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Author: admin, 05.11.2014
Cervicocranial syndrome - is a painful condition cervico-occipital junction, resulting from head or neck (cervical spine) trauma or their chronic overload. The source of pain in the neck and head injury is chronic overload of supporting structures in this area (trauma or injury of the cervical spine). The whiplash mechanism of injury of the ligaments and muscles of the neck and brain during a car accident or a collision when skating, rollerblading, skiing or snowboarding, the injury of the neck and head during the fall. Acute traumatic neck (cervical spine) and the cervico-occipital junction injury occurs at falling, collision with another moving or stationary object, person (skiing, snowboarding, etc.). Sometimes the range of motion in the neck may be greater than cervical spine physiological norm. Localization of the typical muscle pain points in trauma (injury) or chronic overload the muscles and ligaments of the neck.
Because of the intensity of pain in the nape and neck in the cervical spine trauma or contusion, patient is unable to find a comfortable sleeping position.
Chronic neck (cervical spine) and the cervico-occipital junction trauma is formed by static load of repetitive motion over a long period of time (sedentary work). On the background of whiplash cervical spine injury and neck pain can occur irritation of the vertebral arteries, which extending in the transverse processes of the cervical vertebrae.
Localization of pain with whiplash neck, radiating from the neck to the area between the shoulder blades or below, in the shoulders.
It should be noted that in addition to neck and head pain (back of the head, temples, crown, forehead), patients may experience and vestibular disorders. At cervical-cranial syndrome are also possible complaints about tinnitus (ringing or buzzing in the ears) and head (cochlear manifestation), numbness of the face, nape, ear and tongue. Vertebral artery, extending in the transverse processes of the cervical vertebrae, can react with vascular spasm and dizziness. There is also Allen and Ferguson classification in cervical spine injuries and used in the specialized literature and in scientific research.


For the diagnosis of neck (cervical spine) injuries and cervical-cranial syndrome patient should consult with a doctor for neurological examination, where also should be evaluated cervical spine biomechanics changes (range of motion, muscle tone and strength, myofascial trigger in neck muscles, etc). Diagram segmental innervation on the surface of the body helps to clarify the level of localization of radiculopathy and spinal cord compression. Articular processes (facet joints) unilateral dislocation at the C6-C7 vertebrae level is usually manifested in the form of C7 nerve radiculopathy. Spinal cord compression neurological symptoms occur in cervical vertebrae bilateral dislocation case, which may be exacerbated with subluxation increase.
Magnetic resonance imaging (MRI) of the cervical spine (side view) helps in diagnosing damage to the discs and the determination of the position of the cervical vertebrae during their displacement. In case of the cervical spine injury, when conventional treatment does not give a positive effect, in the neck muscles and intervertebral joints can be produced injection of drugs (therapeutic blockade).
With a combination of a properly chosen physiotherapy, these injections can give to patient a good and long-lasting effect at headaches and neck pains after the whiplash injury.
Reduction of swelling, inflammation, pain and facet joints and neck muscles range of motion restoration in the cervical spine injury treatment is accelerating by physiotherapy. Using a neck brace (Philadelphia collar) in the treatment of sprains and traumatized facet joints after the cervical spine injury. Using a special neck brace (Philadelphia collar) or neck corset (Schantz bandage) limits the range of motion in the stretched ligaments and injured facet joints capsules at cervico-cranial syndrome (subaxial cervical spine injury). The use of a cervical corset (Philadelphia collar) in the treatment of sprains and the cervical facet joints injury after whiplash trauma. Due to the limitation of movement, using a neck brace (Philadelphia collar) or neck corset (Schantz bandage) eliminate pain symptoms in the neck and nape (cervico-cranial syndrome) much faster. It causes irritation of pain receptors in ligaments, intervertebral (facet) joints capsules, cervical spine muscles and aponeurosis in an occipital part of the skull (at the nape).
Cervical spine injury by occurrence time may be acute (because of motor vehicle accidents, falls, head impacts, falling neck and occipital injury), or chronic (a sedentary job, infant feeding, etc.).


By a similar cervical spine injury (contusion) mechanism is occurs a jerk in cervico-occipital junction and intervertebral joints. Then the probability of rupture of ligaments and muscles with subluxation of intervertebral (facet) joints and the odontoid process of C2 cervical vertebrae. Vestibular disorders because of irritation of the vertebral arteries, which are expressed dizziness and unsteadiness when walking, nausea and vomiting. Unilateral dislocation of the articular processes (facet joints) at the C5-C6 vertebrae level is usually manifested in the form of C6 nerve radiculopathy. In this case, the patient complains of muscle weakness during arms extension at the elbow (triceps), in wrist flexion, as well as numbness and tingling of the index and middle fingers. For this it suffices low doses of anesthetic (Novocaine, Lidocaine) and Cortisone, Diprospan or Kenalog, injected into the affected facet joint lumen. Neck brace (Philadelphia collar) and neck corset (Schantz bandage) creates additional support for a protective muscle tension and spasm, which is always formed in the patient because of the neck injury (cervical spine trauma).
This facilitates rapid range of motion restoration in stretched ligaments and injured facet joints after the cervical spine injury. Because of the cervical spine trauma occurs neck's muscles and ligaments sprain (anterior, posterior, lateral group, or its combinations). Acute pain in the cervical spine may cause hypothermia, rapid head movement (head turning aside or backward), uncomfortable neck position during sleep.
Sometimes the clinical manifestations of cervical-cranial syndrome lead to brain concussion misdiagnosis by some physicians. In this case, the patient complains of muscle weakness during wrist extension, fingers numbness and tingling.



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