Osteochondrosis, which affects the thoracic spine, is often disguised as the pathology of the internal organs.It is characterized by pain in the liver, shortness of breath, feeling of lack of air during inhalation, panic attacks.Therefore, the diagnosis of thoracic osteochondrosis is quite difficult.After its discovery, conservative treatment with the use of drugs, physiotherapy, and exercise therapy is performed.And with severe damage to the baby and the vertebra, surgical intervention is required.
A brief description of the disease
Thoracic osteochondrosis is a degenerative-dystrophic spinal disease.In the early stages of its development, the intervertebral disc is slowly destroyed.They become thin, fragile, and radial cracks appear on their surface.To stabilize the vertebral bone tissue with the formation of acute growth - osteophytes, which is affected by the thoracic segment osteochondrosis.This causes sharp restriction of mobility, compression of blood vessels and spinal cord.
Degree of pathology
The level of osteochondrosis is a set of symptoms of certain radiographic levels.
I degree
In x-ray images, no changes are usually found.But the intervertebral disc has begun to collapse due to the inability to maintain the moisture needed to restore its ties.Sometimes there is a weak and uncomfortable sensation in the back, quickly disappearing after a short break.
Degree
The fibrous ring becomes loose, fibrous.One of the cracks on the disc surface increases, the pulpoose core is extensive there.In X-rays, a decrease in the distance between the vertebral bodies is adjacent to the decrease in the height of the disc is significant.As a result of persistent compensation muscle tension, thoracic regional mobility is limited, a moderate painful sensation arises.
Degree III
The integrity of the fibrous ring was violated, so the pulpoose nucleus was squeezed beyond its limits.Hernial highlights are formed - the main causes of symptoms - clear symptoms and severe complications of thoracic osteochondrosis.Body -defective vertebrae, single osteophytes are formed. Pain in the thoracic region becomes constant, the amount of movement in the spine decreases.
Degree IV
The growth of connective tissue, the formation of various osteophytes is clearly visible to the image X -ray.The adjacent vertebral body is blocked, moving.Rine syndrome develops, often discogenic myelopathy - spinal cord compression, dangerous with irreversible consequences.One cannot serve himself in everyday life, losing his ability to fulfill his professional duties.
The cause of thoracic spine osteochondrosis
Thoracic osteochondrosis in people older than 40-45 years develops due to natural aging of the body: slowing down the recovery reaction, reducing collagen production, which causes elasticity, and ligaments.At a younger age, it occurs as a result of increased load on the spine or against the pathological background already in the body:
- rheumatoid arthritis, systemic lupus erythematosus, scleroderma, ankylosing spondylitis;
- endocrine and metabolic diseases, such as diabetes, gout, hypothyroidism, hypertiroidism;
- Congenital and anomalies obtained, including kyphosis, scoliosis.
The destruction of premature discs can cause spinal injury before, inactive lifestyle, and vitamin deficiency and trace elements in the body.
Signs and symptoms of disease
Thoracic osteochondrosis develops gradually, initially showing itself.It is in his journey that the danger.One takes weak pain and discomfort in the back for the fatigue of shallow muscle after a diligent workday, home or in the garden and does not seek medical help.Therefore, usually in patients, 2-3 pathology is diagnosed, which is not acceptable to conservative treatment.
Initially
During the severity, the pathology can be characterized by the pain between the blades that occur during tilt, rotation.The amount of movement is reduced, there are many specific signs of relapse.
Pain in the chest
With osteochondrosis, pain in the chest first appears.They are blurred locally, can be given to their hands, to Klavicles, ribs.Heart pain is expressed strongly or moderately, resembling an angina pectoris attack, not eliminated by taking nitroglycerin.Sometimes they are similar to the sensation that occurs with the severity of cholecystitis, pancreatitis.But unlike pancreatic injuries or gall bladder, pain is not accompanied by increased gas formation, heartburn, and stomach swelling.
Chest
The pain between the shoulder blades is sometimes accompanied by a feeling of lack of air during inhalation.One is expected to be scary, not understanding the reasons for this.Doctors recommend not panic, but to sit and measure the pulse.If the resulting value does not exceed 100 beats per minute, then the probability of the lungs or the heart is very low.
Other symptoms
Gradually, symptoms of osteochondrosis are aggravated by sensitivity disorders.There are numb sensations, tingling, goosebumps crawls.From time to time there are conditions that resemble panic attacks.They are characterized by fear, increased heartbeat, excessive sweating, cold evaporation.If these symptoms are accompanied by pain, then it is necessary to take nitroglycerin and consult your doctor.A set of similar symptoms may indicate myocardial infarction.
The root of the spine located in the thoracic region is spreading the internal organs.With irritation, compression, gastrointestinal tract work, frustrated liver.Peristalsis is disturbed, epigastric pain, heartburn, belching occurs.
Sign at the subacute level
After severity, subacute levels of thoracic osteochondrosis occur.Pain and respiratory problems are preserved, but they are less intense.One is no longer looking for the long position of the body where the pain is not felt.The subacute stage period is up to two weeks.
Pardon
At the stage of forgiveness, poor discomfort when changing the weather or hypothermia may occur.Acute pain only occurs with 2-4 severe osteochondrosis due to rotation or too much of the body's tilt.Increased chronic pathology, stress, increased physical activity, prolonged discoveries in one body position can trigger subsequent relapse.
The principle of diagnosis of disease
Neurologists make an initial diagnosis based on patient complaints, anamnesis data.During the external examination, it detects in the thoracic point area, when pressed where the pain occurs.Conducting a functioning test allows you to evaluate reflex safety, to identify sensitivity disorders.From the instrumental method, radiography is the most informative.But for a detailed study of the spinal segment, CT, MRI can be conducted.To exclude diseases of the cardiovascular system, the patient is prescribed ECG.
How to treat breast osteochondrosis
Only an integrated approach to treatment will allow you to get rid of all the symptoms of osteochondrosis, slow down or stop its spread to a healthy disc and vertebra.In pathology 1-2 degrees of severity, conservative therapy methods are used.3-4 degree osteochondrosis is characterized by the formation of large hernia.To eliminate blood vessels and spinal cord, surgical treatment may be needed.
Drug
In the early stages, funds for parenteral administration are commonly used quickly with therapeutic effects.A few days later, the injection solution was replaced with a safer tablet, ointment, and patch.
Anti -non -ssteroidal drugs (NSAIDs)
NSAIDs have analgesic, anti -inflammation, decongestant.To stop acute pain allows the administration of intramuscular solution.To eliminate the weak and uncomfortable sensation between the shoulder blades is used for local applications.And with moderate illness, NSAIDs are well handled for oral administration.
Musorelaxants
To get rid of muscle cramps that arise in response to severe pain, muscle relaxants are used.Often, the treatment of thoracic osteochondrosis begins with the intramuscular administration of the drug, which, in addition to musorelaxant, including anesthetics.
Chondroprotectors
With the first severity pathology of chondroprotectors travel, it helps restore damaged discs.In other cases, they are prescribed to increase metabolism in the affected segment of the spine, prevention of disease development.
Vitamin B Vitamin B
Their use helps improve blood flow, improve the functioning of the peripheral nervous system, restore trophism and conservation.Vitamin B complex has a good effect on nerve degenerative diseases and motor tools.
Physical Education Medicine
With thoracic osteochondrosis in the first stage, daily physiotherapy training allows you to do without the use of medicines.Recovery occurs by strengthening the muscles, increasing blood supply to tissues with nutrients.In other cases, regular filling and training helps to prevent involvement in the process of damaging healthy vertebrates, extending the level of forgiveness.
Complex from standing position
In standing position, the following healing exercises are most therapeutic:
- Put your palms on your shoulders, leaning forward, while raising your feet at the same time, as if trying to get your knees opposite your elbows;
- Raise the left hand, lean on the right.Perform the training in the opposite direction;
- Stop your shoulders -you can, raise your hands.Lean forward, touching the opposite foot.
The number of repetitions is 10-12 times in a 2-3 approach.
From a position to lie down
To perform this exercise, you need a dense and folded gymnastics carpet rug:
- lying on the stomach, at the same time raising your arms and legs;
- Lie on the back, lift the upper body, stretch with the palm of the hand to the footsteps;
- Lying on the back, bent one foot, start it behind the other, trying to touch the floor surface with the knee.
Each exercise must be done 7-10 times.
From a state of sitting
When doing such exercises, sharp, high movements -higher should be avoided, including turning:
- Sitting on the floor, to the front, trying to touch the opposite foot;
- Sit on a chair or stool, stretch your arm forward and slowly turn from side to side;
- Sit on the floor, attach the knee with your hands, pull it as close as possible to the chest.
In the first class, re-practice 5-7 times, after about a month-15-20 times.
Physiotherapy treatment
In the treatment of thoracic osteochondrosis, magnetotherapy, laser therapy, UHF therapy, sinusoidal current, shock wave therapy, paraffin and mountain candles are used.With exacerbations, electrophoresis, ultrafonophoresis with glucocorticosteroids, anesthetics, vitamin B group, chondroprotectors are performed.
Massage
Massage by experts helps to relieve pain between the shoulder blades, relax the spasmodic skeletal muscles.
With osteochondrosis, all types of massage are effective therapeutic - classic, vacuum, acupuncture, connective tissue.At home, self is easy to do with wood or electric massage with long handles.
Acupuncture
Acupuncture - a method of treating the pathology by installing a needle in a bioactive point on the human body.They are thin, short, so when they pierce the skin once, just weak, uncomfortable sensations arise.But such effects are sufficient for the production of substances in the body with analgesic and anti -anti -anti -anti -anti -anticipation effects.
Diet
Nutritionists recommend that patients with breast osteochondrosis leave fatty meat, rich soup, smoked meat, home and factory fireplace.The amount of salt that causes edema formation should be limited to nutrition.Every day you need to drink about 2.5 liters of liquid - water, vegetable juice, berries, fruit compot.
The recovery of the people
Celery root
Peel the large celery root, roll on a fine grater, squeeze the juice.Add 100 g of fresh celery green.Take 3 tablespoons up to 4 times a day while eating to clean the vertebral structure of a harmful salt deposit.
Sunflower roots
Pour one teaspoon of sunflower root crushed with a glass of hot water.Bring to a boil, simmer over low heat for 20 minutes, cool under the lid, tension.Drink at 3-4 doses during the day.
Ointment
In the mortar, roll along one tablespoon of turpentine and thick honey, add 2 drops of juniper, rosemary, Eucalyptus essential oil.Introducing a small portion of 100 g of medical petroleum jelly.Stir, transfer to a jar, keep it in the refrigerator, rub back with pain.
Prevention and forecast
This prognosis is profitable with timely detection of diseases, performing competent and complex treatments.If breast osteochondrosis complications have been developed, then only compliance with all medical recommendations will achieve stable forgiveness.
As a pathological prevention, neurologists recommend excluding factors that arouse it from the normal lifestyle.These are excess weight, low motor activity, vitamin deficiency and trace elements, excessive load on the spine.