Treatment of osteochondrosis of the cervical spine: drugs, massage, exercise therapy.

Treatment of cervical osteochondrosis is a set of procedures aimed at eliminating pain attacks and restoring vertebral tissues. It is possible to achieve effective results in treatment if you regularly use all techniques with strict adherence to the instructions for their implementation.

How does the illness emerge

The spinal column has a complex structure. The coherence of the work of the whole organism depends on the preservation of each component in a healthy state. The seven cervical vertebrae are located near the base of the brain, in which all the vital centers are concentrated.

The destruction of the segments, changes in the structure of the intervertebral discs lead to the following symptoms:

• headache that appears in the neck and passes to the occipital region;
• the muscles of the shoulder girdle gradually atrophy;
• there is insomnia, bad mood;
• there are problems of an ophthalmic nature: floating points before the eyes, blurred vision, blurred surrounding objects;
• slightly impaired coordination of movements;
• painful sensations spread to the shoulders and forearms, as well as to the jaw;
• often there is a violation of sensitivity in the hands, which is manifested by numbness and a feeling of "goosebumps".

Excruciating pain syndrome exhausts the patient. Early diagnosis will allow the timely initiation of therapeutic measures, so as not to lead to surgical intervention. Conservative treatment is performed on an outpatient basis and at home. Changing the lifestyle and quality of nutrition, strict adherence to the recommendations during sleep and wakefulness will stop the pathological process and allow you to live a full life.

Pharmacological treatment of cervical osteochondrosis.

The chronic course of osteochondrosis alternates between acute periods and remission pauses. Medications are prescribed throughout the illness and are prescribed only by a doctor. Medications relieve pain, eliminate inflammation, regenerate damaged tissues and treat the cervical region. Depending on the severity of symptoms, tablet forms, injection into the muscle, vertebrae, local exposure with ointments, gels are used.

1. Non-steroidal anti-inflammatory drugs have proven to be an effective anesthetic in the treatment of osteochondrosis of the cervical region, also acting on inflammatory processes. If there are signs of inflammation, it is advisable to use NSAIDs, but they have a number of side effects, especially manifested by a negative effect on the gastric mucosa. Therefore, when administered orally, along with non-steroidal drugs, drugs are prescribed to protect the stomach, which suppress the formation of acid.
2. Analgesics are mainly used for local neuromuscular blocks. Pain that is not relieved by nonhormonal drugs is stopped by direct injection into active points or the vertebral body.
3. Glucocorticosteroids are steroid drugs that are synthetic analogs of hormones produced by the adrenal cortex. For the treatment of cervical osteochondrosis, corticosteroids are prescribed to eliminate severe pain, fight progressive inflammation, improve metabolic processes and have an immunomodulatory effect.
4. Calming agents to improve sleep and general well-being: tincture of valerian or peony. Weak sedative drugs with prolonged use are not addictive and are effective in combating neurological disorders.
5. Chondroprotectors are necessary to stop the destruction of cartilage tissue, followed by the growth of bone processes. Chondroitin with glucosamine, which is part of the preparations, fills the structure of the vertebrae with the missing chemicals that improve cell nutrition, the ability to synthesize and self-renew. To achieve a lasting effect of treatment, drugs must be taken for a long time, and in some cases for life.
6. Improving cerebral circulation is important in the treatment of cervical osteochondrosis. The drugs will eliminate dizziness, improve cell trophism, reduce the sensitivity of the nerve roots and dilate blood vessels.
7. With vasospasm, blood pressure rises. When high numbers of systolic and diastolic indicators are fixed, "ambulances" of antihypertensive drugs are taken.
8. During the acute course of osteochondrosis of the cervical spine, decongestants with a diuretic effect are prescribed. The removal of excess fluid will prevent an increase in blood pressure, reduce the load and improve metabolism.
9. Taking a multivitamin complex with a sufficient amount of minerals and trace elements improves metabolism and ensures the normal course of biochemical processes in the body.

massage therapy

One of the additional ways to get rid of pain and discomfort in the neck and upper extremities is massage. The impact of the hands on the muscles of the neck area improves local blood microcirculation, relieves muscle tone by increasing the load, and also heals the neck. Bringing the muscles into a working state enhances the excretion of accumulated lactic acid, relaxing muscle tissue.

Two types of techniques are used to eliminate the consequences of cervical osteochondrosis:

1. Massage of the neck zone is carried out by a specialist according to the exact instructions on the permissible load. The movements consist of caressing movements, kneading and intense massages. The reduction of pain and the improvement of the motor activity of the upper shoulder girdle confirm that the procedure was performed correctly.
2. Impacting active points with pressing movements is a less popular but effective way. The execution of this technique requires a special training of the masseur.

After the session, the neck muscles cannot be overloaded, so it is recommended to wear a medium-strength orthopedic collar for three hours. This measure will consolidate the effect of the masseur's efforts.

Not always a massage course can bring a positive result in the treatment of the cervical region, there are contraindications, ignoring which leads to sad consequences:

• oncological diseases of various localization;
• active form of infection with Koch's wand;
• systemic blood diseases;
• hypertension in the stage of decompensation;
• dermatological lesions of the skin of the neck and neck region;
• aortic aneurysm;
• necrotic processes in the bones with the formation of suppuration.

Physiotherapeutic procedures for cervical osteochondrosis

Additional treatment of cervical osteochondrosis with the help of physiotherapy is always included in the therapeutic complex for cervical osteochondrosis. The use of this method allows the treating physician to reduce the dose of drugs, to minimize the possibility of complications and allergic reactions. Carrying out a full course guarantees the normalization of metabolism, an increase in the circulation capacity of blood vessels and the elimination of pain.

Types of physiotherapy for osteochondrosis of the cervix:

1. Electrical stimulation - the use of high-frequency current to influence the muscles of the neck and shoulder girdle. During the session, the effect of thermal heating of the neck appears, blood circulation improves, unpleasant sensations are eliminated.
2. Magnetotherapy: exposure to a pulsed magnetic field in a diseased area. The waves penetrate to a depth of up to 7 cm, providing a cumulative healing effect. Pain and inflammation are eliminated, a stable therapeutic effect is observed until the next course of magnetic therapy. Procedures can be carried out in outpatient clinics and at home, special devices are used for this purpose.
3. Laser therapy is a method of alternative medicine based on low intensity laser radiation. The beams are directed to the region of the cervical vertebrae and along the nerve roots. The laser eliminates pain and inflammation reactions, promoting tissue regeneration.
4. Tension therapy is used to stretch the vertebrae and relax the muscles and connective tissue of the back. Under the weight of one's own body, there is a gentle "straightening" of the segments of the spine, an improvement in metabolic processes, with the disappearance of muscle spasms, the structure of the spine is restored.
5. Balneotherapy - the healing properties of mineral waters are most often used in sanatoriums.

The bath has the following objectives for the treatment of the cervical region:

• muscles relax, pain disappears, and blood microcirculation improves;
• metabolic processes are accelerated, toxins are removed from the body;
• Iodine and bromine ions react and, together with hydrogen sulfide, oxygen from the water penetrates the body and improves cell nutrition.

Physiotherapy

Significantly improve the condition and reduce the number of pain attacks in osteochondrosis of the cervical spine will help regular performance of special exercises. The physical therapy exercise instructor deals with the recommendation and elaboration of a medical complex. The specialist will teach you the correct technique for performing exercises and will plan the training scheme and the number of exercises.

It is necessary to start classes only in the inactive phase of the disease. Exercise therapy relaxes muscles, regulates metabolism, allows you to forget about attacks of acute pain, dizziness and poor health. You can perform therapeutic movements at home, after consultation with a specialist.

When performing exercise therapy exercises, in order to get the maximum benefit, you need to follow some rules:

• before the beginning of the lesson, you need to make sure that you are in good health;
• movements should be performed slowly and smoothly, without jerks;
• recommendations on the number of exercises must be followed exactly with the instructions of the instructor;
• if during the lesson there is a sharp pain, you should immediately stop the lesson;
• inform the physical therapist about the changes.

An approximate list of exercises for the treatment of osteochondrosis of the cervical spine:

• in a sitting position, gently turn your head in different directions;
• lower the head forward and down touching the lower jaw of the body;
• tilt your neck back without lifting your lower jaw;
• put your head on the inside of your hand so that your arm is in a bent position with emphasis on a hard surface, tilt your head, creating resistance with your hand, repeat for each hand;
• tilt your head down, while creating resistance with your hand;
• lower your arms down, perform a static exercise, keeping your shoulders raised.

All exercises are performed in a sitting position with a straight back. Each movement is performed 8-10 times.

Self-massage for treatment

Self-administered massage is an effective treatment. The advantage of the procedure is the possibility of manipulation at any time. The patient feels how strongly he presses on the cervical region, so that a pleasant warmth is felt, and not pain.

Self-massage technique:

• You can perform massage movements with one and two hands;
• you need to capture the entire surface of the neck;
• you need to start the session with gentle caresses, slightly pressing the skin;
• the next step is to rub the muscles with the edge of the palm or thumbs;
• active convulsions of muscles with palms with traction to the sides;
• slight knocking in the neck area;
• you need to end with stroking motions.

Each action is performed for 30 seconds, the total time for self-massage should be about three minutes. All manipulations are performed at a slow pace, each person determines the pressure force individually.

orthopedic mode

Treatment of cervical osteochondrosis cannot do without medical devices designed to unload the vertebrae and surrounding tissues:

1. The Shants collar is one of the most prescribed medical devices for unloading and treating the neck. The neck brace is designed to be worn during wakefulness during possible tension of the neck muscles - prolonged work at the computer, cooking and others.
2. Orthopedic pillow for a good rest during sleep. The product is selected individually, taking into account the length of the shoulder girdle. When using a therapeutic pillow, the spine is not subjected to unnatural deviation, the blood supply is not disturbed, and the person feels rested.
3. Orthopedic mattress is intended for the treatment of diseases of the spine: osteochondrosis, protrusions, intervertebral hernias. The therapeutic effect is based on the principle of stretching the spinal segments in a vertical position.

Diet therapy in the treatment of the neck

It is necessary to follow the principles of proper nutrition in the treatment of osteochondrosis. Nutrition should be low in calories, with a sufficient content of vitamins and minerals.

What you should not include in your daily diet:

• pickles;
• sausages and smoked meats;
• high-fat mayonnaise and sour cream;
• sugar and confectionery;
• sweet carbonated drinks;
• alcohol.

Permitted products:

• calcium-rich dairy products;
• fish jelly or beef thighs;
• natural juices;
• low-fat varieties of fish and meat;
• fresh fruits and vegetables.

Alternative methods of treatment of cervical osteochondrosis.

Ancient recipes of healers are an excellent addition to the treatment of the neck. The experience gained over the years allows us to use only the most effective products, prepared independently of the available natural ingredients. Herbs, medicinal alcohol and animal derivatives can serve as a medicinal base.

Popular treatment recipes:

1. Three medium lemons, unpeeled, twist in a meat grinder. To the resulting mass, add five chopped heads of garlic and half a glass of honey. Pour boiling water over the mixture and let it steep for two hours. Drink 100 ml every morning on an empty stomach.
2. Prepare 200 grams of pine shoots and grind with two glasses of granulated sugar. Therapeutic mass is taken daily, 1 tbsp.
3. Mix a small amount of honey with aloe juice and add a little alcohol. The resulting solution is used to rub the cervical vertebrae.
4. Mash boiled potatoes and add honey. Apply the resulting composition to the sore spot, fix it with cling film on top and wrap it with a warm blanket. It is fashionable to leave the compress for 3 hours.
5. The ground raw material from the hop cones is mixed with butter to the consistency of ointment. It is rubbed into sore spots to relieve pain and inflammation.

Despite the plant origin of the components of traditional medicines, their use can be harmful.

Therefore, before using this method, it is necessary to exclude possible contraindications:

• tendency to allergic reactions;
• skin damage in the area of intended use;
• individual intolerance to the component;
• inflammation in the acute phase;
• pathology of the stomach, liver, kidneys when administered orally.

Prevention

The health of the whole organism depends on the state of the spine. To prevent the appearance of degenerative-dystrophic changes in individual segments, simple rules will help:

• lead a healthy lifestyle without bad habits;
• exercise regularly;
• eat well, avoiding the appearance of excess weight;
• If you experience persistent neck pain, contact an orthopedist for medical advice.

Treatment of osteochondrosis of the cervical spine is a long process that requires patience and strict adherence to the doctor's prescriptions. A positive result depends on the quality of therapeutic manipulations and the attitude of the patient himself.