Symptoms of cervical osteochondrosis

Cervical osteochondrosis is a lesion of the discs of the cervical vertebrae, as a result of which they undergo degenerative-dystrophic changes.The main reason for its development is a disruption of the normal course of metabolic processes, which leads to distortion of the structure of the vertebral bodies and cartilaginous discs.In the case of localization in the neck, the symptoms of the pathology are largely determined by compression of large vessels.Treatment methods are selected depending on the stage, specific course, severity, and main symptoms.

Features of the disease

The cervical form is the most dangerous type of osteochondrosis: it leads to a deterioration in cerebral circulation, since the vertebral artery, one of the largest vessels that supplies the brain with necessary substances and oxygen, passes through this area.

Displacement of the vertebrae, abnormal changes and proliferation of bone and fibrous tissue disrupt the normal functioning of the vessel.
The specificity of the symptoms of osteochondrosis in this part is determined, among other things, by one of the structural features of the cervical vertebrae, which consists in their tighter fit to one another.As a result, any change in one segment provokes a disruption in the entire department.

Clinic depending on stage

During its development, cervical osteochondrosis goes through four stages.How does it manifest itself in each of them?

  1. Stage 1. It is characterized by the appearance of initial disturbances in the stability of the intervertebral discs.Symptoms are mild or non-existent.Mild pain and local muscle tension are possible.
  2. Stage 2. Disc protrusion begins, the gaps between the vertebrae are reduced, and the fibrous ring is destroyed.In many cases, due to compression of the nerve endings, pain appears, mainly of a point nature.They intensify when turning or tilting the neck.The tone decreases, weakness often appears.
  3. Stage 3. The process of final destruction of the fibrous ring leads to the formation of hernias.This stage is characterized by significant deformation of the spine.Increased pain and fatigue occur against the background of sensory disorders and limited mobility in the affected area.
  4. Stage 4 is the most severe.Intense pain occurs with any attempt to move, which entails a significant limitation in the mobility of this department.At times, the pain subsides, but this does not show an improvement in the condition, but only indicates an increase in the size of bone growths, which significantly limit movement.They often lead to patient disability.
Pain is the main symptom of cervical osteochondrosis

Symptoms of cervical osteochondrosis

When located in the cervical spine, the prevailing symptoms of osteochondrosis are:

  • pain in the neck, back of the head, shoulder, arms;
  • limitation of movements, crunching at various turns, tilting the neck;
  • weakness in the arms;
  • nagging pain in the left half of the chest, radiating to the corresponding arm;
  • burning in the interscapular area;
  • recurrent headaches;
  • weakness;
  • dizziness (in severe cases of cervical osteochondrosis, it can reach the point of loss of consciousness);
  • coordination of movements is impaired, which is mainly reflected in gait;
  • hearing loss, ringing in the ears;
  • decreased vision;
  • sore throat;
  • poor dental condition;
  • weakening or hoarseness of the voice;
  • snoring is a consequence of tension in the neck muscles.

With the cervicothoracic type, the symptoms are almost similar to those of cervical osteochondrosis.This:

  • asthenic syndrome;
  • dizziness and headaches;
  • periodic pressure fluctuations;
  • flickering of flies before the eyes;
  • pain in the shoulder girdle and arms;
  • muscle weakness;
  • numbness, tingling, chilliness of fingers;
  • pain in the chest, heart area;
  • nausea;
  • numbness of the tongue, face;
  • dental problems;
  • sensation of current passing along the arms when trying to bend the neck.

Syndromes

Symptoms of cervical osteochondrosis are not considered typical.Which of them are most pronounced depends largely on the specific target of the lesion.Many of the manifestations can be mistakenly associated with other pathological conditions.Therefore, there are often cases when the wrong treatment is prescribed.
The complex of symptoms is divided into the following groups:

  • radicular;
  • vertebral artery syndrome;
  • irritative-reflex syndrome.

Radicular syndrome

Its second name is cervical radiculitis.The syndrome develops as a result of pinched nerve endings in the cervical region.The pain is transmitted down from the neck, into the shoulder blades, down along the shoulder along the outside of the forearm to the fingers.In this case, the following often appears:

  • feeling of “goosebumps”;
  • tingling of the hand, forearm, fingers;
  • pastiness.

Manifestations also vary depending on the affected area.If the endings of the central nerve are affected, the pastiness spreads to the thumb, middle, and index fingers.When the endings of the brachial nerve are pinched, the little finger and ring finger are affected.

Irritative-reflex syndrome

Its symptom is a burning, acute pain in the cervical-occipital region, which appears during movement after a static state: after sleep, when sneezing, or turning the head sharply.Often the pain radiates to the shoulder and chest.

Vertebral artery syndrome

Symptoms of cervical osteochondrosis include:

  • throbbing or burning headache (paroxysmal or persistent), spreading to the temporal region, crown, back of the head, brow ridges;
  • increased discomfort during certain movements or after prolonged exposure to an uncomfortable position;
  • general weakness;
  • nausea;
  • loss of consciousness;
  • hearing problems;
  • dysfunction of the vestibular apparatus;
  • eye pain;
  • blurred vision.

Cardiac syndrome

When this complex of symptoms of neck osteochondrosis appears, a picture almost similar to angina pectoris develops, which often leads to erroneous treatment.
Muscle contractions and spasms in the heart area are most likely a reflex response to compression of the nerve endings in the lower cervical region.Cardiac syndrome is a consequence of irritation of the phrenic nerve (its fibers lead to the pericardium) or the pectoralis major muscle:

  • pain appears suddenly and lasts a long time;
  • worsen with sudden movement of the neck, coughing, sneezing;
  • tachycardia and extrasystole are possible;
  • the pain is not relieved after taking coronary dilators;
  • there are no signs of impaired circulation on the ECG.
Osteochondrosis of the cervical spine

Exacerbation of the disease

In the acute stage, the symptoms of cervical osteochondrosis are:

  • increased pain and its irradiation to the shoulder blades, interscapular area, arms, shoulders;
  • difficulty moving the shoulders, torso, arms, and sometimes breathing (inhalation and exhalation);
  • the pain syndrome often resembles a heart attack or intercostal neuralgia;
  • when pain appears in the right hypochondrium or iliac zone, the clinical picture is similar to the manifestations of gastritis or cholecystitis;
  • headaches are long-lasting, disturbances in balance, visual and auditory functions occur;
  • in the innervation zone, the trophism of the skin is disrupted, tingling, numbness, dryness, pallor, burning, and chilliness appear;
  • the tone of the neck muscles increases;
  • weakness, lethargy, nervous tension, anxiety, emotional instability appear;
  • There may be disturbances in sleep, memory, and difficulty concentrating.

Osteochondrosis and vegetative-vascular dystonia

Cervical osteochondrosis can lead to subluxation of the first cervical vertebra with a displacement to the right or left, which provokes the development of VSD (vegetative-vascular dystonia).It is quite difficult to identify, since often there are no symptoms or they are mild.In this case it is possible:

  • compression of the sympathetic nerve plexuses, leading to neurological signs or VSD;
  • compression of the arteries and deterioration of cerebral circulation;
  • compression of the veins, causing a violation of the outflow of blood and a subsequent jump in intracranial pressure;
  • compression of the spinal cord, causing a deterioration in the movement of cerebrospinal fluid, which also results in high pressure inside the skull;
  • muscle spasm, which increases symptoms as a result of severe compression of blood vessels and nerves.

The result of the described processes is:

  • headaches;
  • darkening of the eyes;
  • dizziness;
  • impaired visual acuity;
  • double vision (diplopia);
  • “flies” flashing before the eyes;
  • high or low blood pressure;
  • nausea, sometimes with vomiting;
  • loss of consciousness.

Vertebral subluxation is detected using x-rays.Its reduction is a rather complex procedure, usually performed under general anesthesia.

How is the disease diagnosed?

The leading methods for diagnosing cervical osteochondrosis are:

  • radiography;
  • magnetic resonance imaging;
  • computed tomography;
  • Doppler ultrasound;
  • duplex scanning.

The last two methods are used to check the condition of the neck vessels.