Diagnosis and treatment of cervical necrosis

Neck bone tumors

Cervical fibrosis is a degenerative process that captures the structure of the disc in the early stages, the disease progresses, resulting in damage to the remaining components of the vertebral structure of thehuman. Symptoms are so diverse that it complicates the initial diagnosis, and the treatment of the disease at an early stage gives a positive result.

The reason for

The main risk factor for the development of the disease is related to the upright position. The upright posture causes a specific load on the spine in a stationary and active position.

The causes of cervical, chest, and lumbar tumors also include:

  • overweight, obesity;
  • passive pastime, computer work, sedentary work of dispatchers, drivers, etc. v. ;
  • wrong feed;
  • poor posture;
  • flat feet;
  • changes hormones;
  • stress.

Patients with a genetic predisposition, who have congenital changes in the structure of the spine, distinguish between those who apply for a doctor. The driving force for the development of the disease can be trauma to the neck and other parts of the spine.

An overload of the vertebrae occurs during sports, these patients can be divided into two groups:

  • expert experiences too much stress constantly or abruptly stops training;
  • newcomers to the gym don't listen to a coach's advice.

The progression of the disease is the same, regardless of the reason for the disease. The pressure, the load is too large, first of all, causing muscle contraction, trying to keep the human skeleton in physiological position. The muscle spasm continuously leads to impaired blood circulation, poor tissue nutrition, and the structure of the intervertebral discs. In the future, malnutrition leads to loosening of the fibrous ring of the disc.

The result of a decrease in density is that the marrow portion of the fibrous ring is inserted, forming a herniated mass, which causes a change in the position of the cervical vertebrae, which is observed in osteonecrosis. At the same time, the stenosis of the canal occurs, accompanied by compression of the roots of the spinal nerves, the functioning of the internal organs is getting worse. In some cases, the hernia mass can put direct pressure on the spinal cord.

Pain in the neck spine

Symptoms of bone necrosis

Fibroids of the cervix can manifest themselves with a number of neurological signs:

  • dizziness with a feeling of lightheadedness, tinnitus or deafness, difficulty maintaining an upright posture of the body, not feeling the rotation of objects of the surrounding world;
  • Headache
  • due to vasospasm with increased intracranial pressure, pinched nerve roots.

If the occipital lobe brain is not circulating for a long time, tongue numbness, vision and hearing impairment may occur.

Impaired motor function is represented as follows:

  • numbness, tingling, decreased strength, sensitivity of the upper extremities;
  • pain, numbness in the shoulder;
  • violation of tactile sensation in the middle finger of hand;
  • bend your neck, fix your neck.

As for the cardiovascular system, signs of cervical osteonecrosis may be manifested by an abnormal increase in blood pressure.

An almost constant feeling of pain causing mental stress, stress, and behavioral changes: anger, frustration, sleep disturbances, unreasonable fear. The manifestations of this disease limit comfort, freedom of activity and movement and impair quality of life.

The stages of development

There are 4 stages of the disease:

  • Stage 1 - onset of illness, intermittent pain, possible only with head rotation. Stress, increase back muscle fatigue. It is considered preclinical due to a lack of symptoms. Eliminate possible signs with a healthy, athletic diet.
  • Stage 2 - stability of the spine is lost. The height of the discs decreases, and nerves and blood vessels become pinched. One complained of periodic numbness in the arms and shoulders, and pain, exacerbated by the turn of the head. Reversible.
  • Stage 3 - pain, dizziness, weakness in the upper extremities becomes a constant companion of the patient. Mobility of the cervical spine is limited and forms of herniated masses.
  • Stage 4 - completes the pathological process by destroying the discs, replacing them with structures of the connective tissue. The clinical picture manifested by headache accompanied by vestibular, visual, and auditory disorders. Symptoms from the cardiovascular system appeared.

The characteristic structure of the cervical spine, the small spacing between the vertebrae, less weight and size compared to other factors of the spine, leading to faster development of the disease.


Taking a history and examining initial images of a patient with suspected cervical bone tumor helps to make a preliminary diagnosis. The examination is performed in a standing position, the patient is asked to undress. The doctor should see the entire line of the spine, evaluate the degree of curvature, displacement of the line of the thorny processes, the degree of boundary of the neck, the shoulder blade. When touching, one pays attention to the condition of the muscles along the spine. To assess the mobility of different parts of the spine, the patient is asked to perform amplitude movements: rotation, folding, stretching (done when standing against a wall or with a safety net support).

It is not possible to diagnose cervical necrosis without instrumental studies. The most informative is that MRI, CT and X-ray are allowed, but it should be noted that these methods will not reveal the presence of disc herniation, which may compress the spinal cord.


Osteochondrosis requires an integrated treatment, due to particularly rapidly developing cervical vertebrae. In parallel with drug therapy, physical therapy, therapeutic exercises, neck and shoulder massages are used.

First aid

This kind of aid is designed for pain relief, you can take medicine from home medicine cabinet, pain reliever, nonsteroidal anti-inflammatory medicine.

The pepper paste is used locally to treat cervical bone necrosis, this helps to improve peripheral circulation, warm the area, painless.

For edema, a diuretic should be used only after consulting a doctor.


To combat pain, inflammation, and edema, drugs of the group of nonsteroidal anti-inflammatory drugs are prescribed. Muscle relaxants are prescribed, as well as corticosteroids, in difficult cases - anticonvulsants.

Chondroprotectors and vitamins are designed to improve the condition of the body, restore cartilage and bone tissue. Prescribe vitamin B preparations in the form of tablets or injections.

The drug is used to improve cerebral circulation. Antidepressants may be administered as needed to improve the patient's psychology.

Locally, in the area of ​​the cervix, the neck area, the drug is used in the form of an ointment, which has a warming and analgesic effect.

Neck massage

Therapeutic exercise and massage

After eliminating the inflammatory process, the doctor prescribes a set of exercises, selected individually for each patient. Based on the general list of recommended exercises for the treatment of cervical osteoporosis, the presence of a doctor at the first sessions can be done at home later. p>

Example Exercise:

  • performs a prone position, hands on the floor, gradually aligns, cannot bend, fixes the posture for 30-120 seconds;
  • same starting position, place hands along body, do slow head rotation to right, left, repeat 10 times on each side;
  • while sitting, tilting head forward, back, downward movements respectively inhale, up - on exhalation, the recommended number of repetitions is 10-15; 3
  • head rotation, not deep, can be performed while sitting, the number of repetitions depends on the patient's health condition.

Conservative exercises, rhythmic movements, with low amplitude and depth, exercise therapy is designed not to develop joints but to improve blood circulation in the area. .

Massage occupies an important place in the systemic approach to the treatment of cervical bone tumors. A procedure is prescribed at all stages of the disease. Based on the indications, the physiotherapist appropriately incorporates the standard procedure techniques, including massaging, swiping, kneading, squeezing, etc. v.


Specified regardless of stage of the disease:

  • drug solution electrophoresis;
  • magnetotherapy;
  • method of using manual action on acupuncture point - acupuncture;
  • laser therapy;
  • Press acupressure
  • .

With all these treatments, symptoms can ease and the patient is healed.

The current trend of degenerative spondylolisthesis manifests itself in more and more people, the age threshold is decreasing - earlier diagnosis for people over 45 years old, now many patients no more than 25. decrease, workload is much when sitting at computer. more carefully monitor the spinal health of adults and children.