Cervical spinal degeneration

Cervical spinal degeneration's disease overview

Cervical spondylosis, also known as cervical spinal degeneration, is one of the names of the disease degeneration of the spine system due to many different causes at work, tuberculosis dynamic, activity, age. Pathological spinal degeneration : This is a pathological process in the neck vertebrae, starting with arthritis phenomena in the vertebrae, the disc to the condoms of epidemics, The ligament, gradually later appear the phenomenon of degeneration of the vertebrae, causing pain in the neck, especially when moving the neck. Cervical spinal degeneration is a common chronic disease, slow progression can be degenerated in any segment, segment C5-C6-C7 is the most common.

Is cervical spinal degeneration dangerous?

Degenerative cervical spinal degeneration is one of the common diseases of society. Degeneration of cervical vertebrae is not only in the elderly but also in young people who often work in the office, exercise less body or have to bow a lot is common in people who have to use many photo movements. Enjoy the head area. Degeneration of cervical vertebrae causes many difficulties in daily life as well as in labor for patients. The incidence of the disease encounters both men and women almost equal.

Causes of Cervical spinal degeneration's disease

The wrong posture is one of the important causes of cervical spondylosis. Working for a long position, sedentary are the main causes of cervical spondylosis. The work to bend, tilted a lot, carrying heavy on the head or sitting in front of the computer screen for too long also lag the cause of spinal degeneration.

Especially, the work that has to use a computer is less sedentary, is one of the causes of cervical spondylosis, calcification of spine, spinal spines. Especially when working, the position of the hand on the desk or for the computer is too high or too low. The neck and the neck of the neck are not regularly moving, or only one posture. Often look up and look down. The seating position is too low compared to the desk.

In addition, the cause of cervical vertebrae may also be due to diet (lack of food, decrease in calcium, vitamins, magnesium ...) or living habits (bowed or backwards Too much neck, carrying heavy objects on the shoulders or neck when working, pillow is too high when sleeping, abuse of alcohol, tobacco).

While sleeping only 1-2 postures, there is no habit of transferring itself. Choose inappropriate pillows (too high pillows and too soft pillows).

The above causes will cause changes in the spine to make bones and cartilage, creating the cervical spine gradually degeneration. These changes may include:

  • Dehydration of the disc: The disc works as a pad between the spine of the spine. At the age of 40, most spinal discs will begin to dry and shrink, which makes the vertebrae more exposed to each other and more difficult.
  • Disc herniation: The cracks often appear, resulting in a disc (hernia) - sometimes it can press the spinal cord and nerve roots.
    • bone: Degeneration of disc often leads to spinal proliferation to strengthen. These bone spines can sometimes pinch spinal cord and nerve roots.
  • Ligament fibrosis. The ligament is the bone wire to the bone. The spine ligament can be fibrous with age, making the neck less flexible.

    • Symptoms of Cervical spinal degeneration's disease

    Symptoms of cervical spinal degeneration : Most of the cases of cervical spinal degeneration often have no special signs in a long time. When the symptoms occur the most common manifestations, the patient has pain, fatigue, and pain that is difficult to exercise in the neck. Most patients with cervical spinal degeneration always feel uncomfortable pain, appear even when resting, all movements cause pain.

    Patients do not feel unusual but then, the following symptoms:

  • Performing the movements in the neck and pain may even occasionally crook the neck.
  • Pain extends from the neck to the ears and neck, affecting the head posture, causing "crooked neck posture", the neck posture. Pain often spreads to the head, may have a headache in the occipital area, the forehead area, the pain from the neck spread to the shoulder blades, the arm on one side or on both sides.
  • Some cases, losing the deep sensation of the hand, sometimes arms and hands may be paralyzed.
  • There are cases where patients have cold weather (back to heaven) combined with an unfavorable posture at night that can cause stiff necking the next morning. When stiff neck, it is not accompanied by fear of coughing, sneezing. There are people with pain in the neck or the back of the back, then spread to the right head. Others have continuous pain, do not turn to the left or right but must rotate the whole body.
  • Signs of LHMITTE: A symptom of multi -sclerosis vertical degeneration, also known as a barber chair. It is a sudden discomfort such as having electricity from the neck to the spine, even arms, feet, fingers and toes. This expression is stronger when you bend back first, it can end quickly or last.

    • People at risk for Cervical spinal degeneration's disease

    Risk factors of cervical spinal degeneration include:

  • Age: The elderly is a high -risk object. The degeneration of the neck often appears on middle -aged people (40 - 50 years old), due to the aging process of inter -burning disks, the body burns due to poor perfusion, so it is easy to appear.
  • Occupation: Working in a bow position, moving a lot in the head of the neck, high labor intensity (working all day without rest) and seniority of labor (age) . Those who are more likely to degenerate the cervical vertebra especially the transplant, transplant (degenerative vertebrae and back vertebra), barber, dentist, dentist specialist, bare painter, plastering worker, Circus actor. This is also the most common disease for people working in the office. Office workers are one of the most likely subjects to suffer from this disease because they often sit in one place, sedentary, less rest time.
  • neck injury. Ancient injury previously increased the risk of cervical spondylosis.

    • Genetic factors: People with relatives who have had this disease are also at risk of more than those in family members without the sick.

  • Smoking: Smoking is related to neck pain.

    • Prevention of Cervical spinal degeneration's disease

    Degeneration of cervical vertebrae is a disease that is affected by the occupational factors, so the prevention has a huge role to limit the disease:

  • Massage, take care of the neck directly, should not be too hard at work. It takes a reasonable working time and rest, minimizing the negative effects on the neck vertebrae.
  • For office workers, working with computers, it is necessary to create a habit of protecting health at the workplace, with exercise or posture changes. Simply, do not sit in the computer for too long and combine the same scientific diet.
  • In addition, the chair must have a suitable height compared to the desk and with the height of the user, not to leave the seat too high or too low. When it is a reasonable distance from hand to desk or computer. In addition, the computer should be used with a large screen, at least 17 inches or more to help the neck muscles do not stretch, fatigue. Sitting 50 - 66 cm from computer screen and placing the screen below the eye about 10 - 20 degrees is the best distance. Do not let the computer screen too high or too lower than the eye.
  • When sitting near the desk should adjust the chair so that the forearms are parallel to the floor. Always keep your back straight and 2 shoulders hold equal.
  • When you sleep, change your posture often, avoiding just one or two postures will be very prone to crooked neck. Do not lie on your stomach, because this position will cause the neck to be folded down very easily, causing degeneration of the neck vertebrae. Do not lie over the head too high.
  • To prevent the phenomenon of "breaking", dislocated vertebrae can cause paralysis or even death, the patient is absolutely not "twisted", "pressing neck" . When lying, it is necessary to have a pillow with a moderate thickness, avoiding the posture too puffed out the neck or bowed the neck.

    • Some notes:

  • Change the working posture when sitting at the computer, or watching the TV for a long time.
  • Do not turn the neck suddenly when you feel tired, because all these movements will increase the degeneration of the neck vertebra.
  • Do not wear heavy objects on the head.
  • Do not sit down or fold your neck for too long (watch TV, read books, newspapers); Sitting on a long -distance car needs a headrest and backrest.
  • When exercising lightly and massaging, there is a guidance of a specialist.
  • When you feel headache, neck, neck and neck spreading your arms, weak limbs, should not be crushed strongly, causing serious lesions In the neck, then it is necessary to go to neuropheroes to determine the exact disease for treatment.

    • Diagnostic measures for Cervical spinal degeneration's disease

    Diagnosis of cervical spinal degeneration based on clinical examination and subclinical results:

    Clinical examination
  • Check the movement of the cervical spine
  • Check the reflexes and muscle strength in both hands to detect the effects of degeneration on nerves or spinal cord.
    • Determination of tests

    Imaging methods can provide detailed information for diagnosis and treatment.  The following methods can be taken:

  • X-ray of the cervical spine: X-ray can show abnormalities, such as bone spines, bone bridge are direct signs of cervical spondylosis. Ancient X-ray can also eliminate rare and more serious causes for neck and stiff pain, such as tumors, infections or fractures.
  • CT scan. CT scans can provide more detailed images, especially bone lesions at a very small level.
  • Magnetic resonance imaging (MRI): MRI can help accurately identify areas where the nerves can be pinched.

    • Neurological function test

    Can perform more tests to determine whether the neurological signal is transmitted to the muscles. Neurological function tests include:

  • Electromyography. This test measures electrical activity in the nerve when muscles are in the hand and rest.
  • Neurotransmitter research. The electrodes are attached to the skin above the nerve that needs research. Then put a small current transmitted through the nerve to measure the intensity and speed of the neurological signal.

    • Cervical spinal degeneration's disease treatments

    Treatment of cervical vertebrae depends on the severity of the signs of the disease. The goal of treatment is to relieve pain, help maintain the most common activity and prevent permanent damage to the spinal cord and nerves.

    Medical treatment
  • anti -inflammatory, pain relievers (NSAID): The selection of painkillers in this group also depends on the health and other attached diseases. .
    • corticosteroid: A short course of the first oral medication can help relieve pain. If the symptoms are serious, corticosteroid injection may be necessary. Muscle relaxants: Some drugs, such as cyclobenzaprine, can help reduce muscle contraction thereby helping to relieve pain.
  • Anti -epileptic drugs: Some epilepsy drugs, such as Gabapentin (Neuros, Horizant) and Pregabalin (Lyrica), can reduce the pain of the magic wires Sutta is damaged.
  • Antidepressants. Some antidepressants have been shown to help reduce neck pain due to cervical spondylosis.
    • Physiotherapy

    through exercises to help prolong and strengthen muscle strength in the neck and shoulders. Especially with methods such as stretching, massage of the region, electrolytic drugs will help reduce pain significantly.

    surgery

    If conservation treatment fails or if the signs and symptoms of neuropathy such as weakness in the hands need surgery to release compression to create more room for the spinal cord and nerve roots.

    Surgical methods that can be done are:

  • Remove a herniated or bone disc.
  • Eliminate part of the vertebra.
  • A partial part of the neck by transplanting bones and hardware.

    • See also:

  • Cervical spine exercises
  • Exercises to mobilize cervical and shoulder joints
  • Vinmec introduces spinal degeneration treatment

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