Headache - a non-specific symptom of various diseases characterized by physical properties such as the intensity of pain, duration of the attack and the localization of the pain, which is manifested either as an isolated phenomenon, or accompanied by other symptoms of the underlying disease: nausea, dizziness, impaired hearing and vision.
Cervical headache (Vertebrogenic tservikokranialgiya) - a non-specific symptom of vertebral pain of nature, characterized by localized pain in the neck and occipital region radiating to the fronto-orbital region. Headache of this nature is directly related to degenerative processes in the cervical spine. In most cases, the cause of cervical headache is low back pain, much less on the development of this type of headache affects cervical spine injury, aseptic inflammation and other diseases.
Cervical headache different variety of features and variants of the headache in the neck can be unilateral and generalized, oppressive, arching, cutting, burning, throbbing, dull, dull.
In the manifestation of cervical headache is influenced by many factors: a long stay in a certain posture, physical exertion, hypothermia, sharp movements.
Cervical osteochondrosis headache as the main symptom
Cervical osteochondrosis - a disease characterized by degenerative changes in the joints of the cervical vertebrae. The intervertebral discs (cartilage pads between the vertebrae) are composed of fibrous rings and gelatinous nucleus. The main function of the intervertebral discs - Depreciation and uniform distribution of pressure on the spine in motion. Over time, the nucleus pulposus becomes less flexible, which leads to a decrease in the resilient properties of the spine. With the development of degenerative disc disease occurs razvoloknenie and cracking of the fibrous ring, a flattening of the disc itself. In addition to the destruction of the intervertebral discs is also observed proliferation of bone spurs (osteophytes) at the edges of the vertebrae and displacement of the vertebrae themselves.
In the diagnosis of cervical degenerative disc disease headache may be caused by the following factors:
- Vertebral artery syndrome;
- Compression of nerves of vertebrates;
- Infringement of the posterior branch of the cervical spinal nerves;
- Hypertensive syndrome.
It should be noted that the cervical osteochondrosis headache will have different manifestations, depending on the causes of the pain. Also, treatment of headache in cervical osteochondrosis will depend primarily on the factors causing it.
The pathogenesis of headache cervical osteochondrosis
The causes of headaches with cervical osteochondrosis, largely determine its character, and for localization.
Thus, the syndrome of the vertebral artery cervical headache gets burning, pulsing character, with localization in the neck and occipital region and its subsequent distribution in the temporal and parietal lobe. Headache with cervical osteochondrosis in this case is caused by compression of the vertebral artery as a result of displacement of the vertebrae, herniated disc and other degenerative disorders of the cervical spine. The syndrome vertebral artery headache accompanied by dizziness and impaired visual function. Much less cervical headaches of this nature are accompanied by cerebral symptoms caused by circulatory failure.
Compression vertebral nerves, running parallel to the vertebral artery can also cause headaches in the development of cervical degenerative disc disease. Cervical headache of this type is also called cervical migraine. Specificity of headaches caused by vertebral compression of nerves, is one-sided nature of the pain arising from the affected nerve. The pain is localized in this case in the cervical and occipital region on one side with a possible irradiation in the temporal and parietal lobe on the same side. This headache can last up to 10 hours or more.
Cervical headache may occur as a result of infringement of the occipital nerves that pass through the bone channels formed cervical vertebrae. Cervical headache such origin also called occipital neuralgia. Nerve entrapment occurs due to displacement of the vertebrae, crushed fragments of the disc, osteophytes. Cervical headache caused by compression of nerves branch may be unilateral or take generalized. With this the genesis of cervical headache is described as burning, throbbing, localized in the occipital region. Headache can spread to parietal, temporal, anterior lobe, reaching sockets. Usually cervical headache this genesis is not accompanied by dizziness and other symptoms.
Compression of the arteries and veins in degenerative changes in the cervical spine in osteochondrosis provokes the development of hypertensive syndrome, also accompanied by cervical headache Expander, pressing character. Cervical headache when such violation is triggered by movements of the head, eyeballs. The headache may be accompanied by such a genesis of cerebral symptoms.
Cervical headache: treatment, prevention
When pronounced cervical headache treatment will be directed at both the relief of pain, and to eliminate the causes of headache.
If cervical headache caused by hypertensive syndrome, primary treatment should be directed at reducing intracranial pressure, which apply dehydrating drugs diuretic action, as well as drugs that normalize the venous outflow. Samu is possible to stop a headache analgesics.
When cervical headache caused by compression of the branches of the occipital and vertebral nerves, treatment involves taking anti-inflammatory drugs, as well as the use of means of local action (ointments, patches).
In the case of vertebral artery syndrome for relief of cervical headache treatment involves taking anti-inflammatory drugs, funds for the normalization of venous outflow, improve blood circulation.
It should be noted that against the background of the headache of cervical degenerative disc disease requires a comprehensive treatment. The use of antispasmodic drugs and analgesics for headache in the cervical region give only a temporary effect. In cases of recurrent nature of cervical headache is necessary to conduct a comprehensive examination to diagnose the causes of its development. Cervical osteochondrosis - a complex degenerative disorders of the spine, which causes damage to a number of its structures, directly causing the headache. Treatment of individual symptoms will only worsen the problem.