The causes of the osteochondrosis of the spine of the chest are not properly clarified.The greatest importance has been paid to the inherited predisposition and age -related changes in the intervertebral discs.
Spinal osteochondrosis: symptoms.
The first phase of the neurological complications of osteochondrosis of the spine of the chest.
Clinical manifestations are associated with reflex muscle tension.Doxago (chest background).Acute pain in the chest region associated with movement.The irritation begins suddenly.The volume of movements in the thoracic spine is severely limited.The preverstebral muscles of the "stone" density.The spread of the dorago with adequate treatment is no more than 7-10 days.
Dorsalgia (back pain).Paceners complain of moderate pain in the chest region, intensifying during movements or in a certain position, after a long landing.The beginning is usually gradual.Clinically, curvature in the spine, tension and pain of the paravertebral muscle is often determined.In most cases, the pain is to suffer for 2-3 weeks, but in the absence of treatment, it can take a chronic course.
Pector (chest pain).Breast pain is one of the most common complaints with which patients go to the doctor.Differential diagnosis in this case is performed with cardiological disease (angina pectoris, myocardial infarction).
Often chest pain appears against the backdrop of osteochondrosis of the spine of the chest.The pain is deep, broken, painful, intensified, with motion or extended stay in one position.In the chest region, the movement is limited, tense and painful in the paravertebral muscles of the palpation.
With anterior chest wall syndrome, thick, painful pain occurs, extended to the anterior surface of the chest, intensify during hand movements, with body curves.Taking nitroglycerin under the tongue does not stop pain.Kurulus points are found in the large and small chest muscles.
The second phase of the neurological complications of osteochondrosis of the spine of the chest.
A hernia of the spinal cord disk of the chest with a radical syndrome is extremely rare.This is due to the structure of the spine structure of the chest.The compression of the spine (or intercostal neuralgia) is accompanied by fire, burning pain of a character around the back along the interaction.Pain intensifies when moving, breathing.
Often breast -sized radio syndromes are associated with pain in various internal organs.In case of damage to the upper thoracic roots, patients complain of pain and paresthesia in the throat and esophagus, in the feeling of a throat or after sternum.The presence of unpleasant sensations in the field of a pharynx or esophagus for a long time, many additional examinations and consultations lead to the development of neurotic reactions.
In patients with medium -sized root damage, the pain appears in the stomach.Often the pains are associated with numbness in the anterior abdominal wall.With the pathology of the low roots, the pain can simulate intestinal pathology.Sometimes abdominal pain is so severe that patients undergo unjustified pseudo -apple surgery.
Loss of the 7th, 8 or 9 to the right can imitate the pathology of the gallbladder or liver.Close, stupid pain localize to the right hypochondrium.Boli and paresthesia when damage to the roots of the breast is clearly associated with movements in the spine of the chest, intensify with a long place while extending to the back, coughing or sneezing.
The third stage of neurological disorders of the chest osteochondrosis of the chest.
Vascular-brown conflict.With small chest muscle syndrome, shoulder plexus, subclavian artery and vein are compressed.The compression of these formations can be caused by a strong grabbing of the hand.Patients experience washing, burning pain in the anterior chest wall during movements at night.In this case, paresthesia, numbness, weakness and pain in the hand occur.In palpation, the triggering points in the small muscle area of the breast are determined.An important differential diagnostic test is the elimination of pain after muscle blockade.
The fourth phase of the neurological complications of the chest osteochondrosis of the chest.
Violation of blood supply to the spinal cord.Chronic myelopathy at the chest level is rare, which is associated with the anatomical features of the spine.But with a narrow spinal canal, the disc herniation can squeeze the arteries and spinal cord.The disease begins gradually, weakness in the legs, a decrease in sensitivity in the lower half of the body, damaged function of the pelvic organs.
Acute cerebrovascular disorder is the most severe complication of breast osteochondrosis.Suddenly, against the backdrop of pain syndrome, foot paralysis occurs, numbness, impaired pelvic organs function.
Examination of patients with osteochondrosis of the thoracic region.Analysis of complaints and history is of great importance to exclude serious pathologies.A neurological examination is performed to exclude damage to the roots and spinal cord.Manual examination allows you to determine the source of pain, restriction of mobility, muscle spasm.
Additional methods of examination are indicated in case of suspicion of specific back pain.If suspected in somatic pathology, a thorough clinical examination is performed (ECG, an X -Ray of the lungs, FGDS, abdominal cavity ultrasound, etc.).
Radiography of the chest spine is prescribed to exclude tumors, spinal damage, infections and shyerman-mau disease.The X -Ray signs of osteochondrosis have no clinical value, as all people of the elderly and the elderly have them.
With radicular or spinal symptoms, an MRI or CT of the spinal cord is indicated.In one MRI, hernia and spinal cord are more visible, and bone structures on CT.The clinical level of damage and the MRI of the findings should correspond to each other.
Osteochondrosis of the spine of the chest: treatment.
In the acute period, in the presence of intense pain, the restriction of physical activity is indicated.With a decrease in the severity of the pain, a gradual enlargement of the motor regime is recommended.Sudden rotary movements in the spine of the chest should be avoided.
Intracanic electrical stimulation, acupuncture, hiruterape, massage, manual therapy are effective.Medical treatment.With acute pain, non -steroidal anti -inflammatory drugs are shown.In combination with anti -inflammatory drugs, miradelaxants can be prescribed in the presence of muscle spasm.
With osteochondrosis of the chest spine, therapeutic blockade with local anesthetics (lidocain, procaine), non -steroidal anti -inflammatory drugs (loroxets or meloxicams), corticosteroids (betamethason) are effective.Medicinal mixtures are presented as close as possible with the focus of pain.
With intercostal neuralgia, antidepressants, anticonvulsants, a piece of verse is shown.Portal drugs (pentoxifins, aminophilin), group B. Surgical treatment is performed with symptoms of compression of the spinal cord (paresis of lower extremities, damaged urine and feces).
PREVENTIONThe osteochondrosis of the thoracic region decreases to avoid long and unpleasant positions when working on the table.It is important to equip your workplace correctly, alternative working periods and rest, regularly involve physiotherapy exercises, visit the pool 1-2 times a week.