Osteochondrosis, which affects the thoracic spine, is often disguised as internal organs pathologies.It is manifested by pain in the heart, shortness of breath, a sense of shortness of breath during inhalation, panic attacks.Therefore, the diagnosis of thoracic osteochondrosis is a little difficult.After its discovery, conservative treatment is performed with the use of medicines, physiotherapy and exercise therapy.And with serious damage to babies and vertebrae, surgical intervention is required.
A brief description of the disease
Toracic osteochondrosis is a degenerative-distribution spinal disease.At the early stage of its development, intervertebral discs are slowly destroyed.They become thin, fragile and radial cracks appear on their surface.Stabilize bone tissues from vertebrae with the formation of acute growth - osteophytes, which are affected by thoracic segment osteochondrosis.This causes a marked restriction of mobility, compression of blood vessels and roots of the spine.
Pathology
The degree of osteochondrosis is a set of characteristic symptoms of a certain radiographic stage.The stronger the discs and vertebrae are deformed, the more pronounced clinical manifestations.The severity of pathology always determines the tactics of treatment, should be taken into consideration when choosing drugs and methods of its use.
I Diploma
In X-ray images, no changes are found.But the intervertebral disc has already begun to collapse due to the inability to maintain the moisture necessary to restore its tissues.Sometimes there are weak and uncomfortable sensations on the back, disappearing quickly after a short rest.1st degree osteochondrosis is usually detected by accident during the diagnosis of other diseases.
II degree
The fibrous ring is loose, fibrous.One of the cracks on the disc surface increases, a spraying core extends there.In X -rays, a decrease in the distance between adjacent vertebral bodies due to a decrease in disc height is noticeable.As a result of constant compensatory muscle tension, the mobility of the thoracic region is limited, moderate painful sensations arise.
III degree
The integrity of the fibrous ring is violated, so that the pulp core is squeezed beyond its limits.A hernial protrusion is formed - the main cause of pronounced symptoms and severe complications of thoracic osteochondrosis.Vertebra bodies are deformed, unique osteophytes are formed.Pain in the thoracic region becomes constant, the volume of movement in the spine is significantly reduced.
IV
The growth of connective tissues, the formation of multiple osteophytes are clearly visible in X -ray images.Adjacent vertebral bodies are blocked, immobilized.Rine syndrome develops, usually discogenic myelopathy - spinal cord compression, dangerous with its irreversible consequences.A person can hardly serve himself in everyday life, loses the ability to fulfill professional duties.
Causes of thoracic spine osteochondrosis
Thoracic osteochondrosis in people over 40 to 45 years old develops due to the body's natural aging: reducing restoration reactions, reducing collagen production, which causes elasticity and the strength of ligaments.At a younger age, it occurs as a result of increased loads in the spine or against the background of pathologies that are already present in the body:
- Rheumatoid arthritis, systemic lupus erythematosus, scleroderma, ankylosing spondylitis;
- Endocrine and metabolic diseases such as diabetes, gout, hypothyroidism, hyperthyroidism;
- Congenital and acquired anomalies, including kyphosis, scoliosis.
The premature destruction of the discs can cause lesions in the spine, a sedentary lifestyle and lack of vitamins and stroke elements in the body.
Characteristic signs and symptoms of the disease
Toracic osteochondrosis develops gradually, at first, showing itself.It is in his course that his danger is.A person suffers weak back pain and discomfort for banal muscle fatigue after a business day, work or garden, and does not apply to medical aid lives.Therefore, usually in patients, a 2-3 pathology is diagnosed, which can hardly be prohibited for conservative treatment.
At the beginning
During the period of exacerbation, the pathology can be manifested by the pain between the blades that occur during the inclination, the rotation of the body.The volume of movements is reduced, there are many specific signs of relapse.
Chest pain
With osteochondrosis, chest pain first appears.They are confused, they can be given to the hands, the clavicle, ribs.Heart pain is expressed strongly or moderately, it resembles an attack by Angina Pectoris, is not eliminated by taking nitroglycerin.Sometimes they are similar to the sensations that occur with the exacerbation of cholecystitis, pancreatitis.But unlike pancreatic or gallbladder lesions, pain is not accompanied by increased gas, heartburn and abdomen swelling.
Feeling in the chest
The pain between the shoulder blades is occasionally accompanied by a feeling of shortness of breath during inhalation.One person is expected to scare, without understanding the reasons for this state.Doctors recommend not panicking, but to sit and measure the wrist.If the resulting value does not exceed 100 beats per minute, the likelihood of an impaired lung or heart will be extremely low.
Other symptoms
Gradually, the symptoms of osteochondrosis are aggravated by a disorder of sensitivity.There are feelings of numbness, tingling and goose bumps.From time to time, there are conditions similar to panic attacks.They are characterized by fear, increased heartbeat, excessive sweating and cold evaporates.If these symptoms are accompanied by pain, it is necessary to take nitroglycerin and call a doctor.A similar set of symptoms may indicate myocardial infarction.
The roots of the spine located in the thoracic region innervate the internal organs.With your irritation, compression, the work of the gastrointestinal tract, the liver is upset.Peristalsis is disturbed, epigastric pain, heartburn and belching occur.
Signs in the subacute internship
After exacerbation, the undergun internship occurs of the course of thoracic osteochondrosis.The problems of pain and breathing are preserved, but they are much less intense.A person no longer looks for a long position from a body in which pain is not felt.The duration of the subacute stage is up to two weeks.Subject to all medical recommendations, there is a remission, characterized by the lack of pronounced symptoms.The violation of the regime leads to a new exacerbation of osteochondrosis.
Remission
In the remission phase, weak discomfort may occur when changing time or hypothermia.Acute pain appears only with 2-4 severity osteochondrosis due to a very clear rotation or slope of the body.Exacerbations of chronic pathologies, stress, increased physical activity, prolonged findings in a body position are capable of causing the next relapse.
The principles of diagnosis of the disease
The neurologist makes an initial diagnosis based on patients' complaints, anamnesis data.During an external examination, it detects in the chest point area when pressed on which pain occurs.Functional testing allows to evaluate the safety of reflexes to identify sensitivity disorders.Of instrumental methods, radiography is more informative.But for a detailed study of the spine segment, CT, magnetic resonance imaging can be performed.To exclude cardiovascular diseases, patients receive prescribed ECG.
First Aid for Exacerbation
Pain during the relapse of thoracic osteochondrosis is acute, penetrating, so that a person needs to provide first aid.It should be reassured, lying on a hard surface, covered with a hot blanket.If the relapse is accompanied by a rapid heart rate, shortness of breath, increased anxiety, you will need to call a doctor.To weaken the pain between the shoulder blades, any non -steroid anti -inflammatory agent can be taken.
How to treat breast -okondrosis
Only an integrated treatment approach will allow you to get rid of all symptoms of osteochondrosis, lower speed or completely interrupt your propagation to healthy discs and vertebrae.In the pathology of 1-2 degrees of gravity, conservative therapy methods are used.3-4 degree osteochondrosis is characterized by the formation of large hernias.To eliminate compression of blood vessels and spine roots, surgical treatment may be required.
Drug
In therapy of thoracic osteochondrosis, medicines from various clinical and pharmacological groups are used.In the early stage, funds are usually used for parenteral administration that have a therapeutic effect quickly.A few days later, injection solutions are replaced by safer tablets, ointments and patches.
Anti -Inflammatory drugs non -esteroids (NSAIDs)
NSAIDs have an analgesic, anti -inflammatory and deconged effect.To stop acute pain, it allows intramuscular administration of solutions.To eliminate weak and uncomfortable sensations among the shoulder blades, they are used for local application.And with moderate pain, NSAIDs are well treated for oral administration.
Muselaxantes
To eliminate muscle cramps that arise in response to severe pain, muscle relaxing are used.Most of the time, the treatment of thoracic osteochondrosis begins with the intramuscular administration of medicines, in which, in addition to the Tolperisone Lodge, an anesthetic is included.
Chondoprotectors
With a pathology of the 1st degree of gravity of the Condroprotectors course, it helps to restore damaged discs.In other cases, they are prescribed to improve metabolism in the affected segment of the spine, the prevention of disease progression.
Vitamins B Vitamins B
Its use helps increase blood flow, improve peripheral nervous system work, restore tropism and innervation.A vitamin B complex has a favorable effect on degenerative nerves and motor diseases.
Medical Physical Education
With thoracic osteochondrosis of the 1st degree, daily exercise of physical therapy exercises allow you to do without the use of medicines.Recovery occurs by strengthening muscles, improving blood supply to fabric with nutrients.In other cases, charging and regular training helps to avoid involvement in the destructive process of healthy vertebrates, extend the stage of remission.
Complex of the position of remaining
In standing position, the following healing exercises are more therapeutically effective:
- Place your palms on your shoulders, lean forward as you raise your legs bent at the same time, as if you try to take the opposite knee with the elbow;
- Raise your left hand, tilt to the right.Perform the exercise in the opposite direction;
- Make your legs -Shoulder -lag, lift your hands.Tilt forward, touching the palm of the opposite foot.
The number of repetitions is 10 to 12 times in 2-3 approaches.
Lying position
To perform these exercises, you will need a gym rug or a double and dense double blanket:
- Pour out in the stomach, increase your arms and legs;
- Lying on your back, lift the upper body, stretch with your palms to the steps;
- Lying on your back, fold one leg, start after another, trying to touch the surface of the floor with a knee.
Each exercise should be performed 7 to 10 times.
The sitting situation
When performing these exercises, clear and high amplitude movements should be avoided, including torsion:
- Sitting on the floor, reaching the front, trying to touch the palm of the opposite foot;
- Sitting in a chair or stool, stretch your arms forward and slowly turns from side to side;
- Sitting on the floor, squeeze your knee with your hands, pull -as close as possible from the chest.
In the first classes, repeat the exercises 5-7 times, after about one month 15 to 20 times.
Physiotherapeutic treatment
In the treatment of thoracic osteochondrosis, magnetotherapy, laser therapy, UHF therapy, sinusoidal currents, shock wave therapy, paraffin application and ozokeritis.With exacerbations, electrophoresis, ultraphonophoresis with glucocorticosteroids, anesthetics, group B vitamins, group B chribeprotective are performed.
Massage
The massage performed by an expert helps eliminate pain between the shoulder blats, relax spasmodic skeletal muscles.
With osteochondrosis, all types of massage are therapeutically effective - classic, vacuum, connective fabric and acupuncture.At home, self -massage is convenient to run using a wood or electric massageer with a long handle.
Acupuncture
Acupuncture - The method of treatment of pathology installing needles at bioactive points in the human body.They are thin, short, then, when drilling the skin occasionally, only weak and uncomfortable sensations arise.But even this effect is sufficient for the production of substances on the body with an analgesic and anti -inflammatory effect.
Nutrition
Nutritionists recommend that patients with mammary osteochondrosis abandon greasy meat, rich soups, smoked meats, domestic marinades and factories.The amount of salt that causes edema formation should be limited in nutrition.Every day you need to drink about 2.5 liters of liquid - water, vegetable juices, berries of berries, fruit jams.
Popular remedies
Decoctions and infusions of medicinal plants, ointments, alcohol and oil scrubbing, compresses that neurologists allow to use after the main therapy.Popular remedies are used to eliminate poor pain between the paps, sometimes occurring after physical exertion.
Celery root
Peel the big root from the celery, move in a thin grater, squeeze the juice.Add 100 g of fresh celery vegetation with coverage.Take 3 tablespoons up to 4 times daily during meals to clean vertebral structures of harmful salts.
Sunflower root
Pour a teaspoon of dried sunflower roots with a glass of hot water.Bring to a boil, cook over low heat for 20 minutes, cool under the lid, strain.Drink in 3-4 doses during the day.
Ointment at home
In a mortar, it moves along a tablespoon of waiting and thick honey, add 2 drops of juniper, rosemary, essential eucalyptus oils.Introduce small portions of 100 g of vaseline of medical oil.Stir, transfer to a jar, keep it in the refrigerator, rub your back with pain.
During pregnancy
Many systemic painkillers are against -Indicated during pregnancy;Therefore, neurologists prefer ways for external use - ointments, gels, reminders.If you cannot take without pills, their dose will be significantly reduced.During the child's size period, the main methods of therapy for breast -ochondrosis are massage and exercise therapy.
Possible consequences
In the absence of medical intervention of mammary osteochondrosis, pnemousclerosis, arrhythmia, vegetative-vascular dystonia, deterioration in the gastrointestinal tract, impaired sexual and reproductive function in women and men can cause.
Prevention and forecast
The prognosis is favorable with the timely detection of the disease, conducting competent and complex treatment.If the complications of mammary osteochondrosis have developed, only compliance with all medical recommendations will achieve stable remission.
As a pathology prevention, neurologists recommend excluding the factors that cause it from the usual lifestyle.This is overweight, low motor activity, vitamin deficiency and stroke elements, excessive loads in the spine.