Osteochondrosis that affects the thoracic spine is often disguised as pathologies of internal organs.It manifests itself through pain in the heart, shortness of breath, a feeling of lack of air when inhaling, panic attacks.Therefore, the diagnosis of a thoracic osteochondrosis is somewhat difficult.After his discovery, conservative treatment with drugs, physiotherapy and training therapy is carried out.And with serious damage to infants and vertebrae, surgical intervention is required.
A brief description of the disease
The thoracic osteochondrosis is a degenerative-dystrophic spine.In the initial phase of its development, the intermediate discs are slowly destroyed.They become thin, fragile and radial cracks appear on their surface.To stabilize the bone tissue of the vertebrae with the formation of acute growth tissue - osteophytes that are influenced by osteochondrosis of the chest segment.This leads to a strong restriction of mobility, the compression of blood vessels and spine roots.
Degree of pathology
The degree of osteochondrosis is a number of symptoms that are characteristic of a certain radiological stage.
I degree
No changes are usually found in X -ray images.But the intervertebral disc has already started to collapse because the moisture that is necessary to restore its tissue was unable to keep the moisture.Sometimes there are weak, unpleasant sensations in the back and quickly disappear after a short break.
II degree
The fibrous ring becomes loose, fibrous.One of the cracks on the surface of the hard disk increases, a pulpoose core extends there.In X -rays, a decrease in the distance between neighboring vertebral bodies is noticeable due to a decrease in the height of the pane.As a result of a constant compensation muscle voltage, the mobility of the Brustregion is limited, medium -paining sensations arise.
III degree
The integrity of the fibrous ring is injured so that the pulpoose edge is pressed beyond its borders.A lead is formed - the main cause of pronounced symptoms and serious complications of the thorax osteochondrosis.The bodies of the vertebrae are deformed, individual osteophytes are formed. Pain in the Brustr region becomes constant, the movement volume in the spine is significantly reduced.
IV degree
The growth of connective tissue, the formation of several osteophytes is clearly visible on X beam images.Neighboring vertebral bodies are blocked, immobilized.Rine syndrome arises, often discogenic myelopathy occurs - compression of the spinal cord, dangerous with its irreversible consequences.One person can hardly serve in everyday life loses the ability to fulfill professional duties.
Causes of osteochondrosis of the thoracic spine
Due to the natural aging of the body, a thoracic osteochondrosis develops in people who are older than 40 to 45 years: slowing down the restoration reactions, reducing collagen production, which causes elasticity, and the strength of the ribbons.At a younger age, this occurs due to increased loads on the spine or against the background of pathologies that are already present in the body:
- Rheumatoid arthritis, systemic lupus erythematodes, scleroderma, ankylosinus spondylitis;
- Endocrine and metabolic diseases such as diabetes, gout, hypothyroidism, hyperthyroidism;
- Congenital and acquired anomalies, including kyphosis, scoliosis.
An early destruction of the panes can cause spine injuries, a seated lifestyle and a lack of vitamins and trace elements in the body.
Characteristic signs and symptoms of the disease
The thorax osteochondrosis gradually develops and is initially shown.His danger is in his course.After a hard -working day, house or in the garden, a person takes weak pain and symptoms in the back to maintain muscle fatigue and is not looking for medical help.Therefore, a pathology of 2-3 severity is usually diagnosed in patients, which is hardly accessible to conservative treatment.
At the start
During the exacerbation period, the pathology can occur due to the pain between the blades during tilt and the rotation of the body.The movement volume is reduced, there are many specific signs of relapse.
Chest pain
In the case of osteochondrosis, pain in the chest first occurs.They are out of focus, can be given to their hands, the collarbone, the ribs.The pain in the heart is expressed strongly or moderately and resembles an attack by angina pectoris, is not eliminated by taking nitroglycerin.Sometimes they resemble the sensations that occur when the cholecystitis aggravates, pancreatitis.But in contrast to the lesions of the pancreas or the gallbladder, the pain is not accompanied by increased gas formation, then burning and swelling of the abdomen.
Feeling in the chest
The pain between the shoulder blades is occasionally accompanied by a feeling of lack of air during the inhalation.It is expected that a person is startled and the reasons for this state do not understand.Doctors do not recommend panic, but to sit down and measure the pulse.If the resulting value does not exceed 100 strokes per minute, the likelihood of an impaired lung or the heart is extremely low.
Other symptoms
The symptoms of osteochondrosis are gradually exacerbated by a sensitivity disorder.There are sensations of deafness, tingling, crawling goosebumps.From time to time there are conditions that resemble panic attacks.They are characterized by fear, increased heartbeat, excessive sweating and cold vaporizers.If these symptoms are accompanied by pain, it is necessary to take nitroglycerin and call a doctor.A similar sentence of symptoms can indicate a myocardial infarction.
The spine roots in the brust region inside the internal organs.With its irritation, compression, the work of the gastrointestinal tract, the liver is upset.Peristalsis is disturbed, epigastric pain, heartburn and bales occur.
Sign in the subacute stage
After the exacerbation, the subacute stage of the course of the thoracic osteochondrosis takes place.Pain and breathing problems are preserved, but much less intense.A person no longer looks for a long position of a body in which pain cannot be felt.The duration of the subacute level is up to two weeks.
Remission
In the remission stage, weak symptoms can occur when changing the weather or the hypothermia.Acute pain only occurs with osteochondrosis with 2-4 severity due to too sharp rotation or tendency of the body.Detachment of chronic pathologies, stress, increased physical activity and extended findings in a position of the body can provoke the next relapse.
The principles of the diagnosis of the disease
The neurologist provides an initial diagnosis based on patient complaints, anamnesis data.During an external examination, it recognizes in the area of the breast point of the point when it is pressed on the pain.By carrying out functional tests, you can evaluate the safety of reflexes and identify sensitivity disorders.Radiography is most informative of the instrumental methods.However, the MRI can be carried out for a detailed examination of the spine segment CT.In order to exclude diseases of the cardiovascular system, patients are prescribed the EKG.
How to treat chest osteochondrosis
Only an integrated treatment approach enables you to get rid of all symptoms of osteochondrosis, slow down or to completely stop your spread to healthy windows and vertebrae.Conservative therapy methods are used in the pathology of 1-2 severity degrees.Osteochondrosis of the 3-4 degrees is characterized by the formation of large hernia.Surgical treatment may be necessary to eliminate the compression of blood vessels and spine roots.
Drugs
In the initial phase, funds for parenteral administration are usually used that quickly have a therapeutic effect.A few days later, injection solutions are replaced by safer tablets, ointments and patching.
Non -steroidal anti -inflammatory medication (NSAIDS)
NSAIDS have a pronounced analgesic, anti -inflammatory, determined effect.In order to stop acute pain, the intramuscular administration of solutions enables solutions.To remove weak, unpleasant sensations between the shoulder blades for local application.And with moderate pain, NSAIDs are treated well for oral administration.
Musorelaxants
In order to remove muscle cramps that arise in response to severe pain, muscle relaxants are used.In most cases, the treatment of thoracic osteochondrosis begins with the intramuscular administration of the drug, which includes an anesthetic in addition to the Musorelaxant.
Chondroprotectors
With a pathology of the 1st severity degree of the course of chondroprotectors, it helps to restore damaged discs.In other cases, it is prescribed to improve the metabolism in the affected segment of the spine, preventing the progress of the disease.
B vitamins B vitamins
Their use helps to increase blood flow, to improve the work of the peripheral nervous system, to restore trophism and the innering.A complex of B vitamins has a favorable influence on degenerative diseases of the nerves and motor apparatus.
Medical physical education
With the thoracic osteochondrosis of the 1st degree, you enable daily exercises in physiotherapy exercises to use medicines.The recovery is carried out by strengthening the muscles and improving the blood supply to the tissue with nutrients.In other cases, the charge and regular training helps to prevent the participation in the destructive process of healthy vertebrates and extend the remission phase.
Complex from the position of standing
In the constant position, the following healing exercises are most effective therapeutically:
- Place your palms on your shoulders, lean forward while at the same time lifting curved legs as if you were trying to get the knee opposite with your elbow.
- Lift the left hand to the right.Perform the exercise in the opposite direction;
- Put your legs shoulder -width apart, lift your hands.Lean and touch the hand surface of the opposite foot.
The number of repetitions is 10-12 times at 2-3 approaches.
From the position of lying
To carry out these exercises, you need a gymnastics carpet or a dense, folded biplane:
- If you lie on your stomach, lift your arms and legs at the same time;
- On the back, lift the upper body, stretch with the palms up to the steps.
- Lying on the back, bending one leg, starting behind another and trying to touch the floor area with a knee.
Each exercise must be carried out 7-10 times.
Sits out of the situation
When executing such exercises, sharp movements with a high stem company should be avoided, including twisting:
- sit on the floor, grab the front and try to touch the hand surface of the opposite foot;
- Sitting on a chair or chair, stretch your arms forward and slowly turn from one side to the other.
- When you sit on the floor, strengthen your knees with your hands and pull your chest as close as possible.
Repeat exercises 5-7 times after about a month to 15 to 20.
Physiotherapeutic treatment
In the treatment of thoracic osteochondrosis, magnetotherapy, laser therapy, UHF therapy, sinusoid currents, shock wave therapy, paraffin and mountain wax are used.Chondroprotectors are carried out with exacerbations, electrophoresis, ultrafonophoresis with glucocorticosteroids, anesthetics and vitamins of group B.
massage
The massage carried out by a specialist helps to eliminate pain between the shoulder blades and relax the convulsive skeletal muscles.
With osteochondrosis, all types of massages are therapeutically effective - classic, vacuum, acupuncture, connective tissue.At home, self-massage is conveniently carried out with a wooden or electric massage device with a long handle.
acupuncture
Acupuncture - The method for the treatment of pathology by installing needles in bioactive points on the human body.They are thin, short.So if you occasionally penetrate the skin, only weak, unpleasant sensations arise.But even such an effect is sufficient for the production of substances in the body with an analgesic and anti -inflammatory effect.
Nutrition
Nutritionists recommend that patients with chest oochondrosis give fat meat, rich soups, smoked meat, at home and factory marmads.The amount of salt that provokes edema formation should be limited in diet.Every day you have to drink about 2.5 liters of liquid - water, vegetable juices, berry fruits, fruit compotes.
Folk remedy
Celery root
Peel the large root of the celery, grind on a fine grater, press the juice.Add 100 g of fresh celery.During meals, take 3 tablespoons of up to 4 times a day to clean vertebral structures from deposits of harmful salts.
Sunflower root
Pour a teaspoon of dry crushed sunflower roots with a glass of hot water.Bring it to a boil, simmer for 20 minutes on low heat, let it cool under the lid, wander.Drink at 3-4 cans during the day.
Home ointment
Add 2 drops of juniper, rosemary, eucalyptus oils in a mortar along a tablespoon of a chewing gum and a thick honey.Introduce small parts of 100 g of a medical oil jelly.Stir, put in a glass, keep in the refrigerator, grate the back with pain.
Prevention and forecast
The forecast is favorable in the timely detection of the disease and the complex, complex treatment.If complications of breast osteochondrosis have developed, only compliance with all medical recommendations will achieve stable remission.
To prevent pathology, neurologists recommend that the factors from the usual lifestyle exclude.This is excess weight, low motor activity, lack of vitamins and trace elements, excessive loads on the spine.