The causes of the osteochondrosis of the thoracic column are not sufficiently clarified.The greatest importance is associated with hereditary predisposition and age -related changes on intervertebral discs.
Osteochondrosis of the chest column: symptoms.
The first stage of the neurological complications of the thoracic column osteochondrosis.
Clinical manifestations are associated with reflex muscle tension.Dorxago (thoracic background).Acute pain in the thoracic region associated with movements.The exacerbation suddenly begins.The volume of movements in the thoracic column is very limited.The paravertebral muscles of "stone" density.Dorsago's proliferation with proper treatment is not more than 7-10 days.
Dorsalgia (back pain).Pacifiers 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, the curvature in the thoracic column, the tension and pain of the paravertebral muscles is often determined.In most cases, pain is to submit to 2-3 weeks, but in the absence of treatment, it can take a chronic course.
Petallgy (chest pain).Life pain is one of the most common complaints with which patients go to the doctor.The differential diagnosis in this case is carried out with cardiological diseases (angina pectoris, myocardial infarction).
Often, chest pain occurs at the bottom of the osteochondrosis of the thoracic column.The pain is deep, broken, painful, intensifies, with movements or with prolonged stay in a position.In the thoracic region, the movement is limited, tense and painful in the paravertebral palpation muscles.
With the anterior chest wall syndrome, stupid, sore and prolonged pain on the front surface of the chest are produced during the movements of the hands, with turns of the body.Taking nitroglycerin under the tongue does not stop pain.The curular points are found in the large and small chest muscles.
The second stage of the neurological complications of the thoracic column osteochondrosis.
A hernia of the thoracic column disk with a root syndrome is extremely rare.This is due to the structure of the structure of the thoracic column.The compression of the spine (or intercostal neuralgia) is accompanied by shooting and ardor pains of a surrounding character from the back throughout the intercostality.The pain intensifies when it moves, when breathing.
Often, sinus -size radio syndromes are accompanied by pain in several internal organs.In case of damage to the upper thoracic roots, patients complain of pain and paresthesia in the throat and the esophagus, in the feeling of 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 exams and consultations lead to the development of neurotic reactions.
In patients with medium -sized roots, pain occurs in the stomach.Often, the pains are accompanied by numbness in the anterior abdominal wall.With the pathology of the lowest roots, pain can simulate intestinal pathology.Sometimes, the pain in the abdomen is so intense that patients perform unjustified surgery for pseudity.
The defeat of the tenth, eighth or ninth column to the right can imitate the pathology of the gallbladder or the liver.As they approach, stupid pains are located in the right hypochondrium.Boli and paresthesia, when the damage of the roots of the breasts is clearly related to the movements in the thoracic column, intensify with a long seat, while lying on the back, with cough or sneezing.
The third stage of the neurological disorders of the thoracic column osteochondrosis.
Vascular brown conflict.With the small chest muscle syndrome, the shoulder plexus, the subclavian artery and the vein are compressed.Compression of these formations can be caused by a strong abduction of the hand.Patients experience brushes and ardor pain on the wall of the previous chest during the movements, at night.In this case, paresthesia, numbness, weakness and pain are produced.In palpation, activation points are determined in the area of the small breast muscle.An important differential diagnosis test is pain elimination after muscle blocking.
The fourth stage of the neurological complications of the thoracic column osteochondrosis.
Violation of the blood supply to the spinal cord.Chronic myelopathy at a thoracic level is rare, which is associated with the anatomical characteristics of the spine.But with a narrow spinal channel, the hernia of the disc can tighten the arteries and spinal cord.The disease begins gradually, weakness in the legs, a decrease in sensitivity in the lower half of the body, the deteriorated function of the pelvic organs.
Acute stroke is the most serious complication of breast osteochondrosis.Suddenly, in the context of pain syndrome, leg paralysis, numbness, deteriorated function of pelvic organs are produced.
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 carried out to exclude damage to roots and spinal cord.The manual examination allows you to determine the source of pain, the limitation of mobility, muscle spasm.
Additional exam methods are shown in case of specific back pain suspicion.If somatic pathology is suspected, an exhaustive clinical examination is carried out (ECG, an X lungs, FGD, ultrasound of the abdominal cavity, etc.).
The radiography of the thoracic column is prescribed to exclude tumors, column injuries, infections and Shoyerman-Mau disease.The X -ray signs of osteochondrosis have no clinical value, since all the elderly and elderly people have them.
With root or spinal symptoms, a magnetic resonance or TC of the thoracic column is indicated.In a magnetic resonance, hernia and spinal cord are better visible and bone structures in TC.The clinical level of damage and the magnetic resonance of the findings must correspond to each other.
Osteochondrosis of the chest column: 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 column should be avoided.
Intracanic electrical stimulation, acupuncture, hirudotherapy, massage, manual therapy are effective.Drug treatment.With acute pain, non -steroid anti -inflammatory drugs are indicated.In combination with anti -inflammatory medications, miradelaxantes can be prescribed in the presence of muscle spasm.
With thoracic column osteochondrosis, the therapeutic blockade with local anesthetic (lidocaine, procúa), non -steroidal anti -inflammatory drugs (loroxes or meloxicams), corticosteroids (betametason) are effective.Medicinal mixtures are introduced as close as possible to the pain approach.
With intercostal neuralgia, antidepressants, anticonvulsive, a versathis patch is indicated.Porty medications (pentoxifilin, aminophilin), Group B are prescribed. Surgical treatment is carried out with compression symptoms of the spinal cord (pairsia of the lower extremities, urine and deteriorated feces).
PreventionOsteochondrosis of the thoracic region is reduced to avoiding long and uncomfortable positions when working at the table.It is important to correctly equip your workplace, alternative periods of work and rest, participate regularly in physiotherapy exercises, visit the group 1-2 times a week.