The causes of osteochondrosis of the thoracic spine are not sufficiently clarified.The greatest importance is attached to hereditary predisposition and age -related changes in intervertebral discs.
Osteochondrosis of the thoracic spine: symptoms.
The first stage of neurological complications of osteochondrosis of the thoracic spine.
Clinical manifestations are associated with reflex muscle tension. Dorxago (thoracic background).Acute pain in the thoracic region associated with movements.Exacerbation begins suddenly.The volume of movements in the thoracic spine is sharply limited.The paravertebral muscles of the “stone” density. The proliferation of Dorsago with adequate treatment is not more than 7-10 days.
Dorsalgia (back pain). Paceners complain of moderate pain in the thoracic region, intensifying during movements or in a certain position, after a long sitting.The beginning is usually gradual.Clinically, curvature in the thoracic spine, tension and soreness of the paravertebral muscles is often determined.In most cases, the pain is to undergo for 2-3 weeks, but in the absence of treatment, a chronic course can take.
Pectallgy (chest pain).Breast pain is one of the most common complaints with which patients go to the doctor.Differential diagnosis in this case is carried out with cardiological diseases (angina pectoris, myocardial infarction).
Often chest pain occurs against the background of osteochondrosis of the thoracic spine.The pain is deep, broken, aching, intensifies, with movements or with prolonged stay in one position.In the thoracic region, the movement is limited, tense and painful on palpation paravertebral muscles.
With the syndrome of the anterior chest wall, stupid, aching, prolonged pains on the front surface of the chest occur, intensify during hand movements, with turns of the body.Taking nitroglycerin under the tongue does not stop pain.Curular dots are found in large and small chest muscles.
The second stage of neurological complications of osteochondrosis of the thoracic spine.
A hernia of the disk of the thoracic spine with a radicular syndrome is extremely rare.This is due to the structure of the structure of the thoracic spine.The compression of the spine (or intercostal neuralgia) is accompanied by firing, burning pains of a surrounding character from the back along the intercostality.Pain intensifies when moving, when breathing.
Often breast -sized radio syndromes are accompanied by pain in various internal organs.In case of damage to the upper thoracic roots, patients complain of pain and paresthesia in the throat and esophagus, on 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 leads to the development of neurotic reactions.
In patients with damage to medium -sized roots, pain occurs in the stomach.Often the pains are accompanied by numbness on the anterior abdominal wall. With the pathology of lower -breasted roots, pain can simulate intestinal pathology.Sometimes the pain in the abdomen is so intense that patients perform unjustified surgery for pseudo -appendicitis.
The defeat of the 7th, 8th or 9th spine on the right can imitate the pathology of the gallbladder or liver.Nearing, stupid pains are localized in the right hypochondrium. Boli and paresthesia when the breast roots damage are clearly related to movements in the thoracic spine, intensify with a long seat, while lying on the back, with coughing or sneezing.
The third stage of neurological disorders of osteochondrosis of the thoracic spine.
Vascular-brown conflict. With the syndrome of the small chest muscle, the shoulder plexus, subclavian artery and vein are compressed.The compression of these formations can be caused by a strong abduction of the hand.Patients experience brushing, burning pains in the anterior chest wall during movements, at night.In this case, paresthesia, numbness, weakness and pain in the hand occur.On palpation, trigger points in the area of the small breast muscle are determined.An important differential diagnostic test is the elimination of pain after the blockade of the muscle.
The fourth stage of neurological complications of osteochondrosis of the thoracic spine.
Violation of the blood supply to the spinal cord. Chronic myelopathy at the thoracic level is rare, which is associated with the anatomical features of the spine.But with a narrow spinal canal, the hernia of the disk can squeeze the arteries and spinal cord.The disease begins gradually, weakness in the legs, a decrease in sensitivity in the lower half of the body, impaired function of the pelvic organs.
Acute cerebrovascular disorder is the most severe complication of breast osteochondrosis.Suddenly, against the background of pain syndrome, paralysis of the legs, numbness, impaired function of the pelvic organs occur.
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 the roots and spinal cord.Manual examination allows you to determine the source of pain, limitation of mobility, muscle spasm.
Additional examination methods are shown in case of suspicion of specific back pain.If somatic pathology is suspected, a thorough clinical examination is carried out (ECG, an X -ray of the lungs, FGDS, ultrasound of the abdominal cavity, etc.).
The radiograph of the thoracic spine is prescribed to exclude tumors, spinal injuries, infections, and Shoyerman-mau disease.X -ray signs of osteochondrosis do not have clinical value, since all people of senior and elderly have them.
With radicular or spinal symptoms, an MRI or CT of the thoracic spine is indicated.On an MRI, the hernia and spinal cord are better visible, and bone structures on CT.The clinical level of damage and MRI of the finds must correspond to each other.
Osteochondrosis of the thoracic spine: treatment.
In the acute period, in the presence of intense pain, the restriction of physical activity is indicated.With a decrease in the severity of pain, a gradual expansion of the motor regime is recommended.Sudden rotational movements in the thoracic spine should be avoided.
The intracanic electrical stimulation, acupuncture, hirudotherapy, massage, manual therapy are effective. Medicamentous treatment.With acute pain, non -steroidal anti -inflammatory drugs are indicated.In combination with anti -inflammatory drugs, miradelaxants can be prescribed in the presence of muscle spasm.
With osteochondrosis of the thoracic spine, therapeutic blockade with local anesthetics (lidocaine, prokain), non -steroidal anti -inflammatory drugs (Loroxes or meloxicams), corticosteroids (betamethason) are effective.Medicinal mixtures are introduced as close as possible to the focus of pain.
With intercostal neuralgia, antidepressants, anticonvulsants, a patch of Versathis are indicated. Porty drugs (pentoxyphillin, aminophylline) are prescribed, group B. surgical treatment is carried out with symptoms of compression of the spinal cord (paresis of the lower extremities, impaired urine and feces).
PreventionOsteochondrosis of the thoracic region is reduced to avoiding long, uncomfortable positions when working at the table.It is important to correctly equip your workplace, alternate periods of labor and rest, regularly engage in physiotherapy exercises, visit the pool 1-2 times a week.