A less common type of osteochondrosis of absolutely all available — chest of drawers. This Form is considered to be dreaded, because the symptoms of osteochondrosis of the thoracic spine is often attributed mistakenly to other diseases, for example myocardial infarction or Angina pectoris. From the article, everyone can recognize whether so afraid of this disease and how to treat them, and also with images on the theme of the pathology.
What is GOCH?
The disease is spine degenerative degenerative changes in the intervertebral discs of the breast.
Consists of a from one of the chest Department made up of 12 vertebrae. He is less mobile and good muscular corset protected. Due to these properties, osteochondrosis as the most a a rare diseases.
However, taking into account the General orientation to an increased incidence of osteochondrosis all spine, joint episodes of osteochondrosis with localization in the area of the breast.
For a deeper understanding of the nature GOCH we offer, with the Code of the disease and its forms according to ICD-10.
What are the specifics of this part of the spine?
The low mobility in connection with the anatomical features – the connection of the vertebrae with the ribs and the sternum offers the possibility of a pretty mobile and powerful System, the less exposed to injuries and external measures.
Statistics show that only supports a low load on this Department is the fact that the appearance of complications is extremely rare. But your appearance is not as something extraordinary, for example, the non-observance of the posture and curvature may be some aggravating conditions leading to the emergence of diseases of the spine.
Causes
The main cause for GOCH are degenerative changes in the tissues, and the metabolic complication of actions due to poor diet and unreasonable load on the intervertebral discs.
Often Thoracic osteochondrosis is caused by prolonged sitting in an uncomfortable posture, in the presence of scoliosis, the formative uneven load on the spine.
Expression of Dorigo harsh words reinforced pain, with a kind of sudden heart attack. In addition to the restriction on the movement of the back of breath may be symptoms.
When dorsalgia pain, localized in the area of the affected Discs, has a durable character, relatively weakly manifested and accompanied by a limited activity in the lumbar-chest or in the neck-chest-spine.
Degree
Dr. emit 4 degrees of the disease:
- Caused by rupture of the intervertebral disc through a strong movement either enormous burden. The Patient in this time, will feel severe pain in the spine and tension of the muscles.
- Determine if you post signs of a bulging disc (protrusion of up to 5 mm) and the presence of unstable Band. Implement should perform a thorough diagnostic examination to identify this Phase of the disease.
- Characterized by frequent sensations of pain, difficulty of breathing, minor injuries of the heart and headache. In addition to this, higher possibility of the emergence of herniated discs.
- Is considered to be the most dangerous for human health. In the case of the formation of osteophytes occurs, the spinal cord and its nerves to compress.
Symptoms
Continue to tell you everything important about the symptoms in different stages.
At The Beginning Of
In the early period of the disease is very not extremely. Often even to strongly manifested pain, neurological disorders (dizziness occur, "do not fly" in the eyes, etc.), the Patient connects with issues of the back.
Pain in the chest
Most clearly in the area of the heart, chest, back, flanks, in the upper abdomen. Complaints are aggravated when we breath in and out with the movement. To feel the numbness of the left Hand, and interscapular area.
A feeling of constriction
Pain between the shoulder blades from time to time, accompanied by a feeling of chard in air by inhalation. Doctors advise not to panic, but to sit down and determine pulse rate.
In case, if the runout is not more than 100 beats per Minute, the probability of the pathology activities of the lungs or of the heart is very small.
Reflex Syndromes
Reflex tension of the paravertebral muscle comprehensible for dorsalgia, often asymmetrical, and the view on the convex side of the deformation.
Syndrome of the anterior chest wall. The emergence of pain is due to the reflected pressure, and dystrophic change, Yes, Yes, Sterno-klûčično-mastoid muscle, commencing at the sternum.
The pain increases when pressure is applied to the muscles of the chest, at the turn of the head and of the body.
The clamping ring
The strong and sudden onset of pain, the so-called "witch-shot", in inter-scapular location and can occur at any time. Directly to a seizure patient as a "stab in the back", followed by a sudden convulsive marks of the muscles of the back.
In addition to severe pain, shortness of breath is manifested, and a significant limitation of freedom of movement. This complication of Osteoarthritis with periodic seizures can last up to several weeks.
How dangerous radicular syndrome?
Osteochondrosis with radicular syndrome, accompanied by pain. This pain-spasm, that is perceived in the chest, often similar to Angina pectoris. But unlike her, the pain factor is not the ingestion of vasodilator drug and the withholding of physical activity can eliminate. To provoke any movement of the trunk, and, in addition, cough and strong breath, significant increase in pain.
Features common to the arrangement of the edge of the osteochondrosis thoracic, except for the pain of lumbago, as paralysis, incomplete, or of the absolute detectable detectable lack of receptivity and the change of hues of the substances through during the neurological examination. Also, this syndrome may be due to hair loss, edema of the extremities, cyanosis of the skin.
Symptoms in the subacute stage
After tightening, the sub-acute Phase of thoracic osteochondrosis begins. Pain and difficulty of breathing remain, but they are much less active. Man has been searching comfortable location of the body, to feel where the discomfort.
The duration of subacute period — up to 2 weeks. At observance of all medical prescriptions, the easing happens, for the peculiar lack of symptoms is manifested. Failure Mode leads to a new exacerbation of osteochondrosis.
Remission
In the Phase of Remission small uncomfortable feelings appear when the weather changes or after sub-cooling. The sharp pain only occurs in the case of osteochondrosis 2-4 degrees of gravity because of the sharp turn or inclination of the body.
Psychosomatics
We consider the psychosomatic medicine of cough.
What is a cough?
In the case of the pathology of the spine, cough with pain in the neck, to a greater extent with one Hand. At the beginning of her medical term such as Angina. To be In the later stages of disc degeneration unpleasant feelings permanently, aggravated in the night.
Neurological symptoms such as headache, dizziness, fog in the eyes, blurred vision, feeling of fatigue, chard air to see appear in the case of a displacement of the discs when compressed nerves and arteries.
These feelings can be felt in the stomach, causing the man embarks on the study of the liver, the pancreas, and the like, without stopping to think, that the cause of the pain – osteochondrosis of the thoracic spine of the. In the case of the combination of certain forms of chondrosis neck and thoracic spine, can sue the people a feeling of foreign body in the throat, which is always pronounced after physical exertion or after a stay in an uncomfortable pose.
Vegetative Components
It can be:
- Dryness and flaking of the skin in the area of Innervation of individual nerve cells;
- local non-compliance, sweating and heat regulation (also in the Zone of Innervation);
- enforcement of the extremities, brittleness of the nails in the legs, chills;
- Pain, which simulate diseases of the gastro-intestinal tract (e.g., Gastritis, gastric ulcer, cholecystitis, and so on);
- Pain in the kidneys, which is actually not at all related to the pathology of the kidney (not changes in the urine and ultrasound pass);
- Pain in the area of the heart, similar to Angina, and including myocardial infarction.
Whether it's cramp and dizziness?
In the case of osteochondrosis spasms and dizziness were observed.
What is the pathology of the spine, has a can in her and the pressure increases?
In the case of osteochondrosis, the increase in pressure can. As in the thoracic spine is located the artery, the Clip has an influence on the pressure.
Can I pressure the body to warm in a water bath at elevated BLOOD?
Steam bath at a slightly elevated pressure not damage. In the case of 3 and 4 stages of hypertension Turkish forbidden as Fatal. 1 and stage 2 hypertension target organs not damaged, so that a visit to a bathroom is permitted.
Of the digestive tract and disease
In breast Form of osteochondrosis pain in the gut roots in the area of 8-9 vertebrae (appear to be in tension disturbed Innervation of the digestive tract).
Painful impulses from the nerve endings of the spinal cord to the intestinal tract, enhance peristalsis. People alert bloating, painful cramps in the area of the duodenum.
Angina pectoris and disease
The chest has a lot of nerve fibers and several large Plexus, to the irritation of the pain. Otherwise, the intervertebral discs are narrowed, lead to a feeling of pressure nerves of the thoracic roots of the spine, causing the pain simulating a heart attack.
Other common symptoms.
Violation of the sensitivity in the Hand: you will be more goose bumps "cold", cold, in him "run".
In certain embodiments, symptoms of degenerative disc disease of the thoracic are similar to attack of panic (anxiety, palpitations, sweating). In combination with pain behind the sternum, this is a Symptom of a heart attack can, for this reason, it is better to vasodilating drugs and ambulance, the make a ECG.
Violation of the digestive system: frequent exacerbations Gastritis, constipation, flatulence, recurrent discomfort in the abdomen, recurrent diarrhoea, without error in the diet.
Dorigo
Dorigo is a sudden and acute pain. Occurs when the person in a certain pose for a long time, and then a sudden change to your. May be shortness of breath, difficulty in breathing, muscle weak controls.
Dorsalgia
Dorsalgia is a chronic pain that brings little pronounced, the patient may experience mild discomfort is.
Heart rhythm disorders
By the victim, in any degree of the spinal painful stimuli extends roots to various internal organs, including the heart. It is permissible for the presentation of the symptoms of the various variants of cardiac arrhythmias, however, more common of them is extrasystoles (extra spasmodic heartfelt abbreviation) or Sinus tachycardia (even heartbeat).
Diagnosis
Diagnosis is considered to be quite a complicated event. This is due to the fact that such a Form of the disease does not have obvious specific characteristics, the typical degenerative disease of the spine and goes with the medical manifestations of pathologies of the internal organs.
In the case of the independent diagnosis of the degenerative intervertebral disc of thoracic diseases need to focus on the symptoms of diseases of the internal organs. The occurrence of these inefficient and of special treatment, the differential diagnosis, which will help with the accuracy of the disease to determine must be done.
Detection of the disease, the appearance caused in the rib area, the pain syndrome begins with the collection of the medical history.
The specialist with the highest precision is the unpleasant of the sensations and cause, in front of you. This can probably help you determine that the diagnosis of Thoracic osteochondrosis can in a patient. The subsequent step is the individual study and examination of the affected area. It offers the possibility to determine whether intervertebral hernias.
In the procurement of indirect evidence for the formation of the thoracic spine degenerative disc disease, your doctor laboratory tests of the blood rubs. This type of research is considered necessary, because it indicates the presence of inflammatory process in the body, the accompanied degenerative degenerative power in the spine.
But to install with the maximum accuracy a of a, the cause of the occurrence of discomfort in the chest, for the determination of the intervertebral disc degeneration and developing the middle section of the spine, you need to:
- Laboratory tests and Instrumental diagnostics (ECG, sonography, x-ray).
- Neurological Examination.
- The MRI allows for a precise set, not only the presence of all hernias, but also in the extent to which surprised to be degenerationism effect on the nerves.
- X-rays in 2 projections.
Treatment
Only a holistic approach to treatment is the ability to absolutely do away with all signs of osteochondrosis, suspend or entirely cease its spread to healthy discs and vertebrae. In the pathology of 1-2 degrees to the conservative ways of therapy to apply. For osteoarthritis level 3-4 the formation of large hernias is. In order to liquidate them compression of the blood vessels, and spinal roots, you may need surgical treatment.
Drugs
In the treatment of thoracic osteochondrosis drugs – substances of a number of clinical pharmacological societies. In the initial phase, the funds will be for intravenous, fast therapeutic effect. After a few days of injectable solutions, tablets, ointments, patches replace.
Non-steroidal anti-inflammatory
NSAIDs have phenomenal analgesic, Anti-inflammatory, Anti-edema effect. Locate sharp pain allowed the intramuscular administration of solutions.
For the removal of the minor discomfort between the shoulder blades, the means for local application use. And to cope with mild pain well NSAIDs oral.
Muscle relaxants
For the elimination of muscular tension, which will apply in response to the large pain, muscle relaxants.
Chondroprotectors
At the pathology Level 1, course-adoption of chondroprotectors the renewal of the damaged hard drives supports. In other embodiments, drugs are for the improvement of metabolism in the affected sector of the spine, prevention of the progression of the disease.
Drugs vitamins of group B
Vitamins are used in the medical scheme patients with disorders of any level of gravity Their use promotes the increase of blood circulation, improvement of the activities of the peripheral nervous system, the recovery and trophic Innervation.
The entirety of the vitamins of the category B has a good effect on degenerative diseases of the nervous and musculoskeletal system.
Physiotherapy Treatment
In the treatment of thoracic degenerative disc disease magnetic therapy, laser therapy, UHF-therapy, sinusoidal currents, shock wave therapy, applications with Paraffin and ozokerite apply. In the case of exacerbations to electrophoresis, phonophoresis with corticosteroids, anesthetics, vitamins of group B, cartilage protectors.
Massage and manual techniques
Massage promotes the elimination of pain between the shoulder blades, relaxation spazmirovannah skeletal muscle.
In the case of osteochondrosis therapeutically effective in all types of Massage traditional, vacuum, acupressure, connective tissue.
In home Massage comfortable to implement with an electric massager with a long handle.
Gymnastics and movement therapy
In the case of osteochondrosis 1 Level daily sessions of physical therapy the opportunity to offer, without the use of drugs. The treatment is carried out by maintaining the muscles that leads to improvement of the blood supply of the tissue with nutrients. In other embodiments, gymnastics and persistent classes can help warn the CIC destructive parts of the process of healthy vertebrate animals, more Remission.
A series of exercises at home
Exercises in are:
- tilts heated seats heated seats in front, picking up the bent legs alternately;
- the gradients in the direction alternately with your hands;
- refused to seat heating front seat heating front, tried to reach a Hand to the opposite foot.
The number of repetitions — 10-12 times in 2-3 sets.
For exercises in the prone position is a Sport in need of carpet or dense, twice-folded in the ceiling:
- lying on the stomach, lift legs and hands at the same time;
- lying on your back with your torso, lift the hands to the feet distances;
- lying on the back, 1 foot, turn to the king's meadow touch for other, trying to the floor.
Each lesson after 7-10 times.
Folk remedies for the chondrosis
Decoctions and infusions of pharmaceutical plants, ointment, alcoholic and oily rubdown, compresses neurologist permit the use after the implementation of the primary therapy.
Folk remedies, apply leaves to the elimination of minor discomfort between the shoulder, sometimes appear after physical exertion. The roots of celery and sunflower seeds, you can also use a homemade ointment.
The specificity of the therapy in case of exacerbation
The treatment includes:
- Localization symptoms of local pain-killers and analgesics for internal use;
- Bed rest;
- Socks corset for fixation of the vertebrae.
If the exacerbation the severity, you need to call an ambulance. At the time of admission to hospital, the doctor observe the patient's condition and selects the necessary medicines.
Heart Attack Remove?
Pain in the period of relapse chest of drawers osteochondrosis is an acute, touched, so you should first aid. The Patient should calm down, place it on a hard surface, to hide a warm blanket. If the repetition is accompanied by increased heart rate, shortness of breath, high anxiety, then you need to get a doctor. For the attenuation of pain, any non-steroidal anti allowed anti-inflammatory medication.
Complications and consequences
If there is no medical Intervention Thoracic osteochondrosis may be a factor in lung fibrosis, heart rhythm disorders, vascular dystonia, shift for the worse activity of the gastrointestinal tract, pathology of the sexual and reproductive function in women and men.
Without surgical treatment, he is able to later diseases to provoke:
- the supernatant and fracture of the thoracic spine;
- Compression of the spinal cord;
- Problems with the heart, the intestines, the liver, the kidney and the pancreas;
- Disturbances in the duodenum, irritative intestinal tract, dyskinesia of the gall bladder;
- intercostal neuralgia — a result of the shift, or the irritation of the intercostal nerves.
Prevention
The forecast is positive in the case of timely detection of the disease, a comprehensive treatment. In the case when the thoracic complications of osteochondrosis, then only the observance of all doctor's appointments is to give the possibility to reach a stable Remission.
As a prophylaxis, pathology neurologist rates provoked to exclude from the ordinary way of life, his reasons. It is being overweight, low physical activity, recognizable, identifiable lack of vitamins and trace elements, the additional load on the spine.
The correct Position at rest and during sleep
Proper planting. On the upholstered furniture are not recommended. Excessive pressure on the spine can help to avoid such a condition, if the enclosure supports sciatica hump. This can be done only on hard chairs. The height of the chair must be at eye level with the legs of the rail. The foot should be based on the ground. Every 15-20 minutes should carry out the Position of the legs, Training. Lumbar immediately adjacent to the back of the chair. The body has to be pressed directly.
Right in osteochondrosis. If it rests too long on the spine, the great work, especially on the lower back.
- To relieved to help the spine, you have to change every 10-15 minutes in the pose.
- You must rely then on 1, then on the other leg.
- Not even to go to the site, i.e. post, but to move always always.
- Sometimes by hanging back, stretching his arms up, and after he's full sigh.
These procedures need to get rid of fatigue of the muscles of the back, neck and shoulder girdle.
How to sleep properly?
Lying on your back with feet bent, whereby the vertebrae remain in a physiological state for you to float in contrast, if the legs straightened out – when the muscles of the loin are left in a state of tension.
Lie in the fetal Position on the page with the gravity on the chest, legs bent. For the highest level of comfort, perhaps, place a small pillow under the feet. In this Position, the spine is relaxed to the extreme, and the Patient feels better.
Tips on the doctors
In each complex of Wellness-physical culture has an important role to swim takes. It is extremely effective and for the prevention of degenerative disc disease. Maybe swimming as a therapeutic method in the case of previously incurred osteochondrosis, but not at the time of exacerbation of the disease, only if there are no complaints about discomfort in the spine and the extremities.
A good medical result, the latest System provides fresh Massage. Pain syndrome removed such Massage the first treatment.
Diet and nutrition in pregnancy
Many analgesics are contraindicated in pregnancy, and for this reason neurologists will give the advantage that drugs for external use — ointments, gels, patches. If the ingestion is not to be dispensed tablets, the dose is significantly reduced. During the incubation, the children, the main ways of therapy of the chest of drawers-osteochondrosis — Massage and movement therapy.
Dieticians advise patients to fatty meat, fatty soups, sausages Aden, home and factory building in Marin. Reduce the amount of salt in the diet, initiated the development of edema. Every day you need to compotes drink about 2.5 litres of liquid — water, vegetable juice, berry fruit drinks, fruit.
To avoid problems with the spine, chest of drawers, you need to often at the first sign to contact a specialist. Do not self-medicate. In cases of suspected Thoracic osteochondrosis, a careful diagnosis should be to have the ability to differentiate Thoracic osteochondrosis other diseases