Cervical disc herniation

It is a lesion of the intervertebral disc with migration of the nucleus pulposus affecting one or more nerve roots of the brachial plexus that in the acute phase can generate particularly intense symptoms in the neck region with irradiation to the arm and hand.

Less frequent than hernias in the lumbar tract, they are prevalent in the population group between 35 and 50 years of age and mostly affect the female gender.

Symptoms in the arm often represent the most intense pain with numbness and a tingling sensation in the hand that can complain of a reduction in grip, it should be noted however that a pain radiating to the arm is not sufficient to diagnose the presence of a cervical hernia.

Confirmation of the diagnosis occurs with the first visit.

Chronic back pain

Molti pazienti lamentano una condizione cronica di dolore, un senso di inefficienza e precarietà che persiste nonostante i diversi percorsi terapeutici spesso già affrontati.

Il ventaglio delle terapie antalgiche disponibili in ambito sanitario più frequentemente prescritte dalla medicina generale come l’ossigeno ozono terapia, la tecar terapia o il massaggio miofasciale, va precisato, si occupano in prevalenza del sintomo e non della causa che lo ha determinato.

Quando un disturbo articolare resiste alle terapie convenzionali che potremmo definire palliative, è fondamentale rivalutare il caso clinico nella sua complessità indicando un percorso terapeutico sviluppato in funzione della diagnosi e dei fattori causali che lo hanno determinato.

Lumbar disc herniation

E’ una lesione del disco intervertebrale con migrazione del contenuto gelatinoso chiamato nucleo polposo che in alcuni casi può provocare un processo infiammatorio a carico di una o più radici del plesso nervoso periferico di riferimento.

In the case of involvement of the lumbar plexus we will speak of sciatica, if the manifestation is in the cervical plexus we will speak of brachial radiculitis or more generally of brachialgia.

It is important to underline that the diagnosis of a herniated disc is clinical and not by image, that is, the confirmation occurs with the initial visit where it will be possible to cross-reference the information acquired during the anamnestic phase, the clinical examination and the integration of the information of any instrumental examinations.li.

The presence of a hernial formation visualized in magnetic resonance imaging is therefore synonymous with discopathy, or disc disease and does not necessarily represent the cause of the pain, in fact there are different types of back pain and pain radiating to the limbs.

Migraine and Muscle Tension Headache

Muscle tension or cervicogenic headache is the most common type of headache, often severe in character, can severely limit the patient’s quality of life and easily lead to a real dependence on drugs to contain symptoms. In this case, it must be emphasized that painkillers and anti-inflammatories act as palliatives and their action is limited to the modulation of pain.

Cervicogenic headache, in general terms, can be related back to a chronic irritation of the cervical structure and of the related nerve endings that can generate a characteristic pain radiating from the occiput to the orbital area.

Correction and restoration of the functionality of the cervical area is effective both in the treatment of this type of headache and in the treatment of migraine headaches, suggesting in fact that their nature is not entirely vasomotor.

Cervicogenic Vertigo and Tinnitus

In normal conditions, the brain integrates continuous flows of information that come from neurological receptors located in the cervical spine and peripheral joints in synergy with afferent signals that come from the eye and the auricular vestibule.

The integration of this information in a real neurological dialogue between peripheral receptors and the brain determines control, vigilance and the correct balance of our body in the surrounding space.

A dysfunctional state of the cervical spine and consequently of the proprioceptors of the district involved as a result of, for example, a road accident or more generally of a pain condition in the cervical region, can interfere with this complex neurological activity of vigilance and limit its control.

The resulting symptom can vary from a sense of instability or slowing down to the most disabling form of vertigo, tinnitus is sometimes an associated symptom.

Restoring the functionality of the occipital complex effectively and quickly reduces vertigo and reduces the risk of recurrence.

Cervicalgia or Neck Pain

It is the generic name to indicate a sense of stiffness and pain in the neck region, it can be localized or radiating to the shoulders and head. Prevalent in the female gender, it is associated with sedentary and repetitive work activities.

In the more chronic forms, especially if associated with headache, neck dysfunctions can take on particularly disabling characteristics

Whiplash

Whiplash or distractive trauma is frequently underestimated especially in cases where the onset of pain is not immediate. Sometimes the symptoms affecting the affected area, usually the cervical spine, can arise after days or weeks.

In the clinical setting, the interval between the moment of the trauma and the onset of symptoms determines the severity and category of the injury

Painful shoulder

The shoulder is a structure of particular complexity that under efficient conditions moves through the combined action of its many muscle bundles. Anchor points with the back and anteriorly with the chest secure the scapula and humerus in the correct anatomical location.

Disequilibria between these joints caused by repetitive work rather than previous trauma can lead to joint imbalances and generate tendon inflammation, cause spontaneous pain or difficulty already in ordinary movements.

Subacromial conflict, insertional tenidopathies, capsulitis, periarthritis, and biceps long head pain are just some of the major pathologies that may account for the state of pain