Osteocondrosis, which affects the thoracic column, is often disguised as pathologies of internal organs.It is manifested by pain in the heart, by lack of breath, a feeling of lack of air during inhalation, panic attacks.Therefore, the diagnosis of thoracic osteochondrosis is in some way difficult.After its discovery, a conservative treatment is carried out with the use of drugs, physiotherapy and operating therapy.And with serious damage to babies and vertebrae, surgery is required.
A brief description of the disease
Thoracic osteochondrosis is a degenerative dystrophic spinal disease.In the initial phase of its development, the intervertebral discs are slowly destroyed.They become thin, fragile and radial appear on their surface.To stabilize the bone tissues of the vertebrae with the formation of acute growth - osteophytes, which are influenced by the osteochondosis of the chest segment.This causes a strong restriction of mobility, compression of the blood vessels and spinal roots.
Degree of pathology
The degree of osteochondrosis is a set of characteristic symptoms of a specific radiographic stage.
Graduates
In X -ray images, there are usually no changes.But the intervertebral disc has already started to collapse due to the inability to maintain the necessary humidity to restore its fabrics.Sometimes there are weak and uncomfortable sensations in the back, which disappears quickly after a short rest.
II grade
The fibrous ring becomes loose, fibrous.One of the cracks on the surface of the disc increases, a octopous nucleus extends there.To the X -rays, a decrease in the distance between adjacent vertebral bodies is evident due to a decrease in the height of the disc.Due to constant compensatory muscle tension, the mobility of the thoracic region is limited, moderate painful sensations arise.
III degrees
The integrity of the fibrous ring is violated, therefore the octopus core is crushed beyond its limits.An Ernian protrusion is formed: the main cause of pronounced symptoms and serious complications of the thoracic osteochondosis.The bodies of the vertebrae are deformed, individual osteophytes are formed. Pain in the thoracic region becomes constant, the volume of movements in the spine is significantly reduced.
Grado IV
The flows of connective tissues, the formation of multiple osteophytes are clearly visible on X -ray images. The adjacent vertebral bodies are blocked, immobilized.Rine syndrome develops, often record mylopathy occurs: the compression of the spinal cord, dangerous with its irreversible consequences.A person can hardly use each other in everyday life, loses the ability to fulfill professional duties.
Causes of osteochondrosis of the thoracic spine
The thoracic osteochondrosis in people over the age of 40-45 develops due to the natural aging of the body: slowing down the restoration reactions, reducing the production of collagen, which causes elasticity and strength of ligaments.At a young age, it occurs due to an increase in loads on the spine or 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 cifosis, scoliosis.
The premature destruction of the discs can cause previous spinal lesions, a sedentary lifestyle and a lack of vitamins and traces of elements in the body.
Characteristic signs and symptoms of the disease
The thoracic osteochondosis develops gradually, initially showing itself.It is in this current that it is its danger.A person takes pain and discomfort in the back for trivial muscle fatigue after a working day, a house or in the garden and does not seek medical assistance.Therefore, usually in patients, a 2-3 gravity pathology is diagnosed, which can hardly be susceptible to conservative treatment.
At the start
During the period of exacerbation, the pathology can manifest itself from the pain between the blades that occur during the inclination, the rotation of the body.The volume of the movements is reduced, there are many specific signs of recurrence.
Chest pain
With osteochondrosis, chest pain appears for the first time.They are blurred, they can be given to their hands, the clavicle, to the ribs.Pain in the heart is expressed strongly or moderately, it resembles an attack by Angina Pectoris, it is not eliminated by taking nitroglycerin.Sometimes they are similar to the sensations that occur with exacerbation of cholecystitis, pancreatitis.But unlike the lesions of the pancreas or gallbladder, the pain is not accompanied by a greater formation of gas, burning of stomach and swelling of the abdomen.
Felt in the chest
The pain between the shoulder blades is occasionally accompanied by a feeling of lack of air during inhalation.A person should be frightened, not to understand the reasons for this state.Doctors recommend not panic, but to sit and measure the impulse.If the resulting value does not exceed 100 beats per minute, the probability of lung or compromised heart is extremely low.
Other symptoms
Gradually, the symptoms of osteocondrosis are aggravated by a sensitivity disorder.There are sensations of numbness, tingling, crawling of goose.From time to time there are conditions that resemble panic attacks.They are characterized by fear, increased heartbeat, excessive sweating, cold evaporates.If these symptoms are accompanied by pain, it is necessary to take nitroglycerin and call a doctor.A similar series of symptoms can indicate myocardial infarction.
The spinal roots located in the thoracic region innervate the internal organs.With their irritation, compression, the work of the gastrointestinal tract, the liver is upset.Peristalsis is disturbed, epigastric pain, burning of stomach, erupture occur.
Signs in the subacuta phase
After the exacerbation, the subacuto stadium of the course of the thoracic osteochdrosis occurs.The problems of pain and breathing are preserved, but they are much less intense.A person no longer looks for a long position of a body in which pain is not felt.The duration of the subacuta phase is up to two weeks.
Remission
In the remission phase, a weak discomfort may occur when they change time or hypothermia.Acute pain appears only with osteochondrosis of 2-4 gravity due to too acute rotation or body inclination.The exacerbations of chronic pathologies, stress, increase in physical activity, prolonged results in a position of the body are able to cause subsequent recidivism.
The principles of diagnosis of the disease
The neurologist makes an initial diagnosis on the basis of the patient's complaints, the Amanese data.During an external examination, it notes in the area of the thoracic point of the point, when it is pressed on which the pain occurs.The management of functional tests allows to evaluate the safety of reflections, to identify sensitivity disorders.Of instrumental methods, radiography is more instructive.But for a detailed study of the spinal segment, CT, MRI can be conducted.To exclude diseases of the cardiovascular system, patients are prescribed ECG.
How to treat mammary osteochondosis
Only an integrated approach to the treatment will allow you to get rid of all the symptoms of the osteocondrosis, slow down or completely stop its diffusion in healthy and vertebrae records.In the pathology of 1-2 degrees of gravity, conservative therapy methods are used.The osteochondrosis of 3-4 degrees is characterized by the formation of large hernias.To eliminate the compression of the blood vessels and spinal roots, surgical treatment can be requested.
Drugs
In the initial phase, the funds for parenteral administration are generally used which quickly have a therapeutic effect.A few days later, the injection solutions are replaced with more secure tablets, ointments and patches.
Non -pounded anti -inflammatory drugs (NSAIDs)
Fans have a pronounced analgesic, anti -inflammatory, decongestant effect.Stopping acute pain allows intramuscular administration of solutions.To eliminate the weak and uncomfortable sensations between the shoulder blades are used for the local application.And with moderate pains, fans are well managed for oral administration.
Musorelassant
To eliminate muscle cramps deriving in response to severe pain, muscle relaxants are used.Very often, the treatment of thoracic osteochondrosis begins with the intramuscular administration of the drug, which, in addition to the musreusing, includes an anesthetic.
Condroprotectors
With a pathology of the 1st degree of gravity of the course of chondroprotectors, it helps to restore damaged discs.In other cases, they are prescribed to improve the metabolism in the affected segment of the spine, the prevention of the progression of the disease.
Vitamins B Vitamins B
Their use helps to increase blood flow, improve the work of the peripheral nervous system, restore trophism and innervation.A complex of vitamins B has a favorable effect on the degenerative diseases of the nerves and the motor system.
Medical physical education
With the 1st degree thoracic osteochondosis, the daily exercises of physiotherapy exercises allow you to do without the use of drugs.Recovery occurs by strengthening the muscles, improving the flow of blood to the tissues with nutrients.In other cases, charging and regular formation help prevent involvement in the destructive process of healthy vertebrates, prolong the remission stage.
Complex from the position of feet
In the erect position, the following healing exercises are more effective therapeutically:
- Put the palms of the palms on the shoulders, led forward, while raising the legs bent at the same time, as if he tried to get the opposite knee with the elbow;
- Raise your left hand, rest on the right.Perform the exercise in the opposite direction;
- Put the shoulder legs -larghery aside, raise your hands.Getting forward, touching the palm of the opposite foot.
The number of repetitions is 10-12 times in 2-3 approaches.
From the position of lying down
To perform these exercises, you will need a gym carpet or a double dense and folded blanket:
- Lying on the stomach, he raises his arms and legs simultaneously;
- Lying on the back, lift the upper part of the body, elongated with the palms in the footsteps;
- Lie on the back, fold one leg, start it behind another, trying to touch the surface of the floor with one knee.
Each exercise must be performed 7-10 times.
From the sitting situation
When performing these exercises, highly width and highly width movements should be avoided, including torsion:
- sitting on the floor, lengthening forward, trying to touch the palm of the opposite foot;
- Sitting on a chair or stool, stretch your arms forward and slowly turns from one side to the other;
- Sitting on the floor, fix the knee with your hands, pull it as close as possible to the chest.
In the first lessons, repeat the exercises 5-7 times, after about a month-15-20 times.
Physiotherapy treatment
In the treatment of thoracic osteocondrosis, magnetotherapy, laser therapy, UHF therapy, sinusoidal currents, shock wave therapy, paraffin and mountain wax.With exacerbations, electrophoresis, ultra -seporesis with glucocorticosteroids, anesthetics, group B vitamins, chondroprotectors.
Massage
The massage performed by a specialist helps to eliminate pain between the shoulder blades, relax the spasmodic skeletal muscles.
With osteochondrosis, all types of massage are therapeutically effective: classic, vacuum, acupunctural and connective fabric.At home, the car -massage is convenient to perform a wooden or electric masseur with a long handle.
Acupuncture
Acupuncture: the method of treatment of pathology by installing the needles in bioactive points on the human body.They are thin, short, so when they perform the skin occasionally, only weak and uncomfortable sensations arise.But also such an effect is sufficient for the production of substances in the body with an analgesic and anti -inflammatory effect.
Nutrition
Nutritionists recommend that patients with breast osteochondous abandon fatty meat, rich soups, smoked meats, domestic and factory marinades.The amount of salt causes edema formation should be limited in nutrition.Every day you have to drink about 2.5 liters of liquid: water, vegetable juices, berries fruit drinks, fruit compounds.
Popular remedies
Celery root
Peel the large celery root, grind on a fine grater, squeeze the juice.Add 100 g of fresh celery vegetation cut down.Take 3 tablespoons up to 4 times a day during meals to clean the vertebral structures from deposits of harmful salts.
Sunflower root
Pour a teaspoon of dry -crushed sunflower roots with a glass of hot water.Bring to a boil, cook over low heat over low heat for 20 minutes, cool under the lid, filter.Drink at 3-4 doses during the day.
Domestic ointment
In a mortar, grinds along a spoonful of tremous gingival and dense honey, add 2 drops of essential oils of juniper, rosemary, eucalyptus.Introduce small parts of 100 g of medical oil jelly.Mix, transfer to a jar, keep in the refrigerator, rub in the back with pain.
Prevention and forecast
The prognosis is favorable with the timely detection of the disease, conducting a competent and complex treatment.If complications of the Mammary osteochondrosis have developed, only compliance with all medical recommendations will reach a stable remission.
As a prevention of the pathology, neurologists recommend that they exclude the factors that cause it from the usual lifestyle.This is an excess weight, low motor activity, deficiency of vitamins and trace elements, excessive loads on the spine.