Cervicogenic headache: symptoms, treatment and diagnosis
- 11 Sep 23:45
In this article you will find out what is a cervicogenic headache, talk about the symptoms of the disease, one-way headache, headache diagnosis for pain, and consider two types of treatment: invasive and non-invasive methods.
Cerebral Pain( CML) -is a complex of certain symptoms that are non-specific and related to various pathologies in the cervical area.
- Symptoms of Headache
- Survey and Diagnosis of
- Disease Causes of Cerebral Pain
- Two Types of Headache Treatment
Symptoms of Headache
The main sources of CML formation are:
- Internal and vertebral arteries;
- Upper part of the tendon and cervical muscles;
- Disks of type C2 and C3;
- Facet joints;
- Unvertebral joints.
It is worth noting that approximately 20-25% of all single-sided chronic diseases are precisely these kinds of headache.
CML has fairly pronounced symptoms, so finding out the presence of such an illness will not pose a special problem unless, of course, you know how the disease is expressed.
Due to this, it is quite easy to distinguish DMF from milder diseases such as headaches, migraines and others. Clinical symptoms of cervicogenic headache can be divided into the following categories:
For CML typical only one-sided localization of pain, in which there is no change in the sides. It should be noted that in the case of the same migraine, such a change is quite possible, since at first the person can feel pain in one part of the head, and eventually in another.
Although, one-sided pain exists at first from the disease, but eventually may extend to a larger part of the brain. However, such an option is extremely rare, and therefore, if timely application of the necessary medical products, then the disease will go rather quickly and will not extend to other parts of the head.
There is a moderate or severe pain, but it can not be called "painful" if compared with a cluster headache. She wears rather dull character than sharp and constantly pulsating.
As a rule, the pain begins not far from the neck, over time, smoothly passes into the area of the nape, and then extends to the front of the body.
It would be desirable to note that in the very final phase, the pain may appear much stronger than in the field of the nape. In each individual case, the duration of the pain is different, and in some situations, it can be constant and monotonous.
But, if to speak in general, then the pain of this type is longer than the pain of a migraine. At the first stage, CML is episodic, and the disease manifests itself only occasionally, but then goes into the phase of a chronic disease, which is much more difficult to treat.
If the chronology is too fast, then this is considered to be the main sign that a person is ill with CML.One of the most important factors for CML is the symptom of involvement in the neck. Often, here triggers of pain attacks are localized.
Such a disease may be due to an unsuccessful movement in the cervical spine or a person over a long period of time was in an uncomfortable position.
Anamnestic indications are quite often present as a result of obtaining not only a direct, but also indirect, injury in the part of the cervical unit. In such cases, as a rule, patients complain of some stiffness in the neck, as well as on "ossification", and accordingly there is a complication with movements of the head and neck.
In addition, due to the constant high pressure in the upper part of the neck and neck, headaches increase substantially. Together with a headache, it irritates the patient and pain around the neck, shoulders, and arms.
It should also be noted that pain in the hands and neck sometimes does not coincide with time with headaches. That is, for example, headaches may come in a few hours after the pain in other parts of the body ends.
Signs of escort are extremely rare in this disease. These include - periodic edema, vomiting, nausea, photophobia. Sometimes a person feels some discomfort that is caused by sound or light.
However, this phenomenon is quite common in those who are more common migraine or other similar illnesses.
Symptoms of one-sided headache:
- if, with some physical force, affecting the overall structure of the neck, then attacks may start over time;The
- starts the onset of pain most often from the area of the nape or neck;
- , as a symptom of pain accompaniment, has an unpleasant feeling in the neck, severe dizziness, severe pain in the shoulders.
Survey and diagnosis of
disease The essence of the diagnosis of cervicogenic headache is not only in the clinical study, but also the passage of a special course of examination.
For the purpose of diagnosis, palpation in the course of both small and large nerves located at the back is often carried out.
It is worth noting that such manipulation can provoke typical pain attacks. In many cases, special diagnostic tests are also being used to help overcome the disease.
For example, rotating toast is always carried out in a seated position. During the procedure, the patient confidently holds both hands with the arms of the chair or his hands are under the buttocks, in short, here, the main thing is that the man firmly holds on some kind of support.
Then the doctor rotate the head of the patient first into one, and then to the other side. In this case, various parameters such as the presence of threshold of sensitivity to pain, mobility level, resistance at the very end of various passive movements( "empty", normal, strong or weak) are evaluated.
A rotary test is considered to be positive if at least two of the three above-mentioned features meet the established standards.
Second method of diagnosis - Spurling test, which has several common moments with rotation. For example, it is also carried out in a sitting position, and it is necessary that the patient firmly hold on to some objects.
The complex of procedures includes - axial compression, lateral flexion, extension and homolateral rotation. According to a special analog scale, there is a great opportunity to appreciate the pain that appears after being provoked by external forces.
If on a scale, the arrow stops at 20 or more, then the results of this test are considered positive.
Causes of Causes of Cerebral Pain
Scientists have long been engaged in researching the causes that are central to the onset of VCF( cerebrovascular disease).First and foremost, cervicogenic headache occurs because of damage to the cervical spine or soft tissues.
It is necessary to exclude serious variants, which may cause such diseases as tumors, arthritis with rheumatoid arrhythmias, fractures, fractures. According to physicians, in most cases, CML arises with the appearance of dysfunction of the ligamentous device, as well as cervical muscles, caused due to injury.
It is almost always possible to completely eliminate the pain for 3 months, unless, of course, follow the correct course of treatment.
Two types of headache treatment
Today, there are many ways in which you can treat such a disease. However, the most commonly used pharmacological method of treatment.
In general, all treatment methods can be divided into two large groups - invasive and non-invasive.
- uses a drug like botulinum toxin;
- blocks large nerve located at the back;
- stimulated dorsal pillars;
- produces epidural injections using special steroids.
- procedures for psychotherapy;
- lack of physical activity on the body;
- is a relaxation of the muscles of the body, which becomes post-isometric;
- treatment with pharmacological agents.
Cervicogenic headache differs from more typical headaches by the fact that here, as non-narcotic analgesics, therapeutic drugs are used.
When they decided to use even anti-migraine tablets, but it turned out they did not produce the desired result.
Studies conducted once again convinced scientists that ergotamine is not an effective medical substance when it comes to this disease.
There are suggestions that tryptans can help in such cases, but there is also a lot of ambiguity, as they can be effective or not, depending on the case.
When choosing the best option for NSAIDs( non-steroidal anti-inflammatory drugs), the first one to pay attention is the level of individual pain sensations.
And also the approximate period of its use is projected. Quite often, in order for the patient to not feel excessively strong pain apply painkillers.
Such a move is quite logical and justified, because pain may occur completely suddenly and at the same time they will be quite sharp.
Today, in the treatment of such a disease, a special drug, called "Nemesil", is bought. It should be taken in a dose of approximately 100 grams and an hour after the reception will feel the effect.
In the end, I would like to note that today, before choosing a NSAID, you need to pay attention to the individual peculiarities of the body of each individual patient.
If you seriously approach this issue and pick up the right NSAIDs, there are optimistic forecasts. What disease will happen in the shortest possible time and a person will be able to return to the former high-grade life.
Chronic CML necessarily requires the use of combination therapies. If a patient has chronicles or various signs of depression, then in this case, it is safe to assert that it is necessary to prescribe additional psychotropic substances.
If you treat the disease with such methods, then here is the main direction, that is, in fact, anti-seizure medications are considered to be the priority. At the same time, doctors recommend not to concentrate solely on antidepressants, but also to attend special massage courses.
If a person can find a really good masseuse who will be a true professional, then the effect will be visible in a few sessions.
I also want to note that the relief of pain syndrome in any case can guarantee absolutely complete recovery of the patient, because sometimes different latent reasons can be preserved.
If a person will be constantly engaged in sports, including his body will be able to feel daily physical tension, then all this minimizes the possibility of Disease Disease.
But, everything needs to be done with the mind and in no case should it be too intense to strain the muscles, because the training must also last for a certain period of time.