Osteochondrosis of the thoracic spine: symptoms and treatment

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  • 1Osteochondrosis of the thoracic spine - signs and symptoms, treatment and drugs for pain
    • 1.1What is osteochondrosis of the thoracic spine
    • 1.2Symptoms of breast osteochondrosis in men
    • 1.3Pain in osteochondrosis of the thoracic spine
    • 1.4Osteochondrosis of the thoracic spine - treatment
    • 1.5Treatment of breast osteochondrosis medication
    • 1.6Exercises for the thoracic spine with osteochondrosis
    • 1.7Manual therapy for osteochondrosis
    • 1.8Massage with osteochondrosis of the thoracic spine
    • 1.9: treatment of breast osteochondrosis
  • 2Symptoms and treatment of the osteochondrosis of the thoracic spine
    • 2.1Causes of osteochondrosis
    • 2.2Features of osteochondrosis of the thorax. Symptoms
    • 2.3Usually the symptoms are divided into two groups: local and neurological
    • 2.4With what can be confused osteochondrosis of the chest
    • 2.5Diagnosis of the disease
    • 2.6Treatment
    • 2.7Medication
    • 2.8Manual therapy
    • 2.9Physiotherapy
    • 2.10Physiotherapy. Gymnastics
    • 2.11Prevention
  • 3Osteochondrosis of the thoracic spine
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    • 3.1Features of the anatomy of the spine
    • 3.2Causes and mechanism of disease development
    • 3.3Symptoms of chest osteochondrosis
    • 3.4Diagnostics
    • 3.5How to treat chest osteochondrosis?
  • 4Osteochondrosis of the thoracic spine: symptoms, signs, treatment:
    • 4.1What is osteochondrosis
    • 4.2Osteochondrosis: parts of origin, classification
    • 4.3Causes of the disease
    • 4.4Features of chest osteochondrosis
    • 4.5Symptoms of the disease
    • 4.6Dorsalgia, dorsago - what is it?
    • 4.7What is fraught with osteochondrosis of the thoracic region
    • 4.8How to diagnose osteochondrosis of the thoracic part of the spine
    • 4.9How to treat
    • 4.10Manual therapy
    • 4.11LFK as one of the ways of treatment
    • 4.12Treatment of osteochondrosis at home
    • 4.13Osteochondrosis: folk treatment
    • 4.14Measures to prevent osteochondrosis of the thoracic region

Osteochondrosis of the thoracic spine - signs and symptoms, treatment and drugs for pain

Since a person lives in a continuous rhythm of life, experiences physical stress and is exposed to provoking factors, the first thing the spine suffers. There is a breakdown of its individual segments, painful sensations arise, osteochondrosis progresses. The diagnosis is not pleasant, often leads to disability.

What is osteochondrosis of the thoracic spine

Any degenerative-dystrophic changes in the thoracic spine are a relatively rare phenomenon, spontaneous defeat of the cervical and lumbar spine is more common.

Breast osteochondrosis is a vast pathology, which is accompanied by dysfunction of one or more vertebrae of the sternum.

These segments are hidden in the chest, while the structure is much stronger and thicker than the cervical vertebrae, so the problem develops mainly in the older generation. The disease clearly needs timely treatment.

Pain is the main sign of this disease, and at different stages it has differences in specificity, intensity, duration.

Symptoms of osteochondrosis of the thoracic spine should be correctly differentiated, since several diseases of the spinal column fall under this definition.

This may be similar to pneumonia, ischemia of the heart, myocardial infarction, cholecystitis and even peptic ulcer. Therefore, this diagnosis is often called a "chameleon doctors pay special attention to diagnosis.

Degenerative and dystrophic changes in the vertebrae are observed in the older generation, with no advantages with regard to gender.

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The symptomatology in the female body is more pronounced, because the organic resource of the fairer sex is very sensitive.

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Primary signs of breast osteochondrosis in women can be confused with the symptoms of breast pathologies. It is recommended to pay attention to such changes in general health:

  • painful sensations of the sternum;
  • a feeling of "goosebumps" in the skin;
  • Increased lumbago between the blades at an uncomfortable position of the body;
  • dizziness, pain of the myocardium;
  • sensation of compression of the sternum;
  • numbness of upper abdomen;
  • increased swelling of the limbs;
  • tenderness of the abdominal region;
  • increased muscle tension of this zone.

Symptoms of breast osteochondrosis in men

The manifestation of pathology in the male body is less pronounced, which is due to increased endurance, the habit of overexerting physical exertion.

When the chest starts to hurt, the man does not pay attention to such symptoms, but in vain. These are obvious signs of breast osteochondrosis in men, which are urgently needed to differentiate.

Other symptoms of the disease are detailed below:

  • gastrological syndrome;
  • visible curvature of the spine;
  • short-term numbness of the limbs;
  • chills, less often - signs of fever;
  • acute attack of pain under the rib;
  • violation of the functionality of the pelvic organs;
  • similarity with a heart attack;
  • feeling of "goosebumps
  • decline in efficiency, inability to lift weights;
  • stiffness of movements.

Pain in osteochondrosis of the thoracic spine

The nature of the pain syndrome has its own specificity, which is due to the degree of the pathological process. At 1 degree protrusion of vertebral discs takes place, but pain sensations, as such, are absent.

At 2 degrees there is a fissure of the fibrous ring, which delivers the patient pain, restricts movement. At 3 and 4 degrees the doctor diagnoses an intervertebral hernia, when the intervertebral space loses its habitual parameters, individual segments press on each other.

Pain in osteochondrosis of the thoracic spine does not disappear, but grows.

Osteochondrosis of the thoracic spine - treatment

Before treating the osteochondrosis of the thoracic region, it is required to determine the cause of the damage to the cartilaginous and connective tissues.

In some patients, sedentary lifestyle is to blame for everything; in others, the etiology of the pathological process is considered to be a violation of the blood supply, for example, against the background of spine trauma. And there are many such pathogenic factors.

In any case, successful treatment of the osteochondrosis of the thoracic spine is not just about taking pain medications to stop the exacerbation stage.

It is also necessary to search for the root cause, an integrated approach to the emerging health problem.

Medical therapy must be successfully combined with physiotherapy, not forgetting that moderate loads are useful.

Treatment of breast osteochondrosis medication

To cure the acute stage of the pathology, you need a bed rest, taking painkillers and other medications at home.

Medicines for the restoration of bone tissue are selected individually, the doctor takes into account the particular clinical picture.

So, the medicamentous treatment of osteochondrosis of the thoracic spine provides the following medical directions:

  1. Miorelaxants, antispasmodics to eliminate spasm of muscles surrounding the alleged focus of pathology. This is Drotaverin, No-shpa, Spazmalgon.
  2. NSAIDs, analgesics to prevent a dangerous attack of pain in the spine, which paralyzes the patient, disrupts breathing. This is Ibuprom, Nurofen and other tablets.
  3. Chondroprotectors for restoration of the structures of the affected ridge, normal functionality of the joints. This is Chondroxide, Glucosamine.
  4. Vitamin complexes with special emphasis on the presence in the natural composition of group B vitamins. Blomaks, B-complex are known.
  5. Natural preparations for retaining fluid in the cavity of affected intervertebral discs. This is Papain.

Exercises for the thoracic spine with osteochondrosis

Patients are supposed to do exercise, which has a beneficial effect on the thoracic spine. Correctly selected complex of simple exercises will eliminate exacerbation, prolong the period of remission.

Respiratory gymnastics with osteochondrosis of the thoracic spine will not be superfluous, moreover, it will reduce the number of dangerous seizures.

Ideally, attention should be paid to such exercises:

  1. Plank is the best exercise for this diagnosis, and it is recommended to perform it from 30 to 90 seconds, gradually increasing the load on the spine (thoracic area).
  2. Sagging on the bar should be done regularly, also gradually increasing the duration of one exercise in time.
  3. You can take the pose of the bar and alternately bend the legs to the abdomen for a while. This is prevention for the joints and a way to relieve the tension of the thoracic spine.

To eliminate DZPP, it is recommended to be treated with the help of exercise therapy and other physiotherapeutic procedures in a hospital.

This treatment is comfortable, as the patient takes comfortable but maximally productive postures for a speedy recovery.

Such exercises become not only an element of intensive therapy, but also an important component of mandatory preventive measures for patients at risk.

Manual therapy for osteochondrosis

At the next aggravation the help of such treatment is simply irreplaceable.

Manual therapy of the thoracic spine eliminates the hypertonic muscles of the back, facilitates excessive soreness in dorsago (painful lumbago) and dorsalgia (soreness from a certain position housing).

In addition, it is a good opportunity to normalize the systemic circulation in the rib space, improve the enrichment of blood with oxygen and provide intensive nutrition of tissues. With pectalgia (also a kind of pain), such procedures are also appropriate, but only on the advice of a specialist.

Massage with osteochondrosis of the thoracic spine

Such mandatory procedures in a hospital or at home are also not contraindicated.

On the contrary, massage with osteochondrosis of the thoracic spine removes hypertonia, strengthens the structure of damaged discs, helps them to occupy the correct position in the structure of the spine.

Such an important component of complex treatment accelerates the process of recovery in the diagnosis of acute osteochondrosis. As an independent treatment, rather mediocre, so the course of massage is prescribed in conjunction with manual therapy and exercise therapy.

: treatment of breast osteochondrosis

A source: http://sovets.net/8828-osteohondroz-grudnogo-otdela-pozvonochnika.html

Symptoms and treatment of the osteochondrosis of the thoracic spine

Chest osteochondrosisis less common than the cervical or lumbar, and its symptoms are similar to many other diseases, which complicates the diagnosis. In comparison with other departments of the spine, the thoracic is less mobile, due to what in the early stages of osteochondrosis of the chest can not be manifested.

With the diagnosis of "Osteochondrosis of the thoracic spine his symptoms and treatment should be confirmed by a qualified neurologist who will prescribe the necessary drugs and procedures.

Causes of osteochondrosis

The reasons may be:

  • Genetic predisposition;
  • Inadequate nutrition;
  • Hypertonus of the back muscles (chronic overstrain and spasms);
  • Metabolic disease;
  • Overweight;
  • Sedentary lifestyle;
  • Disorders of posture, flat feet and other diseases of the musculoskeletal system;
  • Work that requires lifting of weights or frequent and abrupt movements;
  • Long stay in uncomfortable position;
  • Injuries of the spine;
  • Infections and intoxications (poisoning);
  • Prolonged stress;
  • Excessive physical activity;
  • Age changes.
  • IMPORTANT: Remember that most often the disease is caused not by one cause but by a complex. The following categories of people fall into the risk group:
  • Athletes, including after injuries and abrupt discontinuation of training;
  • Office workers;
  • Loaders, builders and other professions associated with lifting weights;
  • Police officers, especially the OMON and other special-purpose groups;
  • Women during pregnancy.
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Features of osteochondrosis of the thorax. Symptoms

The anatomical structure of the thorax is maximally adapted to preserve the organs of the thoracic cavity. For the stable functioning of the heart and lungs, the thoracic spine and ribs should be in the correct position.

Because of the large accumulation of nerves in the thoracic area, if it is damaged, the symptoms can be very diverse - back pain, numbness, signs of appendicitis and much more. The absence of specific signs makes it difficult to detect osteochondrosis.

Symptoms of osteochondrosis of the thoracic spine will depend on the location and degree of lesion of the vertebra.

Usually the symptoms are divided into two groups: local and neurological

  1. Under the local understand different pain syndromes: pain between the shoulder blades, in the region of the heart, reminiscent of gastritis and ulcers and others.

    The main pain syndromes are dorsago and dorsalgia.

    Dorsago- the so-called chamber. This is a sharp, sharp pain in the area of ​​the shoulder blades, which accompanies the restriction of movements.

    On average, the exacerbation lasts 10-14 days.

    Dorsalgia- Unlike dorsago, dorsalgia begins with discomfort and passes into aching pain, which can last up to 3 weeks.

  2. Neurological symptomsarise when the nerve is damaged. At the same time, there is no pronounced pain in the back and symptoms of another disease appear, depending on which nerve suffered. For example, if the first dorsal nerve (D1) is damaged, there are signs of asthma, pain in the hands and palms.

The main neurological symptoms. Symptoms:

  • Numbness of the legs, upper abdomen, "creepy
  • Violation of the pelvic organs;
  • Tension of the muscles of the chest and back;
  • Respiratory disorders;
  • Signs of a heart attack.
  • Usually these signs are observed separately, but in neglected cases there can be combinations of several symptoms.

With what can be confused osteochondrosis of the chest

Osteochondrosis of the thoracic region is an insidious disease that doctors often call a "chameleon" because it masks other diseases.

The clinical signs of chest osteochondrosis are often similar:

  • Diseases of the cardiovascular system, heart attacks;
  • Cholecystitis;
  • Appendicitis;
  • Renal colic;
  • Pancreatitis;
  • Urolithiasis disease;
  • Ulcer, gastritis, colitis;
  • Diseases of the respiratory system (bronchial asthma and others).

Diagnosis of the disease

For the diagnosis of osteochondrosis usechest x-ray in two projections, CT and MRI (magnetic resonance imaging).

A primary examination is performed by a doctor -neurologist, which examines the spine of a patient in a sitting position, lying down and standing in a state of rest and motion.

The doctor pays attention to the patient's anatomical features, his posture and the condition of the back muscles. With the help of palpation (feeling), the doctor determines the localization of soreness and its intensity.

In order to confirm the diagnosis, depending on the symptoms, an additional examination will be carried out.

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For example, for a patient with symptoms of a heart attack, an electrocardiogram is prescribed, and for a patient with signs of urolithiasis or kidney colic, ultrasound of the kidneys.

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If additional studies have not revealed violations of the organs, then the problem is in the nerve.

Treatment

For the treatment of osteochondrosis, a doctor can prescribe medications, manual therapy, physiotherapy, physiotherapy and, in the most severe cases, a surgical operation.

Medication

The first thing the doctor prescribes is anti-inflammatory-pain medications.They help to reduce the pain, eliminating its cause - squeezing the nerve. They can be hormonal and non-hormonal.

Non-hormonal anti-inflammatory drugs (ibuprofen, diclofenac, etc.) have fewer side effects than hormonal ones, but the effect is weaker.

Hormonal drugs (prednisolone, dexamethasone, etc.) are more effective, but have more side effects: stomach ulcer, diabetes, calcium metabolism and so on.

They are prescribed only when non-hormonal drugs have no effect.

The second group of drugs - diuretic (furosemide, etc.).Removing excess fluid helps to remove swelling. They are used during the period of exacerbation.

The third group of drugs - chondroprotectors and drugs that improve metabolism in tissues (vitamins of the groupB, milgamma, etc.).They help restore damaged tissue, accelerate recovery.

In the treatment of osteochondrosis ointments and gels do not give the desired result, but only temporarily relieve the pain - the spine is safely hidden under the muscle layer and the medicinal substances can not penetrate to the bones. It is safer to take medicines in the form of pills, but remember that in this case, the doctor should prescribe a drug that protects the stomach.

Manual therapy

For the treatment of various osteochondrosis, physicians effectively apply manual therapy, and thoracic osteochondrosis is no exception. In manual therapy, medical massage, acupuncture and acupressure are distinguished.

Massotherapy- a traditional kind of massage for Europe and Russia. Thanks to him, you can remove muscle spasm and pain syndrome, and also put the vertebrae in the correct position.

Acupuncture (reflexotherapy, acupuncture)- An element of Chinese medicine.

It is based on the knowledge of the special points of the body, which are responsible for the correct work of different organs and the organism as a whole.

With acupuncture, long needles are used, which are located at certain points, depending on the disease.

Acupressure (acupressure)Also, it is based on the knowledge of singular points, but it uses only a click on them in a certain order.

Physiotherapy

Physiotherapy is prescribed in combination with conservative medical treatment. For osteochondrosis, the following procedures are suitable:

  • Vibromassage;
  • Electrophoresis;
  • Ultrasound exposure;
  • Magnetotherapy.

Physiotherapy. Gymnastics

the task of exercise therapy is the strengthening of the muscles, the formation of a correct posture and the restoration of the right bending of the spine. Depending on the degree of damage, the doctor assigns different sets of exercises. Remember that before any exercise should be warmed up.

Examples of exercises:

  • 1. Lie on your back (always on level ground!). Under the shoulder blades, place the roller about 10 cm in diameter (for example, a folded blanket or towel wrapped around the rolling pin). Put your hands behind your head and bend, and then lift the upper part of the trunk. Repeat 4-5 times, then slide the roller and repeat.
  • 2. Towers sideways. Straighten your arms above your head, grip your left wrist with your right hand and pull your left arm as far as possible. Then change your hands. In each direction, do 10 repetitions.
  • 3. Take a towel and wrap it around the lower ribs (in the diaphragm area). Take the edge of the towel. When exhaling slowly tighten the tissue, with inspiration - gradually loosen. Repeat 7-10 times.

a set of exercises for the thoracic spine

Prevention

Prevention of osteochondrosis includes several simple points:

  • 1.Proper nutrition. Absence of B group vitamins, lack of macro- and microelements often aggravates the condition of the joints. Include in your diet beans, seafood, fish, nuts and dairy products.
  • 2.Physical exercise. Try to hang more often on the bar, do various slopes and other exercises, kneading the back muscles. If you have a sedentary job, take short breaks 5-6 times a day and warm up - walk around the office, stretch, make the rotation with your neck.
  • 3.Proper weight distribution when carrying weights: evenly in two hands, or use a backpack.
  • 4.Correct position of the spine- good posture, comfortable shoes.

Following these simple rules, you can keep your back healthy, because it's easier to prevent the development of the disease than to eliminate its consequences.

How to forget about joint and spinal pain?

  • Does pain limit your movements and full life?
  • Are you worried about discomfort, crunching and systematic pain?
  • Perhaps you have tried a bunch of medicines, creams and ointments?

A source: http://zdorovya-spine.ru/bolezni/osteohondroz/grudnoj/simptomi-lechenie.html

Osteochondrosis of the thoracic spine

In the case of chest osteochondrosis, organs associated with the areas of the spinal cord, which is located at the level of the affected thoracic region and below, often suffer.

Violation of normal activity of the spine leads to immobility of the hands, legs and trunk in general, disruption of the pelvic organs, respiratory muscles and internal organs.

Osteochondrosis is a degenerative-dystrophic disease of the spine, which is based on a change intervertebral disks involving the pathological process of adjacent vertebrae and intervertebral joints with all ligamentous apparatus.

Features of the anatomy of the spine

The mobility and stability, elasticity and elasticity of the spinal column largely depend on intervertebral discs, which are one of the types of cartilaginous connection between the bones and provide a strong bonding of the bodies of adjacent vertebrae. The total length of intervertebral discs is a fourth part of the spinal column.
The most important function of the discs is to reduce the vertical load on the vertebrae. The disk consists of three parts:

  • hyaline plates (snug against the vertebrae);
  • pulpous core (fills the gap between the plates);
  • fibrous ring (surrounds the nucleus from the outside).

The core contains cartilaginous cells, densely intertwining collagen fibers and chondrin (proteoglycans).

The front surface of the discs is covered by an anterior longitudinal ligament that fits tightly to the vertebrae and freely flips through the discs. The posterior longitudinal ligament firmly fuses with the surface of the disc and forms the anterior wall of the spinal canal.

The intervertebral disk does not have its own blood supply, therefore it feeds on substances coming from the diffusion of vertebral bodies.

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The distribution of vertical loads in the spinal column is due to the elastic properties of the discs. As a result of pressure, the pulp nucleus expands, and the pressure is redistributed to the fibrous ring and hyaline plates.

During the movement, the core moves in the opposite direction: when bending, it moves toward the bulge, and when it is bent, the nucleus moves anteriorly. When the spine moves, the muscles, ligaments and disks are included in the work.

Therefore, a violation in one link leads to a violation in the entire kinetic chain.

Causes and mechanism of disease development

In the development of osteochondrosis, a special role is played by a mechanical effect on the spine.

Under the influence of unfavorable static and dynamic loads, the gelatinous nucleus gradually loses elastic properties (as a result of depolymerization of polysaccharides), forms protrusions and is sequestered.

The process of disk degeneration is influenced by genetic predisposition, which determines the development changes in the neuromuscular apparatus of the back, changes in the structure of glycosamin, disruption of the distribution of collagen fibers in the disk. Genetic factor is paramount in the occurrence of breast osteochondrosis under the condition of increased functional activity.

The risk factors for the development of degenerative changes in the spine include the anatomical features of the discs, which are imperfections in evolution.

One of these features is the peculiarities of nutrition structures. In the human body, the disk consists of poorly blood-supplying tissue. Closure of the vessels occurs already in childhood.

After feeding occurs due to the diffusion of substances through the end plates.

Stimulant penetration of nutritional components is a dosed load, eliminating static poses and high stress. Hypodinamy is one of the leading risk factors for breast osteochondrosis. Therefore, an important preventive measure is regular exercise.

The peculiarity of the microscopic structure - the cell-lessness - reduces the intensity of the regenerative capacity and the rate of recovery of the components of the disk.

The anatomical feature is the weakness and insufficient strength of the discs in the posterior regions.

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This contributes to the appearance of wedge-shaped discs in the lower thoracic and lumbar regions.

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Great importance in the development of osteochondrosis is given to involutive changes. Actively degenerative changes begin to increase after 30 years.

Synthesis of the components necessary for the disk (glycosaminoglycans) continues, but their quality deteriorates.

Hydrophilicity decreases, fibrousness increases, sclerosis develops.

Stages of the course of degeneration of intervertebral discs:

  1. prolonged asymptomatic course, degenerative changes of internal disk components, displacement of the nucleus inside the disk;
  2. expressed radicular symptoms of chest osteochondrosis, compression of the spinal cord, protrusion of the pulpous nucleus (protrusion, 1 degree);
  3. rupture of the disc with hernial protrusion (hernia, 2nd degree);
  4. degenerative changes in extra disk components (grade 3).

Pathological protrusion compresses the nerve roots, vessels or spinal cord at various levels (cervical, thoracic, lumbar), which causes a clinical picture.

Limitation of mobility in the thoracic spine, which is due to the presence of the chest, contributes to the least traumatization of intervertebral discs, and hence, osteochondrosis.

Physiological thoracic kyphosis promotes the redistribution of the weight of the upper half of the body to the lateral and anterior parts of the vertebrae.

Therefore, intervertebral hernias and osteophytes are formed on the anterior and lateral surfaces of the spinal column. Hind osteophytes and hernias are extremely rare.

Osteochondrosis helps to narrow the intervertebral openings and squeeze the roots of the spinal cord and sympathetic fibers.

Sympathetic fibers originate in the gray matter of the spinal cord, then gather in nodes from which they are directed to all internal organs.

This is due to the fact that chest osteochondrosis, in addition to typical neurological disorders, leads to violation of the function of internal organs (vegetative, vasomotor, trophic) and imitations of somatic diseases. This feature of the osteochondrosis of the thorax discs explains the difficulties in diagnosing and prescribing the right treatment.

Symptoms of chest osteochondrosis

Breast osteochondrosis is more typical for people with a sedentary lifestyle.

At the same time, there is no stimulating effect of metered loads on the spine, which contributes to the disruption of recovery of the discs.

The disease develops in people who work for a long time at a computer, slouch, etc. such people need to perform exercises of physiotherapy themselves.

The most common chest osteochondrosis is manifested by blunt pain, less often aching and burning. The pain is localized between the scapulae. The patient is worried about the feeling of chest compressions.

When you feel the spinous processes of the thoracic vertebrae, local soreness is revealed, which is strengthened with axial loads on the spine, deep inspiration and corners of the trunk.

A number of patients have sharp pains in the scapula and in the lower parts of the thorax (posterolateral syndrome). This symptom develops as a result of the displacement of the lower ribs. The pain increases sharply when the body turns. More often the pain syndrome abruptly disappears.

Often the pain in the chest becomes shrouded, corresponds to the course of the intercostal nerve.

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Sensitivity in the zone of innervation of the corresponding nerve end is disrupted, paresthesia appears, and there is often a decrease in surface and deep sensitivity.

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Possible abnormalities in the function of the abdominal press are changes in the knee and calcaneal tendon reflexes.

Violation of the function of internal organs occurs with the compression of any nerve root at a level of 1 to 12 thoracic.

In the thoracic region there are structures responsible for the innervation of the lungs, heart, intestines, liver, pancreas, kidneys.

Therefore, there are no signs characteristic of chest osteochondrosis.

The disease is manifested by symptoms characteristic of another pathology:

  • difficulty breathing;
  • intense night pain;
  • "Heart anginal pains;
  • soreness in the mammary glands;
  • pain in the right or left hypochondrium (symptoms of cholecystitis and pancreatitis);
  • pain in the pharynx and esophagus;
  • pain in epigastrium, abdomen (symptoms of gastritis, enteritis and colitis);
  • violation of sexual function.

Diagnostics

The most important in the diagnosis of chest osteochondrosis is chest x-ray. The picture shows a decrease in the height of the intervertebral disc, sclerosis of the end plates, the formation of osteophytes.

Computer tomography makes it possible to clarify the condition of the vertebrae, vertebral column joints, the size of the spinal canal, to determine the localization of the hernial protrusion and its size.

When conducting differential diagnosis, it is necessary to carefully collect the anamnesis and compare all the clinical signs of breast osteochondrosis with the symptoms of other diseases.

For example: pain in the region of the heart with osteochondrosis is not stopped by nitroglycerin, epigastric pains are not associated with admission food, do not have a seasonal character, all the symptoms appear mainly in the evening and disappear completely after an overnight recreation.

How to treat chest osteochondrosis?

Treatment of osteochondrosis of the thoracic spine is conservative in almost all cases.

Indication for the treatment is the predominance of visceral syndromes with neurological disorders.

The basic orthopedic treatment should consist in adequate extension of the spine:

  • active vertical extension under water;
  • passive horizontal traction in a tilted bed using the Glisson loop under damage at the level of 1-4 thoracic vertebrae, for axillary straps with lesion at the level of 4-12 thoracic vertebrae.

Drug treatment consists in performing paravertebral blockades with a solution of novocaine. When the disease worsens, analgesics and sedatives (elenium, trioxazine) are used.

The most widely used are ibuprofen, ketorolac, indomethacin.

With an unbearable pain syndrome, it is permissible to use ointments with analgesics and anti-inflammatory drugs at home.

After the elimination of acute phenomena apply massage of the muscles of the back and lower limbs. Manual therapy is indicated at 1-3 degrees of osteochondrosis in the case of functional blockade. It includes various options for a mild and coarse impact on the muscles of the back.

Therapeutic exercise allows you to dose all parts of the spine, which stimulates the recovery process. An important condition of exercise therapy for osteochondrosis is that it is necessary to exclude vertical loads.

Physiotherapy: UHF treatment, ultrasound, inductothermy, radon and salt-coniferous baths. At the sanatorium-resort stage, underwater traction and hydro-massage are actively used.

Operative treatment is rarely used. Indications for surgical intervention is the compression of the spinal cord with a fallen fragment of the disc.

Exercises for osteochondrosis of the thoracic spine: video.

A source: http://www.infmedserv.ru/stati/osteohondroz-grudnogo-otdela-pozvonochnika

Osteochondrosis of the thoracic spine: symptoms, signs, treatment:

Osteochondrosis of the spine is a disease that is associated with dystrophic disorders in the intervertebral discs, providing the spine with plasticity and maneuverability.

What is osteochondrosis

Under the influence of various external factors and as a result of a violation of the blood supply of the spine, the discs flatten out, lose its strength, elasticity, the spacing between the vertebrae contracts, clamping the nerve roots and vessels, which causes pain and edema. The displacement of the fibrous ring under the influence of loads leads to the appearance of protrusion, and its rupture forms an intervertebral hernia. Osteochondrosis provokes the appearance of pathological processes in many internal organs.

Previously, the disease was inherent in older people. However, every year it becomes all "younger". And to date, the first manifestations are already observed in adolescence, and more pronounced symptoms are found in every second adult.

Osteochondrosis: parts of origin, classification

Localization of the disease allows us to distinguish several types of osteochondrosis:

  • cervical osteochondrosis, provoked by sedentary or inactive way of life;
  • chest osteochondrosis occurs as a consequence of scoliosis;
  • widespread, affecting several departments at once;
  • osteochondrosis of the lumbar region is a consequence of various loads on this area.

Causes of the disease

An incorrectly distributed load on the spine is the primary cause of osteochondrosis. Disease and people with metabolic disruptions, hormonal and vascular disorders, which worsen the nutrition of the intervertebral disc. The reasons also include:

  • spinal injury;
  • atrophy of the dorsal muscles;
  • physical exercise;
  • genetic predisposition;
  • congenital injuries;
  • overweight;
  • permanent vibration;
  • supercooling;
  • constant overload due to walking in uncomfortable shoes, high heels;
  • incorrect habitual poses, formed as a result of wearing bags on one shoulder, resting on soft pillows and mattresses.

Features of chest osteochondrosis

Osteochondrosis of the thoracic spine, the symptoms of which are manifested by pain in the interblade zone, is less common than the lumbar or cervical spine.

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This is due to the fact that the twelve vertebrae of this department, in combination with the ribs and the sternum, form a strong, inactive frame, which protects most of the vital organs.

Limited freedom of movement of intervertebral discs of the thoracic region protects this area of ​​the spine from degenerative and degenerative changes. There are no pronounced clinical manifestations of the osteochondrosis of the thoracic spine.

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This leads to the misconception that it is less common. However, people who spend most of their time in a sitting position, whether it's a driver's or an office chair, are prone to changes in the spine.

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If external factors develop against the background of scoliosis, poor posture, weak back muscles, then the osteochondrosis of the thoracic spine will be inevitable.

Symptoms of the disease

Despite the lack of manifestation of clinical manifestations, the symptoms of ailment can be as follows:

  • painful sensations in the chest area, which are amplified as a result of prolonged stays in the static position or, conversely, under load;
  • unexpressed pain in the interblade area;
  • lifting one of the arms of the body is accompanied by pain;
  • pathological sensations with slopes, rotations of the upper part of the body;
  • soreness in the intercostal space during walking;
  • a feeling of tightness in the chest, back;
  • numbness of individual parts of the skin;
  • coldness, burning in the lower extremities.

Osteochondrosis of the thoracic spine, the symptoms of which are similar to the symptoms of myocardial infarction, pneumonia, stenocardia, requires a differential diagnosis, supplemented by instrumental and laboratory methods research.

Dorsalgia, dorsago - what is it?

Dorsago and dorsalgia are symptoms that characterize breast osteochondrosis. Dorsago, otherwise called "chest piercing is a sudden acute intense short-term pain. The spasm of the muscles can be so strong that breathing is difficult.

Dorsalgia - gradually beginning a moderate long-term pain syndrome. Discomfort can be aggravated by movement, deep breathing. Spasmodic muscles give a feeling of lack of air. Dorsalgia lasts up to three weeks.

What is fraught with osteochondrosis of the thoracic region

Osteochondrosis of the thoracic spine, manifested at a young age, can lead to the appearance of radiculopathy of the thoracic nerve roots, intervertebral hernia in the thoracic region of the back, protrusion tissues (protrusions) of the thoracic intervertebral discs, intercostal neuralgia, vertebrogenic thoracalgia - pain in the chest, provoked by pathological processes in the thoracic department the spine.

How to diagnose osteochondrosis of the thoracic part of the spine

A feature of this particular type of ailment is the similarity of its symptoms with other diseases.

Pain in osteochondrosis can be confused with cardiovascular, pain in cholecystitis, stenocardia, appendicitis, gastritis, ulcer, with renal colic.

That is why for diagnosis, the patient is recommended radiography, electrocardiography, magnetic resonance topography, gastroduodenoscopy, ultrasound examination of the kidneys, liver and other organs.

Osteochondrosis of the thoracic spine, the symptoms of which are masked for other diseases, is diagnosed based X-ray images, where the sprouts in the body of the vertebrae are clearly visible, the height of the intervertebral disks.

How to treat

The first thing that the treatment of the disease is directed at is the removal of the pain syndrome. This is well helped by manual and physiotherapy therapy, stretching (the most dangerous method of treatment).

Physiotherapy methods include:

  • Hematometry;
  • laser therapy;
  • electrophoresis;
  • magnetopuncture;
  • vacuum therapy;
  • diadynamic currents.

Manual therapy

Excellent cope with the problem of hypertension of the muscles and with the restoration of the back mobility manual therapy that releases blood vessels, improves nutrition and oxygen supply of tissues disks.

Trusting yourself and your back follows only experienced, skilled professionals. Manual therapy should be started after weakening or disappearing of symptoms.

It is contraindicated to resort to such a method in the following cases:

  • there is a fresh trauma to the spine;
  • increased blood pressure;
  • there is pregnancy, oncology, diseases of internal organs;
  • deterioration of the condition is observed.

LFK as one of the ways of treatment

Therapeutic physical culture (the most important stage of spine recovery) should be appointed by a professional doctor, taking into account the stage of the disease and the condition of the patient. LFK in osteochondrosis solves several basic problems:

  • increases the mobility of the thoracic region;
  • removes muscle spasm and stiffness in the spine;
  • improves lung ventilation, which is important, since many patients with inspiratory pain lead to subsequent inadequate ventilation of the lower parts of the lungs.

LFK in osteochondrosis includes a set of exercises Popova, which is able to generally strengthen the body and act directly on the problem area.

Also in the complex there are exercises-indicators, indicating the effectiveness of treatment.

Often, private practices are included in the complexes of exercises using Evminov's technique using special devices.

Treatment of osteochondrosis at home

Osteochondrosis, the symptoms and treatment of which are unthinkable without overcoming the pain syndrome, can be tried to treat at home.

If the following exercises are done regularly, then the need for analgesics can disappear for a long time. Home treatment of osteochondrosis begins with the use of a rolling pin for swinging the dough.

Take it should be in the right hand and do light alternating tapping on the right, then on the left shoulder, spine and shoulder blades. This procedure should last no more than five minutes.

Further, the rolling pin can be put on the floor and rolled on it for 15 minutes.

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Stretching is considered a dangerous method of treatment and requires the supervision of a specialist, but some exercises can be done at home.

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For example, a 10-minute hanging on a horizontal bar, with hands on the width of the shoulders and palms down, improves blood circulation.

After a visa, you should lie down for at least 15 minutes.

Proper nutrition rich in protein food will help to alleviate the condition of the patient and the sick zone, since protein is the building material for the restoration of damaged discs.

Bed in a patient with chest osteochondrosis should not be too hard or soft. The surface should be flat, the pillow - not thicker than 10 centimeters.

The chair at work should have a moderately soft seat, a comfortable backrest with a slope of not more than 25 ° from the vertical.

Both thoracic and osteochondrosis of the lumbar region require the skill of properly lifting weights: the back is flat, the legs are bent at the knee, straighten out slowly, without jerking, at the expense of the legs, not the back. To distribute cargo at transfer it is necessary on both hands.

To remove pain and muscle tension, improve the blood supply will help the bath, which can be visited every other day for 10 days. In the steam room we are not more than 5 minutes. Do not forget to rest between sessions. During periods of exacerbation, the bath will have to be abandoned.

Osteochondrosis: folk treatment

Good analgesic properties have raw potatoes. Compresses are prepared from it in combination with honey. It is necessary to take these components in the proportion: and apply to the affected area for several hours.

For indoor and outdoor use, prepare a mixture of honey in the amount of half a glass, 50 grams of vodka, salt (two tablespoons), grated radish on a small grater, 5 glasses. It can be rubbed into problem areas twice a day or taken inside a few hours before meals for a week 2 times a day, when there is an exacerbation of the disease.

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Another grind can be prepared from a handful of finely chopped oregano and a liter of sunflower oil. The mixture must last at least 10 hours, after which the infusion is filtered, and the flowers of oregano are removed.

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You can remove the symptoms of osteochondrosis with the help of herbal tea, which is prepared from a tablespoon of chopped leaves and a spoon of strawberry fruit. This mixture is poured into a glass of boiling water, it is infused for 10 minutes and is drunk a glass several times a day.

Measures to prevent osteochondrosis of the thoracic region

Preventive measures for the disease are conservative and extremely simple:

  • it is necessary to monitor your own weight and prevent obesity;
  • use products, and, if necessary, preparations enriched with magnesium and calcium;
  • follow the correctness of posture while working in a sitting position;
  • to refuse from bad habits;
  • exercise regularly.

The complex should include exercises aimed at developing and supporting muscle tone in the back and abdomen. The next complex can be performed in the morning as a charge or choose some exercises for doing at work during breaks:

  1. In a vertical position with your hands down, we take a quiet breath. Hands raise, pull, exhale. We bend back, take a breath. We lower our hands, lean forward, round our backs, lower our shoulders, head, exhale. We repeat at least 8 times.
  2. In the position on the chair, we put our hands on our heads and inhale them. Maximum bend back to 3 accounts, with the shoulder blades at the same time rest against the back of the chair, exhale.
  3. In the position on all fours we bend the back as much as possible downwards by 2-3 accounts. Keep your head straight. Repeat 5-7 times.
  4. We lay down on the stomach, hands rest on the floor. We bend back, tearing the case off the floor.
  5. The position is the same, but hands along the body. We try to raise your head and legs, caving in the thoracic area.

Osteochondrosis, whose symptoms and treatment do not have an age limit, requires an integrated and step-by-step elimination, which should not end outside the walls of the hospital or after completing the course massage. In this case, good health in many ways depends on your desire and desire to maintain your health.

A source: https://www.syl.ru/article/188353/new_osteohondroz-grudnogo-otdela-pozvonochnika-simptomyi-priznaki-lechenie