The causes of the osteochondose of the thoracic spine are not sufficiently clarified.The greatest importance is associated with hereditary predisposition and age -related changes in the intervertebral discs.
Osteochondrosis of the thoracic spine: symptoms.
The first stage of neurological complications of the osteochondrosis of the thoracic spine.
Clinical manifestations are connected to reflex muscle tension.Dorxago (Thorax background).Acute pain in the Brustr region associated with movements.The deterioration suddenly begins.The volume of the movements in the thoracic spine is very limited.The paravertebral muscles of the "stone" density.The spread of Dorso with adequate treatment is no more than 7-10 days.
Dorsalgia (back pain).The pacemakers complain of moderate pain in the chest area and tightened in movements or in a certain position after a long session.The beginning is usually gradually.Clinically, the curvature in the thoracic spine, the tension and pain of the paravertebral muscles is often determined.In most cases, the pain exists for 2-3 weeks, but a chronic course can take the absence of treatment.
Pactalgy (chest pain).Breast pain is one of the most common symptoms with which patients go to the doctor.The differential diagnosis in this case is carried out with cardiological diseases (angina pectoris, myocardial infarction).
Pain in the chest often occurs against the background of the osteochondrosis of the thoracic spine.The pain is deep, broken, painful, increases with movements or with a longer stay in one position.In the thoracic region, the movement is limited, tense and painful for the paravertebral muscles of the palpation.
With the syndrome of the front breast wall, stupid, painful, longer pain on the front surface of the breast occurs, the body programs reinforce.Taking nitroglycerin under the tongue does not stop the pain.There are crashes in large and small chest muscles.
The second stage of neurological complications of the osteochondrosis of the thoracic spine.
A hernia of the pane of the thoracic spine with a radicular syndrome is extremely rare.This is due to the structure of the structure of the thoracic spine.The compression of the spine (or intercostal neuralgia) is accompanied by burning and burning of an surrounding character from behind along the intercostality.Pain increases when moving when you breathe.
Breast -sized radio syndromes of pain in different internal organs are often accompanied.In the event of damage to the upper chest roots, the patients complain about pain and paraesthesia in the throat and the esophagus, the feeling of a coma in the throat or behind the star.The presence of unpleasant sensations in the area of a pharynx or a esophagus for a long time leads many additional studies and consultations for the development of neurotic reactions.
Pain occurs in the stomach in patients with damage to medium -sized roots.The pain of numbness on the front abdominal wall is often accompanied.With the pathology of roots with lower letters, the pain can simulate the intestinal pathology.Sometimes the pain in the stomach is so intense that patients carry out unjustified operation for pseudo -tagati.
The defeat of the 7th, 8th or 9th spine on the right side can imitate the pathology of the gallbladder or liver.Near closer, stupid pain is located in the right hypochondrium.Boli and paraesthesia, if the damage to the chest roots clearly related to movements in the thoracic spine, intensify with a long seat while lying on the back, with cough or sneezing.
The third stage of neurological disorders of the osteochondrosis of the thoracic spine.
Vascular brown conflict.With the syndrome of the small chest muscle, the shoulder plexus, the subclavia artery and the vein are compressed.The compression of these formations can be caused by a strong kidnapping of the hand.In patients, a brush and burning pain in the front breast wall drink in the front breast wall at night.In this case, paresthesia, deafness, weakness and pain occur in the hand.In the case of palpation, trigger points are determined in the area of the small chest muscle.An important differential diagnosis test is the removal of pain after blocking the muscle.
The fourth stage of neurological complications of the osteochondrosis of the thoracic spine.
Violation of blood supply to the spinal cord.Chronic myelopathy on the breast level is rare, which is connected to the anatomical features of the spine.But with a narrow spine canal, the hernia of the disc can press the arteries and the spinal cord.The disease gradually begins, weakness in the legs, a decrease in sensitivity in the lower half of the body, impaired the function of the pelvic organs.
Acute cerebrovascular disorder is the most severe complication of chest osteochondrosis.Suddenly, the paralysis of the legs, deafness and the impairment of the pelvic organs occur against the background of pain syndrome.
Investigation of patients with osteochondrosis of the Brustr region.The analysis of complaints and history is of great importance to rule out serious pathology.A neurological examination is carried out to close damage to roots and spinal cord.By manual examination you can determine the source of pain, the restriction of mobility and muscle spasm.
Additional examination methods are shown if certain back pain is suspected.If the somatic pathology is suspected, a thorough clinical examination is carried out (EKG, an X rays of the lungs, FGDs, ultrasound of the abdominal cavity, etc.).
The X-ray of the thoracic spine is prescribed to exclude tumors, spine injuries, infections and Shoyerman-Mau diseases.X -Ray signs of osteochondrosis have no clinical value because all people with older and older people have them.
In the case of radicular or spinal symptoms, an MRI or a CT of the thoracic spine is displayed.At an MRI, hernia and spinal cord are better visible and bone structures on CT.The clinical damage and the MRI of the finds must correspond to each other.
Osteochondrosis of the thoracic spine: treatment.
In the acute time, the restriction of physical activity is given in the presence of intensive pain.With a decrease in the severity of the pain, a gradual expansion of the motor regime is recommended.Sudden rotation movements in the thoracic spine should be avoided.
Intracan electrical stimulation, acupuncture, hirudotherapy, massage and manual therapy are effective.Medical treatment.In the case of acute pain, non -steroid inflammatory drugs are displayed.In combination with anti -inflammatory drugs, mivadel axants can be prescribed in the presence of muscle spasm.
With osteochondrosis of the thoracic spine, therapeutic blockade with local anesthetics (lidocaine, Prokain), non -steroidal anti -inflammatory medication (loroxes or meloxicams), corticosteroids (betamethasone) are effective.Mixings are introduced as close as possible into the focus of the pain.
In intercostal neuralgia, antidepressants, anticonvulsiva, a piece of Versathis is displayed.Porty medication (pentoxyphillin, aminophyllin) are prescribed, group B. Surgical treatment is carried out with symptoms of compression of the spinal cord (parisks of the lower extremities, impairment of urine and faeces).
preventionThe BRUDRGREGION osteochondrosis is reduced to avoid long, unpleasant positions when working at the table.It is important to equip your workplace correctly, to do alternative working hours and rest periods, to regularly participate in physiotherapy exercises and to visit the pool 1-2 times a week.