Vertebrobasilar Insufficiency (VBI) | Pathophysiology, Risk Factors and Clinical Presentation.




Fixing Anterior Pelvic Tilt (FULL ROUTINE)

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The causes of arteries and vertebral muscles are all through one factor Ruby Vertebral Artery Syndrome-Nizhny Novgo Health College Doctorate and medical candidates, doctors with the highest and first academic qualifications, department heads.
Medical care provides a wide range of services for the treatment and diagnosis of gynecological diseases, surgical interventions and further observations. Health enables you to receive high-quality disease examinations and treatments under the supervision of professionals. On the basis of the day hospital, necessary programs have been formulated to reduce the deterioration of many diseases. Analysis, including during visits. Our partner is a laboratory that can provide a wide range of diagnostic services. They are carried out on expert-level equipment and can provide the most reliable and fastest research on the state of human tissues and internal organs. Health allows you to perform complex instrumental research on modern diagnostic equipment. In our medical center, you can perform ECG, ECG, rheology, ECG, as well as Holter monitoring of ECG and blood pressure. This is due to a variety of symptoms caused by the violation of the vertebral (or vertebral) artery blood flow. In recent decades, this pathology has become quite common, which may be related to the increase in the number of office workers and sedentary people who spend a lot of time on computers. If the earlier diagnosis was mainly for the elderly, the disease can even be diagnosed in 21-year-old patients today. Since any disease is easier to prevent than prevention, it is important for everyone to know the cause of vertebral artery syndrome, what symptoms it exhibits and how to diagnose this pathology. We will discuss this and the principles of hydrotherapy in this article.

Blood enters the brain through four large arteries: the left and right common carotid arteries and the left and right vertebrates. It should be noted that 71% to 86% of the blood passes through the carotid artery. Therefore, impaired blood flow usually leads to acute cerebral circulatory disease, namely ischemic stroke.
The vertebral artery only provides 16-31% of the blood in the brain. Normally, violation of the blood flow does not cause serious life-threatening problems-chronic diseases will occur, but this will greatly reduce the patient's quality of life and even lead to disability. The vertebral arteries are paired and originate from the subclavian artery, which runs from the left aorta to the right brachiocephalic trunk. The vertebral artery rises and moves slightly backward, passes through the common carotid artery, enters the opening of the transverse process of the sixth cervical vertebra, rises vertically through the similar openings of all overlying vertebrae, enters the cranial cavity through the foramen magnum, and then enters the brain to supply the back of the brain Blood: cerebellum, hypothalamus, body, midbrain, part-temporal lobe, parietal lobe, occipital lobe and posterior fossa dura. Before entering the cranial cavity, the branches are separated from the vertebral artery, and the vertebrae carry blood to the spinal cord and its membranes. Therefore, when the blood flow in the vertebral artery is disturbed, symptoms will appear, indicating that the part of the brain that it eats is hypoxic (hypoxia). The vertebral artery is in contact with the solid structure of the spine and the surrounding soft tissues over its entire length. Pathological changes in these tissues are the prerequisite for development. In addition, congenital characteristics and acquired arterial disease may be the cause. the
Diseases that cause reduction of arterial lumen: atherosclerosis, various arteritis (inflammation of the arterial wall), thrombosis and embolism. Cervical osteochondrosis, abnormal bone structure, trauma, scoliosis (these are vertebral diseases, which are related to the spine), and tumors of the neck tissue, its scarring changes, neck muscle spasms (these are non-vertebral disease).
Occurs simultaneously under the influence of multiple causal factors. On the left side, it is explained by the anatomical features of the left vertebral artery: it leaves the aortic arch where atherosclerosis often changes. The second major cause along with atherosclerosis is degenerative dystrophic disease, namely osteochondrosis. The bone tube through which the arteries pass is quite narrow and movable. If there are osteophytes in the transverse vertebrae area, they can squeeze the blood vessels and destroy the blood flow to the brain. Due to one or more of the above-mentioned reasons, the factor leading to the deterioration of the patient's health and appearance discomfort is a sharp turn or tilt of the head.
The main symptom at this stage is headaches: persistent headaches are exacerbated by head movements or prolonged obsessive postures, and are essentially baking, soreness or twitching, covering the occipital bones, temples and going straight forward.
Moreover, in the dystonia stage, patients complain of dizziness with varying intensity: from mild instability to rapid rotation, leaning, and the sensation of body falling. In addition to dizziness, patients often worry about tinnitus and hearing impairment. Various visual disturbances can also occur: sand, sparks, flashes, darkening of the eyes, and the color of the blood vessels will decrease when the fundus is examined. If the cause of the dystonia is not eliminated for a long time, the disease progresses and the next ischemic phase begins. At this stage, the patient is diagnosed with a transient cerebral circulation disease: transient ischemic attack. They represent sudden onset of severe dizziness, uncoordinated movements, nausea and vomiting, and speech disorders. As mentioned above, these symptoms are usually caused by sharp turns or tilts of the head. If this symptom occurs and the patient is in a horizontal position, they are highly likely to withdraw (disappear). After the attack, the patient will feel fatigue, weakness, tinnitus, sparks or flashes in the eyes, before the headache. Patients pay attention to intermittent transient sensory or movement disorders, visual and/or speech organ disorders, instability and dizziness, nausea, vomiting, diplopia, dysphagia).
The effectiveness of the treatment of this disease directly depends on the timeliness of its diagnosis: the earlier the diagnosis, the less difficult the Purdy recovery path will be.

First, the patient will be prescribed anti-inflammatory and anti-congestive drugs, namely non-steroidal anti-inflammatory drugs (meloxicam, nimesulide, celecoxib), vasoprotectants, and (tradogin).

To improve the blood flow through the vertebral artery, agarin, vinpocetine, cinnamazine, ergoline, ethinylestradione and other similar drugs are used. Neurons use Citicoline, Cerebrolysin, Mexidol, and Pyrazinamide. In order to improve metabolism, it is necessary to take malonate, trimetazidine or thiotriazolin not only in the nerves, but also in other organs and tissues (blood vessels, muscles). In order to relax the spastic striated muscle, the midbrain or tonsils, vascular smooth muscle-drotaverine, which the patient usually calls-will be used. For migraine attacks, use anti-migraine drugs, such as sumatriptan. In order to eliminate the mechanical factors that compress the vertebral artery, physical therapy (manual therapy, muscle relaxation after isometric measurement) or surgery can be prescribed to the patient. During the recovery period, neck band massage, physical therapy exercises, acupuncture and hydrotherapy are widely used. In this case, the main preventive measures are an active lifestyle and healthy sleep on comfortable sleep accessories (very much hope to be classified as a plastic surgeon). If your head and neck stay in one position for a long time (for example, working on a computer or activities related to continuous writing), it is strongly recommended that you take a break, during which you can perform exercises on the cervical spine. When the above complaints arise, you should not wait for their progress: the correct solution is to see a doctor in a short time. Fixing Anterior Pelvic Tilt (FULL ROUTINE)