The causes of osteochondrosis of the chest spine are not sufficiently clarified.The most important is hereditary predisposition and age -related changes in intervertebral discs.
Chest spine osteochondrosis: symptoms.
The first stage of neurological complications of osteochondrosis of the chest spine.
Clinical manifestations are related to reflex muscle tension.Dorxago (chest background).Acute pain in the thoracic region associated with movement.The aggravation begins suddenly.The amount of movement of the chest spine is sharply limited.The "stone" density is the paravertebral muscles.The spread of dorsago with proper treatment does not exceed 7-10 days.
Dorsalgia (back pain).Puneners complain of moderate pain in the chest region, increasing during movement or in a certain situation, after a long session.The beginning is usually gradual.From a clinical point of view, the curvature, tension and pain of the chest spine are often determined by paravertebral muscles.In most cases, the pain is that it goes through 2-3 weeks, but in the absence of treatment, a chronic course can take place.
Pectallgy (chest pain).Breast pain is one of the most common complaints that patients seek medical attention.Differential diagnosis in this case is performed with cardiological diseases (angina pectoris, myocardial infarction).
Chest pain often occurs in the background of osteochondrosis of the chest spine.The pain is deep, broken, sore, enhanced, with movement or longer stay.In the chest region, the movement is limited, tense and painful on the tactile paravebral muscles.
With the syndrome of the anterior wall of the chest, stupid, sore, prolonged pains increase on the front surface of the chest during the movement of the body, turning the body.Taking nitroglycerin under the tongue does not prevent pain.Kurular points can be found in large and small chest muscles.
The second stage of neurological complications of osteochondrosis of the chest spine.
Violation of the radical syndrome disc of the chest spine is extremely rare.This is due to the structure of the structure of the chest spine.The compression of the spine (or intercostal neuralgia) is shot from behind the intercostality, accompanied by burning, burning pains of the surrounding character.When the pain moves, it increases as it breathes.
Mammalian -sized radio syndromes are often accompanied by pain in various internal organs.In case of damage to the upper chest roots, patients complain of pain and paraesthesia on the feel of the throat and esophagus, throat or behind the sternum.The presence of discomfort in the area of the pharynx or esophagus for a long time, many further examination and consultation leads to neurotic reactions.
Patients with medium -sized roots occur in the stomach.Pains are often accompanied by numbness on the anterior wall of the abdomen.With the pathology of lower roots, pain can simulate the pathology of the intestine.Occasionally, abdominal pain is so intense that patients do not perform unjustified surgery due to pseudonym adpendicitis.
The defeat 7, 8 or 9 on the right may imitate the pathology of the gallbladder or liver.Approaching stupid pains are localized in a better hypochondria.Boli and Paresthesia If the damage to the breast roots is clearly related to the movement of the chest spine, it increases with a long seat while lying at the back, coughing or sneezing.
Third stage of neurological disorders of osteocondrosis of the chest spine.
Vascular-brown conflict.Small chest muscle syndrome, shoulder plexus, subclavian artery and vein are compressed.The compression of these formations can be caused by strong abduction of the hand.Patients during movement, at night, burning pains burning in the anterior wall of the chest.In this case, paresthesia, numbness, weakness and hand pain occur.When palpation, we determine the starting points in the small pectoral muscle.An important differential diagnostic test is to remove pain after the muscle blockade.
Fourth stage of nervous complications of osteochondrosis of the chest spine.
Violation of blood supply to the spinal cord.At the thoracic level, chronic myelopathy is rare, resulting in the anatomical properties of the spine.But with a narrow spinal canal, the disk's hernia can print the arteries and spinal cord.The disease gradually begins, the weakness of the legs, the reduction of sensitivity in the lower half of the body, the damage to the pelvic organs.
Acute cerebrovascular disorder is the most serious complication of breast osteochondrosis.Suddenly, in the background of the pain syndrome, the paralysis of the legs, numbness, and the impaired function of the pelvic area occurs.
Investigation of patients with osteochondrosis of the chest region.Analysis of complaints and history is of great importance to exclude serious pathology.A neurological examination is performed to exclude roots and spinal cord damage.Manual examination allows you to determine pain, mobility, and a limitation of muscle cramps.
Additional test methods are presented in case of suspected specific back pain.If a somatic pathology is suspected, a thorough clinical examination is performed (ECG, lung X -Drazja, FGD, ultrasound of the abdominal cavity, etc.).
X-rays of the chest spine are prescribed to exclude tumors, spine injuries, infections and shoyerman-mau disease.They do not have clinical value for osteochondrosis X radiation because all older and old people have.
Radicular or spinal symptoms are marked with MRI or CT of the chest spine.On an MRI, the hernia and the spinal cord are more visible and the bone structures on CT.The clinical level of the finds and MRI must meet each other.
Chest spine osteochondrosis: treatment.
There is a restriction of physical activity in the presence of intense pain in an acute period.As the severity of pain is reduced, it is recommended to gradually expand the motor system.The sudden rotation of the chest spine should be avoided.
Intracanic electrical stimulation, acupuncture, hirudotherapy, massage, manual therapy are effective.Fatuous treatment.In case of acute pain, non -steroid anti -inflammatory drugs are prescribed.Combined with anti -inflammatory drugs, it can be prescribed in the presence of Miradelaxants muscle spasm.
The therapeutic blockade of the chest spine with osteochondrosis, local anesthesia (lidocaine, procaine), non -seertoidal anti -inflammatory drugs (loroxics or meloxicams), corticosteroids (betamethason) are effective.Medical mixtures are introduced as close as possible to the focus of pain.
Intercostal neuralgia, antidepressants, anticonvulsants denote a lot of versatis.Group B (Pentoxi -phillin, aminofillin) is prescribed Group B.Surgery treatment is performed with the symptoms of the spinal cord compression (lower limbs, damaged urine and stools).
PreventionOsteocondrosis of the chest region is reduced to avoid long, uncomfortable positions at the table.It is important to properly install your workplace, alternate working hours and relax, regularly participate in physiotherapy exercises, visit the pool 1-2 times a week.