The causes of thoracic spine osteochondrosis are not sufficiently clarified.The greatest importance is attached to hereditary predisposition and age -related changes in intervertebral discs.
Thoracic spine osteochondrosis: symptoms.
The first stage of the neurological complications of thoracic spine osteochondrosis.
Clinical manifestations are associated with reflective muscle tension.Dorxago (thoracic background).Acute pain in the thoracic region associated with movement.Exacerbation begins suddenly.The volume of movement in the thoracic spine is strongly limited.The paravertebral muscles of the "stone" density.Dorsagus proliferation with proper treatment is not exceeding 7 to 10 days.
Dorsalgia (back pain).The paceners 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, curvature in the thoracic spine, tension and pain of the paravertebral muscles is often determined.In most cases, the pain is to go through 2-3 weeks, but in the absence of treatment, a chronic course can follow.
Pectallgy (chest pain).Breast pain is one of the most common complaints with which patients go to the doctor.The differential diagnosis in this case is performed with cardiac diseases (angina pectoris, myocardial infarction).
Often, chest pain occurs at the bottom of the thoracic spine osteochondrosis.The pain is deep, broken, painful, intensifies, with movements or prolonged stay in a position.In the thoracic region, movement is limited, tense and painful in the paravertebral muscles of palpation.
With the anterior chest wall syndrome, stupid, painful and prolonged pain occur on the front surface of the chest, intensify during hand movements, with body curves.Taking nitroglycerin under the tongue not stops pain.Curular points are found in large and small thoracic muscles.
The second stage of neurological complications of thoracic spine osteochondrosis.
A herniated hernia of the thoracic spine with a root syndrome is extremely rare.This is due to the structure of the thoracic column structure.Compression of the spine (or intercostal neuralgia) is accompanied by the firing, burning pains of a surrounding character on the back along the intercosicality.The pain intensifies when moving, when breathing.
Often, breast size radio syndromes are accompanied by pain in various internal organs.In case of damage to the upper chest roots, patients complain of pain and sore and esophagus, with 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 additional examinations and consultations lead to the development of neurotic reactions.
In patients with medium -sized roots, pain occurs in the stomach.Frequently, pains are accompanied by numbness on the anterior abdominal wall.With the pathology of the lower roots, pain can simulate intestinal pathology.Sometimes the pain in the abdomen is so intense that patients perform unjustified surgery for pseudo -apendicitis.
The defeat of the 7th, 8th or 9th column on the right can imitate the gall or liver pathology.Nearby, stupid pains are located in the right hypochondrium.Boli and Paresthesia When damage to the chest roots are clearly related to chest movements, they intensify with a long seat while lying on the back, cough or sneezing.
The third stage of neurological disorders of thoracic spine osteochondrosis.
Brown-vascular conflict.With the small thoracic muscle syndrome, the shoulder plexus, the subclavian artery and the vein are compressed.Compression of these formations can be caused by a strong hijacking of the hand.Patients suffer from brushing, burning in the anterior chest wall during the movements at night.In this case, paresthesia, numbness, weakness and pain in the hand occur.In palpation, there are certain trigger points in the small breast muscle area.An important differential diagnostic test is the elimination of pain after muscle blocking.
The fourth stage of neurological complications of thoracic spine osteochondrosis.
Violation of 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 herniated disc can squeeze the arteries and the spinal cord.The disease begins gradually, weakness in the legs, a decrease in sensitivity in the lower half of the body, the impaired function of the pelvic organs.
Acute cerebrovascular disorder is the most severe complication of mammary osteochondrosis.Suddenly, against the bottom of pain syndrome, there are paralysis of the legs, numbness, impaired function of the pelvic organs.
Examination of patients with osteochondrosis of the thoracic region.The analysis of complaints and history is of great importance to exclude serious pathology.A neurological examination is performed to exclude damage to the roots and spinal cord.Manual examination allows to determine the source of pain, limitation of mobility, muscle spasm.
Additional examination methods are shown in case of suspected specific back pain.If somatic pathology is suspected, a complete clinical examination is performed (ECG, an x -ray of the lungs, FGDs, abdominal cavity ultrasound, etc.).
Rooping of the thoracic spine is prescribed to exclude tumors, spinal lesions, shoyerman-mau disease.X -ray signs of osteochondrosis have no clinical value, since all people of the elderly and the elderly have them.
With root or spine symptoms, a magnetic resonance or TC of the chest spine is indicated.In an magnetic resonance imaging, hernia and spinal cord are better visible, and bone structures in the CT.The clinical level of damage and the magnetic resonance imaging of the findings must correspond to each other.
Thoracic spine osteochondrosis: treatment.
In the acute period, in the presence of intense pain, the restriction of physical activity is indicated.With a decrease in pain severity, a gradual expansion of the motor regime is recommended.Sudden rotational movements in the thoracic spine should be avoided.
Intrachanical electrical stimulation, acupuncture, hirudotherapy, massage and manual therapy are effective.Drug treatment.With acute pain, non -steroid anti -inflammatory drugs are indicated.In combination with anti -inflammatory drugs, Miralaxantes can be prescribed in the presence of muscle spasm.
With thoracic spine osteochondrosis, therapeutic block with local anesthetic (lidocaine, prokain), non -esteroid anti -inflammatory drugs (Loroxes or Meloxicams), corticosteroids (betametason) are effective.Medicinal mixtures are introduced as close as possible to the focus of pain.
With intercostal neuralgia, antidepressants, anticonvulsants, a piece of versatathis is indicated.Porty (pentoxifiline, aminophylline) drugs are prescribed, group B treatment is performed with symptoms of spinal cord compression (lower ends paresis, urine and impaired feces).
PreventionToracic osteochondrosis is reduced to avoiding long and uncomfortable positions when working at the table.It is important to properly equip your workplace, alternative periods of work and rest, regularly involve physical therapy exercises, visit pool 1-2 times a week.