The spine, like any structure that performs a supporting function, inevitably wears down over time. High static and dynamic loads and local overloads of particularly mobile segments of the upper body lead to reduced regeneration and progressive degeneration of adjacent cartilage and muscle-ligament structures. Between the ages of 30 and 35, most people have more or less signs of cervical necrosis. And while it is impossible to stop the irreversible biological aging process, it is possible to slow it down.
Diagnose
To objectively assess the condition and detect degenerative-dystrophic changes in the cervical spine, radiographic methods are used:
- Simple spondylolisthesis (unenhanced X-ray study in anterior, lateral, and oblique projections)
- X-ray with functional tests
- MSCT (multifaceted computed tomography)
- MRI
- Examination of the upper spine is an X-ray method for the diagnosis of cervical osteosarcoma. With its help, the state of the vertebral bodies is evaluated, determining their shape, height, degree of deformation and displacement relative to each other. On X-ray images, osteoblasts, enlightened areas in foci of bone tissue liquefaction are visualized.
- Spinal angiography with functional tests is a study aimed at identifying signs of movement disorders. X-rays are performed with fixed maximal extension and flexion of the cervical spine.
- MSCT is a progressive alternative to X-rays. Bone structure, intervertebral discs, ligamentous apparatus, spinal canal and spinal cord are visualized in greater detail on multilayer imaging.
- Magnetic resonance imaging allows further visualization of the cartilage and other soft tissues of the vertebral joint. Study is indicated for severe neurological symptoms, to distinguish cervical spondylosis from acute disc herniation.
Treatment of cervical osteonecrosis
Treatment of cervical spondylosis is aimed at eliminating pain and slowing the progression of the pathological process. It is carried out in two directions: limiting the impact of adverse factors and preventing the mechanisms of development of the disease.
Treatment and prevention measures to minimize the impact of pathogens include:
- Choosing the right working furniture
- use orthopedic mattresses and pillows
- Adjust hearing, vision and posture
- wear special immobilizers
- restricting work activities that involve a long stay under mandatory circumstances
- full physical activity
- proper nutrition
There are various therapeutic modifications designed to slow the progression of the degenerative process.
Massage to cure cervical bone necrosis
Massage procedures aimed at reducing inflammation and eliminating pain are included in the complex of mandatory therapeutic measures. The most effective neck massage styles:
- classic
- Medical (manual)
- point (acupuncture)
- Vacuum (canned)
- Hardware
Thanks to the massage technique, local blood and lymph circulation is enhanced, accelerates tissue nutrition, eliminates muscle clamps, relieves tension from the neck, improves muscle elasticity and firmness.
Orthopedic collar
To fix the cervical spine in the correct position, special orthopedic devices (Shants collars) are used. Removable structures of various sizes, shapes and stiffness help to limit the usual pathological position of the head, control movement in the neck, relieve pressure on spinal segments, warm andrelax tense muscles and prevent further progression of the disease.
Cervical collars for osteonecrosis are available in several modifications:
Medical foam soft splintor other hypoallergenic porous materials with grooves on the chin and lower surface of the neck, and pads. They are used to correct minor disorders in the upper spine, maintain the vertebrae in an anatomically correct position, and relax the muscles of the shoulder and neck.
Pneumatic (inflatable) collaraimed at preventing pain, smooth pulling and eliminating the compression of the vertebral artery.
Semi-rigid tapeequipped with metal inserts that reliably stabilize the intervertebral disc segments. They significantly limit the range of motion and contribute to the widening of the spaces between the vertebral bodies.
Sturdy cardigan made of durable plasticDesigned to completely immobilize the cervical spine in a neutral position. Indicated in the late stages of the disease, accompanied by compression disorders.
Necklace for cervical spondylosis is selected by the doctor taking into account age, anatomical features and stage of the degenerative process.
Manual therapy
Manual therapy aims to identify and remove obstructions in the motor segments. A local dose of drugs acting on the vertebral joints helps to normalize blood flow and blood supply to the brain, remove compression (compression) and restore normal functioning of nerve fibers. The specific manipulations of the chiropractor allow you to achieve maximum relaxation, eliminating muscle spasms, neck pain caused by damage to the anatomical structure of the neck, and tension headaches.
Acupuncture
Acupuncture, which involves the installation of acupuncture needles into bioactive points in the neck and shoulder blades, focuses on restoring disturbed energy balance. By stimulating the rapid contraction of sensitive nerve fibers and the release of endorphins and neurotransmitters, acupuncture has powerful anti-inflammatory and analgesic effects. Thanks to this technique, numbs hands, dizziness, tinnitus, improves blood flow and optimizes mobility.
Physical therapy
Physiotherapy for degenerative spinal diseases is aimed at reducing pain and stimulating the recovery process. The greatest therapeutic effect is provided by:
- UFOs
- ultrasound treatment
Frequently asked questions
How to assist in acute pain from osteonecrosis of the lumbar spine?
In case of sudden acute pain, it is necessary to immobilize the lower back. This will immobilize the contracting muscles and shift the load away from them. Then, if possible, have the patient lie on his or her back with a pillow under the bent knee. To relieve pain, you should take pain relievers and anti-inflammatory drugs (NSAIDs). Alternatively, you can use an ointment or gel based on diclofenac or its analogues, or apply a cold compress (no more than 10 minutes). It is very important to remove stress on the spine and see a doctor as soon as possible.
Is it possible to do exercises for lumbar osteonecrosis?
Physical education for lumbar osteonecrosis is not only not prohibited, but encouraged (with the exception of the acute pain phase). However, you need to be careful not to put axial loads on the spine and refuse to squat, jump and lift weights. The set of exercises should be selected by a professional on an individual basis.