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  1. Заболевания
  2. Заболевания нервной системы

Невралгия шейного отдела причины, симптомы, методы лечения и профилактики

Дата публикации: 04.04.2019

Дата проверки статьи: 25.11.2019

Невралгия шейного отдела подразумевает сдавливание нервных окончаний в шейном области позвоночника. Болезнь характеризуется осложнениями, если одновременно с этим у пациента имеются другие заболевания, например сахарный диабет. Недуг прогрессирует при нарушениях работы скелета и других провоцирующих факторов.

Содержание статьи

Причины невралгии

Клиническая картина при сдавливании нервных окончаний в шейном отделе разнообразна. Заболевание имеет яркую симптоматику, не заметить проявления невралгии не удастся. При появлении следующих признаков требуется обратиться к невропатологу:

  • пульсирующие болезненные ощущения в области затылка;
  • стреляющий болевой синдром;
  • симптомы мигрени;
  • в редких случаях дискомфорт имеет двусторонний характер;
  • любое касание шеи или затылка провоцирует усиление болезненных ощущений;
  • при движении шеей дискомфорт усиливается;
  • ощущение разрыва в голове;
  • увеличение интенсивности симптомов во время чиха или кашля;
  • при ярком источнике света невралгия шейного отдела сопровождается дискомфортом в глазах.
Кроме различных болей врачи отмечают следующую симптоматику:
  • при движениях шеей у больного появляется тошнота, в тяжёлых случаях возможна рвота;
  • ощущение холода, онемение поражённой области;
  • место сдавливания нервных окончаний краснеет;
  • усиленная работа слёзных желёз;
  • при длительном развитии болезни поражённая область утрачивает чувствительность.

Причины

Шейная невралгия подразумевает сдавливание нервных окончаний, находящихся в затылочной области. Корешки обладают высокой степенью чувствительности, при их ущемлении учащаются импульсы, возникают болезненные ощущения. Врачи выделяют несколько факторов, которые могут спровоцировать невралгию шейного отдела:

  • остеохондроз шейного отдела — наиболее частая причина защемления нервных корешков;
  • физические травмы шеи;
  • частые или сильные переохлаждения затылка;
  • перенапряжение мышечных тканей шеи;
  • неправильная осанка при выполнении сидячей работы;
  • новообразования доброкачественного или злокачественного характера в шейной области или головном мозге;
  • болезни аутоиммунного характера;
  • инфекционные недуги;
  • артрит подагрического характера;
  • повышенная концентрация сахара в кровеносной системе;
  • воспалительный процесс сосудистых каналов;
  • осложнения простудных недугов;
  • депрессивный синдром, частые эмоциональные переутомления.

Диагностика

Важно не только правильно поставить диагноз, но и установить причину возникновения шейной невралгии. Врач проводит визуальный осмотр, собирает анамнез. Пациенту назначают инструментальные методы диагностики:

  • рентгенография позволяет обнаружить изменение структуры костей;
  • компьютерная томография показывает состояние тканей на различной глубине;
  • магнитно-резонансная томография наиболее информативная процедура, позволяет изучить все слои при помощи электромагнитных волн.

Все

МРТ (магнитно-резонансная томография)

МРТ (магнитно-резонансная томография)

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Чек-ап (комплексное обследование организма)

Чек-ап (комплексное обследование организма)

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Компьютерная электроэнцефалография

Компьютерная электроэнцефалография

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Компьютерная топография позвоночника Diers

Компьютерная топография позвоночника Diers

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Дуплексное сканирование

Дуплексное сканирование

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УЗИ (ультразвуковое исследование)

УЗИ (ультразвуковое исследование)

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КТ (компьютерная томография)

КТ (компьютерная томография)

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Онко Чек-ап — бесплатная онлайн-консультация

Онко Чек-ап — бесплатная онлайн-консультация

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Лечение

На первоначальных стадиях курс лечения подразумевает использование лекарственных препаратов вместе с массажем. При игнорировании симптомов, отказе от лечения, несоблюдении советов врача единственный способ избавиться от сдавливания нервного корешка — оперативное вмешательство.

Медикаментозное лечение

При воспалении или сдавливании нервных окончаний в шейном отделе используют следующие медикаментозные средства:

  • миорелаксанты для устранения мышечных спазмов;
  • противосудорожные лекарства;
  • обезболивающие;
  • нестероидные противовоспалительные средства;
  • седативные лекарства;
  • витамины группы В.

Хирургическое лечение

При отсутствии эффекта от консервативной и медикаментозной терапии пациенту назначают оперативное вмешательство. Существует несколько способов лечения:

  • стимуляция нейронов при помощи электроимпульсов, таким образом блокируются болезненные ощущения;
  • декомпрессия, врачи оперируют сосуды, которые сдавливают нервные окончания.

Консервативная терапия

Вместе с лекарственными препаратами используют следующие способы борьбы с шейной невралгией:

массажные процедуры для устранения спазмов мышц, стимуляции кровообмена;

  • состояние покоя для поражённой области;
  • тепловые компрессы;
  • физиотерапия, для лечения шейной невралгии используют лазеротерапию и другие процедуры, которые составляются в индивидуальном порядке;
  • мануальная терапия;
  • иглоукалывание.

Все

Мануальная терапия

Мануальная терапия

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Физиотерапия

Физиотерапия

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Лечебный массаж

Лечебный массаж

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Изготовление индивидуальных ортопедических стелек Формтотикс

Ортопедические стельки

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Рефлексотерапия

Рефлексотерапия

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Озонотерапия

Озонотерапия

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Многофункциональный тренажер для реабилитации и фитнеса Reafit

Reafit

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Комплексная реабилитация на многофункциональном тренажере Aidflex MFTR

Aidflex

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Плазмотерапия

Плазмотерапия

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SVF-терапия суставов

SVF-терапия суставов

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Фармакопунктура

Фармакопунктура

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Детская ортопедическая диспансеризация

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Возможные осложнения

При отсутствии своевременной помощи ухудшается состояние поражённых нервных окончаний, прогрессируют разрушительные процессы. Болезненные ощущения принимают хронический характер, развивается кривошея, появляются психические расстройства.

Профилактика

Проще заниматься профилактикой шейной невралгии, чем лечением. Для снижения риска появления заболевания требуется придерживаться следующих правил:

  • соблюдать правила здорового питания, исключить жирную и острую пищу;
  • своевременно лечить простудные инфекционные болезни, принимать лекарственные препараты только после консультации врача;
  • ежедневно заниматься физической культурой;
  • для сна использовать ортопедическую подушку;
  • при сидячей работе раз в час выполнять гимнастику шеи.

Источники

  1. Боль в шейном отделении позвоночника Исайкин Алексей Иванович, 2012
  2. Повреждения верхнего шейного отдела позвоночника: диагностика, классификации, особенности лечения Рамих Эдвард Александрович, 2005

Отзывы пациентов

Точность диагностики и качественное обслуживание — главные приоритеты нашей работы. Мы ценим каждый отзыв, который оставляют нам наши пациенты.

Панина Валентина Викторовна

Актриса, заслуженная артистка РСФСР

Узнала о вас в интернете — нужно срочно сделать МРТ.

И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.

Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...

Будьте!!! Нам на радость! Ваша Панина В.В.

Открыть скан отзыва 
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	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


    [~PREVIEW_TEXT] => 

	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


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	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


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Сергей Шнуров

Российский рок-музыкант, киноактёр, телеведущий и художник.

Ц. М. Р. Т. «Петроградский» спасибо!

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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.

Открыть скан отзыва 
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Русанова

Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.

Открыть скан отзыва 
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!

Открыть скан отзыва 
Array
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    [CODE] => 
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    [~XML_ID] => 113
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Кузнецов В.А.

Очень отзывчивый администратор. Вежливая, культурная, добрая.

Открыть скан отзыва 
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Храброва В.Е.

Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.

Открыть скан отзыва 
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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.

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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.

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Санкт-Петербург
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Великий Новгород
Ленинградская обл.
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