In the complex therapy of cervical chondrosis (osteochondrosis), injection solutions, ointments, creams, tablets, dragees are used.Preparations cope well with pain, edema, inflammation, sensitivity, dizziness, blood pressure.
Characteristic features of the disease
The course of cervical osteochondrosis is accompanied by a slow, irreversible destruction of the intervertebral discs.Deprived of shock -absorbing cartilage, bone vertebrae also begin to deform. At the reception of a vertebrologist or neurologist, patients complain of acute or aching pains, stiffness, dizziness with a sharp rise, so therapeutic schemes consist of drugs with various properties:
- external funds with local -anest, regenerating, warming action;
- preparations that provide full nutrition of the brain;
- chondroprotectors launching disks restoration processes;
- local and system analgesics.
Pathology is not yet fully cured.The efforts of doctors are aimed at eliminating painful symptoms, inhibition of the spread of the disease to other spine.For this, complex therapeutic schemes using drugs of various groups are compiled.
Signs of cervical chondrosis
At the initial stages of the development of the disease, symptoms in women and men are practically absent.Occasionally a person is disturbed by weak, uncomfortable sensations in the evening.He attributes them to fatigue after a working day, so he does not go to the doctor.And at this time, its intervertebral discs are gradually destroyed.The vertebrae with the formation of bone growths are deformed, squeezing the vertebral artery.About a year later, painful sensations are replaced by pain, intensifying with turning or tilting of the head. Chondrosis is also manifested by such symptoms:
- clicking, crackling in the neck;
- limiting the volume of movements;
- jumps in blood pressure;
- rapid heartbeat;
- migraine unilateral pulsating headaches;
- auditory and auditory disorders;
- dizziness, shaking of gait, sensations of imaginary rotation of objects;
- Attacks of nausea, rarely ending vomiting.
Due to oxygen starvation of the brain, sleep is upset, weakness, apathy, fatigue, and ringing in the ears occur.The psycho -emotional state of a person deteriorates - it becomes nervous, worries about trifles.
The principles of drug treatment
Manual therapists, professional masseurs, physiotherapists, and exercise therapy doctors are involved in the treatment of cervical chondrosis.At the final stage, the use of folk remedies is allowed.But the main role in complex therapy is assigned to pharmacological drugs. All dosage forms are in demand:
- Injection solutions are used for exacerbations of chondrosis to quickly eliminate its painful symptoms;
- tablets, capsules, dragees are prescribed during remissions to prevent the destruction of discs, removing weak or moderate pain, circulatory restoration;
- Ointments, gels, balms, creams are the most safe, quickly cope with stiffness, unpleasant crunch.
It is rare to treat osteochondrosis with any one drug.The therapeutic schemes usually include at least 5 funds with various pharmacological properties.They are combined, it is convenient to use them at home.
Non -steroidal anti -inflammatory drugs (NSAIDs)
NSAIDs are more often than other drugs in the treatment of cervical chondrosis.They are shown in acute, piercing or remote, dumb pain.The mechanism of action of non -steroidal anti -inflammatory drugs is based on the ability to inhibit enzymes responsible for the production of neurotransmitters. All NSAIDs have a comprehensive effect on the human body:
- eliminate pain;
- eliminate the crunching, clicking that occur during the turns of the neck;
- stop the flow of sharp, subacute, chronic inflammatory processes that affect soft tissues;
- stimulate a decrease in swelling that infringes sensitive endings of the nerves;
- Increase the volume of movements in damaged cervical vertebrae.
In the treatment of chondrosis, drugs in the form of solutions for parenteral administration have proven themselves well.Of the tablets, purpose is practiced.Long -term use of NSAIDs leads to damage to the gastric mucous membranes.The simultaneous intake of the proton pump will help to avoid this. The drugs reduce the production of aggressive gastric juice with parietal cells, which increases under the influence of NSAIDs.
Synthetic hormones
Glucocorticosteroids are synthetic analogues of hormones that produces the adrenal cortex.This is a "severe artillery" of drug treatment of cervical osteochondrosis.Like natural hormones, glucocorticosteroids quickly stop inflammation, swelling, almost instantly eliminate pain.They are used in the form of solutions for intramuscular administration.But with acute pain, their administration is possible directly into the area of the destroyed intervertebral disc. Therapy of the aggravated pathology is carried out by hormonal drugs.One injection is enough so that painful sensations do not appear within 3-5 days.Glucocorticosteroids are prescribed to patients with osteochondrosis with the ineffectiveness of NSAIDs.It's all about a wide list of their potential side effects.Too frequent use of hormones leads to damage to muscles, bones, tendon-ligamentous apparatus.Hormonal agents are prohibited from using a child during lactation, in adolescence and childhood.All glucocorticosteroids have a lot of contraindications.In the clinical practice of canceling cases of severe damage to the liver, kidneys, stomach after prolonged hormone therapy.They are not used in the presence of cirrhosis of the liver, peptic ulcer, renal failure, osteoporosis.
Chondroprotective drugs
All means that are used in the complex treatment of chondrosis only eliminate its symptoms, temporarily improving human well -being.The only exception is chondroprotectors.These drugs include ingredients that can launch the restoration of destroyed cartilage intervertebral discs.The neck ceases to hurt after their use disappears not for several hours, but forever.In pharmacies, chondroprotectors are presented in a wide range.These are capsules, substances for the preparation of injection solutions, powders, packaged in packages.The most famous chondroprotectors with proven therapeutic effectiveness are in demand.
Means improve microcirculation
A sought -after medicine to improve blood circulation with cervical osteochondrosis -Nikotinata.These drugs are used in the treatment of high severity pathology, when not only discs, but also bone vertebrae are deformed.The compression of the vertebral artery is manifested by cervicocranialgia.This is the name of a whole complex of symptoms of infringement of the vertebral artery: headache, “flies” before the eyes, temporary vision of vision, sweating, heart heartbeat.Improve microcirculation, eliminating the “vertebral artery syndrome” helps thioctic acid.It is part of the solutions produced in the form of solutions for parenteral administration.The disadvantage of such drugs is an indistinct effect, since they accelerate the movement of blood throughout the body, which is not always appropriate.Therefore, the list of their contraindications includes epilepsy, hyperthyroidism, peptic ulcer.
Drugs with B vitamins
The treatment of cervical osteochondrosis in the exacerbation stage is not without the use of drugs, the composition of which is formed from group B vitamins. The fact is that acute bone growths of vertebrae infringe not only the vertebral artery.They press on sensitive nerve roots, upsetting innervation.Nervous pulses enter the central nervous system with a delay, its response reactions are inhibited.Violation of innervation leads to paresthesia - the loss of the sensitivity of certain parts of the body.In the drug treatment of cervical chondrosis, drugs whose activity is determined by pyridoxine, thiamine, B12 have proven itself well.Many of them are produced in the form of solutions for intramuscular administration.It contains B vitamins and anesthetic.Therefore, after the injection, the pain instantly disappears, the volume of movements in the cervical vertebrae zone is restored.At the same time, the product improves blood flow, the work of the nervous, muscle and cardiovascular systems, stops inflammation, degeneration of nerves.There are contraindications to its use.These are periods of pregnancy and breastfeeding, hypersensitivity to ingredients.
The best muscle relaxants
The elimination of weak symptoms of cervical osteochondrosis and the treatment of the house of its exacerbations is often difficult to muscle spasms.The nerve spine is squeezed with shifted intervertebral discs, inflammatory edema.There is a strong pain syndrome, which the body is trying to eliminate muscle spasm.Thanks to this peculiar protective reaction, human mobility is limited, uncomfortable sensations disappear.But often an increase in the tone of skeletal muscles causes even greater pressure on the nerve endings. So intense pain appears that you can cope with it only with the help of muscle relaxants.Musorelaxants are combined with all drugs for drug treatment of chondrosis, including glucocorticosteroids.They are well tolerated by the body, but some can cause addiction and “cancellation syndrome”.Therefore, they are not intended for prolonged therapy.The duration of the treatment rate does not exceed a week.
Drugs improving the psychoemotional state
Of all chondrose, it is the cervical particular that impresses the psycho -emotional state of a person.It's all about infringing on the bone growths of the vertebral artery, which leads to hypoxia of the brain. The patient suffers from the symptoms of the musculoskeletal system atypical for pathologies:
- panic attacks;
- depression, neurosis;
- visual and auditory disorders;
- dry unproductive cough;
- shortness of breath;
- anxiety, apathy, fatigue;
- various sleep disturbances.
It is not necessary to do when they appear - use drugs for cough, eye or ear drops.To eliminate the symptoms is often obtained by a course of receipt with a mild soothing effect.
Vitamin-balanced complexes
Most vitamins, irreplaceable micro and macro elements enter the human body along with food.But not always food can provide a physiological need or there is improper assimilation, distribution.For example, with circulatory disorders characteristic of cervical osteochondrosis.There is a deficiency of bioactive substances, which negatively affects the work of all life systems.To quickly make up for the daily needs of the body in vitamins, micro- and macroelements, their balanced complexes are necessarily included in therapeutic schemes.Magnesium forms muscle and bone tissue, and iodine regulates the metabolism.Manganese, molybdenum, chrome, potassium, chlorine, selenium, zinc stimulate the strengthening of the tendon-linen apparatus, and copper stops inflammatory processes.These minerals are present in all of the above complexes.The correct use of drugs is to use 1 dragee per day - this amount is enough to improve blood supply to the brain with beneficial substances.A week later, signs of anemia disappear, which occurs at 3 stages of development of cervical chondrosis.A person no longer feels drowsiness, does not suffer from violation of coordination of movements.The double objects before the eyes disappears.
Therapeutic plasters
Time -tested remedy for exacerbations of osteochondrosis is a pepper patch.Its composition is represented by phytoexistles of red pepper, Belladonna.The active ingredients of the patch gradually penetrate the area of the damaged disk, have an analgesic effect for 3-5 hours.If the neck hurts, then the external remedy is used in its entirety or cut into small pieces.The pepper patch is convenient to use for the treatment of the house, at work on trips.But he also has a contraindication - individual intolerance to one of the components.And in women with sensitive skin, it can provoke a chemical burn.Plaster show anti -inflammatory, decongestant, chondroprotective activity.They are designed to treat all pathologies of the cervical spine.Their use helps to reduce the pharmacological load on the human body by reducing doses of systemic drugs.
How to treat cervical chondrosis correctly?
To stop the destruction of the intervertebral discs is obtained only by an integrated approach to therapy.The wearing of orthopedic devices (collars) that fix the vertebrae in anatomical position is practiced.Plickers are necessarily used to improve blood supply to damaged tissues with nutrient and bioactive substances.Daily classes of physiotherapy exercises, yoga, swimming, walking in the fresh air are shown.Most drugs are advisable to use to relieve symptoms during exacerbations.They have many side effects, including damage to liver tissues.For constant use, chondroprotectors, blood circulation products, balanced vitamin-mineral complexes are suitable.