Nowadays, in addition to neck and neck pains, we frequently encounter pain in the back, especially between two branches or on a branch, on the shoulder, in the arms and hands, and numbness in the hands. These. The most common conditions encountered in this region can be said as follows.
1- Tension type headache. Cervicogenic headache and severe hypertension 2- Cervical hernias. Calcification and . Pains that develop as a result of changing spinal posture are the most common problems.
3- Pains arising from muscles (myofascial pain syndrome, crooked neck, fibromyalgia and viral myalgias) are the most common conditions.
4- Pains arising from joints and ligaments are polymyalgia. rheumatic Jaw joint pains. Rheumatoid arthritis. Swan neck rheumatism of the neck.
5- Nerves extending from the neck to the arm. Numbness, discoloration or bruising in the arms and hands as a result of compression of the veins in the outlet between the neck and the armpit. Meltings in the hands (cervical rib. Anterior scalene stenosis)
6- Very rarely, tumors and inflammations of this area. Lung tumors, shoulder joint diseases.
In cervical disc herniations, there is pain and numbness in the arm and hand above the neck shoulder blade. It is usually unilateral. If the loss of strength is not very obvious in fresh cervical hernias. Medicine and a neck brace are often sufficient. It is often unnecessary to take an MRI immediately. In case of significant loss of strength in the elbow, changing neck movements, severe pain and numbness radiating from the neck to the arm and hand, an MRI is taken immediately and a situation requiring surgery is most likely encountered. Rarely, bilateral hernia may occur. Very rarely, it can be seen in situations that impair walking and cause urinary incontinence. In cervical hernias, only surgery to remove the hernia (simple microdiscectomy) can be performed, or if there is a possibility of collapse in the area where the hernia is removed, a bone-filled cage is placed there. Or, an artificial disc is placed to preserve the posture and mobility of the neck.
In cases of neck calcification, neck movements may be limited and painful. Here, it can often be observed that walking is impaired and walking as if it has been swallowed by a sword. When the neck is bent forward, a state of electricity spreading to the legs is felt.
In case of significant spinal cord compression or compression, the Surgeries are performed by approaching the island from behind. Here, the spinal canal is opened and expanded from behind. This is done in the form of full opening or slight spacing-lifting. In the frontal approach, the horns in the form of calcification on the edges of the vertebra are cleaned, if not enough, the front part of the vertebra or a few vertebrae are removed and cages filled with bone, bone stumps and metal plates are screwed into place, as appropriate.
It receives sensation in the forearm and hand and provides transmission to the muscles of this place. We call trap neuropathies when nerves get stuck in certain narrow passages. Here, pain, numbness and sometimes muscle wasting occur in certain areas, and if a good examination is performed, they can almost always be diagnosed. Only in cases of doubt, electrical examination and measurement, which we call emg, are needed. The three places we see most frequently in the forearm and hand are as follows.
The most common pain and numbness in the forearm and hand is pain and numbness in the inner parts of the forearm and hand, and in delayed cases, we see melting between the fingers. ulnar nerve cubital tunnel syndrome) nerve compression is encountered, where the nerve is usually taken from the groove where it is stuck and moved forward to a more comfortable space. Another ulnar nerve compression is the inner wrist (ulnar nerve Guyon tunnel) nerve compression, which is mainly caused by numbness in the inner part of the hand. Here, the hardened bridge band compressing the nerve is cut with microdissection. In fact, the most common situation we encounter is the thumb and especially the index finger. and numbness and burning in the middle fingers. It is carpal tunnel syndrome, which is rarely seen with melting in the palm of the hand on the side of the thumb. Here, the pain and numbness that occur when doing too much work during the day also appear at night, and patients try to relieve themselves by shaking their hands. Here, too, the compressing bridge band is found and cut by microdissection.
The more accurate the diagnosis in trap neuropathies, the faster the post-operative numbness and pain disappear, but muscle wasting improves very little and long-term physical therapy is required.
p>
Read: 0
