Cerebrovascular accident symptoms in cervical. How to treat cerebral circulatory disorders with osteochondrosis? Why is cerebral circulation impaired in cervical osteochondrosis?

Cervical osteochondrosis is a progressive degenerative-dystrophic process in which the intervertebral discs cervical region spinal column. More than 2/3 of patients with vertebral pathologies suffer from cervical osteochondrosis. People over 35 years of age are more often affected by the disease.

Pathological processes in the intervertebral discs cause deterioration of blood supply to the brain. This is fraught with serious complications and can be life-threatening. Impaired blood flow to the brain can affect the functioning of many body systems. Timely treatment of the root cause of the disorder cerebral circulation, normalizing blood flow will help avoid serious consequences in the future.

Pathogenesis and causes of appearance

Blood enters the brain through an artery spinal cord and paravertebral vessels of the cervical spine. If there is compression of the artery due to displaced and deformed discs, it begins to progress and the blood supply to the brain is disrupted.

This process leads to bleeding of certain areas of the neck, a decrease in the supply of tissue to the nerve roots connecting them to the central nervous system. Poor blood flow causes lumps vascular walls. They become brittle, the intervertebral discs begin to get less food. Brain tissue needs to absorb 1/5 of the oxygen that is carried by blood vessels; the organ reacts very painfully to deteriorating blood circulation.

Physiological features of the cervical spine cause a decrease in the volume of blood supply to the brain. The bones of this segment of the spine are smaller than those of the thoracic and lumbar, and more nerves and blood vessels pass through it. At the same time, the load on the neck is quite high. When the structures of the cervical vertebrae are affected by osteochondrosis, the nerve roots and blood vessels will certainly be pinched. Stenosis central vessels leads to disruption of blood flow to the brain, insufficiency of its blood supply.

The extent of the lesion will depend on how narrowed the vessels are. But even on early stages pathological process brain nutrition deteriorates by 1/3. At cervical osteochondrosis The brainstem and medulla oblongata are usually affected.

Symptoms

It is quite simple to identify that the blood supply to the brain is impaired in the presence of cervical osteochondrosis.

At the beginning of the development of pathologies, following symptoms cerebrovascular accidents:

• that appear when you turn your head;
• sudden headaches;
• sensation of “pins and needles” in the neck and upper limbs;
• numbness of the facial muscles;
• nausea that occurs from time to time.

In development pathological changes circulatory failure in the brain will be more pronounced.

Find out about characteristic symptoms, as well as about the features of trauma treatment.

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The symptoms listed above are accompanied by signs of a decrease in brain activity:

• memory impairment;
• frequent headaches;
• sleep disturbance;
• emotional imbalance;
• decreased hearing and vision.

The muscles of the neck and occipital region are stiff and appear sharp pains in the form of shots. These symptoms help to differentiate cervical osteochondrosis from other pathologies.

Possible consequences

Depending on which part of the brain is more affected by circulatory disorders, a person may experience:

• dysfunction of the respiratory system;
• cardiac arrhythmia;
• hypertension;
• ischemia;
• disorientation in space;
• loss of balance;
• decreased mobility of the shoulder girdle.

On a note! If cervical osteochondrosis progresses and the patient is not given timely adequate treatment, then there is high risk development of irreversible complications for the brain. He constantly begins to experience oxygen starvation, nerve cells partially die, which poses a threat to human health.

Diagnostics

The fact that a person has impaired cerebral circulation, according to external symptoms it is not always possible to determine.

The doctor must prescribe a set of additional diagnostic tests:

• radiography;
• angiography of cerebral vessels;
• Ultrasound Dopplerography.

Effective treatments

• put away main reason problems - cervical osteochondrosis;
• eliminate symptoms and restore normal blood flow to the brain.

Achieve positive result is possible only through an integrated approach. Treatment may include taking medicines, physiotherapy, therapeutic exercises, diet.

Medications

To normalize blood circulation in the brain for cervical osteochondrosis, several groups of drugs are prescribed.

Correctors of cerebral circulation

Render vasoconstrictor action, which helps improve blood flow and eliminate hypostasis:

• Tanakan;
• Cavinton.

Nootropics

Stimulates metabolic processes in brain structures, improves memory, brain activity, increase concentration:

• Actovegin;
• Xanthinol nicotinate;
• Phezam.

Chondroprotectors

Used to stimulate the regeneration of cartilage tissue. The drugs must be used over a long period of time to achieve a positive effect:

Histaminergic drugs

Activate specific receptors inner ear. Help relieve vestibular disorders in cervical osteochondrosis, improve the conduction of impulses along nerve fibers:

• Betahistine;
• Asniton.

Treatment can be supplemented with drugs that have antioxidant properties (vitamins A, E, polyunsaturated fatty acids).

Non-drug treatment options

Restoration of the cervical spine and improvement of cerebral circulation contribute additional methods treatments that make it possible to strengthen and enhance the effect medicines. They are resorted to during periods of remission.

Prevention

In order to prevent oxygen starvation of the brain, first of all it is necessary to prevent the development of its main cause - cervical osteochondrosis.

For prevention, certain rules should be followed:

• lead active image life;
• To do yoga;
• sleep on a medium-hard bed;
• avoid staying in a static position for a long time;
• promptly identify and treat pathologies of the musculoskeletal system.

Deterioration of cerebral circulation due to cervical osteochondrosis can pose a great threat not only to human health, but also to human life. Therefore, it is better to prevent the problem than to deal with it for a long time. You can avoid trouble if you carefully monitor your health and, at the first signs of the disease, take measures to stop its progression.

Decreased blood circulation in cerebral vessels– a serious condition that develops against the background of various diseases in the human body, including osteochondrosis of the spine.

Despite his long course, it poses a serious threat to the patient's health. In this regard, treatment of cerebral circulatory disorders in cervical osteochondrosis is important task modern medicine.

Cerebrovascular accident

Causes of development of cerebrovascular accidents

Cerebrovascular accidents are divided into two large groups: acute and chronic. Acute, as a rule, manifests itself in the form of transient ischemic attacks and ischemic strokes. Chronic conditions are of greater interest and are related to various diseases person. A similar condition can occur against the background of atherosclerosis carotid arteries and their branches, in diabetes mellitus, as a result of changes in blood vessels against the background of hypertension. However, very often deterioration of cerebral circulation occurs against the background of osteochondrosis in the cervical spine.

Osteocondritis of the spine

Main manifestations of the disease

On initial stage disease patients usually experience a syndrome chronic fatigue associated with insufficient blood supply to the brain. A person has problems sleeping, he quickly gets tired physically and intellectually, and experiences headaches and dizziness. The mood changes quickly for no apparent reason. People complain about memory loss. As the disorders progress, the symptoms worsen - memory becomes even worse, performance decreases significantly. Dementia gradually develops with impaired speech and coordination in space.

Chronic fatigue

Treatment of cerebrovascular disorders

Long-term disruption of blood supply leads to damage and death of neurons in the brain, in particular in the cortex cerebral hemispheres. Therefore, treatment of cerebral circulatory disorders in osteochondrosis of the cervical spine should be aimed at maintaining the viability of neurons and normalizing blood flow in the cerebral arteries.

All types of treatment can be divided into two large groups: medicinal and non-medicinal.

Non-drug treatments

The most important point in treatment is adherence to a diet with reduced amount simple carbohydrates, lipids, as well as the exclusion of spicy, hot dishes. By maintaining a certain diet, the likelihood of developing cervical osteochondrosis is significantly reduced concomitant diseases, which can worsen cerebral circulation and significantly complicate long term forecast for the patient. Such diseases include diabetes and atherosclerosis.

Proper nutrition

In addition to diet, great importance for treatment plays execution therapeutic exercises, aimed at strengthening the ligaments and muscles of the neck and back, as well as improving blood circulation in this anatomical region. For the same purpose, all patients are recommended to massage the collar area. However, all these manipulations must be carried out either by a doctor or after preliminary training, as there is a risk of worsening the patient’s condition. At the same time, it is very important to maintain regularity and not skip massage and physical therapy sessions.

Physiotherapy

WITH great efficiency physiotherapeutic procedures are used - magnetic therapy, laser therapy, UHF therapy, etc. However similar procedures can only be performed during periods of remission of the underlying disease.

Drug treatments

Drugs that improve cerebral circulation in cervical osteochondrosis are the most important element in treatment this disease. The most commonly used are Cerebrolysin, Vinpocetine and Cavinton. These drugs are indicated for all patients with cerebrovascular accidents as first-line therapy. However, this is not the only group of drugs used to combat neuronal death.

Cavinton drug

To protect neurons from hypoxia (oxygen deficiency) and lack of nutrients nootropics are used. These drugs include Phenotropil, Piracetam, Nootropil and others. These medications are often combined with the simultaneous use of antioxidants that reduce stress for nerve cells (Dihydroquercetin, Mexidol, Tocopherol, etc.). The combination of such medications can improve brain activity, memory, human attention, and also improve performance.

The drug Nootropil

Good therapeutic effect provide histaminergic agents - Betahistine, Betaserc, Vazoserc, etc. Their use allows you to activate special receptors in the balance organ in the inner ear. Regular use of these medications reduces the severity of dizziness, disorders in the motor sphere and coordination of movements. There is evidence that similar drugs improve performance nerve impulses on the nerves.

It is also necessary to remember about the treatment of the underlying disease, i.e. cervical osteochondrosis. The drugs of choice in this case are chondroprotectors (Teraflex, Chondroitin, Dona). These drugs improve metabolic processes in cartilage tissue and promote the restoration of cartilage articular surfaces, which helps reduce the progression of osteochondrosis and the development of severe complications.

Chondroprotector drug

It is important not to self-medicate. If any symptoms of cervical osteochondrosis or cerebrovascular accident appear, you should immediately contact your doctor for treatment. diagnostic measures and appointments in a timely manner rational treatment. This approach makes it possible to stop the progression of the disease and the development of complications from the central nervous system.

Impaired blood supply to the brain in cervical osteochondrosis may have serious consequences. Compression of the blood collaterals of the cervical-collar zone leads to oxygen starvation the most important areas of the brain and is the cause arterial hypertension, deterioration of coordination and increased risk of hemorrhage. Treatment of cerebral circulation in cervical osteochondrosis includes vascular drugs.

The essence and symptoms of circulatory disorders in osteochondrosis

Through the transverse processes of the vertebrae of the neck pass the arteries of the spine, washing with blood: the medulla oblongata, brainstem, cerebellum, occipital lobes, inner ear. Medulla contains centers that coordinate vital important functions: arterial tone, heartbeat, acts of breathing and swallowing. With cervical osteochondrosis, compression of the arteries occurs, as a result, insufficient blood flow to important areas. Blood circulation is limited and is a consequence of the occurrence syndromes that determine the symptoms of insufficient blood flow:

• Spinal stenosis syndrome - compression of the blood vessels of the spinal cord disrupts blood circulation in the occipital area.
• Reflex-irritative syndrome – burning pain in the back of the head, worsening when inhaling/exhaling.
• Radicular syndrome (radiculopathy) – compression nerve endings fibrous ring will manifest itself as a headache different localization and intensity. This syndrome is characterized by:
  • Speech disorders.
  • Deterioration of sense of smell.
  • Decreased sensitivity of the tongue muscles.
  • Feeling of a lump in the throat.
  • Uneven breathing, snoring.
  • Unreasonable nasal congestion.

• Vertebral artery syndrome is a throbbing pain indicating compression of a blood vessel. Pain in superciliary area, temples, crown and back of the head. Symptoms:
  • Dizziness.
  • Noise or ringing in the ears.
  • Mild nausea.
  • Hypertension.
  • Soreness in the eyes.
  • Fainting state.
• Cardiac syndrome: symptoms are similar to angina attacks, with a longer duration. Pain radiating to the diaphragm, accompanied by hypertension and arrhythmia.

Since the spinal vessels provide nutrition to important areas of the central nervous system, impaired blood circulation in the brain with cervical osteochondrosis can provoke the occurrence of dangerous complications, in particular ischemic and hemorrhagic stroke.

What could be the consequences?

Impaired cerebral circulation in cervical osteochondrosis is often the cause of serious vascular and neurological problems. The medulla oblongata and brainstem contain vital coordinating centers:

• Vasomotor – regulates A/D.
• Regulation of heart rhythm - affects heart rate.
• Respiratory – controls the act of inhalation and exhalation.
• Swallowing – coordinates swallowing.
• The pituitary-hypothalamus system – hormonal balance.

Impaired blood supply to the brain with osteochondrosis can lead to serious complications, in particular stroke.

Impaired blood supply to the brain with osteochondrosis is a future vascular-neurological pathology, the treatment of which is delayed for months. Chronic failure blood circulation – common reason dyscirculatory encephalopathy. A dangerous complication is a stroke, the consequences of which cannot be predicted. The appearance of the first signs of cerebral circulatory failure in osteochondrosis of the neck requires immediate medical attention.

How to improve cerebral circulation with cervical osteochondrosis

Improvement of cerebral circulation in cervical osteochondrosis is achieved conservative methods. Physiotherapy, rehabilitation, menu and diet adjustments, and physical activity are of no small importance.

Therapy for cerebral blood flow disorders is aimed at eliminating compression, radicular syndrome and improving brain nutrition, it aims to:

• Expand the vascular lumen.
• Facilitate blood circulation through vascular collaterals.
• Restore the work of important centers.
• Increase blood rheology.
• Stop the progression of osteochondrosis.

For the treatment of cerebral circulatory disorders in cervical osteochondrosis, medications of several pharmacological groups are recommended. A complex approach allows you to influence the main links of the pathological process.

Drug treatment

Drugs that improve cerebral circulation in cervical osteochondrosis are prescribed by the attending physician after examining the patient, taking into account contraindications. Restoration of blood flow is achieved:

• Relieving spasm by increasing the lumen of blood vessels.
• Restoring energy potential.
• Increased cerebral microcirculation.
• Improving the elasticity of vascular walls.

Drugs for the treatment of osteochondrosis should be prescribed by a doctor after full examination patient.

Vascular drugs that have a positive effect on cerebral dynamics belong to several pharmacological groups. In case of insufficient blood circulation due to osteochondrosis, the following are prescribed:

• Psychoanaleptics – Vinpocetine (Cavinton).
• Nootropics – Piracetam (Lucetam).
• Drugs that accelerate microcirculation – Pentoxifylline (Trental).
• Antioxidants - Ethylmethylhydroxypyridine succinate (Mexidol).
• Correctors of metabolism and energy supply to tissues – Meldonium (Mildronate).
• Angioprotectors – Diosmin (Phlebodia).
• Means that reduce vestibular disorders– Cinnarizine, Betahistine.

Medicines	Pharmacological effects	Release forms
Vinpocetine	– Stimulates cerebral metabolism – Reduces blood viscosity – Improves microcirculation – Increases blood circulation to the brain – Antioxidant	Ampoules 2.0 ml (5 mg/1 ml) 5 mg tablets
Pentoxifylline	– Improves blood fluidity – Accelerates blood circulation – Increases microcirculation – Moderate myotrope – Vasodilator	Ampoules 5 ml (20 mg/1 ml) Tablets 100, 200, 400 mg
Mexidol	– Membrane protector – Antihypoxant – Nootropic – Antioxidant – Corrector of cerebral metabolism – Improves blood rheology – Lipid-lowering effect	Ampoules of 2.0 and 5.0 ml (50 mg/1 ml) Tablets of 0.125 mg
Meldonium (Mildronate)	– An analogue of gamma-butyrobetaine, normally present in cells – Improves microcirculation – Promotes blood distribution in favor of the ischemic area – Has vasodilating properties	Ampoules of 5.0 ml (0.5 g / 5 ml) Tablets, capsules 500 mg
Piracetam	– Improves cerebral blood flow – Restores cerebral functions – Prevents cerebral hypoxia – Improves memory	Ampoules of 5.0 (1 g / 5 ml) 10.0 ml Tablets, capsules of 200, 400, 800 and 1200 mg
Betagistine	– Reduces vestibular symptoms – Increases the permeability of the capillaries of the inner ear – Increases basilar blood flow	Tablets of 8, 16 and 24 mg

For the treatment of cerebral circulatory disorders in osteochondrosis, Euphylline (Theophylline), a purine group bronchodilator with peripheral vasodilator properties, was previously widely prescribed in the CIS countries. At present, the use of Eufillin in the treatment of cerebral circulatory disorders in osteochondrosis is limited due to the low therapeutic index and the emergence of effective and safe drugs.

Euphylline (Theophylline) was previously widely prescribed for the treatment of cerebral circulatory disorders in osteochondrosis in the CIS countries.

Drug methods for the treatment of circulatory failure in osteochondrosis are prescribed during the period of exacerbation of the disease. After recovery, physiotherapy and exercise therapy are recommended.

Exercises

Exercises to improve cerebral circulation can be performed after drug treatment and stabilization of the patient’s condition. Gymnastics for neck osteochondrosis includes careful movements of the head: tilts, turns and rotations, and the goal is to strengthen the neck muscles, increase the tone of the blood vessels, and improve blood circulation through the vessels. Exercises should be accompanied by rhythmic breathing through the nose and performed on both sides.

Physiotherapy:

Exercises are contraindicated if:

• Treatment vascular drugs.
• An acute attack of osteochondrosis, accompanied by pain.
• Intracranial and arterial hypertension.
• Acute cerebrovascular insufficiency.

Preventive measures

Prevention of cerebral circulation disorders in osteochondrosis will include treatment and improvement of the cervical spine. Execution of a row preventive requirements will reduce risks destructive changes and will avoid compression of the neurovascular bundle. To do this you need:

• Avoid physical inactivity of the neck - a provocateur of osteochondrosis.
• Organize sleeping area– hard mattress, orthopedic pillow.
• Support normal index bodies.
• Control the level of “bad” cholesterol.
• Timely treatment of cervical osteochondrosis.

Prevention of osteochondrosis for every person should be sleeping on the right mattress and pillow.

At the beginning of the disease, when the decrease in blood circulation is little noticeable, the symptoms are not regular and smoothed out and do not require treatment. Patients do not always associate the appearance of dizziness, headaches, deterioration in vision, memory and concentration with insufficient cerebral circulation due to osteochondrosis. Treatment of osteochondrosis often begins when blood circulation has deteriorated significantly. Therefore, the prevention of circulatory failure will be timely treatment cervical osteochondrosis, arterial hypertension and general improvement of the body.

Conclusion

To avoid such consequences of osteochondrosis as impaired blood circulation in the brain, treatment of cervical osteochondrosis must be timely. Restoration of blood circulation is possible with adequate treatment with vascular drugs prescribed by the doctor. Prevention is the treatment of cervical osteochondrosis at an early stage.

Osteochondrosis – chronic illness , causes damage to the intervertebral discs and entails severe consequences for the patient. With cervical osteochondrosis, cerebral circulatory disorders common complication. To treat this condition, complex therapy is used, which includes taking medications, surgical intervention, non-drug methods.

Causes

• Osteochondrosis of the cervical spine. The vertebral artery is located in the canal of the vertebral processes. When the vertebrae are displaced, the canal narrows and the artery is compressed. As a result, the brain does not receive sufficient quantity oxygen and nutrition, its blood supply is disrupted.
• Neck injury. You can get injured if performed improperly physical exercise. The result is displacement of the vertebrae and compression of the vertebral artery.
• Chronic fatigue, fatigue, stressful situations can lead to failure throughout the body.
• Skull injuries.
• Arterial hypertension, pressure drops can contribute to the destruction of small vessels.
• Atherosclerosis. As a result of an increase in cholesterol levels, plaques form on the walls of blood vessels, which contribute to clogging of blood vessels and disruption of blood flow.

Violation of venous outflow occurs as a result of mechanical obstacles(hernia, neoplasms in the cervical region, prolapsed discs), prolonged abuse of nicotine and alcohol, stroke, pressure surges, injuries.

Clinical picture

Encephalopathy. This is a pathology affecting the brain. It occurs due to a developing disruption of the blood supply to the brain. As a result of ischemia of the brain, the connection between the cerebral cortex and the subcortical ganglia is disrupted. This process is considered the main mechanism for the development of pathology. Patients experience the following phenomena: headache, insomnia, impaired memory and attention, impaired gait, dizziness and high fatigue.

Subcompensatory stage. Here, deviations of a neurological nature are manifested (impaired mental activity, thinking, memory, lethargy, uncontrolled speech, nausea and vomiting as a result of a lesion vestibular apparatus).

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Decompensation. Characterized by irreversible changes in the brain. Diffuse changes occur in tissues morphological changes. The symptoms of the disease are fully expressed, while patients cannot care for themselves and need constant assistance.

Possible development of dementia.

Symptoms

Symptoms of cerebrovascular accident are easily recognized. At the initial stage, note:

• headache;
• the appearance of goosebumps on the neck.

At further development the following symptoms are added to the disease:

• hearing loss;
• unstable emotional background;
• decreased sleep quality, insomnia;
• memory impairment;
• headaches appear much more often;
• muscle stiffness;
• shootings in the neck.

With prolonged development of cervical osteochondrosis and circulatory disorders increases the likelihood of irreversible effects in the brain. Nerve cells die due to lack of oxygen.

Depending on the damaged part of the brain, there may be the following complications: imbalance, loss of orientation in space, changes in heart rhythm, pathologies of the respiratory system, increased blood pressure, pain in the back of the head, impaired hand motor skills.

When should I see a doctor?

When the first symptoms occur, consult a neurologist immediately for further diagnosis and treatment of the disease.

?

To begin with, a specialist questions and examines the patient in detail. Circulatory disorders are not always externally noticeable, so diagnostic procedures are carried out:

• MRI and CT. This method allows you to identify problem areas in the nervous and vascular system. You can also see the extent of damage to brain structures.
• X-ray of the cervical spine. Determines the condition of bones and intervertebral discs.
• Angiography allows you to completely examine the circulatory system and identify pathological areas.
• Dopplerography shows areas circulatory system where blood flow is impaired.

Treatment

Medicines

These are medications that have analgesic, antipyretic, and anti-inflammatory effects.

The mechanism of action is to block the enzyme cyclooxygenase, which regulates the production of mediators. Drugs are not considered analogues steroid hormones, which have an anti-inflammatory effect and unpleasant side effects. Most drugs in this group block COX-1 and COX-2.

Medicines are prescribed for various stages of the inflammatory process, accompanied by pain.

The most famous:

• Acetylsalicylic acid;

Medicines are contraindicated for stomach and intestinal ulcers, kidney and liver pathologies, pregnancy, lactation, and hypersensitivity.

Sick bronchial asthma Application must be strictly supervised by a specialist.

Antiplatelet agents

Drugs from this group prevent the development of blood clots. The process of blood clotting involves the sticking together of platelets. It is at this stage that antiplatelet agents begin to act. They inhibit the aggregation process and prevent blood from clotting.

Drugs from this group have various mechanisms actions that prevent thrombosis. Indications for use are: ischemic stroke, circulatory disorders, ischemic heart disease, hypertension, ischemic attacks, for prevention in postoperative period. Preparations:

• Cardiomagnyl;
• Aspirin cardio;
• Clopidogrel;
• Plavix;
• Plagril;
• Dipyridamole;
• Picotamide.

Contraindications are: pregnancy, lactation, hemorrhagic stroke, peptic ulcer, tendency to bleeding, liver and kidney pathologies.

Diuretics

Diuretics or diuretics intended for breeding excess fluid out of the body with urine. They also cleanse and normalize the acid-base balance.

The mechanism of action is to slow down the absorption of water and salts in the kidney tubules and increase the rate of urine excretion. Thanks to this, fluid is removed from the tissues and swelling goes away. This group includes diuretics of plant and synthetic origin.

For hypertension, diuretics are delayed sodium salts in the body, remove excess water, thereby normalizing arterial pressure, intraocular and intracranial pressure.

The drugs also prevent epileptic attacks, protect the kidneys and heart, and relieve spasms smooth muscle, alleviate the human condition in case of toxic poisoning.

There are thiazide, loop, potassium-sparing and osmotic diuretics. Preparations:

• Indapamide;
• Arifon;
• Veroshpiron;
• Spironolactone;
• Furosemide;
• Lasix;
• Bumetanide.

Contraindications: kidney failure, diabetes mellitus, liver cirrhosis, hypokalemia, acute and chronic respiratory failure.

Osmodiuretics

They are a type of diuretic drug.

Their mechanism of action is in reducing blood plasma pressure, removing swelling and removing fluid from the body. Filtration in the kidneys increases as a result of greater blood flow to the glomeruli. Preparations:

• Mannitol;
• Sorbitol;
• Urea;
• Mannitol;
• Xipamide.

Osmodiuretics should not be used in cases of chronic renal failure, severe dehydration, hemorrhagic stroke, subarachnoid bleeding, pulmonary edema.

Antioxidants

Antioxidants are capable of binding free radicals and slow down oxidative processes. These include vitamins (protect blood vessels, adipose tissue, muscle and ligaments), enzymes (accelerate the process of neutralization free radicals), bioflavonoids (suppress the formation of radicals and remove toxins), minerals. Preparations:

• Berlition;
• Vitrum Antioxidant;
• Essentiale;
• Vitamin E;
• Selenium;
• Coenzyme Q10.

Contraindications to the use of antioxidants are: acute renal failure, pregnancy, lactation, childhood up to 18 years old, increased clotting blood, central nervous system diseases, myocardial infarction, liver pathologies.

Neuroleptics

Neuroleptics or antipsychotic drugs – psychotropic drugs , used for neurological diseases, mental disorders, neuroses. There are old and new generation drugs.

The latter have less side effects and relieve muscle spasm, clarify the mind, have a calming and hypnotic effect. Prescribed for schizophrenia, anxiety, panic attacks, depression, psychosis. Preparations:

• Aminazine;
• Sonapax;
• Eglonyl;
• Etaperazine;
• Haloperidol;
• Leponex;
• Butyrophenone.

Tranquilizers

Tranquilizers are psychotropic substances that relieve anxiety, stress. They have a hypnotic, muscle relaxant, sedative, anxiolytic and anticonvulsant effect. Positive effects:

• reduce anxiety, emotional stress, fear and anxiety, obsessive thoughts;
• reduce psychomotor excitability;
• accelerate the onset of sleep, affect its depth and duration;
• relax skeletal muscles;
• inhibit epileptogenic activity in epileptogenic foci.

Medicines: Phenazepam, Atarax, Afobazole, Seduxen, Phenibut, Grandaxin, Lorafen.

This group has many contraindications.

These include: myasthenia gravis, pregnancy, lactation, pathologies of the liver, kidneys, patients whose work is related to increased attention and concentration.

Antihypertensive drugs

These are medicines lowering blood pressure. The group includes diuretics, angiotensin inhibitors, vasodilators, neurotropic drugs of central and peripheral action. Diuretics reduce the concentration of sodium salts in the body, due to which the arterioles dilate and blood pressure decreases. Neurotropic drugs reduce the tone of the sympathetic nervous system. They are divided into central (Clonidine, Methyldopa) and peripheral (sympatholytics, ganglion blockers and adrenergic blockers).

Vasodilators directly act on the walls of blood vessels and dilate them. Angiotensin inhibitors are the most commonly prescribed by doctors and have high efficiency. These include both emergency drugs and drugs for long-term use.

Also produce combination drugs, consisting of elements of different pharmacological groups.

Preparations:

• Cardura;
• Physiotens;
• Reserpine;
• Adelfan;
• Tenoric;
• Tarka;
• Co-renitec.

Contraindications: gout, pregnancy, hyperkalemia, lactation, bilateral stenosis renal arteries, angioedema, bronchial asthma.

Low molecular weight dextrans

Appointed to maintain normal cerebral circulation and blood thinning. Dextrans are polymers of glucose.

They restore blood volume, stimulate diuresis, restore microcirculation, prevent the formation of blood clots, and normalize blood circulation. Prescribed when states of shock, for the prevention of thrombosis, to improve capillary blood flow. Preparations:

• Reomacrodex;
• Reopoliglyukin;
• Longasteril;
• Microdesis;
• Dextran 40.

Use is prohibited for traumatic brain injuries accompanied by increased intracranial pressure, oliguria, cerebral hemorrhage, heart failure, tendency to allergies, coagulation disorders.

Calcium channel blockers

Calcium ions activate bioenergetic processes, which provide implementation physiological functions cells. In high concentrations, they disrupt metabolic processes in the cell and cause various changes. Calcium channels- These are complex proteins through which calcium and barium ions enter. Calcium antagonists are divided into those that increase and decrease the tone of the nervous system and heart rate. All calcium antagonists relax artery walls. Preparations:

• Verapamil;
• Diltiazem;
• Nifedipine;
• Norvasc;
• Felodipine;
• Isoptin.

Contraindications to the use of drugs are: hypotension, acute heart attack myocardium, blockade, cardiogenic shock, severe tachycardia.

Venotonics

Drugs improve the condition of blood vessels, have an angioprotective effect. Widely used in the treatment of venous insufficiency.

Also promotes outflow venous blood and regulate blood circulation. Venotonic drugs stimulate contraction of the muscles of the vascular wall and reduce capillary permeability. Medicines:

• Detralex;
• Venarus;
• Phlebion;
• Phlebofa;
• Antistax;
• Venoruton;
• Diosmin.

Use is contraindicated in case of individual intolerance and the presence of allergic reactions.

Pregnant and nursing women should consult a doctor before use.

Nootropics

Drugs restore blood circulation and nutrition to the brain, and also improve memory, attention, speech, accelerate metabolic processes and protect the brain from hypoxia. Substances enhance metabolic processes in neurons and regulate microcirculation. Prescribed:

• Cinnarizine;
• Nootropil;
• Phenotropil;
• Noopept;
• Lutsetam.

Contraindications are cerebral hemorrhages, individual intolerance, pregnancy, kidney pathologies.

Participate in regulating the activity of the nervous system, nourish and restore cells, improve metabolic processes. Preparations:

• Cytoflavit;
• B vitamins.

A group of drugs that restore cartilage tissue , restore its elasticity, nourish and improve metabolic processes. They produce injection forms and tablets. These include:

• Artra;

Chondroprotectors should not be used during pregnancy, inflammatory processes in the stomach and intestines, or with individual intolerance.

Synthetic histaminergic agents

Appointed for disorders of the vestibular apparatus and activate histamine receptors. Prescribed for gait disorders. Preparations:

• Betaserc;
• Betahistine;
• Vestibo;
• Tagista;
• Betaver.

Contraindications: individual intolerance to substances, acute form peptic ulcer, childhood.

Vasoactive drugs

These drugs dilate blood vessels, improve blood circulation in the brain, prevent blood clots and improve venous drainage. These include:

• Tanakan;
• Cavinton;
• Bilobil;
• Ginkgo biloba;
• Cavinton Forte.

Contraindications: hypersensitivity, pregnancy, lactation, parkinsonism, liver and kidney dysfunction.

Traditional treatment

Herbal treatment is widely used in complex therapy with medications and is considered the safest for the human body. Below are several traditional medicine recipes:

• Take 1 liter of vodka or alcohol, a tablespoon of propolis and aloe juice. The components are thoroughly mixed and applied to the damaged area in the form of compresses. You can cover the top with a woolen cloth for better effect. The procedure is repeated once a week.
• A fresh horseradish leaf is applied to the neck, secured with a bandage and kept overnight. You can apply it 2-3 times a week before bedtime.
• Grate fresh potatoes on a fine grater and add an equal amount of honey. Make a compress from the resulting mixture once a week.

and self-massage

At home, massage and self-massage have a beneficial effect on the body’s condition and promote quick recovery. Thanks to this, blood circulation is restored, muscles relax, and tension is relieved. Self-massage is carried out in a sitting position. The complex of procedures includes stroking, kneading and rubbing.

Stroking is carried out with smooth movements, no force should be applied.

Kneading is carried out by grasping the deep muscles of the neck, pressing and squeezing.

Rubbing is done in a circular motion along the surface of the neck. The massage takes a few minutes.

At the same time, the person should be relaxed.

Be sure to watch the video about this

• Electrophoresis. Treatment is carried out by applying electrical discharges to the affected area.
• Balneotherapy. Treatment is carried out using mineral waters(health baths and showers). Thanks to such procedures, muscle fibers relax.
• therapy. Direct laser exposure can cure the cause of circulatory disorders. This technique very well known and widely used to treat various pathologies.
• Shock wave method. A new technique that allows you to relieve muscle tension by exposing the body to sound waves.

Physio equipment

Manufacturing of physiotherapy equipment for home use played a major role in the treatment of many diseases. With their help, you can carry out physical procedures without leaving your home.

• Elfor device. Portable device. Therapeutic effect achieved through the action of galvanic current. Price: 3100-3200 rub.
• Almag -01. Produced Russian company and provides therapeutic effect to the entire body with magnetic field. Improves blood circulation, metabolic processes in the body and promotes it rapid recovery. Price: 9100 rub.
• Magnetic pulse therapy device “Health Line”. It has an anti-inflammatory, decongestant and analgesic effect, and also improves blood circulation and restores cells and tissues. Price: 2500-3500 rub.
• Apparatus laser therapy Orion-Step. The new generation device fights various ailments, improves blood circulation and restores vitality body. Price: 14400 rub.
• . Designed to affect any part of the body. The mechanism of action is similar to acupuncture. The device calms, relaxes muscles and normalizes blood circulation. Price: 1450 rub.

These devices are indispensable for treatment at home. The design of each device is designed to meet all safety conditions and is intended for self-massage.

• Vibrating massager VibraPulsar CS-v1. The device is suitable for affecting any part of the body. The set includes interchangeable attachments to choose the most suitable massage mode. Price: 2350 rub.
• Vibrating massager with infrared heating Active Power AMG105 from Gezatone. Has a relaxing effect on muscles. There are two replaceable nozzles. Price: 2600-2800 rub.
• Vibrating massager VibraPulsar CS-v2 with intensive heating function. Designed for intense massage and warming. Allows you to quickly relieve muscle tension. Price: 2800 rub.
• Massage pillow CS Medica VibraPulsar CS-cr5. Compact device with infrared heating function. Allows you to use it both at home and at work. Price: 3200 rub.
• Myostimulator Pangao PG-2602A. The device allows you to perform electromassage with low-frequency current in various modes. Effectively helps with osteochondrosis, normalizes blood circulation, relaxes muscles.

, gymnastics

Exercise 1 involves bending forward, backward and to the sides. Movements should be smooth. After this, make circular movements with your head.

Exercise 2. Starting position - standing with a straight back and arms bent at the elbows. Clench your hands into a fist and smoothly tilt your head down, then return to the i.p.

Exercise 3. Make movements with your head in a figure eight. Movements are carried out smoothly, breathing is even. The body should be completely relaxed. Make 7 movements.

Prevention of the condition

To prevent circulatory disorders and the development of cervical osteochondrosis, the following rules must be observed:

• eliminate bad habits;
• observe diet, work and rest;
• lead an active lifestyle, walk more and be in the fresh air;
• if the patient has a sedentary job, then every hour you need to get up and stretch your body;
• If the first symptoms occur, consult a doctor;
• It is recommended to equip your sleeping place with an orthopedic mattress and pillow.

Following these simple rules will help you avoid unpleasant diseases.

The main thing is to seek help in time and not to self-medicate. Uncontrolled use of medications and various physical procedures can lead to irreversible consequences.

It is a dangerous disease that can affect not only older people, but also the working population. It quite often gives complications in the form of circulatory disorders in the brain.

Cervical osteochondrosis is a disease that affects mobile intervertebral discs in the cervical region. Because of this, blood flow to the brain deteriorates. Impaired cerebral circulation in cervical osteochondrosis requires treatment, since in severe forms of the disease the patient’s quality of life deteriorates significantly.

The cervical spine contains a significant number of blood vessels that carry oxygen to the brain. With osteochondrosis, problems occur in the blood circulation process. The most common symptoms of the pathology:

• Dizziness, which in severe cases can lead to loss of consciousness.
• Hearing impairment and extraneous noise in the ears.
• Problems with coordination of movements, up to changes in the patient’s gait.
• Frequent and severe headaches.
• Vision problems.
• Changes in voice timbre, weakness or hoarseness.
• Heavy snoring during sleep.
• Numbness in fingers.
• Pain in the neck area, which can radiate to the shoulder, head and chest area.
• Toothache.

Drug treatment

Many patients are concerned about the question of how to improve cerebral circulation with cervical osteochondrosis? For this purpose in mandatory complex treatment is prescribed.

The dosage of drugs and the treatment regimen should be prescribed by a doctor after a face-to-face consultation.

In order to relieve inflammation in the neck, which negatively affects cerebral circulation, non-steroidal anti-inflammatory drugs are used. Their main active ingredients may be: diclofenac, nimesulide, ibuprofen. Such medications are used in the form of injections, tablets, creams or ointments.

Also in this case there will be effective drugs, which combine different active ingredients: Novigan, Spazmalgon, Spazgan. They help eliminate main feature pathologies - headache.

In the complex treatment of the disease, antidepressants are used: Amitriptyline, Deprim, Fluoxetine. They improve the condition of the nervous system and in some cases exhibit nootropic activity.

In order to eliminate the cause of the circulatory disorder and try to restore cartilage, chondroprotectors are used: Donu, Mukosat, Teraflex. In order for the treatment to be effective, they must be taken for at least 6 months.

Treatment of cerebrovascular accident in cervical osteochondrosis is not complete without B vitamins. They have a positive effect on nervous system and improve metabolic processes in the cells and tissues of the body. These include: Neurobex, Milgamma, Vitaxon, Neuromultivit.

But the largest role in the treatment of circulatory disorders caused by osteochondrosis of the cervical spine is played by drugs from the group of neuroprotectors.

Peripheral vasodilators

If the cause of circulatory disorders of the brain is cervical osteochondrosis, then to restore metabolic processes and normal impulse transmission, peripheral vasodilators are prescribed. They reduce smooth muscle tone and improve blood flow. These include the following drugs:

Nootropic drugs

To improve cerebral circulation, neuroprotectors are prescribed, which include nootropic drugs. They influence metabolic and bioenergetic processes in nerve cells and actively interact with neurotransmitter systems in the brain.

In addition, drugs from this group eliminate hypoxia, improve microcirculation in the brain and increase the resistance of nerve cells to various adverse factors.

In case of violation of cerebral circulation, which is caused by cervical osteochondrosis, the following is prescribed:

• Piracetam. This is one of the most famous nootropics that affects the blood circulation in the brain and metabolism. It helps to enhance the utilization of glucose, regulates redox processes and makes it possible to improve regional blood flow. It is taken in the form of tablets or injections. If necessary, Piracetam can be administered intravenously by drip, based on isotonic sodium chloride solution.
• Thiocetam. In this case, the effect of Piracetam is enhanced by Thiotriazolin. The product stabilizes metabolism in brain tissue, improves blood circulation, improves memory and eliminates the effects of stress. Like Piracetam, it can be taken in the form of tablets or intravenous injections.
• Vinpocetine (Cavinton). It increases blood flow and improves metabolism in the brain and promotes glucose utilization. It is prescribed in the form of tablets that must be taken for 2 months.
• Phezam (Neuro-norm). The product contains Piracetam in combination with Cinnarizine. It eliminates hypoxia, dilates blood vessels, and improves blood circulation. The components included in its composition enhance the effect of each other, without increasing the toxicity of the drug.

An example of packaging for one of the drugs listed above.

Antioxidants

To improve cerebral circulation caused by osteochondrosis, agents from the group of antioxidants can be used. They restore the nervous system and prevent damage to brain neurons. These include:

Physiotherapy

In addition to drug treatment Physiotherapeutic methods are used that improve cerebral circulation in cervical osteochondrosis. These include:

• Magnetotherapy. In this case, magnetic field inductors are installed on the neck area, operating in continuous mode for 15–20 minutes. This allows you to get rid of the inflammatory process and improve blood circulation.
• Electrotherapy. Problem areas are affected electric shock, which improves blood circulation.
• Laser therapy. In this case, a laser is applied to the cervical spine, which eliminates inflammation and improves blood circulation.

It must be remembered that cerebrovascular accident caused by osteochondrosis cannot be cured quickly. And if there is irreversible damage to the cervical spine, it is almost impossible to get rid of it with the help of medications. Therefore, at the first signs of the disease, you should seek advice from a specialist.