The causes of osteochondrosis of thoracic spine are not sufficiently clarified.The greatest importance is attached to hereditary predisposition and age - regulated changes in interfaced discs.
Osteochondrosis of thoracic spine: Symptoms.
The first phase 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.The province begins suddenly.The volume of movements in the thoracic spine is sharply limited.ParaversTebral muscles "Stone" density.The expansion of Dorsag with adequate treatment is not more than 7-10 days.
Dorsalgia (back pain).Paceners complain about moderate pain in the thoracic area, intensify during the movement or in a certain position, after prolonged seating.The beginning is usually gradual.Clinical, curvature in thoracic spine, tension and pain are often determined on the muscles of paraversBall muscles.In most cases, the pain is undergoing 2-3 weeks, but in the absence of treatment, the chronic course may take.
Pektalgia (chest pain).Chest pain is one of the most common complaints with which patients go to a doctor.Differential diagnosis in this case is done with cardiological diseases (angina pectoris, myocardial infarction).
Often the chest pain appears on the background of osteochondrose of the thoracic spine.The pain is deep, broken, painful, amplifies, with movements or extended stays in one position.In the thoracic area, the movement is limited, tense and painfully in palpation paraector's muscles.
With the front chest wall syndrome, stupid, pain, long-term pain on the front surface of the chest, appear during the hand movement, with a rotated body.Taking nitroglycerine under the tongue does not stop pain.Circular points are located in large and small chest muscles.
The second phase of neurological complications of osteochondrosis of the thoracic spine.
The thoracic spine of the thoracic spine of the radio syndrome is extremely rare.This is due to the structure of the structure of the thoracic spine.Spine compression (or intercostal neuralgia) is accompanied by shooting, combusting the achievement of the surrounding character from the back along the intercostalism.The pain is enhanced when moving, when breathing.
Often breast-radio syndromes are followed with pain in different internal organs.In the event of damage to the upper thoracic roots, patients complain about pain and paresthesia in the throat and esophagus, on the feeling of whose throat or behind the sternum.The presence of unpleasant sensations in the field of Farring or esophagus for a long time, many additional inspections and consultations lead to the development of neurotic reactions.
In patients with the impairment of medium roots, pain occurs in the stomach.They are often painful with stiffs on the front abdominal wall.With the pathology of lower-ground roots, pain can simulate intestinal pathology.Sometimes the abdominal pain is so intense that patients perform unjustified pseudo-accompendicular operation.
Defeat of 7th, 8. or 9 spine on the right can imitate the patology of a gallbladder or liver.Closer, stupid pain are localized in the right hypochondrome.It hurts when the breast root damage is clearly associated with movements in the thoracic spine, intensify a long seat, while lying on their back, coughing or sneezing.
The third phase of neurological disorders of osteochondrosis of the thoracic spine.
Vascular-brown conflict.With the syndrome of small muscle breasts, the shoulder of plexus, subclavian arteries and veins are compressed.Compression of these formations can be caused by a strong kidnapping.Patients experience brushing, burning pain in the front wall of the chest during the movement, at night.In this case, Paresthesia, stiffness, weakness and pain in hand appear.In palpation, the drivers are determined in the area of small breast muscle.An important differential diagnostic test is the elimination of pain after the muscle blockage.
Fourth phase of neurological complications of osteochondrosis of thoracic spine.
Violation of blood supply to the spinal cord.Chronic decision on the thoracic level is rare, which is associated with the anatomical characteristics of the spine.But with a narrow vertebral canal, a herniated disk can squeeze arteries and spinal cords.The disease begins gradually, weakness in legs, reduction in sensitivity in the lower half of the body, the corrupt function of the body's pelvis.
Acute cerebrovascular disorder is the hardest complication of the osteochondorosis of breast.Suddenly, against the background of pain syndrome, paralysis of legs, numbness, damaged function of the organ pelvis.
Testing of patients with osteochondrosis of the thoracic region.Analysis of complaints and histories is great importance to exclude serious pathology.A neurological review is carried out, which will exclude the damage to roots and spinal cords.Manual examination allows you to determine the source of pain, restriction of mobility, muscle spasm.
Additional test methods are shown in case of doubt about a certain back pain.If there is a suspicion of somatic pathology, a thorough clinical examination is carried out (ECG, X -aj lungs, FGD, ultrasound of abdominal cavity, etc.).
The radiography of the thoracic spine is prescribed by exclusion of tumors, spinal injuries, infections and shoyerman-mau diseases.X -Ray signs of osteochondrose do not have a clinical value, because they have all the people of older and older people.
With radical or spinal symptoms, MRI or CT thoracic spine indicated.The MRI is a hernia and spinal cord better visible, and bone structures on CT.The clinical level of damage and MRI in findings must be answered with each other.
Osteochondrosis of thoracic spine: treatment.
In the acute period, in the presence of intensive pain, the limit of physical activity was indicated.With a reduction in severity of pain, gradually expanding the motor regime is recommended.The sudden rotary movements in the thoracic spine should be avoided.
Intracanic electrical stimulation, acupuncture, hyrudotherapy, massage, hand therapy are effective.Medical treatment.With acute pain, non-steroidal anti -infalmator drugs were indicated.In combination with anti -infalmotor medicines, Miradelax can be prescribed in the presence of muscle spasm.
With osteochondrose of thoracic spine, therapeutic blockades with local anesthetic (lidocaine, prokaine), non-steak anti -infalmator drugs (loroxy or meloxics), corticosteroids (betamethason) are effective.Medical mixtures are introduced as close as possible to the focus of pain.
With intercostal neuralgia, anti-depressants, anticonvulses, patches of Verstrats are indicated.Portsifil, aminoofillin), group B. Surgical treatment, are prescribed by the symptoms of spinal cord compression (s) of the lower extremity, reduced urine and feces).
PreventionOsteochondrosis The thoracic region is reduced to avoiding long, unpleasant positions when working at the table.It is important to equip your job properly, alternative work and rest periods, you regularly engage in physiotherapy exercises, visit the pool 1-2 times a week.