Violation of cerebral circulation symptoms in cervical. How to treat circulatory disorders of the brain with osteochondrosis? Why is cerebral circulation disturbed in osteochondrosis of the cervical region

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

Pathological processes in the intervertebral discs cause a deterioration in the blood supply to the brain. This is fraught with serious complications and can be life-threatening. Disturbance of blood flow in the brain can affect the functioning of many body systems. Timely treatment of the root cause of the disorder cerebral circulation, normalization of blood flow, will help to 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 region. In the presence of arterial compression due to displaced and deformed discs, it begins to progress, the blood supply to the brain is disturbed.

This process leads to bleeding of certain areas of the neck, a decrease in the supply of tissues with nerve roots that connect them with the central nervous system. Poor blood flow causes hardening vascular walls. They become brittle, the intervertebral discs begin to get less food. Brain tissues need to absorb 1/5 of the oxygen that is carried by the blood vessels, the body reacts very painfully to the deterioration of 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 volume 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 pathology, there are the following symptoms disorders of cerebral circulation:

• , which appear when turning the head;
• sudden headaches;
• feeling of "goosebumps" 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.

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

The rules for using the Honda drink evalar collagen drink for enhanced nutrition of the joints and spinal structures are described on the page.

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

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

The muscles of the neck and occipital region are constrained, 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 cannot always be determined.

The doctor must prescribe a set of additional diagnostic studies:

• radiography;
• angiography of cerebral vessels;
• Doppler ultrasound.

Effective Treatments

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

achieve positive result only possible through a comprehensive approach. Treatment may include taking medicines, physiotherapy, therapeutic exercises, diet.

Medications

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

Correctors of cerebral circulation

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

• Tanakan;
• Cavinton.

Nootropics

Stimulate metabolic processes in brain structures, improve memory, brain activity, increase concentration of attention:

• Actovegin;
• Xanthinol nicotinate;
• Phezam.

Chondroprotectors

Used to stimulate the regeneration of cartilage tissue. The drugs should be used for a long course to achieve a positive effect:

Histaminergic drugs

Activate specific receptors inner ear. They help to stop vestibular disorders in cervical osteochondrosis, improve the conduction of impulses along nerve fibers:

• Betahistine;
• Asneton.

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

Non-drug therapy options

Restoration of the cervical spine and improvement of cerebral circulation contribute additional methods treatments that make it possible to strengthen and enhance the action medicines. They are used during remissions.

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 observed:

• lead active image life;
• To do yoga;
• sleep on a bed with medium hardness;
• avoid prolonged stay in a static position;
• promptly identify and treat pathologies of the musculoskeletal system.

The deterioration of cerebral circulation due to cervical osteochondrosis can pose a great threat not only to 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 health of the patient. In this regard, the treatment of cerebrovascular accident in cervical osteochondrosis is important task modern medicine.

Violation of cerebral circulation

Reasons for the development of cerebrovascular accidents

Cerebral circulation disorders are divided into two large groups: acute and chronic. Acute, as a rule, manifest in the form of transient ischemic attacks and ischemic strokes. Chronic conditions are of greater interest and associated with various diseases person. A similar condition may occur against the background of atherosclerosis. carotid arteries and their branches, in diabetes mellitus, as a result of vascular changes on the background of hypertension. However, very often the deterioration of cerebral circulation occurs against the background of osteochondrosis in the cervical spine.

Osteocondritis of the spine

The main manifestations of the disease

On the initial stage disease sufferers tend to experience a syndrome chronic fatigue associated with insufficient blood supply to the brain. A person has problems with sleep, he quickly gets tired physically and intellectually, headaches and dizziness are observed. The mood changes quickly for no apparent reason. People complain about memory loss. With the progression of disorders, the symptoms worsen - memory becomes even worse, performance is significantly reduced. Gradually develops dementia with impaired speech, 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 hemispheres. Therefore, the treatment of cerebrovascular accident 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: drug and non-drug.

Non-drug treatments

The most important point in treatment is dietary reduced amount simple carbohydrates, lipids, as well as the exclusion of spicy, hot dishes. By maintaining a certain diet, the likelihood of joining cervical osteochondrosis is significantly reduced. concomitant diseases that 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 the treatment plays fulfillment therapeutic gymnastics 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 shown massage of the collar zone. However, all these manipulations should be carried out either by a doctor or after preliminary training, since there is a risk of worsening the patient's condition. At the same time, it is very important to observe regularity, not to miss massage sessions and physiotherapy exercises.

Physiotherapy

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

Medical methods of treatment

Drugs that improve cerebral circulation in cervical osteochondrosis are the most important link in the treatment this disease. The most commonly used drugs 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 medicinal substances are often combined with the simultaneous use of antioxidants that reduce stress for nerve cells (Dihydroquercetin, Mexidol, Tocopherol, etc.). The combination of these drugs can improve brain activity, memory, human attention, as well as raise the working capacity.

The drug Nootropil

Good therapeutic effect have histaminergic agents - Betahistine, Betaserk, Vasoserk, etc. Their use allows you to activate special receptors in the balance organ in the inner ear. Regular intake of these drugs reduces the severity of dizziness, disorders in the motor sphere and coordination of movements. There is data that similar drugs improve conduct nerve impulses along 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 contribute to the restoration of cartilage articular surfaces, which allows to 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 diagnostic measures and appointment of timely rational treatment. This approach allows you to stop the progression of the disease and the development of complications from the central nervous system.

Violation of the 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, impaired coordination and increased risk of hemorrhage. Treatment of cerebral circulation in cervical osteochondrosis includes vascular preparations.

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, trunk, cerebellum, occipital lobes, inner ear. Medulla contains centers that coordinate vital important features: 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 region.
• Reflex-irritative syndrome - burning pain in occiput, worse on inhalation/exhalation.
• Radicular syndrome (radiculopathy) - squeezing nerve endings fibrous ring will manifest itself as a headache different localization and intensity. This syndrome is characterized by:
  • Speech disorders.
  • Deterioration of smell.
  • Decreased sensitivity of the tongue muscles.
  • Feeling of a lump in the throat.
  • Irregular breathing, snoring.
  • Unreasonable nasal congestion.

• Vertebral artery syndrome - throbbing pain, signaling compression of a blood vessel. Pain in superciliary area, temples, crown and occiput. Symptoms:
  • Dizziness.
  • Noise or ringing in the ears.
  • Light 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 vessels of the spine provide nutrition to important parts of the central nervous system, impaired blood circulation in the brain with cervical osteochondrosis is able to provoke the appearance of dangerous complications, in particular ischemic and hemorrhagic stroke.

What could be the consequences

Violation of 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 the heart rhythm - affects the heart rate.
• Respiratory - controls the act of inhalation and exhalation.
• Swallowing - coordinates swallowing.
• The pituitary-hypothalamus system - hormonal balance.

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

Violation of the blood supply to the brain in osteochondrosis is in the future vascular-neurological pathologies, the treatment of which is delayed for months. chronic insufficiency blood circulation - common cause dyscirculatory encephalopathy. dangerous complication is a stroke, the consequences of which cannot be predicted. The appearance of the first signs of cerebrovascular insufficiency in osteochondrosis of the neck requires urgent medical care.

How to improve cerebral circulation in cervical osteochondrosis

Improvement of cerebral circulation in cervical osteochondrosis is achieved conservative methods. Of no small importance are physiotherapy, rehabilitation, correction of the menu and diet, physical activity.

Therapy of 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 the vascular collaterals.
• Restore the work of important centers.
• Increase blood rheology.
• Stop the progression of osteochondrosis.

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

Medical 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:

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

Preparations for the treatment of osteochondrosis should be prescribed by a doctor after complete examination patient.

Vascular drugs that have a positive effect on cerebral dynamics belong to several pharmacological groups. In case of insufficient blood circulation against the background of 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 of tissues - Meldonium (Mildronate).
• Angioprotectors - Diosmin (Phlebodia).
• Means that reduce vestibular disorders- Cinnarizine, Betahistine.

Medications	Pharmacological effects	Release forms
Vinpocetine	– Stimulates cerebral metabolism - Reduces blood viscosity – Improves microcirculation - Increases blood circulation to the brain – Antioxidant	Ampoules of 2.0 ml (5 mg / 1 ml) 5 mg tablets
Pentoxifylline	– Improves blood flow – Accelerates blood circulation – Increases microcirculation – Moderate myotropic – Vasodilator	Ampoules of 5 ml (20 mg / 1 ml) Tablets 100, 200, 400 mg
Mexidol	– Membrane protector – Antihypoxant – Nootropic – Antioxidant – Corrector of cerebral metabolism – Improves blood rheology - Hypolipidemic action	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 the distribution of blood in favor of the ischemic zone - 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
Betahistine	– 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 in the CIS countries, Eufillin (Theophylline), a purine group bronchodilator with the properties of a peripheral vasodilator, was previously widely prescribed. 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.

For the treatment of cerebral circulatory disorders in osteochondrosis in the CIS countries, Eufillin (Theophylline) was previously widely prescribed.

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

Exercises

Exercises to improve cerebral circulation are allowed to be performed after drug treatment and stabilization of the patient's condition. Gymnastics for osteochondrosis of the neck includes gentle head movements: tilts, turns and rotations, and the goal is to strengthen the cervical muscles, increase the tone of 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:

Exercise is contraindicated in:

• treatment vascular preparations.
• Acute attack of osteochondrosis, accompanied by pain.
• Intracranial and arterial hypertension.
• Acute cerebrovascular insufficiency.

Preventive measures

Prevention of cerebral circulation disorders in osteochondrosis will be the treatment and improvement of the cervical region. Execution of a series preventive requirements reduce risks destructive changes and will avoid compression of the neurovascular bundle. For this you need:

• Avoid hypodynamia of the neck - a provocateur of osteochondrosis.
• Organize sleeping place– hard mattress, orthopedic pillow.
• Support normal index body.
• Control the level of "bad" cholesterol.
• Timely treatment of cervical osteochondrosis.

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

At the beginning of the disease, when the decrease in blood circulation is hardly noticeable, the symptoms are irregular and smoothed out and do not require treatment. Patients do not always associate the appearance of dizziness, headache, deterioration of 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 a consequence of osteochondrosis as a violation of the blood circulation of the brain, the treatment of cervical osteochondrosis should be timely. Restoration of blood circulation is possible with adequate treatment with vascular drugs prescribed by a 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, circulatory disorders of the brain frequent complication. For the treatment of this condition, complex therapy is used, which includes taking medications, surgical intervention, non-drug methods.

The reasons

• Osteochondrosis of the cervical spine,. In the canal of the vertebral processes is the vertebral artery. When the vertebrae are displaced, the canal narrows, squeezing the artery occurs. As a result, the brain does not receive enough oxygen and nutrition, its blood supply is disturbed.
• Neck injury. Injury can be caused by improper performance exercise. The result is a displacement of the vertebrae and compression of the vertebral artery.
• Chronic fatigue, rapid fatigue, stressful situations can lead to failure throughout the body.
• Skull trauma.
• 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.

Venous outflow obstruction occurs due to mechanical obstacles(hernia, neoplasms in the cervical region, prolapsed discs), prolonged abuse of nicotine and alcohol, stroke, pressure surges, injuries.

Clinical picture

Encephalopathy. It's a pathology affecting the brain. It occurs due to a developing violation 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 are observed 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).

Ask your question to a neurologist for free

Irina Martynova. Graduated from the Voronezh State medical University them. N.N. Burdenko. Clinical intern and neurologist of BUZ VO "Moscow polyclinic".

Decompensation. It is characterized by irreversible changes in the brain. Diffusion occurs in tissues morphological changes. Symptoms of the disease are fully expressed, while patients cannot take care of themselves, and they need constant help.

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:

• decrease and hearing;
• unstable emotional background;
• decreased quality of sleep, 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, pathology of the respiratory system, increased blood pressure, pain in the back of the head, impaired motor skills of the hands.

In what case to the doctor?

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

?

To get started, a specialist questions and examines the patient in detail. Circulatory disorders are not always outwardly noticeable, therefore, 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 degree of damage to brain structures.
• cervical x-ray. Determines the condition of bones and intervertebral discs.
• Angiography allows you to fully examine the circulatory system and identify pathological zones.
• Doppler ultrasound shows areas circulatory system where blood flow is impaired.

Treatment

Medicines

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

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

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

The most famous:

• Acetylsalicylic acid;

Medicines are contraindicated for stomach and intestinal ulcers, renal and hepatic pathology, pregnancy, lactation, hypersensitivity.

Sick bronchial asthma application must be strictly controlled by a specialist.

Antiplatelet agents

Drugs from this group prevent the development of blood clots. The process of blood clotting involves the aggregation of platelets. It is at this stage that antiplatelet agents begin to act. They inhibit the aggregation process and do not allow blood to clot.

The drugs in this group have various mechanisms actions to prevent thrombus formation. 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, bleeding tendency, liver and kidney pathology.

Diuretics

Diuretics or diuretics designed to bring out excess fluid from 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 tubules of the kidneys and increase the rate of urine excretion. Due to this, fluid is removed from the tissues, and edema disappears. This group includes diuretics of plant and synthetic origin.

In hypertension, diuretics delay sodium salts in the body, remove excess water, thereby normalizing arterial pressure, intraocular and intracranial pressure.

The drugs also prevent epileptic seizures, protect the kidneys and heart, and relieve spasms. smooth muscle, facilitate the condition of a person with toxic poisoning.

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

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

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

Osmodiuretics

They are a type of diuretic.

Their mechanism of action is decrease in blood pressure, removing edema and removing fluid from the body. Filtration in the kidneys increases as a result of more blood flow to the renal glomeruli. Preparations:

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

Do not use osmodiuretics in chronic renal failure, severe dehydration, hemorrhagic stroke, subarachnoid bleeding, pulmonary edema.

Antioxidants

Antioxidants are capable of scavenging 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, CNS diseases, myocardial infarction, liver pathology.

Antipsychotics

Antipsychotics or antipsychotic drugs – psychotropic drugs used for neurological diseases, mental disorders, neuroses. Distinguish between old and new generation drugs.

The latter provide 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:

• Aminazin;
• Sonapax;
• Eglonil;
• 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, Afobazol, 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 agents

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 expand and pressure decreases. Neurotropic drugs reduce the tone of the sympathetic nervous system. They are divided into central (Clonidine, Methyldopa) and peripheral (sympatholytics, ganglioblockers and adrenoblockers).

Vasodilators directly affect the walls of blood vessels and expand them. Angiotensin inhibitors are the most commonly prescribed by physicians and have high efficiency. These include both emergency drugs and long-term drugs.

Also produce combined preparations, consisting of elements of different pharmacological groups.

Preparations:

• Cardura;
• Physiotens;
• Reserpine;
• Adelfan;
• Tenoric;
• Tarka;
• Ko-renitek.

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. Assign when shock states, to prevent thrombosis, to improve capillary blood flow. Preparations:

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

It is forbidden to use for craniocerebral injuries, accompanied by an increase intracranial pressure, oliguria, cerebral hemorrhage, heart failure, a tendency to allergies, with coagulation disorders.

Calcium channel blockers

Calcium ions activate bioenergy processes, which provide the implementation physiological functions cells. In high concentrations, they disrupt the 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 increasing and decreasing the tone of the nervous system and heart rate. All calcium antagonists relax the walls of the arteries. Preparations:

• Verapamil;
• Diltiazem;
• Nifedipine;
• Norvask;
• felodipine;
• Isoptin.

Contraindications to the use of drugs are: hypotension, acute infarction myocardial blockade, cardiogenic shock pronounced tachycardia.

Venotonics

Preparations 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;
• Phlebopha;
• Antistax;
• Venoruton;
• Diosmin.

Contraindicated in case of individual intolerance and the presence of allergic reactions.

Pregnant and lactating women should consult a physician before use.

Nootropics

Preparations restore blood circulation and nutrition of the brain, and also improve memory, attention, speech, speed up metabolic processes and protect the brain from hypoxia. Substances enhance metabolic processes in neurons and regulate microcirculation. Appoint:

• Cinnarizine;
• Nootropil;
• Phenotropil;
• Noopept;
• Lucetam.

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

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

• Cytoflavit;
• B group vitamins.

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

• Artra;

You can not use chondroprotectors during pregnancy, inflammatory processes in the stomach and intestines, with individual intolerance.

Synthetic histaminergic agents

Appointed with violations of the vestibular apparatus and activate histamine receptors. Assign for gait disorders. Preparations:

• Betaserc;
• Betahistine;
• Vestibo;
• Tagist;
• 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 thrombosis and improve venous return. These include:

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

Contraindications: hypersensitivity, pregnancy, lactation, parkinsonism, disorders of the liver and kidneys.

Alternative treatment

Herbal medicine is widely used in complex therapy with medicines and is considered the safest for the human body. Below are a few 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. The top can be covered with a woolen cloth for best effect. The procedure is repeated once a week.
• A fresh sheet of horseradish is applied to the neck, secured with a bandage and kept all night. You can apply 2-3 times a week before bed.
• Grate fresh potatoes 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 state of the body and promote speedy 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 effort should be made.

Kneading is carried out by grabbing the deep muscles of the neck, pressing and push-ups.

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

In this case, the person should be relaxed.

Be sure to watch this video

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

Physioapparatus

Manufacture of physio-devices for home use played an important role in the treatment of many diseases. With their help, you can carry out physical procedures without leaving your home.

• Elfor apparatus. Portable device. Therapeutic effect achieved through the action of galvanic current. Price: 3100-3200 rubles.
• Almag -01. Produced Russian company and renders therapeutic effect throughout the body with magnetic field. Improves blood circulation, metabolic processes in the body and promotes it quick recovery. Price: 9100 rubles.
• The device of magnetic impulse therapy "Health Line". It has anti-inflammatory, decongestant and analgesic effects, as well as improves blood circulation and restores cells and tissues. Price: 2500-3500 rubles.
• Apparatus laser therapy Orion Step. The device of the new generation is struggling with various ailments improves circulation and restores vitality organism. Price: 14400 rubles.
• . Designed to affect any part of the body. The mechanism of action is similar to acupuncture. The device soothes, relaxes the muscle and normalizes blood circulation. Price: 1450 rubles.

These devices are indispensable for treatment at home. The design of each device is developed according to all safety conditions, designed for self-massage.

• Vibrating massager VibraPulsar CS-v1. The device is suitable for exposure to any part of the body. The kit includes interchangeable nozzles to choose the most suitable massage mode. Price: 2350 rubles.
• Vibrating massager with infrared heating Active Power AMG105 from Gezatone. Has a relaxing effect on the muscles. There are two interchangeable nozzles. Price:2600-2800 rub.
• Vibrating massager VibraPulsar CS-v2 with intensive heating function. It is intended for carrying out intensive massage and warming up. Allows you to quickly relieve muscle tension. Price: 2800 rubles.
• 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 rubles.
• Myostimulator Pangao PG-2602A. The device allows you to carry out electromassage with low-frequency current in various modes. Effectively helps with osteochondrosis, normalizes blood circulation, relaxes muscles.

, gymnastics

1 exercise consists in the implementation of tilts forward, backward and to the sides. Movements should be smooth. After that, make circular movements with your head.

2 exercise. Starting position - standing with a straight back and arms bent at the elbows. Squeeze the brushes into a fist and gently tilt your head down, then return to the sp.

3 exercise. Move your head in a figure eight. Movements are carried out smoothly, breathing is even. The body must be completely relaxed. Make 7 moves.

Condition prevention

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

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

Compliance with these simple rules will help to avoid unpleasant diseases.

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

It is a dangerous disease that can affect not only the elderly, 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 the movable intervertebral discs in the cervical region. As a result, blood flow to the brain is reduced. Violation of 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, there are malfunctions in the process of blood circulation. The most common symptoms of pathology:

• Dizziness, which in severe cases can lead to loss of consciousness.
• Hearing loss and tinnitus.
• Problems with coordination of movements, up to a change in the patient's gait.
• Frequent and severe headaches.
• Vision problems.
• Change in the timbre of the voice, its weakness or hoarseness.
• Strong snoring during sleep.
• Numbness of the fingers.
• Pain in the neck, which can radiate to the shoulder, head, chest area.
• Toothache.

Medical treatment

Many patients are concerned about the question of how to improve cerebral circulation in cervical osteochondrosis? For this in without fail prescribed complex treatment.

The dosage of drugs and the treatment regimen should be prescribed by the doctor after an internal consultation.

In order to relieve inflammation in the neck, which negatively affects cerebral circulation, non-steroidal anti-inflammatory drugs are used. Their main active ingredient may be: diclofenac, nimesulide, ibuprofen. Such medicines 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 pathology - headache.

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

In order to eliminate the cause of circulatory disorders and try to restore cartilage, chondroprotectors are used: Don, 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: Neurobeks, Milgamma, Vitakson, 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 transmission of impulses, peripheral vasodilators are prescribed. They lower the tone of smooth muscles 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 Thiotriazoline. The tool stabilizes metabolism in brain tissues, improves blood circulation, improves memory and eliminates the effects of stress. Like Piracetam, it can be taken as a tablet, or as an intravenous injection.
• Vinpocetine (Cavinton). It increases blood flow and improves metabolism in the brain and promotes the utilization of glucose. Assign it in the form of tablets, which must be taken for 2 months.
• Phezam (Neuro-norm). The composition of the product includes Piracetam in combination with Cinnarizine. It eliminates hypoxia, dilates blood vessels, improves blood circulation. The components included in its composition enhance the effect of each other, while not increasing the toxicity of the drug.

Example of packaging, one of the drugs listed above.

Antioxidants

To improve cerebral circulation provoked 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 allows you to get rid of inflammation and improve blood circulation.

It must be remembered that cerebrovascular accident provoked by osteochondrosis cannot be cured quickly. And in the event that there is irreversible damage to the cervical spine, it is almost impossible to get rid of it with the help of medicines. Therefore, at the first signs of the disease, it is worth seeking the advice of a specialist.