Osteochondrosis, which affects the spine of the chest, is often disguised as pathology of the internal organs.It is manifested by heart pain, shortness of breath, feeling of lack of air during absorption, panic attacks.Therefore, the diagnosis of thoracic osteochondrosis is somewhat difficult.After its detection, conservative treatment with the use of medicines, physiotherapy and exercise therapy is performed.And with severe damage to infants and beads, surgical intervention is required.
A brief description of the disease
The thoracic osteochondrosis is a degenerative-degenerative spinal disease.In the initial stage of its development, the intervertebral discs are slowly destroyed.They become thin, fragile and radial cracks appear on their surface.To stabilize vertebra bone tissue with the formation of acute growth - osteophytes, which are affected by thoracic segment osteochondrosis.This causes a sharp restriction of mobility, compression of blood vessels and spinal roots.
Pathology
The degree of osteochondrosis is a set of characteristic symptoms for a given radiographic phase.
I rank
In X -ray pictures, no changes are found.But the intervertebral disc has already begun to collapse due to the inability to maintain the moisture needed to restore its tissues.Sometimes there are poor, unpleasant sensations in the back, disappearing quickly after a short break.
Rank
The fibrous ring becomes loose, fibrous.One of the cracks on the disk surface increases, a pulpoosis core extends there.In X -rays, a decrease in the distance between the vertebral bodies adjacent due to a decrease in the height of the disc is visible.As a result of the constant tension of the compensatory muscle, the movement of the thoracic region is limited, moderate painful sensations arise.
Rank III
The integrity of the fibrous ring is violated, so the pulposal core is squeezed beyond its boundaries.A hernial extension is formed - the leading cause of pronounced symptoms and severe complications of thoracic osteochondrosis.The vertebrae bodies are deformed, single osteophytes are formed. Pain in the thoracic region becomes constant, the volume of movements in the spine is significantly reduced.
Rank iv
Connecting tissue growth, the formation of numerous osteophytes are clearly visible in the x -ray images.The adjacent vertebral bodies are blocked, immobilized.Rine syndrome develops, often dyscogenic myelopathy occurs - compression of the spinal cord, dangerous with its irreversible consequences.A person can hardly serve himself in everyday life, loses the ability to fulfill professional tasks.
Causes of osteochondrosis of the spine of the chest
Chest osteochondrosis in humans older than 40-45 years develops due to the body's natural aging: slowing restoration reactions, decreasing collagen production, which causes elasticity and strength of the ligaments.At a younger age, it occurs as a result of increasing loads on the back or against the backdrop of pathologies that are already present in the body:
- rheumatoid arthritis, systemic erythematosus lupus, scleroderma, ankylosing spondylitis;
- endocrine and metabolic diseases, such as diabetes, gout, hypothyroidism, hyperthyroidism;
- Congenital and acquired abnormalities, including kyphosis, scoliosis.
Premature destruction of the discs can provoke previous spinal damage, a decreased lifestyle and lack of vitamins and trace elements in the body.
Characteristic signs and symptoms of the disease
The thoracic osteochondrosis gradually develops, first showing himself.In this stream that its risk is.A person takes poor pain and discomfort in the back for banal muscle fatigue after a tireless day, home or in the garden and does not require medical help.Therefore, usually in patients, a 2-3 severity pathology is diagnosed, which may hardly be suitable for conservative treatment.
At the beginning
During the period of irritation, the pathology can be manifested by the pain between the blades that occur during the slope, the rotation of the body.The volume of movements is reduced, there are many specific signs of relap.
Pain
With osteochondrosis, the pain in the chest first appear.They are localized fuzzy, can be given to their hands, in the clavicle, the ribs.Heart pain is expressed strongly or on average, resembling an attack of angina pectoris, not eliminated by taking nitroglycerin.Sometimes they are similar to the sensations that occur with the exacerbation of cholecystitis, pancreatitis.But unlike pancreatic or gall bladder lesions, the pain is not associated with increased gas formation, heartburn and abdominal swelling.
Feeling in the chest
The pain between the shoulder blade is occasionally associated with the feeling of lack of air during suction.A person is expected to scare, not understanding the reasons for this state.Doctors recommend not panic but sit down and measure the pulse.If the resulting value does not exceed 100 beats per minute, then the probability of the damaged lungs or heart is extremely low.
Other symptoms
Gradually, the symptoms of osteochondrosis are exacerbated by a sensitivity disorder.There are numbness sensations, tingling, goosebumps.Occasionally there are conditions that resemble panic attacks.They are characterized by fear, increased heartbeat, excessive sweating, cold evaporation.If these symptoms are associated with pain, then it is necessary to take nitroglycerin and call a doctor.A similar set of symptoms can indicate myocardial infarction.
Spinal roots located in the region of the inner internal thoracic internal organs.With the irritation, their compression, the work of the gastrointestinal tract, the liver is upset.Peristalsis is disturbed, epigastric pain occurs, heartburn, belching.
Signs in the Subacut phase
After irritation, the subacute phase of the flow of thoracic osteochondrosis occurs.Pain and respiratory problems are preserved, but they are much less intense.A person no longer requires a long position of a body in which the pain does not feel.The duration of the subacute phase is up to two weeks.
forgiveness
In the phase of forgiveness, poor discomfort can occur when changing the weather or hypothermia.Acute pain occurs only with osteochondrosis of 2-4 severity due to a very sharp rotation or slope of the body.Definitions of chronic pathologies, stress, increased physical activity, prolonged finding in one position of the body are able to provoke the other relapse.
Principles of Diagnosis of the Disease
The neurologist makes an initial diagnosis based on patient complaints, anamnesis data.During an external examination, it detects in the area of the thoracic point of the point, when it is suppressed in which pain occurs.Performing functional tests allows you to evaluate reflex safety to identify sensitivity disorders.Of the instrumental methods, radiography is more informative.But for a detailed study of the spinal segment, CT, MRI can be performed.To exclude diseases of the cardiovascular system, patients are prescribed ECG.
How to treat breast osteochondrosis
Only an integrated approach to treatment will allow you to get rid of all the symptoms of osteochondrosis, slow down or completely stop its spread on healthy discs and beads.In the pathology of 1-2 degrees of severity, conservative methods of therapy are used.Osteochondrosis of the 3-4 degree is characterized by the formation of large hernias.Surgical treatment may be required to eliminate compression of blood vessels and spinal roots.
drug
In the initial stage, funds for parenteral administration that quickly have a therapeutic effect are usually used.A few days later, injection solutions are replaced with safer tablets, ointments and patchings.
Anti -inflammatory non -steroidal drugs (NSAIDs)
NSAIDs have a pronounced analgesic, anti -inflammatory, decongestant effect.To stop acute pain allows intramuscular administration of solutions.To eliminate weak, unpleasant sensations between shoulder blades are used for local application.And with moderate pain, NSAIDs are treated well for oral administration.
Musorexant
To eliminate muscle cramps that arise in response to severe pain, muscle relaxants are used.Most often, the treatment of thoracic osteochondrosis begins with the intramuscular administration of the drug, which, in addition to musorerexant, includes an anesthesia.
Chondroprotectors
With a 1 degree pathology of the severity of the chondroprotectors flow, it helps to restore damaged discs.In other cases, they are prescribed to improve metabolism in the affected segment of the spine, prevent the progression of the disease.
V vitamins B vitamins
Their use helps increase blood flow, improve the work of the peripheral nervous system, restore trophism and intrigue.A complex of vitamins B has a favorable effect on degenerative nerve diseases and motor apparatus.
Physical education
With the thoracic osteochondrosis of the 1st degree, daily exercises of physiotherapy exercises allow you to do without the use of medicines.Recovery occurs by strengthening the muscles, improving the blood supply of nutrient tissue.In other cases, regular charging and training help prevent involvement in the destructive process of healthy vertebrates, extending the phase of prayer.
Complex
In the standing position, the following healing exercises are more effective therapeutic:
- Put your palms on your shoulders, bend it forward as you raise the bent legs at the same time, as if you try to get the opposite knee to your elbow;
- Raise your left hand, rely on the right.Perform the exercise in the opposite direction;
- Stand your feet in wide width, raise your hands.Lean forward, touching the palm of the opposite leg.
The number of repetitions is 10-12 times in 2-3 approaches.
By the position of the stretched
To perform these exercises, you will need a gymnastics rug or a double dense, folded blanket:
- Lie on your stomach, at the same time lift your arms and legs;
- Lying on the back, raise the upper body, stretch with palms to the trail;
- Lying on the back, bend one foot, start it after the other, trying to touch the surface of the floor with a knee.
Eachdo exercise should be performed 7-10 times.
By sitting situations
When performing such exercises, sharp movements, with high amplitude, including the turn should be avoided:
- Sitting on the floor, reaching forward, trying to touch the palm of the opposite leg;
- Sitting in a chair or excrement, stretch your arms forward and slowly turn from side to side;
- Sitting on the floor, tighten the knee with your hands, pull it closer to your chest.
In the first grades, repeat exercises 5-7 times, after about a month-15-20 times.
Physiotherapeutic treatment
In the treatment of thoracic osteochondrosis, magnetotherapy, laser therapy, UHF therapy, sinusoidal currents, shock wave therapy, paraffin and mountain wax.With irritation, electrophoresis, ultraphonophoresis with glucocorticosteroids, anesthetics, group B vitamins, chondroprotectors.
Massage
The massage performed by a specialist helps to eliminate the pain between the shoulder blades, relax the spasical skeletal muscles.
With osteochondrosis, all types of massage are therapeutically effective - classic, vacuum, acupuncture, connective tissue.At home, itself -is appropriate to perform the use of a wooden or electric massage with a long handle.
Acupuncture
Acupuncture - the method of treating pathology by installing needles at bioactive points in the human body.They are thin, short, so when they pierce the skin occasionally, 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.
Food
Nutritionists recommend that patients with breast osteochondrosis abandon fatty meat, rich soups, smoked meat, home marinades and factory.The amount of salt that provokes the formation of edema should be limited to food.Every day you need to drink about 2.5 liters of liquid - water, vegetable juices, berry drinks, fruit composition.
Folk remedies
Celery root
Peel the large root of celery, grind in a fine grater, squeeze the juice.Add 100 g of fresh celery greenery.Take 3 tablespoons to 4 times a day during meals to clear vertebral structures from harmful salts deposits.
Sunflower
Pour a teaspoon of dried sunflower root with a glass of hot water.Bring to a boil, simmer over low heat for 20 minutes, cool under the lid, strain.Drink in 3-4 doses during the day.
Oil
In a mortar, grind along a tablespoon of a turpentine gum and thick honey, add 2 drops of juniper, rosemary, eucalyptus essential oils.Present small portions of 100 g of medical oil jelly.Stir, transfer to a jar, store in the refrigerator, rub in the back with pain.
Prevention and forecasting
The prognosis is favorable to the timely detection of the disease, performing a competent, complex treatment.If the complications of breast osteochondrosis are developed, then only compliance with all medical recommendations will achieve a stable apology.
As a prevention of pathology, neurologists recommend excluding the factors that provoke it from the usual lifestyle.This is excess weight, low motor activity, deficiency of vitamins and trace elements, excess loads on the back.