The causes of the osteochondrosis of the thoracic spine are not sufficiently clarified.The utmost importance is attributed to the hereditary predisposition and to age -related changes in intervertebral discs.
Osteochondrosis of the thoracic spine: symptoms.
The first stage of neurological complications of the osteochondrosis of the thoracic spine.
Clinical manifestations are associated with reflected muscle tension.Dorxago (thoracic background).Acute pain in the thoracic region associated with movements.The exacerbation starts suddenly.The volume of the movements in the thoracic spine is sharply limited.The paravertebral muscles of "stone" density.The proliferation of darsago with adequate treatment is no more than 7-10 days.
Dorsalgia (back pain).Pacers complain of moderate pain in the thoracic region, intensifying during movements or in a certain position, after a long session.The beginning is usually gradual.Clinically, the curvature is often determined in the thoracic vertebral column, the tension and pain of the paravertebral muscles.In most cases, the pain is to suffer for 2-3 weeks, but in the absence of treatment it can follow a chronic path.
Pectallgy (thoracic pain).Breast pain is one of the most common complaints with which patients go to the doctor.The differential diagnosis in this case is carried out with cardiological diseases (Angina pectis, myocardial infarction).
Often thoracic pain occurs against the background of the osteocondrosis of the thoracic spine.The pain is deep, broken, painful, intensifies, with movements or with prolonged living room in a position.In the thoracic region, the movement is limited, tense and painful on the paravertebral muscles of palpation.
With the syndrome of the front chest wall, stupid, painful and prolonged pains occur on the front surface of the chest, they intensify during the movements of the hands, with turns of the body.Taking nitroglycerin under the tongue does not stop pain.The curl points are found in the muscles of the large and small chest.
The second phase of the neurological complications of the osteochondosis of the thoracic spine.
A chest column disc hernia with a root 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 shots, burning pains of a surrounding character from the back along the intercostality.Pain intensifies when it moves during breathing.
Often the breast -size radio syndromes are accompanied by pain in various internal organs.In case of damage to the higher chest roots, patients complain about pain and walls in the throat and esophagus, on the feeling of a coma in the throat or behind the sternum.The presence of unpleasant sensations in the field of a pharynx or esophagus for a long time, many exams and additional consultations lead to the development of neurotic reactions.
In patients with damage to medium -sized roots, pain occurs in the stomach.Often the pains are accompanied by numbness on the front abdominal wall.With the pathology of the lowest roots, the pain can simulate the intestinal pathology.Sometimes the pain in the abdomen is so intense that patients perform unjustified surgery for pseudo -appendicitis.
The defeat of the 7th, 8th or 9th spine on the right can imitate the pathology of the gallbladder or liver.Nearby, stupid pains are located in the right hypocondry.Boli and paresthesia when the damage to the roots of the breast are clearly related to the movements in the thoracic spine, they intensify with a long place, while it lies on the back, with cough or sneezing.
The third stage of neurological disorders of the osteochondosis of the thoracic spine.
Vascular-Marrone conflict.With the small thoracic muscle syndrome, the shoulder complex, the subclavia artery and the vein are compressed.The compression of these formations can be caused by a strong kidnapping of the hand.Patients experience by brushing, burning pains in the front chest wall during movements at night.In this case, paresthesia, numbness, weakness and pain in hand occur.The trigger points in the area of the small breast muscle are determined on palpation.An important differential diagnostic test is the elimination of pain after blocking the muscle.
The fourth stage of neurological complications of the osteochondosis of the thoracic spine.
Violation of the blood supply to the spinal cord.Chronic myelopathy at the thoracic level is rare, which is associated with the anatomical characteristics of the spine.But with a narrow spinal canal, the hernia of the disc can squeeze the arteries and the spinal cord.The disease gradually begins, the weakness of the legs, a decrease in sensitivity in the lower half of the body, the compromised function of the pelvic organs.
The acute cerebrovascular disorder is the most serious complication of osteochondosis in the breast.Suddenly, against the background of pain syndrome, paralysis of the legs, numbness, compromised function of the pelvic organs occur.
Examination of patients with osteochondrosis of the thoracic region.The analysis of complaints and history is of great importance to exclude a serious pathology.A neurological examination is carried out to exclude damage to the roots and spinal cord.The manual examination allows to determine the source of pain, the limitation of mobility, muscle spasm.
Further examination methods are shown in case of suspicion of specific back pain.If a somatic pathology is suspected, an in -depth clinical examination is carried out (ECG, a X -ray of lungs, FGDs, ultrasound of the abdominal cavity, etc.).
The radiography of the thoracic spine is prescribed to exclude tumors, spine injuries, infections and shoyerman-make disease.The X -ray signs of osteochondrosis do not have a clinical value, since all the people of elderly and elderly have them.
With root or spinal symptoms, a magnetic resonance imaging of the thoracic spine is indicated.On a magnetic resonance imaging, hernia and spinal cord are better visible and bone structures on coach.The clinical level of damage and the magnetic resonance imaging of the finds must correspond to each other.
Osteochondrosis of the thoracic spine: 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 pain, a gradual expansion of the motor regime is recommended.Sudden rotation movements in the thoracic spine should be avoided.
Intracanic electrical stimulation, acupuncture, hirudotherapy, massage, manual therapy are effective.Medicinal treatment.With acute pain, non -steering anti -inflammatory drugs are indicated.In combination with anti -inflammatory drugs, miodelaxants can be prescribed in the presence of muscle spasm.
With osteochondrosis of the thoracic column, therapeutic block with local anesthetics (Lidocaine, Prokain), non -pound -up anti -anti -inflammatory drugs (Lorossi or Meloxicam), corticosteroids (betheteia) are effective.Medicinal mixtures are introduced as close as possible to the focus of pain.
With intercostal neuralgia, antidepressants, anticonvulsants, a patch of Versathis are indicated.Drugs from Porto (Pentoxyphillin, aminophillin) are prescribed, the surgical treatment of group B. is carried out with compression symptoms of the spinal cord (paresis of the lower limbs, urine and altered stools).
PreventionOsteocondrosis of the thoracic region is reduced to avoiding long and uncomfortable positions when working at the table.It is important to correctly equip the job, alternating periods of labor and rest, regularly engage in physiotherapy exercises, visit the swimming pool 1-2 times a week.