Our specialists
Tarasova Svetlana Vitalievna
Expert No. 1 in the treatment of headaches and migraines. Head of the Center for the Treatment of Pain and Multiple Sclerosis.
Somnologist.
Epileptologist. Botulinum therapist. The doctor is a neurologist of the highest category. Physiotherapist. Doctor of Medical Sciences.
Experience: 23 years.Derevianko Leonid Sergeevich
Head of the Center for Diagnostics and Treatment of Sleep Disorders.
The doctor is a neurologist of the highest category. Vertebrologist. Somnologist. Epileptologist. Botulinum therapist. Physiotherapist. Experience: 23 years.
Bezgina Elena Vladimirovna
The doctor is a neurologist of the highest category. Botulinum therapist. Physiotherapist. Experience: 24 years.
Palagin Maxim Anatolievich
The doctor is a neurologist. Somnologist. Epileptologist. Botulinum therapist. Physiotherapist. Experience: 6 years.
Mizonov Sergey Vladimirovich
The doctor is a neurologist. Chiropractor. Osteopath. Physiotherapist. Experience: 8 years.
Drozdova Lyubov Vladimirovna
The doctor is a neurologist. Vertebroneurologist. Ozone therapist. Physiotherapist. Experience: 17 years.
Zhuravleva Nadezhda Vladimirovna
Head of the center for diagnosis and treatment of myasthenia gravis.
The doctor is a neurologist of the highest category. Physiotherapist. Experience: 16 years.
Exercise therapy recommendations
Exercise therapy exercises are indicated more during the period of remission and are aimed at restoring muscle tone and strength. After neurosurgical surgery in the case of vertebrogenic cervicobrachialgia, exercise therapy begins with the restoration of fine motor skills of the hands (finger movements), then exercise therapy involves medium and, ultimately, large muscle masses.
Massage is also important. You should massage not only your neck, but sometimes your arm first. Massage for vertebrogenic cervicobrachialgia can improve the nutrition of the nerve trunk, support the muscles of the arm, and relieve inflammatory processes in the area of the nerve trunk. Massage should not be painful. It is best to carry out massage procedures after a physiotherapy session (DDT, electrophoresis, etc.).
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Treatment
Treatment sometimes requires long-term therapy aimed at relieving inflammation, muscle spasms, restoring the transmission of nerve impulses in the arm, and rehabilitation measures for developed muscle atrophy.
The leading direction of treatment is the relief of muscular-tonic syndrome and neuroprotective therapy. Mydocalm is most often used as a muscle relaxant, and less often - baklosan and sirdalud and their analogs. Anti-inflammatory therapy is secondary; for minor pain, a short course in small dosages is sufficient.
Neuroprotective therapy in the case of vertebrogenic cervicobrachiagia should include drugs that improve microcirculation, including in the nerve trunks (for example, Trental), B vitamins, and drugs that improve the metabolism of nerve trunks (Berlition). It is also necessary to protect the hand involved in the process from increased stress and hypothermia.
LITERATURE
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- Gabay C., Medinger–Sadowski C., Gascon D. et al. Symptomatic effects of chondroitin 4 and chondroitin 6 sulfate on hand osteoarthritis: a randomized, doubleblind, placebo–controlled clinical trial at a single center // Arthr Rheum. 2011. Vol. 63 (11). R. 3383–3391.
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Causes
In most cases, neck pain is not dangerous if it is short-lived, but once it becomes constant, there is likely a serious underlying cause. Here are the most common factors for the occurrence of vertebrogenic cervicobrachialgia:
- Long-term period of stress, anxiety;
- Prolonged sitting, especially in an incorrect position;
- Previous neck injuries;
- Joint displacement and fractures;
- Sprained ligaments, muscle rupture;
- The syndrome may be a consequence of diseases of the bones and muscles, for example, rheumatoid arthritis;
- Some degenerative diseases, such as fibromyalgia and osteoporosis;
- Some infectious diseases, such as tuberculosis;
- Brachial plexus neuralgia;
- Metastases in the bones.
Symptoms
Most people experience neck pain throughout their lives. This pain can be acute in nature and last from two hours to two weeks, and its chronic form is also possible. In general, any pain that lasts more than three weeks is considered chronic.
Symptoms of cervicobrachial syndrome are associated with the upper torso, that is, the arms, chest, neck and back are involved:
- The patient may feel numbness in the shoulders, arms, or fingers.
- The pain spreads from the neck to the arm.
- Swelling of the upper torso is noticeable.
- Pale skin of the hands or blueness of the fingers.
- Weak pulse in the affected arm.
- Cold fingers or palms.
- The patient complains of itching and tingling in the neck, shoulders, arms or fingers.
- Movement of the affected limb can provoke pain on one side of the head (migraine), which prevents the patient from sleeping.
The patient's complaints include tenderness in the muscles of the back of the neck and pain that extends to the shoulders. Muscle soreness may increase with certain movements, and headache is also a typical symptom.
In addition, the patient may experience sharp or dull neck pain, tension, painful and limited mobility, dizziness, weakness, poor concentration and memory impairment.
Prospects
Signs of vertebrogenic syndrome discovered in yourself should not be ignored. Reluctance to contact specialists can cause the development of chronic spinal diseases and significantly worsen life, including complete loss of ability to work. The complications of this syndrome are terrible: vertebral cervicobrachialgia can provoke the development of a herniated intervertebral disc with pinching of the spinal cord. It can lead not only to disability, but also to death.
With the modern level of development of medicine, vertebral cervicobrachialgia can be successfully treated, but only if a full examination is carried out and an accurate causal diagnosis is made. But prevention is the best treatment. A healthy lifestyle, proper nutrition, daily exercise and consultations with doctors will help keep your body and spirit strong and protect yourself from spinal problems and their consequences.
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