A less common form of osteochondrosis of all available babies. This form is considered the more terrible, as the symptoms of degenerative disc disease of the thoracic spine is often wrongly attributed to other diseases, such as myocardial infarction or angina. From the article anyone can see how terrible this disease is and how to treat it, and also see the images on the subject of pathology.
What is GOH?
The disease is a degenerative dystrophic changes in the intervertebral discs of the thoracic spine.
Thoracic spine consists of 12 vertebrae. He is less mobile and is well protected by the muscular corset. Because of these properties osteochondrosis is considered the most rare pathology.
However, taking into account the General orientation toward increasing incidence of osteochondrosis, become widespread all episodes of degenerative disc disease with localization in the thoracic spine.
For a deeper understanding of the GOH, see the code of the disease and its forms according to ICD-10.
What are the specifics of this part of the spine?
Low mobility is associated with its anatomical distinctive features of the connection, the unity of the vertebrae with ribs and the sternum gives you the opportunity to form a sufficiently mobile and robust system that is less prone to injury and external influences.
It has been statistically proven that a slight load on this Department contributes to the fact that the emergence of any complications is extremely rare. But their appearance cannot be described as something extraordinary, for example, failure to posture and curvature can be some aggravating conditions that lead to diseases of the spine.
Reasons
The main cause of THIS is degenerative changes in the tissues and complications of the metabolic actions due to poor nutrition and an unreasonable load on the intervertebral discs.
Often thoracic osteochondrosis formed as a result of prolonged sitting in an uncomfortable posture, in the presence of scoliosis, forming an uneven load on the spine.
The manifestation of Dorigo expressed sharp enhanced more, has the appearance of an unexpected attack. In addition to limiting the mobility keeps the connection may appear shortness of breath.
If dorsalgia pain, which is localized in the area affected drives, it has permanent character, relatively poorly identified and is accompanied by reduced activity in the lumbar-thoracic or cervical-thoracic spine.
Degree
Doctors there are 4 degrees of the disease:
- Occurs due to rupture of an intervertebral disk, triggered by a sharp move or a huge load. The patient in this period feels a strong pain in the spine and tension of all muscles.
- Diagnosed if you experience symptoms of intervertebral disc protrusion (bulge to 5 millimeters) and the presence of an unstable spinal column. You should conduct a thorough diagnostic examination to identify the stage of the disease.
- Characterized by frequent pain, difficulty breathing, minor disorders of the heart and headaches. In addition, there is a high possibility of occurrence of a herniated disc.
- Is considered the most dangerous to human health. It is the appearance of osteophytes that compress the spinal cord and its nerve endings.
Symptoms
Further explain everything important about symptoms at different stages.
In the beginning
In the early period of the disease just does not Express. Often strongly manifested pain syndrome come neurological disorders (nausea, "floaters" in the eyes, and the like) that the patient is not pow connects with issues keeps.
Chest pain
Seen in the heart area, chest, keeps, side, in the upper part of the abdomen. Ailments are aggravated when you inhale and exhale during movement. You may feel a numbness of the left arm and interscapular areas.
Feeling of compression
Pain between the shoulder blades from time to time, accompanied by a sensation of lack of air when you inhale. Doctors advise not to panic and to sit down and determine the pulse.
If the runout does not exceed 100 beats per minute, the probability of the pathology activities of the lungs or heart is very small.
Reflex syndromes
Reflex tension of paravertebral soft muscles are seen when dorsalgia, often asymmetrical, is manifested on the convex side of the deformity.
Syndrome of the anterior chest wall. The pain is caused by reflected efforts and degenerative changes of the sternocleidomastoid muscle on the sternum.
The pain increases when the load on the basis of the muscles of the chest, with turns of head and body.
Compression
Is a strong and sudden flash of pain, the so-called "cross," which manifests itself in the inter-blade space and is able to receive connections at any time. Directly hour seizure patients present as the "dagger stroke", which is accompanied by sudden spasm of the spinal muscles.
In addition to severe pain, manifested by shortness of breath and a significant limitation of freedom of movement. This complication of degenerative disc disease with recurrent bouts can last up to several weeks.
What is dangerous radicular syndrome?
Low back pain is radicular syndrome, always accompanied by pain. With painful spasm that is felt in the chest, often similar to angina. But unlike him, the pain factor can't be eliminated by receiving vasodilator drug and the cessation of physical activity. Every movement of the body, and in addition, cough and heavy breath provoke a significant increase in pain.
Common signs of radicular osteochondrosis of the thoracic, in addition to the pain of lumbago, are considered paresis, incomplete or absolute lack of sensitivity and a change in reflexes of tendon tissues, detected in the process of a neurological examination. Also, this syndrome may be accompanied by loss of hair, swelling of the limbs, blueness of the skin.
The signs of subacute stage
Starts after acute subacute stage of the process of thoracic osteochondrosis. Pain and breathing difficulties, however they are significantly less active. People are not looking for comfort of the body, which are not felt unwell.
The duration of subacute period up to 2 weeks. Subject to all medical appointments is a weakening of characterized by the absence of identified symptoms. Noncompliance with the regime leads to a new aggravation of degenerative disc disease.
Remission
On remission of the compound can be a small uncomfortable feelings when the weather changes or after exposure. A sharp pain occurs only in osteochondrosis 2-4 severity due to a rotation or tilt of the body.
Psychosomatics
Razglyadev psychosomatics cough.
What causes a cough?
In the pathology in the spine cough accompanied by pain in the throat, mostly on one side. At the beginning of their medical expression like a sore throat. In the later stages of degenerative disc disease of the unpleasant sensations become persistent, aggravated at night.
Neurological signs such as headache, dizziness, dizzy, blurred vision, fatigue, shortness of breath, joints appear during the displacement of the intervertebral disks, when the compressed nerve endings and arteries.
These feelings can be felt in the area of the stomach, resulting in the person being directed to the study of the liver, pancreas, etc, not thinking that the root cause of pain in osteochondrosis of the thoracic. With the combination of some forms of chondrosis neck and breast, people may complain of foreign body sensation in the throat, which becomes pronounced after exercise or after a stay in uncomfortable posture.
The vegetative components of
It can be:
- dryness and peeling of the skin in the area of innervation of individual nerve;
- local failure of sweating and thermoregulation (also in the area of innervation);
- tional chilliness of the extremities, brittleness of the toenails;
- pain simulate disease of the gastrointestinal tract (e.g., gastritis, gastric ulcer, cholecystitis, and so forth);
- pain in the kidneys, which in fact was not associated with renal pathology (there are no changes in the urine and ultrasound);
- pain in the heart, like angina, and including myocardial infarction.
Sometimes spasms and dizziness?
When breast osteochondrosis observed spasm and dizziness.
What does the pathology of the vertebrae, may her increase the pressure?
If thoracic degenerative disc disease can be diagnosed is also increasing pressure. As in the thoracic artery is located, the clamp which affects the pressure.
Is it possible to warm the body in the bath with high blood pressure?
Bath at a slightly elevated pressure can't hurt. In 3 or 4 stages of hypertension steam room is prohibited as it will lead to death. When in stage 1 and 2 hypertension, the target organs are not damaged, so the bathhouse is acceptable.
Digestive tract and disease
Through the form of osteochondrosis, pain in the intestine connections are at the infringement of the roots in region 8-9 vertebrae (disturbed innervation of the digestive tract).
Pain impulses from the nerve endings of the spinal cord to the intestinal tract, enhance peristalsis. Person concerned about the bloating, cramping pain in the region of the duodenum.
Angina and disease
The thorax has many nerve fibers and plexuses, after irritation where the connection is a pain. Otherwise, the intervertebral discs, narrowed, leading to compression of the nerve roots in the thoracic spine, resulting in pain mimics a heart attack.
Other common symptoms
Numbness in hand: they are "colder" leg, according to him, "run creepy".
In certain embodiments, the signs of osteochondrosis of the thoracic similar to a panic attack (fear, palpitations, sweating). In combination with pain in the chest, it can be a symptom of myocardial infarction, for this reason it is better to take a vasodilator drug, and call for an Ambulance, which will make the cardiogram.
Disorders of the digestive system: frequent exacerbations of gastritis, constipation, bloating, recurrent discomfort in the abdomen, intermittent diarrhea, without errors in diet.
Dorigo
Dorigo is sudden and sharp pain. Occurs when a person is in a certain position for a long period of hours, and then a sudden change in her. The connection can be shortness of breath, difficulty breathing, mild muscle poorly controlled.
Dorsalgia
Dorsalgia is a stretches chronic pain, and expressed little, to bring patient a slight discomfort.
Arrhythmia
From damaged to any extent, of spinal roots to pass pain impulses to various internal organs, including the heart. While the acceptable appearance of symptoms of various options of arrhythmias, however, more frequent of them is arrythmia (irregular heart for more reduction) or sinus tachycardia (uniform of the heartbeat).
Diagnosis
Diagnosis is quite difficult. POV this is due to the fact that this form of the disease has no obvious specific features characteristic of degenerative disease of the spine and held with the medical manifestations of pathologies of the internal organs.
The independent diagnosis of degenerative disc disease of the thoracic you need to focus on the symptoms of diseases of internal organs. When it occurs, and the failure of a particular treatment, it is necessary to go through a differential diagnosis, which will help to determine the pathological process.
The detection of the disease, which contributed in the area of breast pain begins with a medical history.
In this case the expert with the maximum accuracy learn the nature of discomfort and the root cause that preceded them. It will presumably help to establish that diagnosis, the patient may be thoracic osteochondrosis. The next step the state of an individual examination and palpation of the affected area. This gives you the ability to determine the presence of intervertebral hernia.
While obtaining indirect evidence of the formation of thoracic degenerative disc disease, the doctor prescribes blood tests. This kind of research is considered necessary, as it shows the presence in the body of the inflammatory process that accompanies degenerative course in the spinal column of stone.
But in order for maximum accuracy to establish the root cause of ailments in the chest, to determine the osteochondrosis develops in the middle part of the spine is necessary to pass:
- Laboratory tests and instrumental diagnostics (ECG, ultrasound, x-ray).
- Neurologic examination.
- MRI allows to accurately determine not only the presence of intervertebral hernia, but also to some extent affected degenerationism effect the nerve endings.
- X-ray in 2 projections.
Treatment
Only a holistic approach to treatment will enable to do away with all signs of osteoarthritis, pause, or completely stop its spread to healthy discs and vertebrae. In the pathology of 1-2 degrees can apply conservative therapy. For osteoarthritis of the 3-4 levels is characterized by the formation of a large hernia. In order to eliminate the constriction of their blood vessels and spinal roots, may require surgical treatment.
Medication
Treatment of thoracic osteochondrosis are used drugs – substances of different clinical and pharmacological companies. At the initial stage, funds are used for intravenous administration, quickly have a therapeutic effect. In a few days n n kzin solutions in lieu of tablets, ointments, patches.
Nonsteroidal anti-inflammatory
NSAIDs have revealed analgesic, anti-inflammatory, anti-edematous effect. Localized sharp pain will allow intramuscular solutions.
To eliminate the minor discomfort between the shoulder blades, use tools for local application. And with mild pain NSAIDs are going to do well for oral.
Muscle relaxants
To eliminate m of asovih spasms, which are formed in response to great pain, are relaxants.
Chondroprotectors
At pathology level 1, course making chondroprotectors helps to restore damaged discs. In other embodiments, the drug is prescribed to improve the metabolism in the affected sector of the spine, prevention of disease progression.
The vitamins of group B
Vitamins are introduced drug regimens of patients with pathology of any severity. Their use helps to increase blood flow, improve the activity of the peripheral nervous system, recovery of trophism and innervation.
The combination of vitamins the B has a beneficial effect on degenerative diseases of the nerves and musculoskeletal system.
Physiotherapy treatment
Treatment of thoracic osteochondrosis are applied magnetotherapy, laser therapy, UHF-therapy, sinusoidal currents, shock wave therapy, applications with paraffin and ozokerite. When exacerbations are electrophoresis, phonophoresis with corticosteroids, anesthetics, and vitamins a, category B, chondroprotectors.
Massage and manual techniques
Massage helps to eliminate pain between the shoulder blades, spazmirovannah relaxation of skeletal muscles.
Osteochondrosis therapeutically effective all types of massage — a traditional, vacuum, acupuncture, connective tissue.
At home massage comfortable to implement with the help of electric massager with a long handle.
Gymnastics and physical therapy
If thoracic degenerative disc disease 1 level of everyday physical therapy sessions provide an opportunity to dispense medication. The treatment is carried out by supporting muscles, improve blood supply of tissues with nutrients. In other embodiments, gymnastics and regular classes can help prevent the inclusion in the destructive process of healthy vertebral parts, prolong remission.
A set of exercises at home
Exercises in the standing position:
- bending forward, raising in turn the bent leg;
- tilts to the side with arms raised alternately;
- bending forward, trying to reach the hand opposite of the foot.
The number of repetitions — 10-12 times in 2-3 sets.
Exercise in the lying position need sports carpet or dense, folded twice blanket:
- lying on stomach, raise legs and arms at the same time;
- lying on your back, raise the upper torso, reach hands to feet;
- lying on the back bend the leg 1, to get her for another, trying to touch knee to floor.
Each lesson need to be completed in 7-10 times.
Folk remedy to chondrosis
Decoctions and infusions of medicinal plants, ointments, alcohol and oil rubbing, compresses neurologists are allowed to use after the main therapy.
Folk remedies are applied to eliminate minor ailments between the shoulder blades, sometimes the connections are already after exercise. Used celery root and sunflower, you can also make a homemade ointment.
Feature of therapy at exacerbation
Treatment involves:
- localization of symptoms, local pain, and analgesics for internal use;
- bed rest;
- wearing a corset for the vertebral fixation.
If the aggravation is severe, call an ambulance. On admission to the hospital the doctor watch the patient's condition and select a medication.
How to remove attack?
Pain in the period of recurrence of thoracic degenerative disc disease can be acute, piercing, so you should give first aid. The patient must be calm, put on a hard surface, cover with a warm blanket. If the repetition is accompanied by palpitations, shortness of breath, high anxiety, then you need to call the doctor. For the relief of pain is allowed to take any non-steroidal anti-inflammatory agent.
Complications and consequences
In the absence of medical intervention breast osteochondrosis may be a factor of pulmonary fibrosis, arrhythmias, dystonia, offset the worse of the gastrointestinal tract, pathologies of sexual and reproductive function in girls and men.
Without proper surgical treatment he is able to provoke the following diseases:
- protrusion and hernia of the thoracic spine;
- compression of the spinal cord;
- problems with the heart, stomach, liver, kidneys and pancreas.
- irregularities in the duodenum, peristalsis in the intestinal tract, dyskinesia of the gallbladder;
- intercostal neuralgia — compression or squashing or irritation of the intercostal nerves.
Prevention
Positive Outlook with timely detection of the disease, a comprehensive treatment. If the connection was complications of thoracic osteochondrosis, only compliance with all medical appointments will provide an opportunity to achieve stable remission.
In the prevention of pathology neurologists suggest to exclude from routine provoke its causes. This excess weight, low physical activity, lack of vitamins and minerals, excessive load on the spine.
The correct position at rest and during sleep
Proper planting. On upholstered furniture to be not recommended. Excessive pressure on the spine can help to avoid such condition, if the body is supported by the ischial tuberosity. It can only be on hard chairs. The height of the chair should be flush with the legs. The foot stays on the floor. Every 15-20 minutes it is necessary to change the position of the feet, to perform their razminka. The back should adjoin closely the back of the chair. The body must keep straight.
How to stand in osteochondrosis. If you have long, in the spine lies a lot of work, especially on the lower back.
- To help the spine to reduce the load necessary every 10-15 minutes to change position.
- It is necessary to rely on 1, then on the other leg.
- Allowed to walk in place, that is not to be post, and move.
- Sometimes it is necessary to bend back, stretching his arms up and making a full breath.
These procedures are needed to remove the muscle fatigue keeps, neck, shoulder girdle.
How to sleep?
Lying on your back with bent legs, and the vertebrae remain for them in the physiological condition, in contrast to the posture, when the legs are straightened – her soft muscles of the lower back remain in a state of stress.
Lying in the fetal position – on its side pulled up to chest bent legs. For the greatest comfort possible to put a small pillow under his feet. In this position the spine is very relaxed and the patient feels better.
The advice of doctors
Each complex of health to take physical education takes an important role swimming. It is very effective and for the prevention of low back pain. The navigation is possible as a treatment method with previously vinik osteochondrosis, but not at the time of exacerbation of the disease, if there are no complaints of ailments in spine and limbs.
Good medical result gives the newest system couples massage. Pain syndrome removed a similar massage to the first procedure.
Diet and nutrition during pregnancy
Many analgesics during pregnancy is contraindicated, and for this reason neurologists give preference to medicines for external use — ointments, gels, patches. If without taking pills can not do, their dose is considerably reduced. While carrying kids main can therapy thoracic low back pain — massage and physical therapy.
Nutritionists advise patients to refrain from fatty meat, fatty soups, meats, home and factory pickles. You need to reduce in food the amount of salt that triggers the development of edema. Every day should drink about 2.5 litres of liquid — water, vegetable juice, berry fruit drinks, fruit compotes.
To avoid problems with the thoracic spine, it is often necessary at the first symptoms to see a specialist. Not to self-medicate. If you suspect breast osteochondrosis should be a thorough diagnosis, to be able to differentiate thoracic osteochondrosis other diseases.