Cervical spondylosis myelopathy is the result of several pathophysiological factors. These factors include:
( a) static-mechanical factors,
( b) dynamic-mechanical factors,
( c) lesions stretches
( d) spinal cord ischemia.
The phenomenon of degradation in this disease is predominantly the result of cervical spine bone degeneration, process what that advance patient grows older. Other changes associated with the disease, such as abnormal growth of bone (bone spurs) may lead to increased pressure on spinal nerves and sometimes even the spinal cord. This disorder is a chronic and in most cases is determined by age. Although it affects both sexes, in men occurs earlier than women. Some studies show that 75% of women and 80% of men around the age of 60 years, making a radiograph can be diagnosed as having significant manifestations of cervical spondylosis. Evolution is slow and prolonged soft cervical Collar and patients may have no symptoms or may show slight neck pain. It happens that the disease was stagnated, but there are cases where the disease can worsen to an advanced stage and the patient may become addicted to shopping cart with wheels. Symptoms In the cervical vertebral corpus exists in a side channel through which pass the vertebral arteries and helping to transport blood to the brain. If these channels are compressed, the amount of blood supplying the hindbrain is reduced. Thus it might appear a deficit of blood to the cerebellum and brainstem deficiency is manifested in the occipital area by dizziness, abnormal gait, headache and muscle strength decrease. This disease through its semiology, is an unpleasant disease, but patients will have to understand that we mean a disease that can live if properly treated or at least controlled. Cervical pain is felt in the joint capsule, the paravertebral ligaments in inflamed synovium or periosteum. Causes Nobody knows for sure what is causing spondylolisthesis, but are taken into account: patient age, genetics, mechanical stress and metabolic problems, not least the patient.Damage to spinal joints that are specific to aging is the main cause of cervical spondylosis.
More staff, after the age of 35 years, signs of changes in the intervertebral discs and the vertebrae themselves, but the manifestation of disease occurs much later. Age are among the risk factors and leads to wear her column joints (cervical, thoracic or lumbar), thus causing pressure in the neck with repercussions on the column. If pain is not diminished with proper medication if pain persists or worsens numbness occurring in the upper limbs and lower limbs then it is imperative to introduce ourselves to physician specialty. These symptoms, in association with medical history and clinical analysis may lead us to a diagnosis of cervical spondylosis. Risk factors for cervical spondylosis This condition primarily affects the patients in the office working and the pain becomes stronger if associated with cold. Those working in the office in front of a computer and have the disorder, will be sometimes to interrupt work for a short time, to change mode or to change their jobs. It is recommended to take frequent breaks from work and take a sitting posture. Correct medication, physiotherapy and chiropractor (medical fitness) can help treat it, but you can get to surgery if the disease is not treated in time. Another risk factor is old position of the spine and therefore must take care as the patient sits in the office, in bed, the chair and the couch watching TV. Pain is worse when cold or if exercising. Pain is accompanied by lack of joint mobility and may disappear after 10-15 minutes of movement, rotation and bending of the neck. Obese people who suffer from this disease must take to follow a hypocaloric diet and physical therapy programs (medical fitness). Treatment of both cervical spondylosis and lumbar spondylosis follows the first pain relief, stop disease progression and development of joint mobility. Massage therapy performed on the spine affected is a treatment often used in treating this disease. Fair treatment significantly improves symptoms. Physical therapy can be used to relieve pain even more acute in a state of disease, provided that the current form chosen and done, be done with a good knowledge of physio-pathological mechanisms of pain transmission and production.
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What is cervical spondylosis?
Cervical spondylosis is a cause of neck pain. It tends to develop after the age of 30, and becomes more common with increasing age. The underlying cause is the age-related degeneration ('wear & tear') of the vertebrae and discs in the neck region.
To an extent, we all develop a degree of degeneration in the vertebrae and discs as we become older. However, cervical Collar is a term used if the degree of degeneration is more severe, and causes more symptoms, than is expected for a given age.
As the 'discs' degenerate, over many years they become thinner. Sometimes the vertebrae develop small, rough areas of bone on their edges. The nearby muscles, ligaments, and nerves may become irritated by these degenerative changes which can cause troublesome symptoms.
What are the symptoms of cervical spondylosis
Symptoms can vary from mild to severe. You may have a flare up of symptoms if you over-use your neck, or if you sprain a neck muscle or ligament. Symptoms include:
* Pain in the neck. This may spread to the base of the skull and shoulders. Movement of the neck may make the pain worse. The pain sometimes spreads down an arm to a hand or fingers. This is caused by irritation of a nerve which goes to the arm from the spinal cord in the neck. The pain tends to wax and wane with flare-ups from time to time. However, some people develop chronic (persistent) pain.
* Some neck stiffness, particularly after a night's rest.
* Headaches from time to time. The headaches often start at the back of the head just above the neck and travel over the top to the forehead.
* Numbness, pins and needles or weakness may occur in part of the arm or hand. Tell a doctor if these symptoms occur as they may indicate a problem with a 'trapped nerve'.
What are the treatments for cervical spondylosis?
Exercise your neck and keep active
Aim to keep your neck moving as normally as possible. As far as possible, continue with normal activities. In the past, some people have worn a neck collar for long periods when a flare-up of neck pain developed. It is now known that if you wear a collar for long periods it may cause the neck to 'stiffen up'. Therefore, try to keep your neck as active as possible.
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Cervical spondylosis is a degenerative disease that is primarily caused as a consequence of aging which results in weakling of the spine and the intervertebral joints between the vertebral bodies. Although, age is a central factor which causes cervical spondylosis, people who have bad sitting/sleeping postures or who have a working situation where they subject their neck to continuous strain or stress like driving for elongated hours, typing, writing and/or those who work as a body builder, trainer, weight lifter are prone to cervical spondylosis. Thus, degeneration with age and occupational stresses are two central things that might cervical spondylosis. This problem has a lot of repercussions and hence it is important for people to be aware of certain dos and don’ts that will help them with the condition of cervical spondylosis.
Do’s and Don’ts
- Whenever there is an injury, the doctor will always advice you to do some sort of exercise. This is important to head start the natural healing process of the body and to avoid a situation where a person might become dependent on medical aids. To avoid immobilization and to strengthen the muscle, joints or ligaments, it is crucial that one does regular exercise.
- Use a hard bed; sleeping on the floor with a firm mattress and a thin pillow is just perfect. However, if you have back pain, make sure your bed is warm before you tuck in.
- Wearing a cervical collar during the day will protect the injury from worsening and will support the neck.
- Take regular breaks and walk a few meter between your TV viewing session, if you have a desktop job, take a walk across the corridor every time you feel the strain building up, in fact take a stroll as regularly as you can, why wait for the pain to appear!
- Never miss a doctor appointment because you should keep a track on the condition of your neck. Use a proper medical aid which is best suited to aid your medical situation and in cases of acute pain, visit your doctor and take the medication as directed.
- Sleeping posture can have significant effect on the injury and pain. Never sleep on your stomach as this will stop the neck from resting in a naturally aligned manner.
- Do not make any sudden movements like twisting your neck or the body all of a sudden, gradual movement is great as it gives time to the body to accommodate to the change.
- Do not stack up pillows below the neck or shoulder Support.
- Do not drive for long hours, wear seat belt and keep a back rest, if you need the support. Wearing a belt for supporting the back is also a good way to prevent any injury that might be caused by the bad bumps while driving on a bad road.
- Do not life heavy weight or do high impact exercises. Yoga exercises are best to strengthen the muscle and joints post neck pain.