What does pronounced throbbing in the neck mean? The carotid artery in the neck throbs

Sharply protruding and convoluted temporal arteries are noted in patients hypertension and atherosclerosis.

When examining the neck of a patient with aortic valve insufficiency, one can see the pulsation of the carotid arteries ("carotid dance"). In this case, a peculiar phenomenon can be observed, expressed in shaking the head (Musset symptom). It occurs as a result of a sharp pulsation of the carotid arteries with differences in maximum and minimum pressure. The symptom of "dance of carotids" is sometimes combined with pulsation of the subclavian, brachial, radial and other arteries and even arterioles ("pulsating man"). In this case, it is possible to determine the so-called precapillary pulse (Quincke's pulse) - rhythmic redness in the systole phase and blanching in the diastole phase of the nail bed with light pressure on its end (Fig. 36, a). The precapillary pulse can also be seen on the mucous membrane of the lips when glass is pressed on them (Fig. 36, b) or when the skin of the forehead is rubbed, as a result of which the color of the pulsating spot changes from hyperemia to pallor and vice versa.

Figure: 36. Determination of the capillary pulse in the area of \u200b\u200bthe nail bed (a) and on the lower lip (b).

IN upright position the patient's neck is sometimes found pulsating and swelling of the jugular veins, resulting from the difficulty of the outflow of venous blood into the right atrium. With difficulty in outflow through the superior vena cava, the veins of the head, neck, upper limbs, the front surface of the body and the blood is directed from top to bottom into the inferior vena cava system. If the outflow through the inferior vena cava is obstructed, the veins of the lower extremities, as well as the lateral surfaces of the abdominal wall, expand and the blood is directed from the bottom up to the superior vena cava system. If the outflow through the portal vein is obstructed, a network of collaterals develops around the navel and blood is directed through the dilated superficial veins to the system of the superior and inferior vena cava.

On the neck, you can see the pulsation and jugular veins ( venous pulse). Alternating swelling and falling of them reflect fluctuations in pressure in the right atrium, depending on the activity of the heart. A slowdown in the outflow of blood from the veins to the right atrium with an increase in pressure in it during atrial systole leads to swelling of the veins. The accelerated outflow of blood from the veins into the right atrium with a decrease in pressure in it during the systole of the ventricles causes the veins to collapse. Therefore, during systolic expansion of the arteries, the veins collapse - negative venous pulse.

In a healthy person, the swelling of the veins is clearly visible if he is in a supine position. When the position is changed to vertical, the swelling of the veins disappears. However, in cases of insufficiency of the tricuspid valve, exudative and adhesive pericarditis, emphysema of the lungs, pneumothorax, the swelling of the veins in the upright position of the patient is clearly visible. It is due to the stagnation of blood in them. For example, with insufficiency of the tricuspid valve, the right ventricle with each contraction throws out some of the blood back into the right atrium, which causes an increase in pressure in it, a slowdown in the flow of blood into it from the veins, and a strong swelling of the jugular veins. In such cases, the pulsation of the latter coincides in time with the systole of the ventricles and the pulsation of the carotid arteries. This is the so called positive venous pulse... To identify it, you need from the top jugular vein push the blood out with your finger and press the vein. If the vein quickly fills with blood, then this indicates its retrograde flow during systole from the right ventricle to the right atrium.

Figure: 37. Stokes collar (after A. L. Myasnikov, 1956).

A sharp expansion of the veins of the neck with a simultaneous sharp edema (Stokes collar; Fig. 37) is caused by compression of the superior vena cava.

Expansion of cutaneous veins in the area of \u200b\u200bthe sternum handle and anterior wall chest observed in tumors of the mediastinum, squeezing deep veins.

Pronounced pulsation in the epigastric region can occur due to contraction of an enlarged and hypertrophied right ventricle (cardiac impulse) or pulsation abdominal aorta... In this case, the pulsation caused by the right ventricle is better visible under the very xiphoid process, especially with a deep breath, in a standing position of the subject. The pulsation of the abdominal aorta is more clearly visible slightly lower than the previous one in the patient's supine position, especially on exhalation.

Liver pulsation is transmissive and true. The first is due to the transmission of heart contractions to the liver. In this case, the entire mass of the liver moves in one direction. True pulsation is expressed in an alternation of increase (swelling) and decrease in the volume of the liver. It is observed, for example, with insufficiency of the aortic valves, and the swelling of the liver coincides in time with the apical impulse. In this case, the pulsation of the liver is arterial. In case of insufficiency of the tricuspid valve, true venous pulsation of the liver is noted, which occurs as a result of regurgitation (reverse flow) of blood through an open hole from the right ventricle to the right atrium, and from there to the inferior vena cava and hepatic veins. The latter is responsible for the swelling of the liver.

1. How to palpate the pulsation of the internal jugular vein from the pulse on the carotid artery?

Normally, the jugular venous pulse is not palpable.

If the venous pressure is extremely high, then in some cases you can feel gentle undulating vibrations with your fingers.

Note:

and. Pressure on the supraclavicular region stops the jugular pulsation, but never eliminates the pulsation of the carotid artery.

However, there is one subtlety here that should be kept in mind. Very high and strong ripple the jugular vein does not disappear when pressing on the lower region of the supraclavicular space. In order to stop the high-amplitude pulsation of the jugular vein at high venous pressure, it is necessary to press at least in the middle of the neck (Fig.

Why does neck vein swelling occur?

Figure: 8. Very intense jugular pulsation does not disappear when pressed directly over the clavicle, possibly because the tendon of the sternocleidomastoid muscle prevents adequate compression of the jugular vein

b. A sudden and sharp pressure on the abdomen instantly makes the jugular pulsation more noticeable, but has no effect on the pulsation of the carotid artery.

How can the jugular pulsation be distinguished from the pulsation of the carotid artery by the contour of the pulse wave?

If the most pronounced rapid impulse is directed inward (i.e., is a collapse), then the source of the pulsation is the jugular veins. The most extensive and fastest pulse movements in the carotid artery are directed outward.

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SEE MORE:

Pulsation (lat.pulsatio, from pulsus - push) is a jerky vibration of the walls of blood vessels, the heart and adjacent tissues. Distinguish between physiological and pathological pulsation.

Pathological pulsation of the heart and blood vessels in the chest area, epigastric and hepatic pulsation are of diagnostic value.

A pronounced pulsation of the aorta can be found in the I or II intercostal space to the right of the sternum with cicatricial wrinkling of the right lung or due to a sharp expansion of the ascending part of the aorta (see Aortic aneurysm). Aortic pulsation can also be detected in the jugular fossa with sclerotic lengthening of the aorta and with expansion or aneurysm of its arch.

With an aneurysm of the unnamed artery, there is a "pulsating tumor" in the region of the sternoclavicular joint. Ripple pulmonary artery determined in the second intercostal space on the left in case of wrinkling of the left lung or expansion of the pulmonary artery (hypertension in the pulmonary circulation).

Tumors in contact with the heart or large vessels can cause abnormal pulsation in the chest area.

A sharp displacement of the heart in diseases of the respiratory system and a change in the location of the diaphragm leads, due to the displacement of the cardiac and apical impulse, to the appearance of unusual pulsation in the chest area: in the III, IV intercostal spaces on the left with significant wrinkling of the left lung and high standing of the diaphragm, in the III-V intercostal spaces behind the left midclavicular line with an accumulation of liquid or gas in the right pleural cavity, on the right in the IV-V intercostal space along the edge of the sternum with wrinkling of the right lung, with left-sided pneumo- or hydrothorax or dextrocardia.

The omission of the diaphragm with emphysema can lead to a displacement of the apical impulse down and to the right.

Arterial and venous pulsation is distinguished on the neck. Increased pulsation of the carotid arteries is observed with insufficiency of the aortic valves, aortic aneurysm, diffuse thyrotoxic goiter, and arterial hypertension.

One-wave pulsation of the jugular veins in pathological conditions can be both presystolic and systolic (positive venous pulse). The exact nature of the pathological pulsation of the veins is determined on the phlebogram (see). On examination, one can usually see a pronounced pulsation in the form of one wave, less often two, after atrial contraction (presystolic) or synchronously with ventricular systole (systolic).

The most characteristic is systolic pulsation of the jugular veins with simultaneous systolic pulsation of an enlarged liver with tricuspid valve insufficiency. Presystolic pulsation occurs with complete heart block, stenosis of the right venous orifice, sometimes with atrioventricular rhythm and paroxysmal tachycardia.

Epigastric pulsation can be caused by contractions of the heart, abdominal aorta, and liver.

Pulsation of the heart in this area is visible with a low standing of the diaphragm and a significant increase in the right heart. Abdominal aortic pulsation can be seen in healthy, thin individuals with flaccid abdominal wall; more often, however, it occurs in the presence of abdominal tumors in contact with the abdominal aorta, and sclerosis or aneurysm of the abdominal aorta. Hepatic pulsation is better defined by palpation right lobe liver. True pulsation of the liver is extensive in nature and is manifested by a rhythmic increase and decrease in the volume of the liver due to the changing filling of its vessels with blood (see.

Heart defects). The pulsation of the liver visible to the eye is determined with hemangioma.

Pathological pulsation of the arteries is observed with the compaction of the walls of blood vessels and increased cardiac activity in various pathological conditions of the body.

Graphical recording of pulsations using multichannel devices allows you to more accurately determine its nature.

What makes a vein in the neck pulsate and what to do

Vein swelling, accompanied by pulsation noticeable from the side, suddenly appearing in the submandibular region is a symptom that requires close attention, and sometimes the help of a qualified doctor.

About what to do if a vein in the neck is pulsating, and what this may signal - further.

Causes

In an absolutely healthy person who does not have serious health problems, pulsation can occur after high-intensity physical exertion.

In some patients, nerves are manifested in this way, while in others, the vein begins to pulsate as a reaction to severe stress.

With disease of the veins, heart, blood vessels or others internal organs symptomatology is not associated, as a rule, it does not carry any danger in case of a single occurrence. If you've noticed a link between stress and venous pulsation, you can consult with a neurologist.

The main reason for the occurrence of pulsation of veins in the neck: heart failure in the right ventricle, accompanied by stagnation of venous blood in the systemic circulation.

At the same time, the vein does not just pulsate, it swells and expands.

When a pulse wave appears on the neck, it is not only well palpable - it can be seen from the side.

Why is this happening

Cervical vein pulsation can occur when you have the following health problems:

• Thrombosis of large venous trunks.
• Arrhythmia.
• Heart or vascular disease (congenital or acquired).
• Pericarditis.
• Heart failure.
• Emphysema of the lungs.
• Mechanical effect on the superior vena cava (occurs with tumors or severe inflammation of neighboring organs).
• Goiter located behind the breastbone.
• Aneurysm thoracic aorta.
• Atherosclerosis of the thoracic aorta.
• Some other problems.

What to do

If you notice that the pulsation of a vein in the neck has begun to occur with a regular frequency, this is an alarming signal.

A doctor's consultation is required.

Responsible for the diagnosis and treatment of these symptoms are: the therapist and the cardiologist. They can refer you to narrower specialists, which include a rheumatologist, endocrinologist, oncologist, cardiac surgeon, pulmonologist.

Study

The primary examination when a patient complains that a vein in the neck is pulsating is a palpation examination.

The doctor evaluates:

1. central venous pressure;
2. venous pulse.

Note that pulsation can be caused by impaired blood outflow in the veins (venous) or in the arteries (arterial).

The doctor determines this during the initial examination.

One or more of the following tests may be needed to establish a more accurate diagnosis:

• MRI with contrast;
• Ultrasound of the neck and chest;
• puncture;
• duplex scanning of cervical vessels;
• multispiral CT of the cervical and thoracic regions;
• CT scan of the skull.

It is important to know: often the problem affects overweight people, so the doctor pays attention to the patient's complexion.

Pulsation in the head and neck: all possible causes, features, from what and how to be treated?

How is fat related to venous pulsation?

Fatty tissue directly affects cardiovascular system: on the one hand, fat is deposited around the heart, making it difficult for it to work; on the other hand, the heart has to work much more, because there is much more tissue in the body of a fat person and more blood needs to be transferred.

Treatment

Pulsation of the veins in the neck is only a symptom, and not an independent disease, therefore, when the final cause of the symptoms is identified and the diagnosis is made, the doctor treats the underlying disease.

When neoplasms are detected, therapy is aimed at removing them.

Heart failure and arrhythmia are treated with lifelong use medications... With aneurysm, atherosclerosis, and some other problems, the doctor may decide to perform an operation, but this practice is used if the vessels are severely pinched or blocked, which interferes with normal blood circulation.

If you notice a throbbing area on your neck once or twice, this does not mean that there is a serious danger to your health.

But regularly occurring pulsation is a symptom that you should definitely tell your doctor about, even if nothing else bothers you.

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Observation of the nature of the pulsation of the veins of the neck

By the level and nature of the pulsation of the veins of the neck, one can judge the state of the right heart. The pulsation of the internal jugular vein on the right most accurately reflects the state of hemodynamics. External jugular veins can be dilated or collapsed due to extracardiac influences - compression, venoconstriction. Although the right internal jugular vein is not visible, its pulsation is judged by the oscillation of the skin above the right clavicle - from the supraclavicular fossa to the earlobe, outward from the carotid artery.

Observation is carried out with the patient lying with the body raised - at 30-45 °, the neck muscles should be relaxed (Fig. 6).

Figure: 6. Visual determination of CVP (in a patient CVP \u003d 5 cm + 5 cm \u003d 10 cm H2O)

Normally, pulsation is noticeable only in the area of \u200b\u200bthe right supraclavicular fossa.

For each pulsation of the carotid artery, a double oscillation of the venous pulse is noted. In contrast to the pulsation of the carotid arteries, the pulsation of the vein is smoother, not felt on palpation and disappears if you press the skin over the collarbone.

Have healthy people in a sitting or standing position, the pulsation of the veins of the neck is not visible. According to the upper level of pulsation of the right internal jugular vein, it is possible to roughly determine the size of the CVP: the angle of the sternum is located at a distance of about 5 cm from the center of the right atrium, therefore, if the upper level of pulsation is not higher than the angle of the sternum (only in the supraclavicular fossa), the CVP is equal to 5 cm of water column, if the pulsation is not visible - CVP is below 5 cm of water.

art. (in these cases, pulsation is noticeable only when the body is in a horizontal position), if the level of pulsation is higher than the angle of the sternum, to determine the CVP, add 5 cm to the value of this excess, for example, if the upper level of pulsation exceeds the level of the angle of the sternum by 5 cm - CVP is 10 cm ( 5 cm + 5 cm) water.

art. Normally, CVP does not exceed 10 cm of water. Art. If the pulsation of the cervical veins is noticeable in the sitting position, the CVP is significantly increased, at least 15-20 cm of water.

art.
The venous pulse normally consists of two rises (positive waves "a" and "V") and two

When observing the pulsation of the cervical veins, it is easiest to identify:
1. Increased CVP - well noticeable pulsation of the veins of the neck in the sitting position, usually swelling of the external veins of the neck.
2. A sharp decrease in CVP (hypovolemia) in patients with a clinical picture of collapse or shock - no pulsation of the neck veins and collapse of the saphenous veins even in a horizontal position.
3.

Atrial fibrillation - the absence of a wave "a" of the venous pulse.
4.

Throbbing neck

Atrioventricular dissociation - irregular "giant" waves of the venous pulse.

When the palm is pressed on the stomach in the right hypochondrium, the so-called hepatojugular reflux is noted - an increase in the level of pulsation of the veins of the neck. Normally, this increase is short-lived, and in patients with congestive heart failure, it persists throughout the time of pressure on the liver area.

Determination of hepatojugular reflux is performed in patients with normal CVP, for example, after taking diuretics.

Most often, the sensation of pulsation in healthy people is provoked by stress, strong emotions, physical overload or a sharp change in the weather. In these cases, the discomfort is short-lived and goes away by itself.

At the same time, pulsation accompanies migraine, atherosclerosis, autonomic dysfunction and many other diseases, bringing the patient a lot of discomfort and anxiety. It can be considered alarming symptom, since without examination it is impossible to say what exactly it caused and whether it really does not speak about pathology. The reason is relatively harmless - autonomic dysfunction (VVD), for example, or very serious - a tumor, aneurysm.

Pulsation in the head can occur with noise, ringing in the ears, dizziness, panic attacks, it occurs in its various areas - the temples, the back of the head, in one half. Pathological pulsation can be long, repeated many times, and this is exactly the case when it is worth going to a doctor - a neurologist or therapist.

Pulsation of the cervical vessels is also possible, which can be physiological or associated with their atherosclerotic lesions, heart defects, arrhythmias, arterial hypertension. In this case, an examination is also necessary to exclude the pathological nature of the pulsation.

Causes of the pulsation of the vessels of the head

The causes of pulsation in the head are extremely varied. Among them are those diseases to which older people are more susceptible, and those that occur in young people, flowing asymptomatically for the time being. By the nature of the pulsation of the vessels, it is impossible to determine the exact cause of the appearance of this symptom. After a conversation with a patient and a simple examination, a specialist can only assume the pathology that provokes vascular disorders, and additional instrumental examinations will help to clarify it.

Pulsation in the head accompanies such diseases as:

• Vegetative dysfunction (vegetative-vascular dystonia (VVD);
• Degenerative changes in the cervical spine - hernia, osteochondrosis, instability, congenital developmental features;
• Vascular wall lesions - atherosclerosis, vasculitis;
• Aneurysm, vascular malformation;
• Head and neck neoplasms;
• ENT pathology;
• Glaucoma, incorrectly fitted glasses;
• Postponed craniocerebral trauma;
• Neuroses, neurasthenia and other psychiatric problems.

Arterial hypertension is one of the most frequent reasons throbbing in the head. This disease is also very common among people of mature and old age, for whom throbbing in the head is a familiar symptom.

With hypertension, arteries and arterioles are affected, first of all, which spasm from constant high pressure, as a result of which blood flow in the brain is disturbed. Against the background of a sharp rise in pressure - a crisis - the patient feels a pulsation in the temples, pain in the back of the head, dizziness and tinnitus are possible. The higher the pressure figure, the more pronounced and painful the pulsating feeling, but as the pressure readings decrease to normal, the symptoms gradually disappear.

Autonomic dysfunction is common among young adults, children, and adolescents. More often, female persons suffer from a violation, while the regulation of vascular tone by the autonomic nervous system is disturbed, as a result of which fluctuations in systolic pressure, pulse occur, and it is quite possible that a pulsating feeling even occurs in the throat.

Pulsation against the background of autonomic dysfunction is provoked by stress, emotional distress, physical overload and overwork. Smoking and alcohol abuse have a negative impact.

Pulsation with VSD is painless, but is often accompanied by other signs of autonomic disorder - sweating, facial flushing, discomfort and rumbling in the abdomen, cardialgia, a feeling of lack of air with increased breathing, weakness and reduced performance, low-grade fever. Mood swings are also characteristic panic attackswhich often help diagnose the cause of the pulsation.

Degenerative changes in the spine can be detected in almost every second adult inhabitant of the planet. This widespread pathology is facilitated by a sedentary lifestyle, sedentary work, excess weight... Herniated discs, anomalies in the development of the bone processes of the vertebrae, osteochondrosis cause compression of blood vessels and nerves, resulting in pain and pulsation in the back of the head, parietal areas. Pulsations are accompanied by numbness in the limbs, neck pain, fluctuations in blood pressure.

cerebral atherosclerosis

Structural changes in the vascular walls in the form of atherosclerosis, inflammation (vasculitis) can cause narrowing of their lumen and hemodynamic disturbances. When an artery is half-stenosed by an atherosclerotic plaque, the brain begins to experience hypoxia even with the active work of the collateral blood flow pathways. Patients with atherosclerosis of the arteries of the head complain not only of a feeling of pulsation, but also of noise, ringing in the ears and head, loss of memory and mental performance, they are prone to depression and apathy.

Inflammation of the vascular wall is called arteritis. It may be a consequence autoimmune disease, trauma, surgical intervention, infectious disease... In the acute period of vasculitis, pulsation occurs with intense headache, general weaknessperhaps worry.

An aneurysm or arteriovenous malformation is considered an extremely dangerous cause of pulsation of the vessels of the head. An aneurysm is a tangle of pathologically developed vessels that can be located in any part of the brain. Arteriovenous malformation is an interlacing of arterial and venous dysplastic vessels. These formations are almost always congenital, asymptomatic for a long time and can manifest themselves as periodic throbbing pain in a certain part of the head - in the temples, occiput, crown.

Since vascular anomalies are accompanied by a violation of the structure of the walls of the vessels that form them, under certain conditions their rupture can occur - with a pressure surge, trauma, severe stress. Rupture of blood vessels turns into hemorrhage in the substance of the brain or under its membranes, which is often fatal.

The feeling of pulsation depends on the size of the aneurysm - the larger it is, the more clearly the patient feels the pulsation. Small aneurysms may not be painful, but throbbing symptoms are usually troublesome. In addition to pulsation, other signs of malformation are also possible: noise in the head, memory loss, anxiety, and with large aneurysms, convulsions.

Pulsation without other symptoms can accompany medium-sized neoplasias, which press on the vessels from outside and impede blood flow through them. More often it appears in the morning and grows as the tumor grows. Pulsation in the head can be one of the first symptoms of tumor growth.

Inflammatory processes of the ENT organs, accompanied by the accumulation of exudate there, can manifest themselves as pulsating sensations in the head, a feeling of fluid transfusion from the affected ear. In addition, patients are worried about headaches, noise, whistling in the head, and progressive hearing loss.

Glaucoma, improperly selected glasses or refusal to use them with insufficient visual acuity create not only negative sensations in the eyes, provoke even greater vision problems, dizziness and a feeling of lightheadedness, but can also cause pulsation in the temples, frontal zone.

Such pulsation becomes more noticeable with an increase in intraocular pressure, eye strain when working with a computer, reading, it is accompanied by a headache.

Pulsation in the head in some cases accompanies traumatic brain injury. In the acute phase, it is combined with severe headache, vomiting, convulsions, and in severe cases, consciousness is also impaired. The consequence of injury can be recurrent bouts of pain and pulsation in the head.

Various neurotic disorders, schizophrenia and other psychiatric diseases often occur with pulsation in the head, which the patient can describe very colorfully, clearly identifying the place of its localization, which can complicate the diagnosis, because it is rather difficult to check whether the patient is telling the truth.

Neurasthenia is borderline disorder, which is provoked by stress, overwork, improper work and rest, individual characteristics of emotional response. Chronic stress nervous system sooner or later leads to its exhaustion, and the person turns into a neurasthenic patient who complains about constant fatigue, insomnia or drowsiness, irritability, decreased appetite, and bad mood... In addition to these complaints, pulsation in the head, soreness, noise, which intensify against the background of emotional experiences, are also characteristic.

In the case of schizophrenia and other psychotic disorders, the situation is more complicated: vague pulsation and noise can be part of the hallucinations that the patient is experiencing, and in addition to vivid description symptoms, the doctor is often faced with their exaggeration, which significantly complicates objective assessment symptoms.

Throbbing in the neck

The throbbing in the neck often becomes large diagnostic value with a variety of vascular and cardiac pathology, but it may be normal. Vibrations in the walls of blood vessels are noticeable with the naked eye in lean adults, crying children, but this does not necessarily indicate a disease, but it always requires clarification of the cause, if the pulsation becomes constant and clearly visible to others, accompanied by headaches or arrhythmias.

On the neck, both venous pulsation, most often associated with heart problems, and pulsation of the arteries are possible with damage to the vascular walls proper, hypertension, etc.

Pulsation of the cervical arteries

The most likely causes of very noticeable arterial pulsation are considered an aortic aneurysm (local expansion of the vessel lumen), formed in its initial section, arch, thoracic part, arterial hypertension, thyrotoxicosis with tachycardia and hypertensive crises, aortic valve insufficiency, when some of the blood returns to the left ventricle, creating additional pulsation of the carotid arteries and their branches, visible to the naked eye.

Insufficiency of the aortic valve can occur in elderly people with atherosclerosis, after suffering rheumatism or syphilitic damage to the vascular wall and valve. This vice has quite characteristic feature - the so-called "carotid dance", when the carotid arteries on the lateral surface of the neck contract in sync with the heart rate. In addition to the carotid arteries, the temporal, brachial arteries, the vessels of the arms and even the feet also pulsate with aortic valve insufficiency. Against the background of the pulsation of the carotid arteries, rocking movements of the head appear in time with the heartbeat.

Neck vein pulsation

Such defects as insufficiency of the tricuspid valve, narrowing of the mouth of the superior vena cava, as well as severe rhythm disturbances (paroxysmal tachycardia, complete AV block) provoke pulsation of the neck veins, however, it can also be noticed with severe stress and excitement.

Pulsation of the cervical venous trunks often accompanies pathology that occurs with an increase in central venous pressure. In healthy people, pulsation of the veins can also be traced on the lateral surface of the neck 4 cm above the sternum angle, but only in the supine position with the head of the bed raised. When standing up, venous pulsation normally disappears, and if it persists, then one can think about the pathology of the right half of the heart with its expansion and the formation of stagnation in the veins large circle blood circulation.

Venous congestion in the neck is accompanied by the expansion of the lumens of the vessels, their swelling and pulsation perceptible by the eye in accordance with the heartbeats, which is considered to be a consequence of the return of venous blood from the ventricle to the atrium through an incompetent tricuspid valve.

The pulsation of the veins of the neck can be called a positive venous pulse; it differs from the oscillation of the walls of the carotid arteries in less force and the inability to feel it when palpating. Clinical pulsation of the veins of the neck is manifested:

1. Swelling and pulsating vibrations of the venous walls in the neck to the lower jaw;
2. Expansion of the lumen of the veins when inhaling, pressing on the right hypochondrium;
3. Combination with swelling of the neck tissues, pulsating heartbeats, pulsation in the epigastric region.

The most likely causes of pulsation of the venous vessels of the neck are heart defects, especially tricuspid valve insufficiency, pericarditis, heart failure with congestion in the venous section, hemotamponade, pulmonary pathology (emphysema, pneumothorax), superior vena cava syndrome, large retrosternal goiter.

What to do if there is a throbbing sensation in the head or neck?

The throbbing in the head and neck is disturbing. Arising for the first time and unexpectedly, it can lead to panic and severe fear, because this symptom can speak of a number of serious diseases. Patients with migraine or VSD can get used to the repetitive pulsation without perceiving it as a symptom of a dangerous pathology, but this does not exempt from the need to visit a doctor.

Regardless of the reason, which the patient may even assume, the pulsation in the head or neck should be the reason for consultation with a specialist and examination. With such symptoms, one should go to a therapist, neurologist, phlebologist (with venous pulsation in the neck). The therapist can send for consultation to a cardiologist, endocrinologist, psychiatrist, ophthalmologist, oncologist, depending on other complaints and the result of the initial examination.

When talking with a doctor, it is important to clarify at what time of day the pulsation appears, whether it is associated with nervous or physical stress, weather changes, phase menstrual cycle a woman. In addition to pulsation, other symptoms should be described, if any (pain, dizziness, etc.).

With pulsation in the head, MRI, angiography, ultrasound with Doppler imaging of the vascular trunks of the head and neck, radiography are indicated cervical spine, encephalography. Venous pulsation often requires phlebography, echocardiography, and ECG. The exact list of examinations is made by a therapist or neurologist, suspecting specific causes of the pulsation.

Treatment for pulsations in the head and neck may consist in the appointment of analgesics, antihypertensive drugs, vascular drugs and nootropics, and in some cases, an operation is necessary - removal of a tumor, aneurysm, implantation artificial valve hearts. All patients with this symptom are advised to normalize the regimen, exclude stress and physical overload, observe a balanced diet and physical activity.

SHEIA.RU

Pulsing Vein In The Neck

What makes a vein in the neck pulsate and what to do

Vein swelling, accompanied by pulsation noticeable from the side, suddenly appearing in the submandibular region is a symptom that requires close attention, and sometimes the help of a qualified doctor. About what to do if a vein in the neck is pulsating, and what this may signal - further.

Causes

In an absolutely healthy person who does not have serious health problems, pulsation can occur after high-intensity physical exertion. In some patients, nerves are manifested in this way, while in others, the vein begins to pulsate as a reaction to severe stress. Symptoms are not associated with a disease of the veins, heart, blood vessels or other internal organs, as a rule, it does not carry any danger in a single occurrence. If you notice a link between stress and venous pulsation, you can consult a neurologist.

The main reason for the occurrence of pulsation of veins in the neck: heart failure in the right ventricle, accompanied by stagnation of venous blood in the systemic circulation.

At the same time, the vein does not just pulsate, it swells and expands.

When a pulse wave appears on the neck, it is not only well palpable - it can be seen from the side.

Why is this happening

Cervical vein pulsation can occur when you have the following health problems:

• Thrombosis of large venous trunks.
• Arrhythmia.
• Heart or vascular disease (congenital or acquired).
• Pericarditis.
• Heart failure.
• Emphysema of the lungs.
• Mechanical effect on the superior vena cava (occurs with tumors or severe inflammation of neighboring organs).
• Goiter located behind the breastbone.
• Aneurysm of the thoracic aorta.
• Atherosclerosis of the thoracic aorta.
• Some other problems.

What to do

If you notice that the pulsation of a vein in the neck has begun to occur with a regular frequency, this is an alarming signal.

A doctor's consultation is required. Responsible for the diagnosis and treatment of these symptoms are: the therapist and the cardiologist. They can refer you to narrower specialists, which include a rheumatologist, endocrinologist, oncologist, cardiac surgeon, pulmonologist.

Study

The primary examination when a patient complains that a vein in the neck is pulsating is a palpation examination.

Note that pulsation can be caused by disturbances in the outflow of blood in the veins (venous) or in the arteries (arterial). The doctor determines this during the initial examination.

One or more of the following tests may be needed to establish a more accurate diagnosis:

• MRI with contrast;
• Ultrasound of the neck and chest;
• puncture;
• duplex scanning of cervical vessels;
• multispiral CT of the cervical and thoracic regions;
• CT scan of the skull.

It is important to know: often the problem affects overweight people, so the doctor pays attention to the patient's complexion. How is fat related to venous pulsation?

Fatty tissue directly affects the cardiovascular system: on the one hand, fat is deposited around the heart, making it difficult for it to work; on the other hand, the heart has to work much more, because there is much more tissue in the body of a fat person and more blood needs to be transferred.

Treatment

Pulsation of the veins in the neck is only a symptom, and not an independent disease, therefore, when the final cause of the symptoms is identified and the diagnosis is made, the doctor treats the underlying disease.

When neoplasms are detected, therapy is aimed at removing them. Heart failure and arrhythmias are treated with lifelong medication. With aneurysm, atherosclerosis, and some other problems, the doctor may decide to perform an operation, but this practice is used if the vessels are severely pinched or blocked, which interferes with normal blood circulation.

If you notice a throbbing area on your neck once or twice, this does not mean that there is a serious danger to your health. But regularly occurring pulsation is a symptom that you should definitely tell your doctor about, even if nothing else bothers you.

Swelling and pulsation of the neck veins

Swelling and pulsation of the cervical veins is a characteristic symptom of increased central venous pressure. Normally, in a healthy person, pulsation of the cervical veins is permissible, which can be observed in the neck area four centimeters above the angle of the sternum. In this case, a person should lie on a bed with its headboard raised at an angle of forty-five degrees. It is with this position of the body that the pressure in the right atrium of the heart corresponds to ten centimeters of a water column. When changing the position of the body to vertical, the pulsation of the cervical veins should disappear.

Causes and factors of occurrence

The main cause of swelling and pulsation of the cervical veins is right ventricular heart failure with congestion of venous blood in the systemic circulation. In this case, stagnation in the veins of the neck is manifested by their expansion, swelling and visible systolic pulsation (positive venous pulse). This pulsation occurs as a result of the return (regurgitation) of blood from the right ventricle to the right atrium.

The pulsation of the cervical veins differs from the pulsation of the carotid arteries in a smaller amplitude, in the absence of its sensation on palpation. Also hallmark the dissonance between the pulsation in the radial artery and the pulsation of the veins in the neck serves: the pulse is usually weak on the radial artery, while the venous pulse wave is clearly and clearly visible on the neck.

Increased pulsation of the cervical veins and their swelling can be observed in healthy people during stressful situations, neuroses, excessive physical exertion.

Classification and signs

Signs of swelling and pulsation of the cervical veins are:

• visible slow throbbing and swelling of the veins of the neck up to the angle of the lower jaw and even in the hyoid region;
• in especially severe cases, swollen and dilated veins can also be found on the back of the hands;
• swelling of the veins of the neck during inhalation (Kusmaul symptom);
• swelling of the veins of the neck when pressing on the right hypochondrium;
• swelling in the neck;
• visible pulsation of the heart in the region of the anterior chest wall, epigastrium, liver.

What diseases occurs

Swelling and pulsation of the cervical veins can occur in the following pathological conditions:

• congenital and acquired defects of the heart and blood vessels (insufficiency of the tricuspid valve, aortic valve);
• heart failure;
• pericarditis (constrictive, exudative);
• cardiac tamponade;
• hepatojugular reflux;
• severe emphysema of the lungs;
• pneumothorax;
• compression of the superior vena cava by a tumor or pathologically altered adjacent organ;
• neoplastic process (tumor) in the mediastinal region;
• aneurysm or severe atherosclerosis of the thoracic aorta;
• retrosternal goiter;
• thrombosis of large venous trunks;
• arrhythmias (complete transverse heart block, heart rhythm from the atrioventricular node with the occurrence of a simultaneous contraction of the ventricles and atria).

Which doctors should you contact

If swelling and pulsation of the veins of the neck appears, it is necessary to consult a therapist, cardiologist. In the future, you may need to consult a rheumatologist, endocrinologist, pulmonologist, oncologist, cardiac surgeon.

Choose the symptoms that bother you, answer the questions. Find out how serious your problem is and whether you need to see a doctor.

Before using the information provided by the site medportal.org, please read the terms of the user agreement.

Terms of use

The medportal.org website provides services on the terms described in this document. By starting to use the website, you confirm that you have read the terms of this User Agreement before using the website, and accept all the terms of this Agreement in full. Please do not use the website if you do not agree with these terms.

All information posted on the site is for reference only, information taken from open sources is reference and is not an advertisement. The medportal.org website provides services that allow the User to search for medicines in the data received from pharmacies under an agreement between pharmacies and the medportal.org website. For the convenience of using the site, data on medicines, dietary supplements are systematized and brought to a single spelling.

The medportal.org website provides services that allow the User to search for clinics and other medical information.

Information posted in the search results is not a public offer. The administration of the site medportal.org does not guarantee the accuracy, completeness and (or) relevance of the displayed data. The administration of the site medportal.org is not responsible for any harm or damage that you may have suffered from access or inability to access the site or from the use or inability to use this site.

By accepting the terms of this agreement, you fully understand and agree that:

The information on the site is for reference only.

The administration of the site medportal.org does not guarantee the absence of errors and discrepancies regarding the declared on the site and the actual availability of goods and prices for goods in the pharmacy.

The user undertakes to clarify the information he is interested in by a phone call to the pharmacy or to use the information provided at his own discretion.

Administration of the site medportal.org does not guarantee the absence of errors and discrepancies regarding the working hours of clinics, their contact details - phone numbers and addresses.

Neither the administration of the site medportal.org, nor any other party involved in the process of providing information, is not responsible for the harm or damage that you may have suffered from the fact that you fully relied on the information set forth on this website.

The administration of the site medportal.org makes and undertakes to make further efforts to minimize discrepancies and errors in the information provided.

Administration of the site medportal.org does not guarantee the absence of technical failures, including with respect to the operation of the software. The administration of the site medportal.org undertakes to make every effort as soon as possible to eliminate any failures and errors if they occur.

The user is warned that the administration of the medportal.org site is not responsible for visiting and using external resources, links to which may be contained on the site, does not endorse their content and is not responsible for their availability.

The administration of the site medportal.org reserves the right to suspend the operation of the site, partially or completely change its content, amend the User Agreement. Such changes are made only at the discretion of the Administration without prior notice to the User.

You confirm that you have read the terms of this User Agreement, and accept all the terms of this Agreement in full.

Throbbing neck pain

Discomfort in the neck, pain significantly reduce the quality of human life. We have to limit ourselves in movements, reduce the workload. Throbbing neck pain is quite common and affects people over the age of 25. The sensation can be constant or coming.

Causes of throbbing pain

Common causes of throbbing neck pain include:

• Traumatic lesions of ligaments, vertebrae, muscles;
• Degenerative changes, including osteoarthritis;
• Infectious lesions bone tissue (osteomyelitis);
• Malignant, benign neoplasms;
• Immune disorders, including spondylitis, polymyalgia rheumatica;
• Reflected cervicalgia.

Most neck problems are caused by osteochondrosis. Intervertebral discs the cervical spine changes, resulting in intense pain. Local vessels and nerve endings also suffer.

With regard to injuries, the most dangerous is the whiplash. With it, power flexion or extension occurs. Most often it occurs in road accidents, in sports, fights. Traumatic pulsating pains include the state after sleeping in an uncomfortable position.

Severe pain in the neck often occurs as a result of metastasis of malignant tumors.

Diagnostic methods

Comprehensive studies may also be needed.

The diagnostic accuracy when contacting a competent specialist reaches 100%. The survey, depending on the nature of the problem, costs a cut.

How to identify the causes of neck pain?

With neck pain, first of all, you need to contact the doctors of the following specialties:

At the appointment, the doctor will conduct an examination, identify additional symptoms and draw up a medical history map. To have complete clinical picture the doctor may need the results of additional studies, as well as a complete history of the development of the disease. He will be interested in:

1. How long has the pain started?
2. What do you yourself associate the appearance of symptoms with?
3. Have you tried home treatment? What did you take?
4. Do you have other chronic medical conditions?

What to do with throbbing neck pain?

If you experience tangible discomfort, you can go through an online self-test on our website. It will take literally one minute to receive the alleged diagnosis and recommendations for visiting a specialist. But only a doctor will tell you what to do if you have throbbing neck pain.

For prevention, it is worth using individually selected orthopedic pillows. Corset collars will not be superfluous. Exercise therapy doctor will appoint remedial gymnastics... For various pathologies, it is extremely important to restore the impaired blood supply. Primary treatment includes:

• Massage;
• Traction traction of the spine;

In some cases, they resort to manual therapy, acupuncture.

How is neck pain treated?

Treatment is selected individually. It means taking analgesics, muscle relaxants, corticosteroids. Also, the doctor may suggest:

• Orthopedic assistance;
• Reflex therapy;
• Massages;
• LLL therapy;
• Surgical intervention;
• Ultrasound treatment;
• Physical education.

Obesity can be called one of the most common problems from which we suffer.

Discomfort, localized in the neck and back of the head, can occur due to multiplicity.

On lower limbs accounts for the most intense load when walking and performing pain.

The knee joint is considered one of the largest in the skeleton, and at the same time - the most vulnerable.

Copyright © zdorov.online. All rights reserved. Site Map

Materials from the portal can be used only by agreement with the copyright holder. 16+

The project was created in cooperation with the publishing house

Neck vascular pulsation

Pulsation is called vibrations of the walls of the heart, blood vessels and adjacent tissues. This process is of a natural physiological nature, but in some cases it can be a pathology, indicating the occurrence of certain diseases. The pulsation of the heart in the chest and vascular pulsations in the neck are of great diagnostic value. The main research method in this case is the execution of a phlebogram, since a graphic record obtained on the basis of data from multichannel sources allows you to accurately determine the nature of this process. There are the following types of cervical pulsation:

Venous. It is observed with insufficiency of the tricuspid heart valve, complete heart block, atrioventricular rhythm, stenosis of the right venous opening, paroxysmal tachycardia. It manifests itself in the form of one-, less often two-wave systolic pulsation of the jugular vein synchronously with the systolic contraction of the ventricles or after the presystolic contraction of the atria;

Arterial. It is observed with aortic aneurysm, arterial hypertension, diffuse thyrotoxic goiter, and aortic valve insufficiency. It is manifested by increased pulsation of the carotid artery and its branches.

ARITHMIA.INFO

Common types:

Symptoms:

The information on this site should not be used for self-diagnosis and treatment and cannot be a substitute for an in-person consultation with a doctor.

Throbbing neck pain

"Pulsating" as applied to the human body literally means - to vibrate, pound hard, unbearable.

Throbbing neck pain is a severe form of pain that causes unbearable discomfort and prevents a person from walking normally.

May significantly restrict neck movement.

In the hustle and bustle of today's life, we often experience such discomfort and try not to pay attention to it.

And completely in vain.

Causes of throbbing neck pain

Incorrect posture while sleeping. Common in those who have tried sleeping without a pillow.

Neck injuries. A blunt blow during a fight or accident can cause severe pain for a long time. Swelling of the affected part, discoloration of the skin clearly indicate damage to the neck. In such cases, normal head movement is seriously impaired and can be restored after a few months!

Sprained neck ligaments. Although the muscles in the neck are flexible and elastic, excessive physical exertion on this area can provoke overexertion, and in severe cases, muscle rupture. In this case, the only option is surgery.

Neck muscle spasm. It mainly happens due to severe stress, excessive physical activity... Read more in the article: Neck muscle spasm. Causes and treatment.

Cervical spondylosis. This is a condition where the discs and / or vertebrae of the neck area are damaged. This condition is usually diagnosed in older people. The main symptom of cervical spondylosis is stiffness and throbbing pain in the neck.

Treatment

To eliminate throbbing pain, anti-inflammatory and analgesic drugs (paracetamol, ibuprofen) are prescribed. Also used in the treatment of muscle relaxants: (diazepam) or their natural analogues: chamomile, bergamot, valerian, basil, peppermint and some others.

For treatment and prevention, special orthopedic pillows for sleeping and corset collars are used while awake.

For prevention, exercises for relaxing the muscles of the neck and therapeutic exercises are indispensable.

Right ventricular heart failure is also a very common cause of swelling and throbbing of the veins in the neck. With this disease, there is a stagnation of blood flow to the areas of the systemic circulation. Stressful situations, increased tension can aggravate symptoms.

Additional reasons

Also, the causes of severe swelling and pulsation of the veins in the neck can be its various injuries, skull injuries, injuries of the spine and spinal cord, prolonged stay in an uncomfortable position, tumors of human internal organs, as well as endocrine diseases.

Manifestations of vein swelling

The main signs of swelling and pulsation of the neck veins are: Noticeable slow pulsation and slight swelling of the neck veins near the jaw; Strong distended neck veins when oxygen enters the lungs; Swelling of the neck may occur.

Treatment of swollen and pulsating veins in the neck

If you find swollen veins and their throbbing in the neck, you do not need to immediately start to panic. Relax, get into a comfortable body position, and just rest for a while. If the symptoms and discomfort have disappeared and have not bothered you for several days, then bloating and throbbing most likely occurred due to overexertion, stress, a nervous breakdown, and the like.

The need to visit a doctor

If such discomfort occurs constantly and does not stop over a long period of time, then you need to contact a specialist. He will carry out the necessary diagnostics and examination, find out the cause and prescribe the appropriate treatment. In any case, self-medication in such a situation is strongly discouraged.

The pulsation of the heart in the chest and vascular pulsations in the neck are of great diagnostic value. The main research method in this case is the execution of a phlebogram, since a graphic record obtained on the basis of data from multichannel sources allows you to accurately determine the nature of this process. There are the following types of cervical pulsation:

Venous. It is observed with insufficiency of the tricuspid heart valve, complete heart block, atrioventricular rhythm, stenosis of the right venous opening, paroxysmal tachycardia. It manifests itself in the form of one-, less often two-wave systolic pulsation of the jugular vein synchronously with the systolic contraction of the ventricles or after the presystolic contraction of the atria;

Arterial. It is observed with aortic aneurysm, arterial hypertension, diffuse thyrotoxic goiter, and aortic valve insufficiency. It is manifested by increased pulsation of the carotid artery and its branches.

ARITHMIA.INFO

Common types:

Symptoms:

The information on this site should not be used for self-diagnosis and treatment and cannot be a substitute for an in-person consultation with a doctor.

Swelling and pulsation of the neck veins

Swelling and pulsation of the cervical veins is a characteristic symptom of increased central venous pressure. Normally, in a healthy person, pulsation of the cervical veins is permissible, which can be observed in the neck area four centimeters above the angle of the sternum. In this case, a person should lie on a bed with its headboard raised at an angle of forty-five degrees. It is with this position of the body that the pressure in the right atrium of the heart corresponds to ten centimeters of a water column. When changing the position of the body to vertical, the pulsation of the cervical veins should disappear.

Causes and factors of occurrence

The main cause of swelling and pulsation of the cervical veins is right ventricular heart failure with congestion of venous blood in the systemic circulation. In this case, stagnation in the veins of the neck is manifested by their expansion, swelling and visible systolic pulsation (positive venous pulse). This pulsation occurs as a result of the return (regurgitation) of blood from the right ventricle to the right atrium.

The pulsation of the cervical veins differs from the pulsation of the carotid arteries in a smaller amplitude, in the absence of its sensation on palpation. Also, a distinctive feature is the dissonance between the pulsation in the radial artery and the pulsation of the veins in the neck: the pulse is usually weak in the radial artery, while the venous pulse wave is clearly and clearly visible on the neck.

An increase in the pulsation of the cervical veins and their swelling can be traced in healthy people during stressful situations, neuroses, excessive physical exertion.

Classification and signs

Signs of swelling and pulsation of the cervical veins are:

• visible slow throbbing and swelling of the veins of the neck up to the angle of the lower jaw and even in the hyoid region;
• in especially severe cases, swollen and dilated veins can also be found on the back of the hands;
• swelling of the veins of the neck during inhalation (Kusmaul symptom);
• swelling of the veins of the neck when pressing on the right hypochondrium;
• swelling in the neck;
• visible pulsation of the heart in the region of the anterior chest wall, epigastrium, liver.

What diseases occurs

Swelling and pulsation of the cervical veins can occur in the following pathological conditions:

• congenital and acquired defects of the heart and blood vessels (insufficiency of the tricuspid valve, aortic valve);
• heart failure;
• pericarditis (constrictive, exudative);
• cardiac tamponade;
• hepatojugular reflux;
• severe emphysema of the lungs;
• pneumothorax;
• compression of the superior vena cava by a tumor or pathologically altered adjacent organ;
• neoplastic process (tumor) in the mediastinal region;
• aneurysm or severe atherosclerosis of the thoracic aorta;
• retrosternal goiter;
• thrombosis of large venous trunks;
• arrhythmias (complete transverse heart block, heart rhythm from the atrioventricular node with the occurrence of a simultaneous contraction of the ventricles and atria).

Which doctors should you contact

If swelling and pulsation of the veins of the neck appears, it is necessary to consult a therapist, cardiologist. In the future, you may need to consult a rheumatologist, endocrinologist, pulmonologist, oncologist, cardiac surgeon.

Choose the symptoms that bother you, answer the questions. Find out how serious your problem is and whether you need to see a doctor.

Before using the information provided by the site medportal.org, please read the terms of the user agreement.

Terms of use

The medportal.org website provides services on the terms described in this document. By starting to use the website, you confirm that you have read the terms of this User Agreement before using the website, and accept all the terms of this Agreement in full. Please do not use the website if you do not agree with these terms.

All information posted on the site is for reference only, information taken from open sources is reference and is not an advertisement. The medportal.org website provides services that allow the User to search for medicines in the data received from pharmacies under an agreement between pharmacies and the medportal.org website. For the convenience of using the site, data on medicines, dietary supplements are systematized and brought to a single spelling.

The medportal.org website provides services that allow the User to search for clinics and other medical information.

Information posted in the search results is not a public offer. The administration of the site medportal.org does not guarantee the accuracy, completeness and (or) relevance of the displayed data. The administration of the site medportal.org is not responsible for any harm or damage that you may have suffered from access or inability to access the site or from the use or inability to use this site.

By accepting the terms of this agreement, you fully understand and agree that:

The information on the site is for reference only.

The administration of the site medportal.org does not guarantee the absence of errors and discrepancies regarding the declared on the site and the actual availability of goods and prices for goods in the pharmacy.

The user undertakes to clarify the information he is interested in by a phone call to the pharmacy or to use the information provided at his own discretion.

Administration of the site medportal.org does not guarantee the absence of errors and discrepancies regarding the working hours of clinics, their contact details - phone numbers and addresses.

Neither the administration of the site medportal.org, nor any other party involved in the process of providing information, is not responsible for the harm or damage that you may have suffered from the fact that you fully relied on the information set forth on this website.

The administration of the site medportal.org makes and undertakes to make further efforts to minimize discrepancies and errors in the information provided.

Administration of the site medportal.org does not guarantee the absence of technical failures, including with respect to the operation of the software. The administration of the site medportal.org undertakes to make every effort as soon as possible to eliminate any failures and errors if they occur.

The user is warned that the administration of the medportal.org site is not responsible for visiting and using external resources, links to which may be contained on the site, does not endorse their content and is not responsible for their availability.

The administration of the site medportal.org reserves the right to suspend the operation of the site, partially or completely change its content, amend the User Agreement. Such changes are made only at the discretion of the Administration without prior notice to the User.

You confirm that you have read the terms of this User Agreement, and accept all the terms of this Agreement in full.

Throbbing neck pain

"Pulsating" as applied to the human body literally means - to vibrate, pound hard, unbearable.

Throbbing neck pain is a severe form of pain that causes unbearable discomfort and prevents a person from walking normally.

May significantly restrict neck movement.

In the hustle and bustle of today's life, we often experience such discomfort and try not to pay attention to it.

And completely in vain.

Causes of throbbing neck pain

Incorrect posture while sleeping. Common in those who have tried sleeping without a pillow.

Neck injuries. A blunt hit during a fight or accident can cause severe pain for a long time. Swelling of the affected part, discoloration of the skin clearly indicate damage to the neck. In such cases, normal head movement is seriously impaired and can be restored after a few months!

Sprained neck ligaments. Although the muscles in the neck are flexible and elastic, excessive physical exertion on this area can provoke overexertion, and in severe cases, muscle rupture. In this case, the only option is surgery.

Neck muscle spasm. It mainly happens due to severe stress, excessive physical exertion. Read more in the article: Neck muscle spasm. Causes and treatment.

Cervical spondylosis. This is a condition where the discs and / or vertebrae of the neck area are damaged. This condition is usually diagnosed in older people. The main symptom of cervical spondylosis is stiffness and throbbing pain in the neck.

Treatment

To eliminate throbbing pain, anti-inflammatory and analgesic drugs (paracetamol, ibuprofen) are prescribed. Also used in the treatment of muscle relaxants: (diazepam) or their natural analogues: chamomile, bergamot, valerian, basil, peppermint and some others.

For treatment and prevention, special orthopedic pillows for sleeping and corset collars are used while awake.

For prevention, exercises for relaxing the muscles of the neck and therapeutic exercises are indispensable.

Comments

Diseases

New publications

All materials are for informational purposes only!

SHEIA.RU

Pulsing Vein In The Neck

What makes a vein in the neck pulsate and what to do

Vein swelling, accompanied by pulsation noticeable from the side, suddenly appearing in the submandibular region is a symptom that requires close attention, and sometimes the help of a qualified doctor. About what to do if a vein in the neck is pulsating, and what this may signal - further.

Causes

In an absolutely healthy person who does not have serious health problems, pulsation can occur after high-intensity physical exertion. In some patients, nerves are manifested in this way, while in others, the vein begins to pulsate as a reaction to severe stress. Symptoms are not associated with a disease of the veins, heart, blood vessels or other internal organs, as a rule, it does not carry any danger in a single occurrence. If you notice a link between stress and venous pulsation, you can consult a neurologist.

The main reason for the occurrence of pulsation of veins in the neck: heart failure in the right ventricle, accompanied by stagnation of venous blood in the systemic circulation.

At the same time, the vein does not just pulsate, it swells and expands.

When a pulse wave appears on the neck, it is not only well palpable - it can be seen from the side.

Why is this happening

Cervical vein pulsation can occur when you have the following health problems:

• Thrombosis of large venous trunks.
• Arrhythmia.
• Heart or vascular disease (congenital or acquired).
• Pericarditis.
• Heart failure.
• Emphysema of the lungs.
• Mechanical effect on the superior vena cava (occurs with tumors or severe inflammation of neighboring organs).
• Goiter located behind the breastbone.
• Aneurysm of the thoracic aorta.
• Atherosclerosis of the thoracic aorta.
• Some other problems.

What to do

If you notice that the pulsation of a vein in the neck has begun to occur with a regular frequency, this is an alarming signal.

A doctor's consultation is required. Responsible for the diagnosis and treatment of these symptoms are: the therapist and the cardiologist. They can refer you to narrower specialists, which include a rheumatologist, endocrinologist, oncologist, cardiac surgeon, pulmonologist.

Study

The primary examination when a patient complains that a vein in the neck is pulsating is a palpation examination.

Note that pulsation can be caused by disturbances in the outflow of blood in the veins (venous) or in the arteries (arterial). The doctor determines this during the initial examination.

One or more of the following tests may be needed to establish a more accurate diagnosis:

• MRI with contrast;
• Ultrasound of the neck and chest;
• puncture;
• duplex scanning of cervical vessels;
• multispiral CT of the cervical and thoracic regions;
• CT scan of the skull.

It is important to know: often the problem affects overweight people, so the doctor pays attention to the patient's complexion. How is fat related to venous pulsation?

Fatty tissue directly affects the cardiovascular system: on the one hand, fat is deposited around the heart, making it difficult for it to work; on the other hand, the heart has to work much more, because there is much more tissue in the body of a fat person and more blood needs to be transferred.

Treatment

Pulsation of the veins in the neck is only a symptom, and not an independent disease, therefore, when the final cause of the symptoms is identified and the diagnosis is made, the doctor treats the underlying disease.

When neoplasms are detected, therapy is aimed at removing them. Heart failure and arrhythmias are treated with lifelong medication. With aneurysm, atherosclerosis, and some other problems, the doctor may decide to perform an operation, but this practice is used if the vessels are severely pinched or blocked, which interferes with normal blood circulation.

If you notice a throbbing area on your neck once or twice, this does not mean that there is a serious danger to your health. But regularly occurring pulsation is a symptom that you should definitely tell your doctor about, even if nothing else bothers you.

Throbbing neck pain

Discomfort in the neck, pain significantly reduce the quality of human life. We have to limit ourselves in movements, reduce the workload. Throbbing neck pain is quite common and affects people over the age of 25. The sensation can be constant or coming.

Causes of throbbing pain

Common causes of throbbing neck pain include:

• Traumatic lesions of ligaments, vertebrae, muscles;
• Degenerative changes, including osteoarthritis;
• Infectious lesions of bone tissue (osteomyelitis);
• Malignant, benign neoplasms;
• Immune disorders, including spondylitis, polymyalgia rheumatica;
• Reflected cervicalgia.

Most neck problems are caused by osteochondrosis. The intervertebral discs of the cervical spine change, resulting in intense pain. Local vessels and nerve endings also suffer.

With regard to injuries, the most dangerous is the whiplash. With it, power flexion or extension occurs. Most often it occurs in road accidents, in sports, fights. Traumatic pulsating pains include the state after sleeping in an uncomfortable position.

Severe pain in the neck often occurs as a result of metastasis of malignant tumors.

Diagnostic methods

Comprehensive studies may also be needed.

The diagnostic accuracy when contacting a competent specialist reaches 100%. The survey, depending on the nature of the problem, costs a cut.

How to identify the causes of neck pain?

With neck pain, first of all, you need to contact the doctors of the following specialties:

At the appointment, the doctor will conduct an examination, identify additional symptoms and draw up a medical history map. To have a complete clinical picture, the doctor may need the results of additional studies, as well as a complete history of the development of the disease. He will be interested in:

1. How long has the pain started?
2. What do you yourself associate the appearance of symptoms with?
3. Have you tried home treatment? What did you take?
4. Do you have other chronic medical conditions?

What to do with throbbing neck pain?

If you experience tangible discomfort, you can go through an online self-test on our website. It will take literally one minute to receive the alleged diagnosis and recommendations for visiting a specialist. But only a doctor will tell you what to do if you have throbbing neck pain.

For prevention, it is worth using individually selected orthopedic pillows. Corset collars will not be superfluous. The exercise therapy doctor will prescribe remedial gymnastics. For various pathologies, it is extremely important to restore the impaired blood supply. Primary treatment includes:

• Massage;
• Traction traction of the spine;

In some cases, they resort to manual therapy, acupuncture.

How is neck pain treated?

Treatment is selected individually. It means taking analgesics, muscle relaxants, corticosteroids. Also, the doctor may suggest:

• Orthopedic assistance;
• Reflex therapy;
• Massages;
• LLL therapy;
• Surgical intervention;
• Ultrasound treatment;
• Physical education.

Discomfort, localized in the neck and back of the head, can occur due to multiplicity.

Burning sensation and obvious discomfort during neck movements appear throughout life in almost everyone.

The knee joint is the most complex in structure in the human body. It connects.

Copyright © zdorov.online. All rights reserved. Site Map

Materials from the portal can be used only by agreement with the copyright holder. 16+

The project was created in cooperation with the publishing house

Pulsation in the head and neck: all possible causes, features, from what and how to be treated?

Many people are familiar with the feeling of pulsation in the head. This condition does not necessarily indicate a pathology, it is possible and normal under certain conditions. Most often, the sensation of pulsation in healthy people is provoked by stress, strong emotions, physical overload or a sharp change in the weather. In these cases, the discomfort is short-lived and goes away by itself.

At the same time, pulsation accompanies migraines, atherosclerosis, autonomic dysfunction and many other diseases, bringing the patient a lot of discomfort and anxiety. It can be considered an alarming symptom, since without an examination it is impossible to say what exactly it caused and whether it really does not speak about pathology. The reason is relatively harmless - autonomic dysfunction (VVD), for example, or very serious - a tumor, aneurysm.

Pulsation in the head can occur with noise, ringing in the ears, dizziness, panic attacks, it occurs in its various areas - the temples, the back of the head, in one half. Pathological pulsation can be long, repeated many times, and this is exactly the case when it is worth going to a doctor - a neurologist or therapist.

Pulsation of the cervical vessels is also possible, which can be physiological or associated with their atherosclerotic lesions, heart defects, arrhythmias, arterial hypertension. In this case, an examination is also necessary to exclude the pathological nature of the pulsation.

Causes of the pulsation of the vessels of the head

The causes of pulsation in the head are extremely varied. Among them are those diseases to which older people are more susceptible, and those that occur in young people, flowing asymptomatically for the time being. By the nature of the pulsation of the vessels, it is impossible to determine the exact cause of the appearance of this symptom. After a conversation with a patient and a simple examination, a specialist can only assume the pathology that provokes vascular disorders, and additional instrumental examinations will help to clarify it.

Pulsation in the head accompanies such diseases as:

• Vegetative dysfunction (vegetative-vascular dystonia (VVD);
• Degenerative changes in the cervical spine - hernia, osteochondrosis, instability, congenital developmental features;
• Vascular wall lesions - atherosclerosis, vasculitis;
• Aneurysm, vascular malformation;
• Head and neck neoplasms;
• ENT pathology;
• Glaucoma, incorrectly fitted glasses;
• Postponed craniocerebral trauma;
• Neuroses, neurasthenia and other psychiatric problems.

Arterial hypertension is one of the most common causes of pulsation in the head. This disease is also very common among people of mature and old age, for whom throbbing in the head is a familiar symptom.

With hypertension, arteries and arterioles are affected, first of all, which spasm from constant high pressure, as a result of which blood flow in the brain is disturbed. Against the background of a sharp rise in pressure - a crisis - the patient feels a pulsation in the temples, pain in the back of the head, dizziness and tinnitus are possible. The higher the pressure figure, the more pronounced and painful the pulsating feeling, but as the pressure readings decrease to normal, the symptoms gradually disappear.

Autonomic dysfunction is common among young adults, children, and adolescents. More often, female persons suffer from a violation, while the regulation of vascular tone by the autonomic nervous system is disturbed, as a result of which fluctuations in systolic pressure, pulse occur, and it is quite possible that a pulsating feeling even occurs in the throat.

Pulsation against the background of autonomic dysfunction is provoked by stress, emotional distress, physical overload and overwork. Smoking and alcohol abuse have a negative impact.

Pulsation with VSD is painless, but it is often accompanied by other signs of autonomic disorder - sweating, facial flushing, discomfort and rumbling in the abdomen, cardialgia, a feeling of lack of air with increased breathing, weakness and reduced performance, subfebrile fever. Mood swings, panic attacks are also characteristic, which often help diagnose the cause of the pulsation.

Degenerative changes in the spine can be detected in almost every second adult inhabitant of the planet. This widespread pathology is facilitated by a sedentary lifestyle, sedentary work, overweight. Herniated discs, anomalies in the development of the bone processes of the vertebrae, osteochondrosis cause compression of blood vessels and nerves, resulting in pain and pulsation in the back of the head, parietal areas. Pulsations are accompanied by numbness in the limbs, neck pain, fluctuations in blood pressure.

cerebral atherosclerosis

Structural changes in the vascular walls in the form of atherosclerosis, inflammation (vasculitis) can cause narrowing of their lumen and hemodynamic disturbances. When an artery is half-stenosed by an atherosclerotic plaque, the brain begins to experience hypoxia even with the active work of the collateral blood flow pathways. Patients with atherosclerosis of the arteries of the head complain not only of a feeling of pulsation, but also of noise, ringing in the ears and head, loss of memory and mental performance, they are prone to depression and apathy.

Inflammation of the vascular wall is called arteritis. It can be the result of an autoimmune disease, trauma, surgery, or an infectious disease. In the acute period of vasculitis, there is a throbbing with intense headache, general weakness, possibly anxiety.

An aneurysm or arteriovenous malformation is considered an extremely dangerous cause of pulsation of the vessels of the head. An aneurysm is a tangle of pathologically developed vessels that can be located in any part of the brain. Arteriovenous malformation is an interlacing of arterial and venous dysplastic vessels. These formations are almost always congenital, asymptomatic for a long time and can manifest themselves as periodic throbbing pain in a certain part of the head - in the temples, occiput, crown.

Since vascular anomalies are accompanied by a violation of the structure of the walls of the vessels that form them, under certain conditions their rupture can occur - with a pressure surge, trauma, severe stress. Rupture of blood vessels turns into hemorrhage in the substance of the brain or under its membranes, which is often fatal.

The feeling of pulsation depends on the size of the aneurysm - the larger it is, the more clearly the patient feels the pulsation. Small aneurysms may not be painful, but throbbing symptoms are usually troublesome. In addition to pulsation, other signs of malformation are also possible: noise in the head, memory loss, anxiety, and with large aneurysms, convulsions.

Pulsation without other symptoms can accompany medium-sized neoplasias, which press on the vessels from outside and impede blood flow through them. More often it appears in the morning and grows as the tumor grows. Pulsation in the head can be one of the first symptoms of tumor growth.

Inflammatory processes of the ENT organs, accompanied by the accumulation of exudate there, can manifest themselves as pulsating sensations in the head, a feeling of fluid transfusion from the affected ear. In addition, patients are worried about headaches, noise, whistling in the head, and progressive hearing loss.

Glaucoma, improperly selected glasses or refusal to use them with insufficient visual acuity create not only negative sensations in the eyes, provoke even greater vision problems, dizziness and a feeling of lightheadedness, but can also cause pulsation in the temples, frontal zone.

Such pulsation becomes more noticeable with an increase in intraocular pressure, eye strain when working with a computer, reading, it is accompanied by a headache.

Pulsation in the head in some cases accompanies traumatic brain injury. In the acute phase, it is combined with severe headache, vomiting, convulsions, and in severe cases, consciousness is also impaired. The consequence of injury can be recurrent bouts of pain and pulsation in the head.

Various neurotic disorders, schizophrenia and other psychiatric diseases often occur with pulsation in the head, which the patient can describe very colorfully, clearly identifying the place of its localization, which can complicate the diagnosis, because it is rather difficult to check whether the patient is telling the truth.

Neurasthenia is a borderline disorder that is triggered by stress, overwork, improper work and rest, individual characteristics of emotional response. Chronic stress of the nervous system sooner or later leads to its depletion, and the person turns into a neurotic patient who complains of constant fatigue, insomnia or drowsiness, irritability, decreased appetite and bad mood. In addition to these complaints, pulsation in the head, soreness, noise, which intensify against the background of emotional experiences, are also characteristic.

In the case of schizophrenia and other psychotic disorders, the situation is more complicated: vague pulsation and noise can be part of the hallucinations experienced by the patient, and in addition to a vivid description of the symptoms, the doctor often encounters their exaggeration, which significantly complicates an objective assessment of the symptoms.

Throbbing in the neck

Pulsation in the neck often acquires great diagnostic value in a variety of vascular and cardiac pathologies, but it can be normal. Oscillations of the walls of blood vessels are noticeable with the naked eye in thin adults, crying children, but this does not necessarily indicate a disease, but it always requires clarification of the reason if the pulsation becomes constant and clearly visible to others, accompanied by headaches or arrhythmias.

On the neck, both venous pulsation, most often associated with heart problems, and pulsation of the arteries are possible with damage to the vascular walls proper, hypertension, etc.

Pulsation of the cervical arteries

The most likely causes of very noticeable arterial pulsation are considered to be an aortic aneurysm (local expansion of the vessel lumen), formed in its initial section, arch, thoracic part, arterial hypertension, thyrotoxicosis with tachycardia and hypertensive crises, aortic valve insufficiency, when part of the blood returns to the left ventricle, creating additional pulsation of the carotid arteries and their branches, visible to the naked eye.

Insufficiency of the aortic valve can occur in elderly people with atherosclerosis, after suffering rheumatism or syphilitic damage to the vascular wall and valve. This defect has a rather characteristic feature - the so-called "dance of carotids", when the carotid arteries on the lateral surface of the neck contract in sync with the rhythm of the heart. In addition to the carotid arteries, the temporal, brachial arteries, the vessels of the arms and even the feet also pulsate with aortic valve insufficiency. Against the background of the pulsation of the carotid arteries, rocking movements of the head appear in time with the heartbeat.

Neck vein pulsation

Such defects as insufficiency of the tricuspid valve, narrowing of the mouth of the superior vena cava, as well as severe rhythm disturbances (paroxysmal tachycardia, complete AV block) provoke pulsation of the neck veins, however, it can also be noticed with severe stress and excitement.

Pulsation of the cervical venous trunks often accompanies pathology that occurs with an increase in central venous pressure. In healthy people, pulsation of the veins can also be traced on the lateral surface of the neck 4 cm above the sternum angle, but only in the supine position with the head of the bed raised. When standing up, venous pulsation normally disappears, and if it persists, then one can think about the pathology of the right half of the heart with its expansion and the formation of stagnation in the veins of the systemic circulation.

Venous congestion in the neck is accompanied by the expansion of the lumens of the vessels, their swelling and pulsation perceptible by the eye in accordance with the heartbeats, which is considered to be a consequence of the return of venous blood from the ventricle to the atrium through an incompetent tricuspid valve.

The pulsation of the veins of the neck can be called a positive venous pulse; it differs from the oscillation of the walls of the carotid arteries in less force and the inability to feel it when palpating. Clinical pulsation of the veins of the neck is manifested:

1. Swelling and pulsating vibrations of the venous walls in the neck to the lower jaw;
2. Expansion of the lumen of the veins when inhaling, pressing on the right hypochondrium;
3. Combination with swelling of the neck tissues, pulsating heartbeats, pulsation in the epigastric region.

The most likely causes of pulsation of the venous vessels of the neck are heart defects, especially tricuspid valve insufficiency, pericarditis, heart failure with congestion in the venous section, hemotamponade, pulmonary pathology (emphysema, pneumothorax), superior vena cava syndrome, large retrosternal goiter.

What to do if there is a throbbing sensation in the head or neck?

The throbbing in the head and neck is disturbing. Arising for the first time and unexpectedly, it can lead to panic and severe fear, because this symptom can speak of a number of serious diseases. Patients with migraine or VSD can get used to the repetitive pulsation without perceiving it as a symptom of a dangerous pathology, but this does not exempt from the need to visit a doctor.

Regardless of the reason, which the patient may even assume, the pulsation in the head or neck should be the reason for consultation with a specialist and examination. With such symptoms, one should go to a therapist, neurologist, phlebologist (with venous pulsation in the neck). The therapist can send for consultation to a cardiologist, endocrinologist, psychiatrist, ophthalmologist, oncologist, depending on other complaints and the result of the initial examination.

When talking with a doctor, it is important to clarify at what time of day the pulsation appears, whether it is associated with nervous or physical stress, weather changes, or the phase of a woman's menstrual cycle. In addition to pulsation, other symptoms should be described, if any (pain, dizziness, etc.).

With pulsation in the head, MRI, angiography, ultrasound with Doppler analysis of the vascular trunks of the head and neck, X-ray of the cervical spine, encephalography are indicated. Venous pulsation often requires phlebography, echocardiography, and ECG. The exact list of examinations is made by a therapist or neurologist, suspecting specific causes of the pulsation.

Treatment for pulsations in the head and neck may consist in the appointment of analgesics, antihypertensive drugs, vascular drugs and nootropics, and in some cases surgery is necessary - removal of a tumor, aneurysm, implantation of an artificial heart valve. All patients with this symptom are advised to normalize the regimen, exclude stress and physical overload, observe a balanced diet and physical activity.

The pulsation of the heart in the chest and vascular pulsations in the neck are of great diagnostic value. The main research method in this case is the execution of a phlebogram, since a graphic record obtained on the basis of data from multichannel sources allows you to accurately determine the nature of this process. There are the following types of cervical pulsation:

Venous. It is observed with insufficiency of the tricuspid heart valve, complete heart block, atrioventricular rhythm, stenosis of the right venous opening, paroxysmal tachycardia. It manifests itself in the form of one-, less often two-wave systolic pulsation of the jugular vein synchronously with the systolic contraction of the ventricles or after the presystolic contraction of the atria;

Arterial. It is observed with aortic aneurysm, arterial hypertension, diffuse thyrotoxic goiter, and aortic valve insufficiency. It is manifested by increased pulsation of the carotid artery and its branches.

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Common types:

Symptoms:

The information on this site should not be used for self-diagnosis and treatment and cannot be a substitute for an in-person consultation with a doctor.

Swelling and pulsation of the neck veins

Swelling and pulsation of the cervical veins is a characteristic symptom of increased central venous pressure. Normally, in a healthy person, pulsation of the cervical veins is permissible, which can be observed in the neck area four centimeters above the angle of the sternum. In this case, a person should lie on a bed with its headboard raised at an angle of forty-five degrees. It is with this position of the body that the pressure in the right atrium of the heart corresponds to ten centimeters of a water column. When changing the position of the body to vertical, the pulsation of the cervical veins should disappear.

Causes and factors of occurrence

The main cause of swelling and pulsation of the cervical veins is right ventricular heart failure with congestion of venous blood in the systemic circulation. In this case, stagnation in the veins of the neck is manifested by their expansion, swelling and visible systolic pulsation (positive venous pulse). This pulsation occurs as a result of the return (regurgitation) of blood from the right ventricle to the right atrium.

The pulsation of the cervical veins differs from the pulsation of the carotid arteries in a smaller amplitude, in the absence of its sensation on palpation. Also, a distinctive feature is the dissonance between the pulsation in the radial artery and the pulsation of the veins in the neck: the pulse is usually weak in the radial artery, while the venous pulse wave is clearly and clearly visible on the neck.

An increase in the pulsation of the cervical veins and their swelling can be traced in healthy people during stressful situations, neuroses, excessive physical exertion.

Classification and signs

Signs of swelling and pulsation of the cervical veins are:

• visible slow throbbing and swelling of the veins of the neck up to the angle of the lower jaw and even in the hyoid region;
• in especially severe cases, swollen and dilated veins can also be found on the back of the hands;
• swelling of the veins of the neck during inhalation (Kusmaul symptom);
• swelling of the veins of the neck when pressing on the right hypochondrium;
• swelling in the neck;
• visible pulsation of the heart in the region of the anterior chest wall, epigastrium, liver.

What diseases occurs

Swelling and pulsation of the cervical veins can occur in the following pathological conditions:

• congenital and acquired defects of the heart and blood vessels (insufficiency of the tricuspid valve, aortic valve);
• heart failure;
• pericarditis (constrictive, exudative);
• cardiac tamponade;
• hepatojugular reflux;
• severe emphysema of the lungs;
• pneumothorax;
• compression of the superior vena cava by a tumor or pathologically altered adjacent organ;
• neoplastic process (tumor) in the mediastinal region;
• aneurysm or severe atherosclerosis of the thoracic aorta;
• retrosternal goiter;
• thrombosis of large venous trunks;
• arrhythmias (complete transverse heart block, heart rhythm from the atrioventricular node with the occurrence of a simultaneous contraction of the ventricles and atria).

Which doctors should you contact

If swelling and pulsation of the veins of the neck appears, it is necessary to consult a therapist, cardiologist. In the future, you may need to consult a rheumatologist, endocrinologist, pulmonologist, oncologist, cardiac surgeon.

Choose the symptoms that bother you, answer the questions. Find out how serious your problem is and whether you need to see a doctor.

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Pulsing Vein In The Neck

What makes a vein in the neck pulsate and what to do

Vein swelling, accompanied by pulsation noticeable from the side, suddenly appearing in the submandibular region is a symptom that requires close attention, and sometimes the help of a qualified doctor. About what to do if a vein in the neck is pulsating, and what this may signal - further.

Causes

In an absolutely healthy person who does not have serious health problems, pulsation can occur after high-intensity physical exertion. In some patients, nerves are manifested in this way, while in others, the vein begins to pulsate as a reaction to severe stress. Symptoms are not associated with a disease of the veins, heart, blood vessels or other internal organs, as a rule, it does not carry any danger in a single occurrence. If you notice a link between stress and venous pulsation, you can consult a neurologist.

The main reason for the occurrence of pulsation of veins in the neck: heart failure in the right ventricle, accompanied by stagnation of venous blood in the systemic circulation.

At the same time, the vein does not just pulsate, it swells and expands.

When a pulse wave appears on the neck, it is not only well palpable - it can be seen from the side.

Why is this happening

Cervical vein pulsation can occur when you have the following health problems:

• Thrombosis of large venous trunks.
• Arrhythmia.
• Heart or vascular disease (congenital or acquired).
• Pericarditis.
• Heart failure.
• Emphysema of the lungs.
• Mechanical effect on the superior vena cava (occurs with tumors or severe inflammation of neighboring organs).
• Goiter located behind the breastbone.
• Aneurysm of the thoracic aorta.
• Atherosclerosis of the thoracic aorta.
• Some other problems.

What to do

If you notice that the pulsation of a vein in the neck has begun to occur with a regular frequency, this is an alarming signal.

A doctor's consultation is required. Responsible for the diagnosis and treatment of these symptoms are: the therapist and the cardiologist. They can refer you to narrower specialists, which include a rheumatologist, endocrinologist, oncologist, cardiac surgeon, pulmonologist.

Study

The primary examination when a patient complains that a vein in the neck is pulsating is a palpation examination.

Note that pulsation can be caused by disturbances in the outflow of blood in the veins (venous) or in the arteries (arterial). The doctor determines this during the initial examination.

One or more of the following tests may be needed to establish a more accurate diagnosis:

It is important to know: often the problem affects overweight people, so the doctor pays attention to the patient's complexion. How is fat related to venous pulsation?

Fatty tissue directly affects the cardiovascular system: on the one hand, fat is deposited around the heart, making it difficult for it to work; on the other hand, the heart has to work much more, because there is much more tissue in the body of a fat person and more blood needs to be transferred.

Treatment

Pulsation of the veins in the neck is only a symptom, and not an independent disease, therefore, when the final cause of the symptoms is identified and the diagnosis is made, the doctor treats the underlying disease.

When neoplasms are detected, therapy is aimed at removing them. Heart failure and arrhythmias are treated with lifelong medication. With aneurysm, atherosclerosis, and some other problems, the doctor may decide to perform an operation, but this practice is used if the vessels are severely pinched or blocked, which interferes with normal blood circulation.

If you notice a throbbing area on your neck once or twice, this does not mean that there is a serious danger to your health. But regularly occurring pulsation is a symptom that you should definitely tell your doctor about, even if nothing else bothers you.

Pulsation in the head and neck: all possible causes, features, from what and how to be treated?

Many people are familiar with the feeling of pulsation in the head. This condition does not necessarily indicate a pathology, it is possible and normal under certain conditions. Most often, the sensation of pulsation in healthy people is provoked by stress, strong emotions, physical overload or a sharp change in the weather. In these cases, the discomfort is short-lived and goes away by itself.

At the same time, pulsation accompanies migraines, atherosclerosis, autonomic dysfunction and many other diseases, bringing the patient a lot of discomfort and anxiety. It can be considered an alarming symptom, since without an examination it is impossible to say what exactly it caused and whether it really does not speak about pathology. The reason is relatively harmless - autonomic dysfunction (VVD), for example, or very serious - a tumor, aneurysm.

Pulsation in the head can occur with noise, ringing in the ears, dizziness, panic attacks, it occurs in its various areas - the temples, the back of the head, in one half. Pathological pulsation can be long, repeated many times, and this is exactly the case when it is worth going to a doctor - a neurologist or therapist.

Pulsation of the cervical vessels is also possible, which can be physiological or associated with their atherosclerotic lesions, heart defects, arrhythmias, arterial hypertension. In this case, an examination is also necessary to exclude the pathological nature of the pulsation.

Causes of the pulsation of the vessels of the head

The causes of pulsation in the head are extremely varied. Among them are those diseases to which older people are more susceptible, and those that occur in young people, flowing asymptomatically for the time being. By the nature of the pulsation of the vessels, it is impossible to determine the exact cause of the appearance of this symptom. After a conversation with a patient and a simple examination, a specialist can only assume the pathology that provokes vascular disorders, and additional instrumental examinations will help to clarify it.

Pulsation in the head accompanies such diseases as:

• Vegetative dysfunction (vegetative-vascular dystonia (VVD);
• Degenerative changes in the cervical spine - hernia, osteochondrosis, instability, congenital developmental features;
• Vascular wall lesions - atherosclerosis, vasculitis;
• Aneurysm, vascular malformation;
• Head and neck neoplasms;
• ENT pathology;
• Glaucoma, incorrectly fitted glasses;
• Postponed craniocerebral trauma;
• Neuroses, neurasthenia and other psychiatric problems.

Arterial hypertension is one of the most common causes of pulsation in the head. This disease is also very common among people of mature and old age, for whom throbbing in the head is a familiar symptom.

With hypertension, arteries and arterioles are affected, first of all, which spasm from constant high pressure, as a result of which blood flow in the brain is disturbed. Against the background of a sharp rise in pressure - a crisis - the patient feels a pulsation in the temples, pain in the back of the head, dizziness and tinnitus are possible. The higher the pressure figure, the more pronounced and painful the pulsating feeling, but as the pressure readings decrease to normal, the symptoms gradually disappear.

Autonomic dysfunction is common among young adults, children, and adolescents. More often, female persons suffer from a violation, while the regulation of vascular tone by the autonomic nervous system is disturbed, as a result of which fluctuations in systolic pressure, pulse occur, and it is quite possible that a pulsating feeling even occurs in the throat.

Pulsation against the background of autonomic dysfunction is provoked by stress, emotional distress, physical overload and overwork. Smoking and alcohol abuse have a negative impact.

Pulsation with VSD is painless, but it is often accompanied by other signs of autonomic disorder - sweating, facial flushing, discomfort and rumbling in the abdomen, cardialgia, a feeling of lack of air with increased breathing, weakness and reduced performance, subfebrile fever. Mood swings, panic attacks are also characteristic, which often help diagnose the cause of the pulsation.

Degenerative changes in the spine can be detected in almost every second adult inhabitant of the planet. This widespread pathology is facilitated by a sedentary lifestyle, sedentary work, overweight. Herniated discs, anomalies in the development of the bone processes of the vertebrae, osteochondrosis cause compression of blood vessels and nerves, resulting in pain and pulsation in the back of the head, parietal areas. Pulsations are accompanied by numbness in the limbs, neck pain, fluctuations in blood pressure.

cerebral atherosclerosis

Structural changes in the vascular walls in the form of atherosclerosis, inflammation (vasculitis) can cause narrowing of their lumen and hemodynamic disturbances. When an artery is half-stenosed by an atherosclerotic plaque, the brain begins to experience hypoxia even with the active work of the collateral blood flow pathways. Patients with atherosclerosis of the arteries of the head complain not only of a feeling of pulsation, but also of noise, ringing in the ears and head, loss of memory and mental performance, they are prone to depression and apathy.

Inflammation of the vascular wall is called arteritis. It can be the result of an autoimmune disease, trauma, surgery, or an infectious disease. In the acute period of vasculitis, there is a throbbing with intense headache, general weakness, possibly anxiety.

An aneurysm or arteriovenous malformation is considered an extremely dangerous cause of pulsation of the vessels of the head. An aneurysm is a tangle of pathologically developed vessels that can be located in any part of the brain. Arteriovenous malformation is an interlacing of arterial and venous dysplastic vessels. These formations are almost always congenital, asymptomatic for a long time and can manifest themselves as periodic throbbing pain in a certain part of the head - in the temples, occiput, crown.

Since vascular anomalies are accompanied by a violation of the structure of the walls of the vessels that form them, under certain conditions their rupture can occur - with a pressure surge, trauma, severe stress. Rupture of blood vessels turns into hemorrhage in the substance of the brain or under its membranes, which is often fatal.

The feeling of pulsation depends on the size of the aneurysm - the larger it is, the more clearly the patient feels the pulsation. Small aneurysms may not be painful, but throbbing symptoms are usually troublesome. In addition to pulsation, other signs of malformation are also possible: noise in the head, memory loss, anxiety, and with large aneurysms, convulsions.

Pulsation without other symptoms can accompany medium-sized neoplasias, which press on the vessels from outside and impede blood flow through them. More often it appears in the morning and grows as the tumor grows. Pulsation in the head can be one of the first symptoms of tumor growth.

Inflammatory processes of the ENT organs, accompanied by the accumulation of exudate there, can manifest themselves as pulsating sensations in the head, a feeling of fluid transfusion from the affected ear. In addition, patients are worried about headaches, noise, whistling in the head, and progressive hearing loss.

Glaucoma, improperly selected glasses or refusal to use them with insufficient visual acuity create not only negative sensations in the eyes, provoke even greater vision problems, dizziness and a feeling of lightheadedness, but can also cause pulsation in the temples, frontal zone.

Such pulsation becomes more noticeable with an increase in intraocular pressure, eye strain when working with a computer, reading, it is accompanied by a headache.

Pulsation in the head in some cases accompanies traumatic brain injury. In the acute phase, it is combined with severe headache, vomiting, convulsions, and in severe cases, consciousness is also impaired. The consequence of injury can be recurrent bouts of pain and pulsation in the head.

Various neurotic disorders, schizophrenia and other psychiatric diseases often occur with pulsation in the head, which the patient can describe very colorfully, clearly identifying the place of its localization, which can complicate the diagnosis, because it is rather difficult to check whether the patient is telling the truth.

Neurasthenia is a borderline disorder that is triggered by stress, overwork, improper work and rest, individual characteristics of emotional response. Chronic stress of the nervous system sooner or later leads to its depletion, and the person turns into a neurotic patient who complains of constant fatigue, insomnia or drowsiness, irritability, decreased appetite and bad mood. In addition to these complaints, pulsation in the head, soreness, noise, which intensify against the background of emotional experiences, are also characteristic.

In the case of schizophrenia and other psychotic disorders, the situation is more complicated: vague pulsation and noise can be part of the hallucinations experienced by the patient, and in addition to a vivid description of the symptoms, the doctor often encounters their exaggeration, which significantly complicates an objective assessment of the symptoms.

Throbbing in the neck

Pulsation in the neck often acquires great diagnostic value in a variety of vascular and cardiac pathologies, but it can be normal. Oscillations of the walls of blood vessels are noticeable with the naked eye in thin adults, crying children, but this does not necessarily indicate a disease, but it always requires clarification of the reason if the pulsation becomes constant and clearly visible to others, accompanied by headaches or arrhythmias.

On the neck, both venous pulsation, most often associated with heart problems, and pulsation of the arteries are possible with damage to the vascular walls proper, hypertension, etc.

Pulsation of the cervical arteries

The most likely causes of very noticeable arterial pulsation are considered to be an aortic aneurysm (local expansion of the vessel lumen), formed in its initial section, arch, thoracic part, arterial hypertension, thyrotoxicosis with tachycardia and hypertensive crises, aortic valve insufficiency, when part of the blood returns to the left ventricle, creating additional pulsation of the carotid arteries and their branches, visible to the naked eye.

Insufficiency of the aortic valve can occur in elderly people with atherosclerosis, after suffering rheumatism or syphilitic damage to the vascular wall and valve. This defect has a rather characteristic feature - the so-called "dance of carotids", when the carotid arteries on the lateral surface of the neck contract in sync with the rhythm of the heart. In addition to the carotid arteries, the temporal, brachial arteries, the vessels of the arms and even the feet also pulsate with aortic valve insufficiency. Against the background of the pulsation of the carotid arteries, rocking movements of the head appear in time with the heartbeat.

Neck vein pulsation

Such defects as insufficiency of the tricuspid valve, narrowing of the mouth of the superior vena cava, as well as severe rhythm disturbances (paroxysmal tachycardia, complete AV block) provoke pulsation of the neck veins, however, it can also be noticed with severe stress and excitement.

Pulsation of the cervical venous trunks often accompanies pathology that occurs with an increase in central venous pressure. In healthy people, pulsation of the veins can also be traced on the lateral surface of the neck 4 cm above the sternum angle, but only in the supine position with the head of the bed raised. When standing up, venous pulsation normally disappears, and if it persists, then one can think about the pathology of the right half of the heart with its expansion and the formation of stagnation in the veins of the systemic circulation.

Venous congestion in the neck is accompanied by the expansion of the lumens of the vessels, their swelling and pulsation perceptible by the eye in accordance with the heartbeats, which is considered to be a consequence of the return of venous blood from the ventricle to the atrium through an incompetent tricuspid valve.

The pulsation of the veins of the neck can be called a positive venous pulse; it differs from the oscillation of the walls of the carotid arteries in less force and the inability to feel it when palpating. Clinical pulsation of the veins of the neck is manifested:

1. Swelling and pulsating vibrations of the venous walls in the neck to the lower jaw;
2. Expansion of the lumen of the veins when inhaling, pressing on the right hypochondrium;
3. Combination with swelling of the neck tissues, pulsating heartbeats, pulsation in the epigastric region.

The most likely causes of pulsation of the venous vessels of the neck are heart defects, especially tricuspid valve insufficiency, pericarditis, heart failure with congestion in the venous section, hemotamponade, pulmonary pathology (emphysema, pneumothorax), superior vena cava syndrome, large retrosternal goiter.

What to do if there is a throbbing sensation in the head or neck?

The throbbing in the head and neck is disturbing. Arising for the first time and unexpectedly, it can lead to panic and severe fear, because this symptom can speak of a number of serious diseases. Patients with migraine or VSD can get used to the repetitive pulsation without perceiving it as a symptom of a dangerous pathology, but this does not exempt from the need to visit a doctor.

Regardless of the reason, which the patient may even assume, the pulsation in the head or neck should be the reason for consultation with a specialist and examination. With such symptoms, one should go to a therapist, neurologist, phlebologist (with venous pulsation in the neck). The therapist can send for consultation to a cardiologist, endocrinologist, psychiatrist, ophthalmologist, oncologist, depending on other complaints and the result of the initial examination.

When talking with a doctor, it is important to clarify at what time of day the pulsation appears, whether it is associated with nervous or physical stress, weather changes, or the phase of a woman's menstrual cycle. In addition to pulsation, other symptoms should be described, if any (pain, dizziness, etc.).

With pulsation in the head, MRI, angiography, ultrasound with Doppler analysis of the vascular trunks of the head and neck, X-ray of the cervical spine, encephalography are indicated. Venous pulsation often requires phlebography, echocardiography, and ECG. The exact list of examinations is made by a therapist or neurologist, suspecting specific causes of the pulsation.

Treatment for pulsations in the head and neck may consist in the appointment of analgesics, antihypertensive drugs, vascular drugs and nootropics, and in some cases surgery is necessary - removal of a tumor, aneurysm, implantation of an artificial heart valve. All patients with this symptom are advised to normalize the regimen, exclude stress and physical overload, observe a balanced diet and physical activity.

Throbbing neck pain

"Pulsating" as applied to the human body literally means - to vibrate, pound hard, unbearable.

Throbbing neck pain is a severe form of pain that causes unbearable discomfort and prevents a person from walking normally.

May significantly restrict neck movement.

In the hustle and bustle of today's life, we often experience such discomfort and try not to pay attention to it.

And completely in vain.

Causes of throbbing neck pain

Incorrect posture while sleeping. Common in those who have tried sleeping without a pillow.

Neck injuries. A blunt hit during a fight or accident can cause severe pain for a long time. Swelling of the affected part, discoloration of the skin clearly indicate damage to the neck. In such cases, normal head movement is seriously impaired and can be restored after a few months!

Sprained neck ligaments. Although the muscles in the neck are flexible and elastic, excessive physical exertion on this area can provoke overexertion, and in severe cases, muscle rupture. In this case, the only option is surgery.

Neck muscle spasm. It mainly happens due to severe stress, excessive physical exertion. Read more in the article: Neck muscle spasm. Causes and treatment.

Cervical spondylosis. This is a condition where the discs and / or vertebrae of the neck area are damaged. This condition is usually diagnosed in older people. The main symptom of cervical spondylosis is stiffness and throbbing pain in the neck.

Treatment

To eliminate throbbing pain, anti-inflammatory and analgesic drugs (paracetamol, ibuprofen) are prescribed. Also used in the treatment of muscle relaxants: (diazepam) or their natural analogues: chamomile, bergamot, valerian, basil, peppermint and some others.

For treatment and prevention, special orthopedic pillows for sleeping and corset collars are used while awake.

For prevention, exercises for relaxing the muscles of the neck and therapeutic exercises are indispensable.

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Throbbing neck pain

Discomfort in the neck, pain significantly reduce the quality of human life. We have to limit ourselves in movements, reduce the workload. Throbbing neck pain is quite common and affects people over the age of 25. The sensation can be constant or coming.

Causes of throbbing pain

Common causes of throbbing neck pain include:

• Traumatic lesions of ligaments, vertebrae, muscles;
• Degenerative changes, including osteoarthritis;
• Infectious lesions of bone tissue (osteomyelitis);
• Malignant, benign neoplasms;
• Immune disorders, including spondylitis, polymyalgia rheumatica;
• Reflected cervicalgia.

Most neck problems are caused by osteochondrosis. The intervertebral discs of the cervical spine change, resulting in intense pain. Local vessels and nerve endings also suffer.

With regard to injuries, the most dangerous is the whiplash. With it, power flexion or extension occurs. Most often it occurs in road accidents, in sports, fights. Traumatic pulsating pains include the state after sleeping in an uncomfortable position.

Severe pain in the neck often occurs as a result of metastasis of malignant tumors.

Diagnostic methods

Comprehensive studies may also be needed.

The diagnostic accuracy when contacting a competent specialist reaches 100%. The survey, depending on the nature of the problem, costs a cut.

How to identify the causes of neck pain?

With neck pain, first of all, you need to contact the doctors of the following specialties:

At the appointment, the doctor will conduct an examination, identify additional symptoms and draw up a medical history map. To have a complete clinical picture, the doctor may need the results of additional studies, as well as a complete history of the development of the disease. He will be interested in:

1. How long has the pain started?
2. What do you yourself associate the appearance of symptoms with?
3. Have you tried home treatment? What did you take?
4. Do you have other chronic medical conditions?

What to do with throbbing neck pain?

If you experience tangible discomfort, you can go through an online self-test on our website. It will take literally one minute to receive the alleged diagnosis and recommendations for visiting a specialist. But only a doctor will tell you what to do if you have throbbing neck pain.

For prevention, it is worth using individually selected orthopedic pillows. Corset collars will not be superfluous. The exercise therapy doctor will prescribe remedial gymnastics. For various pathologies, it is extremely important to restore the impaired blood supply. Primary treatment includes:

• Massage;
• Traction traction of the spine;

In some cases, they resort to manual therapy, acupuncture.

How is neck pain treated?

Treatment is selected individually. It means taking analgesics, muscle relaxants, corticosteroids. Also, the doctor may suggest:

• Orthopedic assistance;
• Reflex therapy;
• Massages;
• LLL therapy;
• Surgical intervention;
• Ultrasound treatment;
• Physical education.

Discomfort, localized in the neck and back of the head, can occur due to multiplicity.

Many people are familiar with such an ailment as metatarsalgia. It is associated with violations of Art.

67% of older students are diagnosed with posture problems. Moreover, in children 6-8 years old.

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