Protrusion in the cervical spine treatment

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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The content of the article
  1. What is cervical protrusion?
  2. Zone of innervation of the cervical segments
  3. Symptoms of cervical protrusion
  4. Causes of cervical protrusion
  5. Cervical protrusion treatment
  6. Osteochondrosis – what is hidden under the mask
  7. The main causes of back pain
  8. Does a hernia never cause pain?
  9. Treatment of protrusion of the intervertebral disc of the cervical spine
  10. Formation of intervertebral disc disorder
  11. Symptoms of Disk Protrusion
  12. Methods for the treatment of protrusion of the cervical spine
  13. Recommended also
  14. Protrusion of the cervical spine
  15. Causes
  16. Degrees
  17. symptomatology
  18. Diagnostics
  19. Treatment
  20. Prevention
  21. Treatment of protrusion of the cervical spine
  22. What is protrusion of the cervical spine from the point of view of Tibetan medicine
  23. Causes of symptoms of protrusion of the cervical spine
  24. Treatment of protrusion of the cervical spine
  25. 1st stage (diagnosis, relief of acute symptoms)
  26. 2nd stage (elimination of protrusion of the disc and the causes of protrusion)
  27. Cervical protrusion
  28. Causes of cervical protrusion
  29. Symptoms of protrusion of the cervical spine
  30. Compression of the nerve roots in the cervical region caused by protrusion prevents the passage of nerve impulses. This is manifested by numbness of the fingers, muscle weakness of the hand and arm. With significant protrusion of the cervical spine, spinal cord compression occurs. It is called stenosis and can manifest itself with many symptoms – dysfunctions of internal organs, physical weakness, and then paresis and paralysis of the arms and legs, loss of sensation in various parts of the body.
  31. Cervical protrusion treatment
  32. Cervical protrusion treatment results

What is cervical protrusion?

A diagnosis of cervical protrusion means that you are halfway to a hernia. And indeed it is. Therefore, so that the hernia does not come as a surprise and the question does not arise – where did it come from – it is worth taking the problem seriously and considering protrusion as a maturing hernia. The only difference between them is that protrusion is a deformation of the disk shell, and a hernia is already a rupture of the shell and a protrusion of a part of the nucleus outward.

The cervical spine consists of seven vertebrae and six intervertebral discs. Vertebrae and discs come from the head. There are no discs between the head and the first cervical vertebra, and also between the first and second cervical vertebrae, and they begin only between the second and third vertebrae. The cervical vertebrae are designated by the Latin letter “C”, from the Latin word “Cervix” – the neck and the digit of the serial number from 1 to 7 – C1, C2, C3, C4, C5, C6, C7. Disks are designated differently. The dash, as it were, indicates between which vertebrae the disc is located: C2 – C3, C3 – C4, C4 – C5, C5 – C6, C6 – C7, C7 – Th1. “Th” means “Thorax” – chest.

Protrusion occurs in segments with the greatest mobility. Where mobility is higher, wear is higher. Therefore, disks C5 – C6, C4 – C5 and C3 – C4 are most often affected.

Depending on which disk is affected, in which direction the protrusion protrudes – back or to the side and on what it affects: the vertebral arteries, spinal cord or nerves, the symptoms of protrusion of the cervical spine will depend.

Zone of innervation of the cervical segments

Symptoms of cervical protrusion

With the development of the disease, symptoms of protrusion of the cervical spine do not appear immediately, or exist in a weak form, so many patients simply do not attach any importance to this, attributing the discomfort in the neck to fatigue. However, increasing processes make symptoms more pronounced.

Pain in the neck. At first, discomfort is felt, which gradually turns into pain. The pains become stronger and occur more often. Turns of the neck also become painful. Pain sometimes captures the occipital part, and sometimes the whole head. In some cases, dizziness appears.

Pain in the hands. Discomfort and pain spread from the neck to the shoulders, and then go down the arms. Tingling and numbness of the hands appears, sometimes there is a slight twitching of the muscles of the forearm.

Pain in other parts of the body. Pain radiating to the chest, upper back, shoulder blade, or armpit may also indicate disturbances in the intervertebral discs. A sensation of tinnitus and the appearance of “flies” or spots in front of the eyes also indicate the presence of a disease.

Causes of cervical protrusion

Protrusion occurs against the background of dystrophic processes in the disks, in particular, osteochondrosis, which lead to the depletion of cartilaginous disc tissue. The disk gradually loses its elasticity, and cracks begin to appear in its shell, which, over time, will lead to rupture and hernia.

In addition to dystrophy, there is also dysplasia, most often it is congenital in nature, less often it occurs during growth. Dysplasia is a flaw in the tissue of the intervertebral disc, its weak point.

Scoliosis and other curvatures of the spine create local overload of the spine and form the site of future protrusion.

Loads. Excessive passion for sports and work associated with regular workloads have a strong impact on discs.

Low mobility. Like excessive activity, inactivity also leads to pathology of the intervertebral discs. These are two poles of pathology.

Inconvenient position. If at the workplace you are sitting on an uncomfortable chair or during sleep your mattress does not allow your back to relax, the protrusion of the cervical spine is guaranteed.

Statistics say that pain due to protrusion often occurs in middle age. At a young or older age, even in the presence of protrusion on an MRI, it is worth analyzing other possible causes of pain, for example, myofascial syndrome. Its manifestations are often confused with manifestations of protrusion.

Cervical protrusion treatment

The first thing to do when pain occurs is to minimize the load on the neck, shoulders and arms, and, of course, consult a doctor. Question to which?

The main treatment for cervical protrusion is manual therapy. It’s like an antibiotic for pneumonia – you can do without it. Other remedies are also good. But methods such as massage, medications, physiotherapy and exercise therapy are auxiliary treatment. Remember! With protrusion of the cervical spine, the main thing is manual therapy. Therefore, you need to contact a chiropractor.

In the clinic “Spina Zdorova” we use all methods of treatment of protrusion of the cervical spine, which are available for mild manual therapy:

Osteochondrosis – what is hidden under the mask

The diagnosis of osteochondrosis, in my opinion, is not as sad as dyscirculatory encephalopathy and vegetative-vascular dystonia.

Yes, “osteochondrosis” here and abroad means a completely different pathology. Abroad – these are severe skeletal lesions, mainly in children. For us, it’s enough to complain of neck pain, do an X-ray or an MRI scan (where there are always degenerative changes) – and here you have the diagnosis of “osteochondrosis”.

I must say right away that a separate large section is devoted to back pain, so now we’ll go over the most common diseases quickly.

The main causes of back pain

In most cases, the patient is diagnosed with osteochondrosis with back pain. But in fact, the reasons are different:

1. Nonspecific back pain

It is caused by muscles, ligaments, tendons. Does not require MRI. This is the most common cause of back pain and the most favorable option, because doctors usually prescribe a very suitable therapy – non-steroidal anti-inflammatory drugs, drugs for muscle relaxation, physiotherapy exercises. It should be noted that for chronic pain lasting longer than 3 months, completely different drugs are needed.

A fairly rare cause of back pain. Surprised? And if a hernia was found on an MRI and the back hurts, isn’t the hernia the cause of the pain? In most cases, no. With a hernia, in addition to pain, there should be other symptoms: the weakness of certain muscles, a decrease in tendon reflexes, a violation of sensitivity in the root innervation zone. There are no these symptoms – a hernia as a cause of pain can be forgotten.

3. Ankylosing spondylitis

5. Spinal stenosis, tumors, spinal tuberculosis, spinal fractures, abscess, osteomyelitis.

Serious causes, in addition to pain, are manifested by other symptoms, are excluded on the basis of MRI.

It is much worse when the diagnosis of osteochondrosis is made with completely different complaints: increased pressure, dizziness, weakness, anxiety, headache. What should we exclude in this case?

1. Tension headache and migraine.

Not related to your neck. To heal the neck means to go the wrong way, bringing the chronization of your pain closer. A headache of tension may be accompanied by muscle tension, but it is still a headache of tension, not osteochondrosis.

Not caused by acute chondrosis. The real causes of dizziness are: benign paroxysmal positional vertigo, vestibular injuries, vestibular migraine, Meniere’s disease, vestibular paroxysmal pathology of the cerebellum and trunk, Psychogenic dizziness, iron and vitamin B 12 deficiency, heart, lung, and much more.

3. Arterial hypertension.

Sometimes I meet with the opinion that if the patient rises in pressure, then you need to check his neck and, of course, the vessels of the neck. Found arterial hypoplasia, tortuosity, dystrophic changes in the cervical region? Let’s blame them for increasing the pressure. This is absurd. In reality, there is no connection between increased pressure and neck.

4. Anxious Depressive Disorders.

Do you have anxiety, dizziness, weakness and fatigue, sleep disturbance? Let’s get Benim neck again. And the poor patient, instead of consulting a psychiatrist with antidepressants and tranquilizers, receives physiotherapy, massage and some kind of homeopathy.

5. Iron deficiency, impaired thyroid function.

We always keep in mind when complaining of fatigue, weakness, decreased concentration, dizziness, headache.

In Russian neurology, back pain is often attributed to protrusion or hernia. But the whole world thinks differently, and I try to convey to you modern world views in simple language

In our body, changes are taking place over the years. The baby’s skin is soft, supple. At 30, no matter how we resorted to cosmetic procedures, she is no longer like that. Imagine a sailor who spent his whole life swimming: his skin is rough and wrinkled. The same thing happens with our spine. In most cases, protrusion and hernia are natural age-related changes. If in your life there are a lot of provoking factors, for example, carrying heavy loads, then the probability of getting a large hernia increases.

Numerous studies have found that protrusion of the disc occurs in healthy people: at 20 years old – up to 40% of patients (I recall, these are patients without back pain), at 70 years old – up to 90%. In addition, the severity of changes in MRI is not related to the degree of pain: with a large hernia, there may not be pain at all, and with small protrusions the patient may have severe pain (because the reason is not protrusion, but in another).

Does a hernia never cause pain?

Of course it does! About 1-4% of all cases of back pain. How to recognize it?

A hernia leads not only to pain, but also to other disorders: a violation of sensitivity, a change in reflexes, and sometimes a decrease in muscle strength. A competent doctor determines all this during a neurological examination.

If the muscle strength is sufficient, the reflexes when tapping with a hammer are symmetrical, not weakened, there are no sensory disturbances, then it is extremely unlikely that the back pain is caused by a hernia.

In addition, squeezing the spinal root at a certain level (if you read the MRI results, you will see that protrusions and hernias are described at a level, for example C3-C5 or L5-S1), the hernia does not just decrease sensitivity anywhere, but in certain segments, and strictly defined changes in reflexes. A neurologist correlates the level of damage with MRI data.

But why does the back hurt if the hernia / protrusion is not to blame? About this in the next article.

Treatment of protrusion of the intervertebral disc of the cervical spine

Disk protrusion is its protrusion when it is out of shape, but the disk itself is still intact. If it ruptures, an intervertebral hernia occurs, which is localized in any part of the spine, but most often in the lumbar, where there is the greatest load.

Protrusion in the cervical spine is an unfavorable localization of complications of osteochondrosis. The fact is that the spinal cord in the cervical region still contains almost all the pathways going up and down, and if it is damaged by a hernia (myelopathy), severe neurological symptoms can occur, up to paralysis of the arms and legs. What are the causes of protrusion?

The cause of the development of protrusions, and then hernias in the cervical spine is considered to be excessive load: first, static, and then dynamic. Disks of the cervical spine have their own characteristics. This is a very mobile department, and the discs are small in thickness, and therefore are prone to more trauma than lumbar discs.

It is enough to say that the human head has a sufficiently large mass, and when it turns and bends, unequal pressure is exerted on the intervertebral discs of the cervical spine. Initially, a static load is usually formed by a long, uniform posture.

This is driving a car, working at a computer for a long time, watching TV, or improper posture during sleep. As a result of such prolonged exposure, a congestive muscle spasm of the deep muscles of the neck occurs. The removal of lactic acid from the muscles is reduced, they become dense, and “enslave” the range of movements in the neck. And then a sharp turn or tilt of the head is enough, hitting your head against a low jamb, for example, when entering a low room, and a protrusion or hernia is formed when sudden and strong pressure is applied to the disk. How does protrusion and hernia develop?

Formation of intervertebral disc disorder

It is known that in youth and protrusion and hernia almost never occur. Then the intervertebral discs are elastic, and even with excessive load, they simply spring, and then easily regain their shape. But with age, they become dehydrated, become more fragile, any effect can disrupt their natural contour.

Any disk consists of two parts. The first part is the outer or fibrous ring: circular fibrous fibers. They surround the entire disk around the perimeter like hoops planted on a barrel. In the center of the disc there is a pulpous nucleus, which is more elastic and supple. If a crack has appeared in the disk and the restraining influence of the fibers of the fibrous ring has weakened, then it goes beyond its anatomical configuration. A bulge forms in the disc. This is protrusion.

If the fibrous ring experiences too much tension and can not withstand, then the central part of the disk simply falls out, forming a hernia. Finally, if this hernial protrusion completely loses contact with the rest of the destroyed disc, then this condition is called sequestered hernia.

The intervertebral hernia of the disc protrudes wherever there is an area of ​​reduced pressure. But the most dangerous posterior localization, After all, it is from behind that there is the space of the central channel and the dural sac, in which lies the rather thick spinal cord of the cervical spine.

Therefore, unlike hernias of the lumbar spine, if it compresses the cervical spinal cord and develops a lesion called compression myelopathy, then a person may experience complete paralysis of the arms and legs. There will develop a lack of sensitivity, both pain and temperature below the lesion site, that is, throughout the body, there will be a disorder in the function of the pelvic organs, that is, a lack of control over urination and defecation. A hernia of the cervical spine, complicated by myelopathy, can make a person bedridden.

Symptoms of Disk Protrusion

Fortunately, such a serious condition is very rare. The most common symptoms of cervical osteochondrosis complicated by protrusion or hernia will be:

  • acute or subacute pain in the neck, pain radiating to the arm, shoulder, jaw;
  • there is a constant, aching muscle pain;
  • the neck muscles, especially the back muscles, become denser, and these seals become a source of secondary pain impulse – the so-called myofascial tonic syndrome;
  • periodically sensitive disorders occur. These include paresthesia, formation (or crawling) in the fingers, numbness in the hands, or other symptoms.

Methods for the treatment of protrusion of the cervical spine

If we are talking about the cervical spine, then the best way to treat minor protrusions are conservative methods. This application:

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The combined use of these methods, in combination with an individual approach to the patient, eliminates inflammation of the spinal roots, helps resolve myofascial tonic muscle syndrome, improves trophism, and blood supply to muscles and ligaments.

Remember that protrusion, or a hernia of the cervical spine, is a much more dangerous complication of conventional osteochondrosis than a hernia in the lumbar spine. It can not only lead to chronic pain, not only to numbness in the hands, but also to severe disability. And in this case, you will have to go for surgery. As a result, the load on the intervertebral discs decreases, and the range of movements increases, and the pain disappears.

In the Titan Clinic, physiotherapeutic procedures are carried out only after the acute symptoms have been eliminated, and it was possible to cope with severe pain. The method of traditional medicine is used in the second stage of treatment. Finally, when the patient has improved, then physiotherapy exercises, various exercises that are aimed at strengthening the muscular skeleton of the neck, upper shoulder girdle and spine as a whole, join.

Remember that protrusion, or a hernia of the cervical spine, is a much more dangerous complication of conventional osteochondrosis than a hernia in the lumbar spine. It can not only lead to chronic pain,

Therefore, if you or your loved ones are concerned about chronic neck pain, headaches, a feeling of heaviness in the shoulders, a feeling of numbness in the hands and fingers – contact the Titan Clinic for help.

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Protrusion of the cervical spine

  • Pain in the neck
  • Headache
  • Dizziness
  • Blood pressure fluctuations
  • Impaired vision
  • Movement Coordination
  • Neck mobility restriction
  • Tingling hands
  • Weakness in the hands
  • Shoulder muscle spasm
  • Neck muscle spasm
  • Deterioration of hearing

Protrusion of the cervical spine is a complex and severe pathology, which is characterized by pathological protrusion of the intervertebral disc. As a rule, the disease progresses as a result of degenerative-dystrophic processes that occur in the spinal column.

Often protrusion is a consequence of osteochondrosis. If it is not started to be treated in a timely manner, an intervertebral hernia may form. Medical statistics are such that protrusion of the cervical spine is observed in 60% of people older than 40 years. It is worth noting the fact that representatives of the stronger sex are sick more often.

As a result of the progression of protrusion, the gelatinous nucleus of the intervertebral discs protrudes beyond the bone structures of the spinal column. In this case, the fibrous ring does not break.

Causes

One of the main reasons for the development of protrusion in the cervical spine is osteochondrosis, which affected the cervical segment. Also, the development of pathology can provoke some ailments that the patient is already sick with: osteoporosis, scoliosis, etc.

Factors that increase the risk of developing an ailment:

  • overweight;
  • weight lifting with axial overload;
  • making sharp head turns (for example, when doing exercises);
  • age changes;
  • poorly developed muscle frame;
  • constant loads on the spinal column.

Depending on the direction in which the disk is displaced, clinicians distinguish 4 types of protrusion:

Most often, a person develops dorsal or paramedial protrusion. Both of these forms are very dangerous, as their progression can lead to compression of the spinal cord, as well as nerve roots. Lateral or central protrusions develop in rare cases and often proceed without severe symptoms. Often a person does not even suspect that he has such a dangerous pathology progressing.

Degrees

  1. the disk is 75% destroyed;
  2. protrusion formation. Its size does not exceed 3 mm;
  3. protrusion increases in size and reaches 5 mm. If you do not urgently begin to treat the disease, then there is a high risk of hernia formation.

symptomatology

Symptoms of protrusion directly depend on the place in which the pathological protrusion was localized, its size, and also on whether compression of the nerve endings and spinal cord occurred. The symptoms of protrusion of the cervical disc are:

  • neck pain. It tends to intensify if a person begins to make sudden movements;
  • in the muscles of the hands a person notes tingling, as well as their weakness;
  • muscles of the neck and shoulder are spasmodic;
  • neck mobility is limited.

If protrusion of the discs squeezed the artery that feeds the brain, then cerebral circulation is disturbed, and the following symptoms appear:

  • coordination of movements is broken;
  • Strong headache. It is localized mainly in the back of the head;
  • on the part of the auditory and visual apparatus, various disorders are also manifested;
  • dizziness;
  • HELL is unstable. It may first rise to high numbers, and then drop sharply.

Diagnostics

How to properly treat protrusion of the cervical discs can be established only after a comprehensive examination has been carried out and the reasons that provoked the progression of this pathology have been established. The most informative diagnostic methods today are CT and MRI. They make it possible not only to establish the presence or absence of pathology, but also to determine the size of the protrusion. Depending on the degree of development of disk protrusion in the patient, whether it compresses the surrounding tissues and blood vessels, conservative or surgical treatment methods are chosen.

Treatment

If the protrusion of the discs is small, then they often resort to conservative therapy, which includes the use of medications and alternative treatment methods. Synthetic medications are prescribed to reduce the symptoms of protrusion of the discs – to eliminate inflammation, muscle spasm, pain.

  • muscle relaxants;
  • funds whose action is aimed at improving blood microcirculation in the brain;
  • anti-inflammatory;
  • painkillers;
  • B vitamins

Alternative treatment methods that eliminate not only the symptoms of pathology, but also improve the condition of bone structures and muscles in the cervical spine:

  • massage. Most often prescribed water, point, therapeutic and vacuum;
  • reflexology;
  • physiotherapy. For therapeutic purposes, laser therapy, UHF, electrophoresis, magnetotherapy are used;
  • manual therapy;
  • exercises to improve cervical mobility. This treatment method is very effective, as it allows you to strengthen the bone and muscle structures in this area of ​​the spinal column. Drawing up a set of exercises is carried out strictly individually. The general condition of the patient, as well as the features of the pathology of his pathology, are taken into account. Usually, exercises are prescribed, during which there is no axial load. It is shown to carry out exercises in a lying or reclining position.

Surgical treatment is resorted to if the conservative therapy has not had the desired effect and the symptoms of the disease only worsen. Also, treatment of protrusion of the cervical spine with this method is carried out when the protrusion too squeezes the spinal canal.

Now doctors are resorting to minimally invasive and atraumatic techniques:

  • cold plasma nucleoplasty;
  • bone block;
  • laser vaporization.

Prevention

In order to prevent the development of such a dangerous ailment as protrusion, it is recommended to put into practice the following recommendations:

  • daily perform a set of exercises;
  • to form the correct posture;
  • normalize the diet;
  • reduce weight (if necessary);
  • exclude excessive physical activity (it is necessary to perform various exercises in moderation);
  • Do not lift loads too heavy;
  • if the work is sedentary, then you need to arrange small workouts for yourself, on which it is recommended to perform simple exercises: turns and tilts of the head, circular movements of the shoulders and so on.

Treatment of protrusion of the cervical spine

Protrusion in the cervical spine is the second most common complication of osteochondrosis and one of the most dangerous. It means a protrusion of the intervertebral disc, which is accompanied by a complex of symptoms.

In modern medicine, protrusion is considered as the first stage of a vertebral hernia. If the process is not stopped at this stage, it will almost inevitably lead to serious complications. Painkillers alone are not enough. But there are also no indications for surgery, as a rule. Therefore, doctors often choose a wait-and-see tactic.

From the point of view of oriental medicine, this is a mistake. Firstly, the sooner the doctor mobilizes recovery processes, the faster and better will be able to cope with the disease. Secondly, rupture of the spinal disc and the formation of a hernia can occur suddenly.

Surgery essentially does not solve anything. With its help, the doctor removes part of the disk, but the disk itself is not restored. The reasons for the occurrence of protrusion are also not eliminated. Therefore, after excision of the disk, the percentage of relapses is high.

Instead, the Tibet Clinic offers cervical protrusion treatment without surgery, before it becomes a hernia. The effectiveness of the therapeutic effect is 97-98%.

What is protrusion of the cervical spine from the point of view of Tibetan medicine

Protrusion occurs as a result of degeneration and degenerative changes of the intervertebral disc. Tibetan medicine classifies such processes as diseases of the cold. One of the main causes of such diseases is a metabolic disorder. In the case of protrusion, this is the main reason.

The doctor of the Tibet clinic eliminates the cause of the protrusion of the disc. At the same time, it stimulates natural regenerative processes. Thanks to this, the disk is restored, and all the symptoms disappear. If you act only on the symptoms, this will give imaginary relief, but the destruction of the disk will develop at the same speed as before.

This is the difference between restorative medicine and symptomatic. She never hesitates with treatment, knows how to treat, and turns her attention not to symptoms, but to the cause of the problem.

Causes of symptoms of protrusion of the cervical spine

The cervical spine is the most mobile part of the spine. The vertebrae are tiny, so the intervertebral discs are small. And they take a significant load. The center of gravity of the head makes an angle with the direction of the neck. Therefore, with a head weight of about 5 kg, the load that it creates on the cervical discs is several times greater.

At night, in a horizontal position, the discs rest. Normally, this is enough for them to recover. But muscle spasms of the neck and cervical-collar zone interfere with this. They tighten the spine, creating a constant load. This load does not disappear when lying down, even during sleep, because cramps never disappear on their own. If they arise, they will remain until they are eliminated by the doctor with the help of massage, acupuncture.

Thus, the intervertebral discs are stressed by the strained muscles. Their wear is accelerated, and recovery slows down. This is due to the fact that spasmodic muscles interfere with the blood flowing to the spine. It becomes difficult for blood vessels to push blood. Its receipt decreases. This means that disks receive less oxygen for metabolism and less building material – collagen.

This leads to dystrophy and degenerative changes. The intervertebral discs are composed of connective tissue with a high water content. Due to this, they have good cushioning. In case of metabolic disturbance, the water content in the discs decreases. They dry out, which means that their resistance to stress is reduced.

Over time, the disk core becomes more flattened. The dense fibrous ring that holds its shape and structure is increasingly difficult to cope with. In some place, its fibers become more loose – here the pressure force is maximum. There is an extension of the outer fibrous ring and a protrusion of the disk core outward.

If the disk is squeezed out laterally, it pinches the nerve root. There is pain in the back of the neck and along the nerve – in the shoulder, collar, forearm, under the shoulder blade or in the heart. A pinched nerve at its base causes a violation of sensitivity, numbness in the fingers, muscle weakness of the hand. This indicates lateral cervical protrusion.

If the disc protrudes in the posterior direction, it is dangerous to squeeze the spinal cord. In this case, the innervation of the body is disrupted, partial paralysis of the arm or leg is possible, the work of internal organs is disrupted. This protrusion is called dorsal, it is especially dangerous.

Pinched nerves and pain cause muscle spasm in the neck. This spasm compresses the cervical artery, which feeds the brain. The blood flow to it decreases, this causes oxygen starvation, which signals a headache. It is especially strongly felt in the back of the head, temples. Violation of blood flow to the brain is manifested by other symptoms – visual disturbances (fogging, flashing flies), pressure surges, dizziness. Possible fainting, impaired coordination of movements, staggering when walking.

Treatment of protrusion of the cervical spine

Tibet Clinics in Moscow and St. Petersburg offer treatment of protrusion of the cervical spine using eastern medicine methods. This gives the optimal ratio of price and effectiveness of therapeutic effects. Our doctors almost do not use pain blockers, they are usually not necessary. Non-steroidal anti-inflammatory drugs (NSAIDs) or hormones are also not used. They do not affect the disease, and the temporary relief of symptoms is nothing more than a loss of time and delaying the start of a real treatment.

1st stage (diagnosis, relief of acute symptoms)

In acute pain, the doctor relieves it with acupuncture. This method has no contraindications and gives a quick effect. Already in 1-3 sessions, it is possible to remove acute pain symptoms and improve the sensitivity of the hand.

After that, the doctor prescribes an MRI. Without seeing the tomograms, he cannot apply acupressure or manual therapy. For his part, he conducts a diagnosis of eastern medicine. The first is a conversation with the patient, questioning him, studying the medical history and the nature of the symptoms (complaints). The second is probing the cervicothoracic region, identifying painful points, muscle cramps. Third – the study of neurological reflexes, tests for muscle strength of the arm. Based on these data and MRI, the doctor draws up an individual treatment course.

2nd stage (elimination of protrusion of the disc and the causes of protrusion)

The usual duration of a treatment session is 1,5 hours. They are held at intervals of 1-2 days. The treatment course is usually 10-11 sessions. Each session consists of several procedures.

Using this procedure, the doctor eliminates the main cause of protrusion – muscle cramps in the cervicothoracic region. By pressing on certain points, the doctor relaxes the muscles, improves blood flow to the brain and spine, accelerates the regeneration of vertebral discs, reduces the load on the cervical spine.

It restores sensitivity and eliminates numbness in the hand, reduces swelling, inflammation when the nerve root is pinched, helps relieve muscle spasm and improve blood supply to the spinal disc, and alleviates pain.

It improves blood circulation in the cervical region, relaxes the decorated muscles of the neck, activates the processes of metabolism and restoration of discs, and has an analgesic effect.

It activates blood circulation, improves blood flow to the brain, spine, has an analgesic effect, and reduces inflammation.

After relaxing the muscles, the doctor gently stretches the cervical spine, reduces the load on the vertebral discs, helps to restore its shape, relieves pressure on the nerve roots, compression of the blood vessels, and restores the mobility of the neck.

A treatment session may also include magnetic vacuum therapy, osteopathy. Procedural treatment is supplemented by herbal medicine. As a result of such a comprehensive course:

pain, sensory, motor and other symptoms of protrusion disappear;

the numbness in the fingers disappears, the physical strength of the hand is restored;

pain in the neck, collar zone, heart, under the shoulder blade, headache;

muscle tension and associated muscle pain disappear;

protrusion of the disk decreases and in most cases gradually disappears;

Cervical protrusion

Disc protrusion of the cervical spine is one of the most dangerous complications of osteochondrosis. Without proper and timely treatment for cervical protrusion, it can lead to hernia formation, paralysis and disability.

The Institute of Traditional Oriental Medicine uses complex methods of oriental medicine, with the help of which in more than 90% of cases it is possible to eliminate the symptoms of protrusion and to avoid its complications. Treatment of protrusion of the cervical spine in ITVM is carried out without surgery and the use of non-steroid pain medication (NSAIDs), and its effectiveness is 96-98%.

Causes of cervical protrusion

Protrusion means protrusion of the intervertebral disc. The discs between the vertebrae are made up of soft, resilient tissue. They serve as shock absorbers, taking on vertical loads and providing strength and stability of the spine.

It is connected with this fact that with the spread of gadgets, the incidence of cervical osteochondrosis and protrusion of the cervical disc has increased significantly. Another important factor in the development of cervical osteochondrosis and disk proces is incorrect posture – stoop.

However, the main and key factor in the development of cervical protrusions is not so much irrational loads as muscle spasms of the cervical and cervical-collar zone.

Spasmodic muscles further strain the spine and at the same time deprive it of blood flow, squeezing and narrowing the blood vessels. As a result, the power of the disks deteriorates, and the process of their wear is much faster than the recovery process. As a result, there is a gradual flattening of the discs, which over time begin to protrude beyond the spinal column. This protrusion of the disc is called prolapse and means protrusion.

In modern medicine, protrusion of the disc is considered as an early stage of the formation of a hernia of the spine. The only thing that distinguishes it from a real hernia is the preservation of the fibrous ring, which limits the disk around the circumference. This ring of rigid connective tissue holds the pulpous nucleus of the disc in place. However, over time, at the site of the greatest regular loads, this ring becomes loose and weakens. In this place, a local protrusion of the disk to the lateral or posterior side is formed – lateral or dorsal protrusion. The most dangerous dorsal protrusion of the neck. They mean a protrusion of the disk towards the spinal cord. Meanwhile, the spinal canal in the cervical spine has a very small diameter, so even a slight protrusion of the neck gives the same symptoms as a full hernia.

Symptoms of protrusion of the cervical spine

Symptoms of cervical protrusion are associated with several factors – a compression of the nerve roots in the cervical region, a violation of the innervation of the arm and the whole body, and a violation of the blood supply to the brain.

With protrusion, the intervertebral disc squeezes the nerve root, which moves away from the spinal cord in the cervical region. This causes pain in the back of the neck, which extends to the collar zone, shoulder, gives into the arm, under the scapula and the area of ​​the heart. Pain in the region of the heart during protrusion of the cervical region resembles angina pectoris, but differs from it in several ways.

The pain that occurred when the nerve is pinched causes a response muscle spasm. This spasm compresses the cervical artery that feeds the brain. As a result, the blood supply to the brain worsens, which is manifested by a complex of symptoms called vertebrobasilar insufficiency. These are, first of all, headaches, which are aggravated by bending and turning the head. Headaches are especially severe in the back of the head and temples, but they can also spread to other areas of the head.

Other symptoms of protrusion of the cervical spine are dizziness, nausea, fainting, instability when walking (staggering gait), flickering flies in the eyes, noise in the head (in the ears), instability of blood pressure. Over time, against the background of insufficient blood supply to the brain, memory worsens, and mental performance decreases.

Compression of the nerve roots in the cervical region caused by protrusion prevents the passage of nerve impulses. This is manifested by numbness of the fingers, muscle weakness of the hand and arm. With significant protrusion of the cervical spine, spinal cord compression occurs. It is called stenosis and can manifest itself with many symptoms – dysfunctions of internal organs, physical weakness, and then paresis and paralysis of the arms and legs, loss of sensation in various parts of the body.

Cervical protrusion treatment

Treatment of protrusion of the cervical spine is not just a relief of acute symptoms. A comprehensive therapeutic effect is necessary to eliminate the cause of the protrusion of the disc. Only in this case, the results of the treatment of cervical protrusion will have a long-term character and complications can be avoided.

In the ITVM clinic, complex techniques are used for the treatment of cervical protrusions, which have proven their unsurpassed effectiveness. Acute pain symptoms and numbness of the hand during protrusion of the cervical spine are usually eliminated in just one – a maximum of three treatment sessions at ITVM. For this, acupuncture, acupressure and manual therapy are used. Further treatment aims to address the cause of protrusion.

A comprehensive course of treatment is prescribed individually based on diagnostic data. It includes methods of oriental medicine and magnetic resonance imaging (MRI). Oriental diagnosis of protrusion of the neck is carried out in the ITVM clinic for free. It includes a survey of complaints, external examination, palpation, examination of reflexes. Magnetic resonance imaging (MRI) of the cervical spine of the expert level is carried out here, in the ITVM clinic. The full course of treatment for cervical protrusion usually includes from 10-11 to 15 treatment sessions lasting up to 1,5 hours.

  • Acupuncture
    It quickly relieves pain, reduces inflammation and swelling at the site of pinching of the nerve, improves innervation and eliminates numbness of the fingers, improves mobility of the hand, helps relieve muscle tension, stabilizes blood pressure, and eliminates headaches. In complex treatment, it helps to activate metabolic processes in the intervertebral discs of the cervical spine, accelerates the restoration of damaged tissue of the spine.
  • Acupressure
    Relieves muscle tension and eliminates muscle spasms in the cervical-collar zone, improves blood circulation and blood supply to the intervertebral discs, eases the load on the cervical spine and increases muscle tone. Improves metabolic processes in the intervertebral discs, helping to restore their functions and shape.
  • Manual therapy
    Using manual therapy, the doctor alleviates pain in the neck and back of the head, increases the height of the gaps between the vertebrae, decreasing the amount of protrusion of the intervertebral discs, releases pinched nerve roots, unloads the intervertebral discs and facilitates the flow of blood to the spine, accelerates the healing and restoration of damaged discs.
  • Hirudotherapy
    It improves blood circulation, helps stabilize blood pressure and eliminate headaches, has an anti-inflammatory effect, improves metabolic processes and accelerates the restoration of intervertebral discs.

In the complex treatment of protrusion of the cervical spine, moxotherapy, vacuum therapy, and magnetic vacuum therapy (as indicated) are also used.

Cervical protrusion treatment results

As a result of cervical protrusion treatment at ITVM, the amount of protrusion of the disc is significantly reduced, pain, numbness and other symptoms are alleviated or completely disappear, and spinal health is improved. These results are achieved without side effects and are persistent, long-term in nature.

Shishkevich Vladimir

Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews. It specializes in the treatment of diseases in orthopedic, traumatological, vertebrological profiles

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