The causes of osteochondrosis of the chest spine are not sufficiently understood.The most important is attached to hereditary predisposition and age -related changes in the intervertebral discs.
Chest osteochondrosis: Symptoms.
The first stage of neurological complications of osteochondrosis of the thoracic spine.
Clinical manifestations are associated with reflex muscle tension.Dorxago (chest background).Acute chest pain associated with movement.The exacerbation begins suddenly.The volume of movements in the chest is sharply restricted.The paravertebral muscles of the "stone" density.Dorsago's spread with adequate treatment is no more than 7-10 days.
Dorsalgia (back pain).Pacens complain of moderate chest pain, intensifying during movements or in a certain position after a long sitting.The beginning is usually gradual.The curvature in the chest spine, tension and soreness of the paravertebral muscles is clinically determined.In most cases, the pain is to undergo 2-3 weeks, but in the absence of treatment a chronic course can be taken.
Pectally (chest pain).Breast pain is one of the most common complaints that patients go to the doctor.The differential diagnosis in this case is performed with cardiological diseases (angina, myocardial infarction).
Often chest pain occurs against the background of osteochondrosis of the chest spine.The pain is deep, broken, sick, intensified, with movements or with prolonged stay in one position.In the chest area, the movement is limited, tense and painful in palpation paravertebral muscles.
With the anterior chest wall syndrome, stupid, pain, prolonged pain on the anterior surface of the chest appear, intensify during the movements of the hands, with bends of the body.Taking nitroglycerin under the tongue does not stop the pain.The urela points are found in large and small muscles of the chest.
The second stage of neurological complications of the osteochondrosis of the chest spine.
The hernia on the disk of the spine with 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 firing, burning pain of the surrounding character from the back along the intercostality.The pain is exacerbated by movement when you breathe.
Often, chest -size radio syndromes are accompanied by pain in different internal organs.In the case of damage to the upper thoracic roots, patients complain of pain and paresthesia in the throat and esophagus, on the sensation of coma in the throat or behind the sternum.The presence of unpleasant sensations in the pharynx or esophagus for a long time many additional examinations and consultations lead to the development of neurotic reactions.
Patients with medium roots in the stomach occur in patients with pain.Often the pain is accompanied by numbness of the anterior abdominal wall.With the pathology of the roots at a shorter distance, the pain can simulate intestinal pathology.Sometimes abdominal pain is so intense that patients carry out an unjustified surgery for pseudo -Appendicitis.
The defeat of the 7th, 8th or 9th spine to the right can mimic the pathology of the gallbladder or liver.Nearby, stupid pains are located in the right hypochondrium.It hurts and paresthesia when the damage to the breast roots is clearly related to the movement in the chest, increase with a long seat while lying on the back, coughing or sneezing.
The third stage of neurological disorders of the osteochondrosis of the chest spine.
Vascular-brown conflict.With small pectoral muscle syndrome, the shoulder plexus, subclavian artery and vein are compressed.The compression of these entities can be caused by a severe abduction of the arm.Patients experience brushing, burning pain in the anterior chest wall during night movements.In this case, paresthesia, numbness, weakness and pain in the arm occur.Palpation determines the trigger points in the area of the small breast muscle.An important differential diagnostic test is the elimination of pain after the blockage of the muscle.
The fourth stage of neurological complications of osteochondrosis of the thoracic spine.
Disruption of blood supply to the spinal cord.Chronic chest myelopathy is rare, which is associated with the anatomical features of the spine.But with a narrow spinal canal, the hernia on the disc can remove the arteries and the spinal cord.The disease begins gradually, weakness in the legs, reduction of sensitivity in the lower half of the body, impaired function of the pelvic organs.
Acute cerebrovascular disorder is the most complication of breast osteochondrosis.Suddenly, against the background of pain syndrome, leg paralysis, numbness, impaired pelvic function appears.
Examination of patients with osteochondrosis of the thoracic region.Analysis of complaints and history is of great importance for excluding serious pathology.A neurological examination is performed to exclude root damage and spinal cord.Manual examination allows you to determine the source of pain, limiting mobility, muscle spasm.
Additional examination methods are indicated in the case of suspicion of specific back pain.If a somatic pathology is suspected, a thorough clinical examination (ECG, X -Ray of the lungs, FGD, ultrasound of the abdominal cavity, etc.) is performed.
The chest radiography is prescribed to exclude tumors, spinal injuries, infections and Shoyerman-Mau disease.The X -level signs of osteochondrosis have no clinical value, as all people from senior and elderly have them.
In radicular or spinal symptoms, the MRI or CT of the thoracic spine is indicated.The hernia and spinal cord are also better visible and the bone structures of the CT.The clinical level of damage and NMR of the findings must match each other.
Chest osteochondrosis: treatment.
In the acute period, in the presence of severe pain, the limitation of physical activity is indicated.By reducing the severity of pain, it is recommended to gradually expand the motor regime.Sudden rotating movements in the chest should be avoided.
Intracanic electrical stimulation, acupuncture, hirudotherapy, massage, manual therapy are effective.Drug treatment.Acute pain shows non -steroidal anti -inflammatory drugs.In combination with anti -inflammatory drugs, Miradelaxants can be prescribed in the presence of muscle spasm.
With osteochondrosis of the chest spine, a therapeutic blockade with topical anesthetics (lidocaine, propaine), non -steroidal anti -inflammatory drugs (lorox or meloxic), corticosteroids (betamethasone) are effective.Medicinal mixtures are introduced as close as possible to the focus of the pain.
The intercostal neuralgia, antidepressants, anticonvulsants mentioned Versatti patches.Porty drugs (pentoxifillin, aminophylline), group B. Surgical treatment is prescribed with symptoms of spinal cord compression (paresis of the lower limbs, impaired urine and stools).
PreventionThe osteochondrosis of the thoracic region is reduced to the avoidance of long, uncomfortable positions when working on the table.It is important to properly equip your workplace, to alternative work and rest periods, to regularly engage in physiotherapy exercises, to visit the pool 1-2 times a week.