral vertebrae direct and where they intersect, and this angle is measured. According to these data, you can judge the degree of severity of problems with your back and neck.

In case these methods are not enough, the doctor can additionally assign MRI of the spine.

Treatment

The treatment is very dependent on such factors as the degree of severity of the disease, its shape, progression rate, and, of course, the patient's health at the time of treatment. Therefore, when the doctor puts such a diagnosis, it is better not to postpone the beginning of solving the problem in a long box, and to take the case before the pathology will come to some serious stage and complicates treatment.

The so-called folk remedies, respiratory gymnastics, massage for any special techniques and psychotherapeutic practices on copyright techniques are popular among people, but their effectiveness has not yet been confirmed by research.

Of the confirmed practices of treatment methods, two are distinguished: conservative and operational.

Conservative

This method of treatment is carried out by the patient at home, but under the control of the doctor. It is mainly in compliance with the correct posture and the implementation of a complex of specific exercises, allowing to increase the support of the neck with muscles and align the cervical. Conservative therapy includes such health events:

  • physiotherapy;
  • classes in the pool;
  • proper organization of the workplace and a dream on a rigid bed;
  • massage: therapeutic and manual;
  • electrostimulation of muscles;
  • wearing a corset.

Outside sleep, it is necessary to carefully observe the posture in ordinary life, avoid provisions under which the pressure on the cervical vertebrae is turned out to keep the head smoothly. The child should be transferred to the chair corresponding to the height of the table.

The next paragraph is therapeutic physical education. The patient needs to study a complex of special exercises in the neck scoliosis and regularly perform them. It will be very useful to combine physical education with swimming classes.

The doctor may also assign firming therapeutic massage and electrical stimulation. This will help improve the support of the spine, activating the work of the muscles.

Special attention should be paid to the power. If the scoliosis is triggered by the softening of the bones due to lack of minerals and trace elements, the increase in the diet of products with an increased calcium and phosphorus content will significantly slow down its development.

The latter should be noted the use of special orthopedic corsets for the top of the back and other supporting devices (including for the neck in the event of a serious stage of deformation). They allow a person to straighten the cervical department, to ensure the fixation of the neck in the right position and get a small massage effect.

But you need to know that supporting devices lead to the weakening of the muscles and reduce their motor activity, which is very bad with a scoliotic disease of the neck. It is important to know that corsets and supporting devices cannot be used without an orthopedic doctor without consulting, this is a rather radical correction tool. To a greater extent, this applies to harsh structures, which in addition to the prescriptions of the doctor, also require adherence to the wearing mode (no more than a few hours per day), as intervertebral hernias may become the consequences of abuse.

Operational or surgical method

It is activated in treatment only if conservative therapy has not given significant results. Most often, the testimony for surgical treatment appear already at the last, fourth stage of scoliosis.

Any operational intervention requires careful control over the patient's condition and attentive choice of techniques, with which the state of the spine will improve.

Surgical treatment has several options. Their choice depends on the type of pathology that needs to be eliminated:

  • restriction of the asymmetry of the growth of the vertebrae (this resection with the convex side of the part of the intervertebral disk, which makes it difficult to progressing the curvature);
  • stabilization of the deformation of the spine (spondylodez or the battle of several adjacent vertebrae for the purpose of their immobility, the use of bone graft, which allows you to stop the movement of the vertebrae and prevent the strengthening of pathology);
  • correction of curvature - is carried out using a rigid frame installed directly to a deformed area;
  • operations of a cosmetic nature - do not eliminate the disease, but relieve some of its defects.

Surgical treatment methods have a lot of negative effects. In particular, in particularly complex cases, complete immobility of the vertebrae may occur, and as the most planning result can be distinguished by the threat of their full battle. Unfortunately, during the fighting, the patient becomes disabled and it is already impossible to fix it.

Therefore, surgery is carried out with caution and only if no other methods stop the deterioration of the state. If the patient has not yet used every chance to adjust its position without resorting to them, the doctor must make a maximum effort to eliminate the problem to the conservative way.

Prevention

Prevention of scoliosis of the cervical department should be started from early childhood. Therapeutic physical education, body position control, load distribution, a course of a specialized massage - all this will help smooth the negative effects of curvature, even if the child has a predisposition to him. It should be especially serious to deal with a sedentary way of life, because it can lead to the weakening of the muscles and the development of the disease.

The consequences of scoliosis

Scoliosis is a disease, the consequences of which are significantly stretched over time. This means that complications themselves can manifest themselves at any time. This should be considered and not postpone the visit to the orthopedist.

The most frequent complications of curvature:

  1. Problems with a musculoskeletal system, compound movements and pain in the muscles.
  2. Blood circulation. The improper arrangement of the spine in space can negatively affect the work of the vessels.
  3. Headaches. It is the most common symptom and complication of cervical scoliosis, reduces the quality of the patient's life.

Of course, it is best not to bring until the consequences of the curvature and in time to contact specialists for the treatment.

The cervical scoliosis is a very common illness of modernity. Sitting life, sleep on too soft surfaces, the lack of positive loads on the muscles of the back - this only contributes to the appearance of diseases and disorders in the spine, and in its cervical part, especially. The neck scoliosis not only can ugly look, but also causes a lot of problems unpleasant for humans: headaches, dizziness, and sometimes hypoxia (oxygen deficiency) in the brain. This is an exceptionally significant argument in favor of not allowing its development. Because the treatment will cost more and takes a lot more time than a warning.

Today, many people know what scoliosis is. This disease has recently been tremendous all over the world. Often the curvature of the cervical spine leads to a violation of the body's condition and activities of organs and systems.

Pathology can develop at any age, it provokes deformation of the spine, occurs in 45% of cases of all diseases of the musculoskeletal system. In women, scoliosis is developing much more often than in men. The reasons for its formation are ambiguous, presumably on the development of the ailment may affect the injury, which was obtained in childhood.

The cervical scoliosis is the curvature of the spinal column along the vertical plane into the left or right side in the cervical department (from the first to the seventh vertebra).

The disease is dangerous in that it provokes a violation of the blood supply to the brain due to the transmission of the artery.

The disease may appear at any age, most often it is observed in children who are more than ten years old.

In medicine, scoliosis of the cervical spine can manifest itself in the following forms:

  • Congenital scoliosis develops in the intrauterine period, when part of the spine is not fully formed or a sharp angle appears, which as the child grows it to progress;
  • The idiopathic hook of the neck is developing from birth to the moment of stopping the growth of the child. This pathology appears for unknown reasons, which makes it difficult for its treatment;
  • Neurogenic scoliosis appears as a result of the violation of the activity of the nervous system;
  • Statistical scoliosis appears due to the abnormal development of the limbs;
  • Displastic scoliosis is characterized by the side sparkling of the spine due to the metabolic disorders in its tissues and disks, as well as torsion.

Congenital form of pathology is rare. In most cases, the signs of illness begin to appear in adolescence. In 80% of cases, the causes of scoliosis do not have a scientific explanation.

The disease has several degrees of gravity:

  1. The scoliosis of the cervical spine 1 degree is characterized by the omitted position of the head and the contracture of the shoulders due to the curvature of the spine to ten degrees;
  2. The second degree is caused by the presence of an angle of curvature from ten to twenty five degrees. In this case, there is a telescia, the asymmetry of the neck line, which is viewed at any position of the body;
  3. The third degree in which the bend angle is from twenty-five to forty degrees. The person has a great deal of telesia, muscle contracture, all signs that are inherent in second severity are also observed;
  4. The scoliosis of the cervical fourth severity is characterized by curvature of the spine more than forty-degrees. At this stage, the muscles in the pathological region are stretched, the symptoms of the disease is significantly enhanced, there is a violation of the activities of the vascular and nervous system.

Causes of the formation of neck scoliosis

There is no exact cause of the appearance of pathology in medicine. There are several theories according to which cancellation may develop:

  1. Violation of the function of the endocrine gland is considered to be the main reason for the appearance of the spinal curvature in the neck area. In the teenage period there is a hormonal restructuring of the body, which affects the development of a skeletal apparatus, making it more plastic. Therefore, the spine may vary under the influence of loads;
  2. Violation of the development of muscle tissue and ligaments with accelerated growth of the child. In this case, ligaments and muscles become weak and cannot keep the spine in a certain form;
  3. A change in bone tissue, which leads to the development of dysplasia;
  4. Violation of the nervous system activity, which leads to the appearance of Siringomyelia and the deformation of the back.

Also, scoliosis of the neck may appear at birth due to disorders of intrauterine development.

Today, children spend a lot of time sitting on a PC monitor, they practically do not physically engage in physical activity. This can provoke the curvature of the spine in the cervical department.

Symptoms and signs of scoliosis

The curvature of the cervical vertebrae disrupts the composition and structure of the spine, which leads to its deformation and violation of the work of organs and systems. At the first two stages of the pathology of the symptoms of the disease is absent, the patient does not impose no complaints.

At the third stage of the development of the illness, the asymmetry of the position of the head and the contour of the shoulders, it can be seen that human ears are at different distances relative to the horizontal line. In the serious case, the cervical scoliosis symptoms manifests in the form of a violation of the formation of bones of the skull. These phenomena are accompanied by headaches, weakness and dizziness, the development of insomnia, a violation of memory and the inhibitory of consciousness.

Nervous reflexes are weakened over time, pain in the neck appears, which becomes stronger during coughing or sneezing, the occipital muscles are in constant voltage, the limb on the side of the curvature is nemeth. When deforming the bones of the skull, scoliosis of the chest department may develop.

Symptomatics of pathology is manifested in the last two stages of the disease, so it is important to diagnose it at the initial stage of development to avoid negative consequences in the future.

The curvature of the spine in the cervical department can lead to disabilities, the development of paresses or paralysis of the limbs. This often occurs due to squeezing blood vessels and nerves in the spine. This pathology must be treated, as it does not pass on its own.

Diagnostic events

Before fixing the curvature of the cervical spine, the doctor must diagnose. Diagnosis of the disease begins with the study of the history and examination of the patient. To determine the curvature of the spine, the patient must be leaning forward, lowering his hands.

The doctor studies the vertebral line, the body asymmetry and the presence of curvature. For an accurate diagnosis, radiography is prescribed. This method also allows you to identify degree angle of curvature to determine the development stage of pathology.

Often, the doctor appoints CT and MRI for a more detailed study of the problem. Additional research methods are used to establish the degree of damage to internal organs, blood vessels and nerves.

Treatment of pathology

Scoliosis of the cervical treatment presupposes complex. The choice of the method of therapy depends on the degree of damage to the spine, the form of the disease and the general condition of the body.

Conservative treatment is aimed at correcting posture, stop the pathological process in order to prevent the use of surgical intervention. For this purpose, various techniques are used:

  • Manual therapy is used to relieve pain, rehabilitation form;
  • Acupuncture to stop the inflammatory process;
  • Massage to normalize blood circulation, removal of edema and improving the metabolic process;
  • The treatment of TsZU is used to normalize the blood flow and nutrition of tissues, as well as for the flow of oxygen in the brain;
  • PRP - therapy is modern by the method designed to enhance the processes of regeneration of bone tissue, restoring the activities of organs and the musculoskeletal system;
  • Electrostimulation of muscle tissue in the affected area.

The doctor also appoints the carrying of a corset, proper nutrition and sleep on a tough mattress, leafc and gymnastics, as well as hardening.

Drug funds in the treatment of spinal curvature do not apply. The doctor can only appoint painkillers to relieve pain, as well as calcium and phosphorus.

In some cases, scoliosis of the cervical spine is assumed surgical. The operation is carried out in the absence of an effect from conservative therapy, as well as in the launched forms of the disease and the presence of severe unbearable pain. In this case, the following techniques can be used:

  1. Surgical intervention to stop the growth of the vertebrae at which the plate and disk removes from the other side, which is protruding;
  2. Stop the curvature of the spine. To do this, use bone graft, which is placed between the vertebrae to give them immobility;
  3. Operational intervention to eliminate a cosmetic defect.

In some cases, the operation can provoke the development of serious complications in the form of violation of the activities of the vascular system, damage to the spinal cord, the destruction of the vertebrae, the development of purulent inflammation.

After the surgery must pass three months before the bone comes. The doctor prescribes a gypsum bandage and wearing a corset to maintain and strengthen the back. After five weeks, the patient should visit the rheumatologist to pass joint classes in order to restore the spine. These classes usually pass three times a week for two months. After rehabilitation, the patient must limit physical exertion all his life.

Scoliosis of the cervical spine is treated in many ways, but it is best to do this at an early stage of the development of the disease or at all should not allow its appearance.

Prediction and prevention

Pathology forecast is most often favorable. In severe cases, disabilities are possible.

Scoliosis of the cervical spine arises due to various pathological processes. Children's children are especially susceptible to this pathology. They have a softer bone frame, which is subject to different changes. Curvating can occur in adult patients.

Characteristics of the disease

The cervical spine performs several basic functions. It is necessary for the implementation of head mobility. If pathological processes arise in it, then this function is broken. The cause of the violation of the position and mobility of the head can be scoliosis. This disease affects the location of the spinal column segments. The process may affect one or more vertebrae.

Pathology proceeds in a simple and complex form. With a simple scoliosis, there is a change in the location of one vertebra. The formation of the side angle of the spine. In this case, there is a change in the location of the head. This, in turn, affects the performance of the functions of various systems.

Sophisticated scoliosis implies the displacement of several spinal segments. Arc forms on the post. In the neck scoliosis, one arc is formed, but a spinal twisting on its axis can occur. Such curvature flows into several major stages. 4 degrees of scoliosis is distinguished. The degree of curvature depends on the treatment method.

Causes of the curvature of the pillar

The cervical spine is the most vulnerable part. The position of the cervical vertebrae is influenced by such reasons as:

The main cause of violation of the position of the cervical vertebrae is the incorrect position of the head. Such a change is observed in many schoolchildren. This is due to the wrong sized school desk. When teaching a child, it is necessary to tilted the head to the textbook. The cervical department takes the wrong position. Over time, the spine gets used to this posture. Scoliosis of cervical vertebrae is formed.

In adult patients, scoliosis is observed in the presence of concomitant diseases of the spine. One of the reasons is osteochondrosis of the cervical department. Pathology is detected with a radiographic study. In this case, there is a partial destruction of one of the vertebrae. The destroyed segment has a pathological pressure on the intervertebral disc. He is inflamed. The patient appears pain. The pain causes the patient to take the wrong position of the head. This form causes a complex scoliosis of cervical segments. It is possible to eliminate it only with the accompanying treatment of osteochondrosis.

Pathological curvature is detected and when rickets. Rachy changes affect the osenation of the vertebrae. The disease is detected at an early age and provokes improper solidification of the bone frame. Over time, the child grows. His weight is changing. The weight implies the load on the spine. He changes his form.

Some patients have various congenital spinal column pathologies. So, in the spine can be found pathologically formed segments. One of the causes of the cervical scoliosis is a wedge-shape of a semi-change. Pathology is accompanied by the presence of additional unformed vertebrae. Such scoliosis is eliminated only by the surgical method.
The injury of the cervical department also entails scoliosis. Heavy spinal injuries cause a displacement of several segments or complete destruction of one of the vertebrae. Therapy is carried out only under strict medical control.

Symptoms and complications of curvature

With the scoliosis of the cervical spine in the patient, various additional features are observed. Symptoms of scoliosis are considered such phenomena as:

  • Pain in the neck;
  • Vision impairment;
  • Reduction of mental activity;
  • Changing the position of the head.

With neck scoliosis, pain often appears. It is localized on the damaged area of \u200b\u200bthe spinal column. An unpleasant feeling is removed with strong painkillers. Drugs do not give long relief. It is necessary to increase the dosage.

Also, pathology is accompanied by violation of vision. With neck scoliosis, the nerve endings of the spinal column occur. The transmission of signals to the brain is broken. There is a decline in vision.

The long incorrect position of the segments affects the mental work. Man becomes scattered. His brain activity is reduced. This phenomenon is unpleasant for schoolchildren. There is a decrease in trainee.

The outer sign of the cervical scoliosis is the change in the position of the head. At the same time there is a shift of the shoulder department. The person chooses the wrong position to improve blood circulation.
Scoliosis of the cervical department can cause the development of various complications. The main complication is the emergence of strong headaches. Often pains have a migrane nature. These sensations are not removed by conventional painkillers. Additional therapy of migraines is needed. There may also be a violation of hearing. Many patients complain about noise in the ears. This phenomenon occurs due to the increase in blood circulation in the brain vessels. The blood flow is enhanced due to the lack of oxygen in the brain. The vessels are increased in volume, the acute brain pressure is increased.

Also, this pathology is dangerous for cardiac activity. Myocardial work in scoliosis is enhanced. There is an acceleration of muscle contractions. It is necessary to accelerate blood emissions in veins. Long-term active work of myocardial causes a violation of its physiological properties. The heart muscle becomes fine. It increases the risk of its rupture. This is fraught with infarction.

Diagnosis and treatment

Scoliosis of the cervical department can be installed independently. To do this, it is necessary to accept the standing position. He head leans forward. At this type of disease, an arc or angle on the spine is detected. It is a scoliotic change. If there are signs of the disease, and it is not possible to detect it, you need to visit a specialist. It will help properly diagnose pathology.

For the treatment of scoliosis, various methods are used. The main impact is carried out manual. In the manual effects, doctors use a special massage technique. It is accompanied by the elimination of the muscular spasm and the restoration of the nerve impulse. In difficult cases, acupuncture is connected to the massage. Medical needles are installed on the spinal points responsible for metabolic processes. Strengthening metabolic processes allows you to accelerate the recovery of the patient.
It is recommended to perform special exercises. The complex of physical exercise allows you to reduce the burden on the spine. This will help the post to fuse.

Any scoliotic change must be accompanied by medical control. It is not recommended to be treated independently. In proper exposure, scoliosis of the cervical spine is eliminated.

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Scoliosis in the neck area is a diagnosis that is often put to children. But adults, in view of the sedentary work, also do not know what is the curvature of the cervical spine.

This pathology is not only distinguished by persistent painful sensations, but also affects brain blood supply.

The reasons

The cervical scoliosis can have both congenital (generic injury) and other reasons for the appearance:

  1. violations in the work of the endocrine glands. The hormone imbalance affects the structure of cartilage and bone tissue, making them easily vulnerable.
  2. Muscular-ligament failure. Poorly developed muscles and ligaments cannot provide normal development of the spine. The weak muscular-binder is not capable of maintaining the spine in the desired position.
  3. Displastic version of the disease. It is considered congenital and begins to progress from 3 years of age. It is based on the disturbed metabolism, as well as the effect of twisting vertebrae around its axis.
  4. Neurogenic causes. The pathological processes of the nervous system cause resistant spinal deformations. The pathology of the cervical department often accompanies Siringomily. The essence of the disease lies in the formation of cavities in the spinal cord.

Rarely curvature of the cervical spine has some other specific reason.

As a rule, the scoliosis of this department is formed under the influence of various factors.

Development mechanism

Scoliosis of the cervical spine is a chronic disease, which without proper treatment quickly progresses. It begins with a small curvature of the spine, and over time, all new complications and a variety of symptoms appear.

The disease has such a development mechanism:

  1. at the same time, various pathological factors affect the cervical department.
  2. Gradually forms a slight angle of curvature.
  3. Neck muscles are untenable to maintain the vertebral in an anatomical position, so the clinical picture is aggravated (the scoliotic angle increases).
  4. As serious complications appear, symptoms becomes more brighter - the compression of the spinal nerves and the accompanying vessels, muscular-tonic syndrome appears, irreversible neck deformations.
  5. The underlying departments are also involved in the process. Curved in the chest department occur, the height of individual skeletal segments changes (in a healthy man blades, clavicle, shoulders should be symmetrical).

If you find pathology at an early stage and start therapy on time, you can avoid recent items in the development mechanism.

Symptoms

The deformation of the spine in the cervical region is constantly progressing. If the first curvature is practically not noticeable, then over time they become strongly pronounced. Gradually destructive processes increase, causing serious complications.

The presence of pathology may indicate such symptoms:

  • with a static position, severe pain arises;
  • headache and dizziness;
  • insomnia;
  • hypotension or hypertension;
  • muscle weakness;
  • memory violation;
  • reducing disability.

When the angle of curvature exceeds 10 °, then the deformation is no longer possible to skip. When examining a person, an asymmetrical arrangement of the ears is thrown in front of the front.

If you look at it from behind, then the asymmetry of the shoulder-blade area is clearly observed, a slight shift of the head aside. And at a later stage, the symmetry of the skeleton of the head is disturbed.

Degree of curvature

In the cervical department, it is customary to allocate 4 degrees of deformation:

  1. the degree 1 - the displacement of the vertebrae does not exceed the angle of 10 °. With the first degree of complaints in patients, the deformation is not visualized without an X-ray.
  2. Degree 2 - the displacement angle is from 10 to 25 °. Scoliosis is already easily visualized.
  3. The degree 3 - the displacement of the vertebrae is already reaching the angle of 40 °. The clinical picture is pronounced. Patients are experiencing a lot of discomfort and lose disability.
  4. The degree 4 - the vertebrae of the neck department has a bend by more than 40 °. In addition to obvious visual disorders, the patient faces complications from a vegan system and neurological symptoms.

The deformation of the cervical department can also be left-sided or right-hand, depending on the direction of bending. In addition, the structural spinal segments can bend around their own axis.

Diagnostics

One physical inspection to confirm that the patient has cervical scoliosis is not enough. You can clarify the clinical picture using a number of instrumental research.

The patient can be sent to such a survey:

  • x-ray;
  • electromyography.

If a preliminary diagnosis is made - scoliosis of the cervical department, the X-ray is prescribed first. Pictures allow you to clearly consider and measure the angle of curvature to determine the degree of pathological process. Radiography is justified at any stages of the development of the disease.

With the development of diagnostic studies of the MRI / CT, the pathological process manages to identify at an early stage and timely warn the development of possible complications.

Also before the start of treatment, Miography has great importance. It allows you to detect the pathology of the muscles of the cervical department, as well as disorders in the transfer of nerve impulses, which is necessary for the selection of effective treatment.

Treatment methods

With weakly pronounced destructive phenomena, conservative treatment is quite justified. Usually resort to complex therapy. But if the process is so launched that the deformation is irreversible, then the LFC or massage will not be able to influence the situation, it will be necessary to resort to surgical intervention.

Medicia treatment

Directly on scoliosis drugs cannot affect, but they can alleviate the accompanying symptoms: to eliminate pain and muscular tonic syndrome, fuel the cartilage and bone tissue.

To eliminate pain syndrome, NSAIDs are prescribed in combination with Miorolaksanta (Remoxico, Middokalm, Dikloberl), which can be used both oral / parenterally and locally. In addition, chondroprotectors, calcium preparations, vitamin D can be recommended for maintaining cartilage and bone tissue.

Physiotherapy

The cervical scoliosis is treated with the following physiotherapeutic procedures:

  • medicinal electrophoresis;
  • ultravyhonic therapy;
  • dirt treatment;
  • paraffin therapy.

Such procedures are able to adjust the deformation of the skeleton to some extent, improve blood circulation, increase muscle strength, reduce pain syndrome.

Physiotherapy

LFC is the main thing that the emphasis is doing in the treatment of scoliosis. The first classes should be carried out under the control of an instructor or physiotherapist, which prescribes the therapeutic physical culture during scoliosis.

Performing exercises, you should follow these rules:

  • the first workouts must be gentle and take more than 30 minutes;
  • in the morning it is necessary to perform gymnastics for the neck;
  • all tilts, turns and rotation should be performed smoothly;
  • with each occupation, you should increase the multiplicity of exercise, strength and duration of workout;
  • effective exercises with phytball, visiting the pool.

Each element in the complex exercise exercises should be 15 times. If convulsions, pain or general condition deteriorates, the occupation should be discontinued. If after time, returning to classes, the patient faces a certain discomfort again, he must consult with his attending physician.

Massage

When curvatched the cervical vertebrae after leakage, it is useful to make a massage.

With this procedure, you can achieve the following:

  • fuck pain;
  • help the correction of curvature;
  • strengthen muscular corset;
  • accelerate metabolic processes and blood circulation at the top of the back;
  • remove chronic pain.

Massage manipulations begin with a healthy side of the neck, gradually switching to the problem area. Works are being worked out in the nape area, which are sources of nerve impulses provoking pain syndrome.

Folk remedies

With scoliosis of the top of the back, folk recipes are also widely used that allow them to eliminate pain.

  1. salt compress. In the glass of boiling water, it is necessary to dissolve 25 g of a large salt (kitchen or marine). A piece of bandage or gauze must be collapsed in several layers, moisten in salt solution and attach a compress to a problem area for 2-3 hours. Then the painful area additionally should be confused by menovatin.
  2. Rye flour cake. On the turpidar, it is necessary to knead the dough from rye flour, roll it into a cake and attach it to the problem zone.
  3. Potato compress. Fresh potatoes and horseradish root should be chopped through the meat grinder, then mix thoroughly. The prepared mixture must be applied to the victim to the place over the bandage. Then wrapped with a food film and wrapped with a warm scarf. Hold until the oven is starting.

However, it should be remembered that any folk recipes can only have auxiliary therapy.

And if the cervical examination seriously suffers from scoliosis, then without comprehensive treatment it is not necessary.

Video

Cervical scoliosis

Surgical intervention

If the cervical scoliosis is in 4 stages and is not amenable to conservative treatment methods, the only output is the operation.

Serious posture disorders require such surgical manipulations:

  1. the battle of deformed vertebrae with bone grafts. In some cases, a resection of certain intervertebral segments may be needed.
  2. Giving a deformed area of \u200b\u200bthe spine stability.
  3. Aesthetic surgery - elimination of cosmetic defects.

But since any operation is conjugate with certain risks and complications, then only in extreme cases are resorted to such a radical method.

Rehabilitation period

In order to correct the deformation and recover after the operation, it may be necessary at least 3 months. To avoid injury and improve the recovery process, gypsum dressings are prescribed, fixing the position of the neck, or supporting the head of the device.

After 5 weeks after surgery, they go to the active recovery phase with a rehabilitologist. So the patient will be able to get rid of pain, improve flexibility and relieve an inflammatory process. All this will gradually return him to a full-fledged life. It can take it to six months.

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