DSC Neck
In the neck area there are seven spinal vertebrae (spine) connected together by joints that allow movement of these vertebrae. The main function of the spine is to protect the spinal cord within the spine from any injury during movement and to perform various activities. The intervertebral disk, which absorbs shock and prevents bone joint friction during the movement of the neck, consists of a layer of a rigid but flexible outer layer called the anus fibrosus. The inner layer is filled with mucosal protein, called the nucleus Pulposus, where the nucleus gives the shock absorber to the disk.
Invertebrates are made up of eighty-five percent of the water, while the ratio is normal with age to 70 percent. It is noted that with the loss of water from the discs of vertebrae become more prone to cracking and tear, and these tablets are unable to repair themselves, because it does not contain direct blood feed. The cervical degenerative disk disease (Cervical Degenerative Disk Disease) is reduced. As the process progresses, the neck becomes less flexible and pain and increased stiffness appear. the neck. Dyske’s disease is the neck or what is scientifically known as Cervical Disk Herniation. When the disc swells out or opens, it causes pressure on the nerve roots or spinal cord.
Stages of neck dyskinesis
The cartilage slide passes through four stages:
- Disk Degeneration : Chemical changes in the spinal disc during aging make it weaker and less absorbent, and may become less dense.
- Disk Dislocation : The shape and location of the disc changes so that it touches the Spinal Canal or its nerves. This stage is also called the Bulging Disk.
- Disk Extrusion : The core of the core is the internal part of the disk and the component of the semi-gels penetrating the outer part of the disk any fibrous loop, but while remaining inside the disk.
- Disk Sequestration : The core is separated from the fibrous ring and moves outside the spinal disk towards the spinal canal.
Symptoms of DSC neck
Factors that increase the risk of neck injury
There are many factors that help to cause cartilage slip, including:
- Dandruff and daily rupture of vertebral discs.
- Lifestyle, where smoking, lack of regular exercise, and inadequate nutrition contribute to a poor health disk.
- Chronic biochemical changes cause gradual dehydration of the disc, affecting its strength and resilience.
- The bad posture of the body with the wrong body movements increases the pressure on the cervical vertebrae.
- An injury or damage to the disc as in the wrong way of carrying or twisting incorrectly.
Diagnose DSC Neck
The most prominent imaging tests:
- MRI (Magnetic Resonance Imaging) ; It is the best and first diagnostic test for cartilage slide where it can depict any nerve root subjected to pressure due to slipped cartilage.
- CT scan with Myelogram ; Although this examination is more sensitive but is not used as the first examination because it is a surgical examination (in English: Invasive Test) it needs to inject the dye of imaging of the spinal cord to the spinal canal as part of the procedures of this examination.
- EMG (Electromyography) ; This screening is sometimes used to identify or exclude other pathological conditions that can cause pain in the hand.
Treatment of neck DSC
It is possible to divide the treatment of DSC neck as follows:
Non-surgical treatment
Some non-surgical treatments to relieve the symptoms of cartilage slide:
- pharmaceutical: The most important drugs used to reduce pain caused by cartilage slide are non-steroidal anti-inflammatory drugs (NSAIDs) because the pain is originally caused by pressure of nerve roots and inflammation of the same disc substance. In severe pain oral steroids are used for a relatively short period .
- Physical Therapy and Exercises: The doctor recommends specific exercises to reduce pain, and sometimes it is recommended to consult a physiotherapist to teach the patient to exercise and protect the neck, and can initially use heat and cold to reduce muscle spasms.
- Cervical Traction: The head is pulled down so that pressure on the nerve roots is reduced. If this procedure is effective for the patient, it can be easily done at home using a home puller.
- Chiropractic Manipulation: Handy, gentle treatment at low speed may reduce joint dysfunction that may contribute to pain.
- Making adjustments to activities: Some types of activities increase the pain caused by cartilage slide, so the patient should avoid these types of activities such as lifting heavy loads, and any activity that increases pressure on cervical vertebrae.
- Strengthen and strengthen the neck: Using the cervical collar or brace (cervical collar or braces) and thus getting some comfort for the cervical vertebrae area.
- Injection: Such as steroid injections in the Cervical Epidural Steroids Injections or Selective Nerve Root Blocks can help reduce inflammation in severe pain from cartilage slide.
Surgical treatment
- Ectopic cervical discectomy and vertebral fusion: This method is the most common, and is done by making a slit in front of the neck and remove the damaged disk, and gets the integration of the paragraphs on its own, but can be placed a plate for a larger pillar, and to help in the integration process better.
- Posterior cervical discectomy: This method is performed behind the neck, and is more difficult than the previous method, because of the large number of veins, which may lead to bleeding, which obstructs vision during the process.