In April, in May we set off to the water en masse with "all sticks" and a lot of different equipment. We float, we fly, spinningujemy…, we row, we dig in the ground. All that, after a long winter break and often in changing weather conditions. That is why some of us (at different ages) There are often unpleasant surprises on the part of the locomotor system, the so-called. shoulder belt. The shoulder belt is a complex of bones of various shapes, muscles, tendons, ligaments, kaletek maziowych, as well as nerves and blood vessels in the cervical spine and upper extremities. Anatomical structure of the cervical spine, though almost perfect, it is, under certain circumstances, the root cause of various troubles, mainly of a mechanical nature. A glance at sketches of the cervical spine will certainly help you understand the mechanism of pain in the neck and upper limbs, and also aware of the rules of our conduct.
What is "tortoiseshell" (also called "shot")? Simply put, this is the 'myalgia' of the short muscles in the neck, covering the back and side of the cervical spine. This so-called. The muscular corset stabilizes the entire cervical spine and moves it and the head! This function is extremely important. The symptoms of torticollis are most often like this:
1. sharply, in few minutes, there is a strong and distressing pain in one half of the neck and nape;
2. it is accompanied by a significant degree of stiffening that makes it impossible to turn the head to both sides, especially in the opposite direction to the bracing. Willing to look to the side or behind, we have to turn the whole body (hence the "shot");
3. the touch or pressure of the muscles on the side of the torticollis is vividly painful, and the muscle tension is significantly increased (the so-called. "Plank").
Thus, the phenomenon is muscle contraction and has character… defensive! And against what and what it protects so painfully and painfully? It protects the spinal cord and the nerve roots that come out of it, innervating our body. The spinal cord is an extension of the brain, "Covered" by the entire spine (see sketches). First of all, it protects against pressure on the nucleus pulposus, which is resilient (gel consistency) damper between the vertebral bodies – this is just a "disk". The nucleus pulposus may change its volume (swelling of the gel), and therefore also the diameter, and change the internal pressure. It's easy to see in the sketch, that increasing pressure in the "disk" causes it to "squeeze" backwards (the very essence of the matter) and forward (irrelevant). From above and below, the disc meets the hard vertebral bodies, which can also very rarely break down. The entire nucleus is surrounded by the so-called. fibrous ring, under normal conditions, sufficient protection against "squeezing" also towards the spinal cord and roots. All this can break under the influence of mechanical overload (especially multiple) or… direct cooling of the neck or nape, as well as hands and forearms, and even the legs!
In the way of complicated neurovascular reflexes (I will skip a very tight and lengthy explanation here) there is an increase in intranuclear pressure, stretching the fibrous ring, which directly irritates the sensory signal nerve. This irritation alarms the neck and neck muscle syndromes, which through their increased tension (kurcz-kręcz) correct the alignment of the entire spine, preventing further squeezing of the "disk" and pressing against the nerve root! And if there is already a root crease – we have brachial symptoms, covering the entire upper limb, often down to the fingertips. But about that – then. At this point, I will also add, that an identical mechanism causes the much better known low back and back pain, i.e. the so-called. lumbago. It typically occurs not only after lifting or bending down, but also after cooling (cold water bath, sitting on the ground in wet swimming trunks, sitting without insulation on wet ground from dew or rain). Therefore, let us beware of such mistakes over the water! If you pinch your neck he'll catch us in the field, it will be hard to get home. What do you have to do then?
1. turn my neck warmly, tread carefully as you go (any attempt to move your head will be very painful);
2. swallow polopyrin from our mini-cup (2 pills) and acenol or paracetamol (1 table.) Caution: other medications can also be taken, such as e.g. pyralgin or butapirazole or majamil or naproxen.
3. when you get home:
a) arrange as shown in the picture;
b) continue to take the medications mentioned above by 4-7 days, e.g.: Butapyrazole: 2 x dz. po 1 dr. (breakfast and dinner) or Majamil (50 mg): 2 x dz. po 1 tb the Naproxen (250 mg): 2 x dz. po 2 tb, and simultaneously with one of them:
Mydocalm forte in a dose 2 x dz. po 1 tb (it works to relax the muscles
c) can be rubbed before going to bed, sensitively, into sore muscles, e.g.. metindole ointment, and take a sleeping pill before going to bed (e.g.. relanium the hydroxisinę).
Usually the use of this procedure (necessarily with the relief of the spine by the head position shown) leads to the resolution of torticollis. However, this is a signal, that not everything is fine in our cervical spine. Therefore, we should consider its "requirements" as the main pillar-mast of our vertical posture.
Final remark: the drugs mentioned (pyralgin, butapyrazole, majamil = diclophenac, naproxen) can be used in the form of rectal suppositories, which work much faster and a bit stronger – also 2 x daily.