NADO CENTER

Kranjčevićeva 36/1, Zagreb

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Dizziness

Diseases painful conditions of the spine

Very often we have patients who complain of dizziness (sometimes they have them for years) and which with all the medical help they cannot solve. They go through a series of tests, which usually show nothing, and even if they show (X-ray, MR) that there may be degenerative changes in the cervical spine or a minor problem in blood flow through the vertebral (carotid) arteries, there is usually no real solution.

Drug therapy (Betaserc, Ginko) is most often prescribed, and sometimes cervical spine exercise is also recommended, which often leads to worsening of the condition. We have noticed that in many cases vertigo is attributed to a psychological cause because no other cause is found.

The question is:

What causes such dizziness and what can be done to eliminate it?

The answers to these questions are very simple!

This sentence sounds incredible, but behind it are hundreds of successfully solved "enigmatic" dizziness. Just as many seemingly complicated things have a simple solution, so this problem has its simple solution. The answer to the first question is that cervicogenic vertigo is most often caused by a functional block in the posterior atlantooccital membrane (lat. Membrane atlantooccipitalis posterior) through which the vertebral arteries pass.

Often due to the load on the head position (when working at a computer, writing, forced bent position (hairdressers, dentists, workers at the production line, textile workers), concussion injury (traffic, jumping into the head, wearing a helmet), cold neck (sweating) , draft) causes the posterior ligamentous membrane to constrict, and thus to put pressure on the blood vessels, which can no longer perform their blood supply function normally.

The vertebro-basilar arterial system with its branches supplies blood to many parts of the medulla oblongata, parts of the cerebellum and cerebellum, and some nuclei of the cranial nerves. When the posterior membrane is in such a spastic state, we say that it is a functional block, because the condition can return to normal, and there is no pathology. Because there is no pathological condition, functional blocks are impossible to diagnose with usual medical examinations (X-ray, MR, CT, blood tests, color Doppler).

Unfortunately, physicians are not educated to diagnose and recognize functional blocks, nor to address them, although functional blocks in muscle, ligament, or connective tissue are very common and can cause major and objective health problems. This is an issue that will have to be addressed in the future, probably through educated highly educated physiotherapists (in the field of manual medicine) because doctors are objectively overburdened with current responsibilities.

We will try to bring this problem closer to the wider medical community through congresses and professional gatherings so that money is not wasted on expensive tests and medicines, so that patients can return to their condition as soon as possible, because both diagnosis and solution are simple.

To diagnose, it is necessary to place the patient in a supine position with the head rotated to one side and gently enter with a finger between the joint of the head and the first cervical vertebra (lat. Atlas) to the level below the muscles (atlantoaccipital joint) to feel the tension of the membrane (ligaments). which is manifested by greater or lesser pain to the touch, and then repeat it with the other side. Pain in that place is a sure sign of a spasm of the back membrane. There are several solutions to this problem, depending on the degree of ligament tension. Many types of manual therapy (massage of that part of the neck, osteopathy) have been shown to be successful . Acupuncture has also shown its effectiveness in these cases .

The acupuncture point (Chinese Tianzhu) anatomically corresponds to the projection of the vertebral artery. It has a direct effect on the parasympathetic nervous system and its functional disorders, vertigo, spasm of internal hollow organs and esophagus. Treating this point with an acupuncture needle in combination with other acupuncture points gives excellent results in occipital (occipital) headache, occipital stiffness, cervicodorsalgia (inflammation of the neck muscles and nerves), acute torticollis (crooked neck), scapular neuralgia (pain goes towards).

We at the Nado Polyclinic solve this problem with decompression therapy of the spine. With experience and work, we have perfected the stretching technique which relatively quickly (1-5 therapy), safely and effectively removes dizziness caused by functional blocks in the ligaments. If there are functional blocks associated with some other problems such as degenerative changes in the cervical spine then therapies are done longer (average 10 through 2 months).

Sometimes we combine traction therapy of the cervical spine with acupuncture for faster recovery of the patient. These methods are especially effective in acute conditions (up to 7 days), where already 1 - 3 therapies lead to complete loss of symptoms of dizziness, nausea, fatigue or dizziness.

Two vertebral (carotid) arteries start from the upper side of the subclavian artery near its beginning, each on one side of the body, enter the transverse processes (lat. Processus transversus) of the cervical vertebrae, starting from the 6th (C6), going up to the eponymous furrows on the first cervical vertebra (lat. atlas) through the part of the membrane atlanto-occipitalis and dura mater (envelope that wraps the spinal cord) and between the posterior arch of the atlas and occipital (occipital) bone enters through a large opening (lat. foramen magnum) on the skull in spinal canal. In the skull, two vertebral arteries merge into the basal artery (lat. Arteria basilaris), which participates in the formation of the Willis arterial ring (lat. Circulus arteriosus cerebri).

Clinical picture

Clinical syndrome of vertebo - basilar (VB) insufficiency consists of:

  • dizziness (vertigo) is the most common symptom of VB insufficiency (the patient has the impression that objects revolve around him (objective vertigo) or that he sinks, falls (subjective vertigo). It can be accompanied by nausea, vomiting, malaise).
  • transient visual disturbances - flash, color, loss of vision,
  • hemianopsia (loss of half of the visual field), complete loss of vision (these disorders occur due to ischemia in the area of ​​the posterior cerebral artery),
  • ataxia
  • syncope (short-term loss of consciousness), due to damage to the syncopal reflex in the elongated
    brain "drop" attack - a sudden loss of strength in the legs and a fall, without loss of consciousness, due to ischemia of the pyramidal pathways in the pons
  • diplopia (double images)
  • dysarthria (difficult pronunciation)
  • transient damage to cranial nerves
  • transient deafness
  • occipital (occipital) headaches
  • transient global amnesia
  • hemiparesis (deprivation of half of the body)
  • hemianesthesia (loss of sensation of touch on half of the body)

About us

Our vision is happy people with no problems in the spine and locomotor system.
That is why we strive to become one of the leading centers for non-operative spinal decompression therapy (DTK) and scoliosis treatment in the world.