Osteochondrosis of the thoracic spine: symptoms, treatment, degree, gymnastics

The disease "chameleon", which is disguised as dangerous diseases of the heart and lungs and causes panic attacks and a feeling of lack of air - this is osteochondrosis of the thoracic spine.His symptoms can be so diverse that an inexperienced doctor who tries to find the cause, prescribe many tests and sometimes put a person into the intensive care unit.

We will talk about how you can understand that you have exactly the osteochondrosis of the Brustr region and how you can fix it.

Reasons

The disease is quite rare.This is due to the fact that the spine, i.e. the joints between the vertebrae, are almost motionless in the Brustr region.And if a person makes a sharp movement or often moves against the axis of the intermediate scale (e.g. dig or raise the heaviness with just one hand), then all thoracic vertebrae are switched on at once.They do not work separately.

The causes of thoracic osteochondrosis are:

• Skoliosis in the thoracic or lumbosacral region;
• excessive or wrong physical exertion;
• Horse spine injuries;
• Obesity - more than 10% of the “laid” by complexion;
• Violation of metabolism - as a result of endocrine diseases (diabetes mellitus, pathology of adrenal and other) or inadequate diet;
• Anomalies in the development of the thoracic spine;
• Hypodynamics (intermediate disk - what is destroyed with osteochondrosis - is also driven by the muscles of the back).

Degree of thoraxosteochondrosis

The doctors decided to distinguish the degree of osteochondrosis of the Brustregion so that one could understand how far the process of destroying the disc between the two thoracic vertebrae has disappeared.

So there is 4 degrees breast -osteochondrosis:

• 1 degree.The intervertebral disc loses moisture, becomes brittle, cracks occur in it.This is accompanied by a slight pain that disappears alone.
• 2 degrees.The amount of fluid in the fibrous ring of the intervertebral disc gets even smaller: the height of the window decreases, the cracks (especially one of them) deepen.The defect fills the "core" of the hard drive - a pulpoose edge that further reverses the crack.The cellulist core does not penetrate the outside.The muscles of the back in the area of the damaged intervertebral disc are tense and try to prevent the spine from turning to the "leakage" disc.This leads to severe back pain, which means that you have to take a break at work.
• 3 degrees.The crack in the fibrous ring of the pane reaches the edge of the vertebra, the pulpoose nucleus falls into it and protrudes.So 3 degrees is a bandhore.With her, the pain can be felt almost all the time - at work.We have to change the work to simpler.Self -Service is saved.
• 4 degrees.The connective tissue grows in the area of the affected windows.It blocks neighboring vertebrae.In addition, the vertebral bone tries to compensate for a decrease in the layer between the vertebrae and grows.Bones "spikes" appear - osteophytes.

Symptoms

At the start

While the pulp core did not completely make the way into the surrounding ring, it almost does not manifest itself.At regular intervals, it can occur between the shoulder blades that run pretty quickly after rest, pain between the shoulder blades.

Symptoms of osteochondrosis of the thoracic spine in the acute stage can be very diverse, this is:

Chest pain

It is more often and long -term, but sometimes it can be sharp.Localization:

• Back - between the shoulder blades;
• Heart surface;
• Under a spoon;
• In the area of the ribs - it will be painful to breathe.

The difference between this pain in osteochondrosis is that:

• It is not so strong that you can lose consciousness.This is characteristic of myocardial infarction;
• does not arise in response to emotional stress - only on physical;
• does not appear when it goes against the wind, the stairs rises or the cold reaches;
• It increases when the hands, twists and tendencies are lifted;
• intensified when you take a deep breath;
• Pain attacks differ from each other in localization and intensity (for example, they are stereotype).
• Do not leave if the load is stopped;
• It can be localized if someone is pressed onto the spine in the chest region: it will be very painful in one place;
• In her hand she gives more often in 2 hands in her hand.But even if she gives her left hand (like heartache), then not on the little finger;
• Does not depend on meals, such as gastritis or angina pectoris;
• Nitroglycerin not removed, which on the contrary helps with angina pectoris;
• It does not increase when the mammary gland can be felt (if it seemed that it hurts).In this case, no knots or seals will be felt in the chest;
• There is not such a thing that the pain gradually increased, but after the stress has been stopped or the nitroglycerin has disappeared sharply.This is characteristic of angina pectoris;
• The pain is not accompanied by nausea, then burning and shocking.This can be spoken of both gastritis and angina pectoris.

Feeling in the chest

Which means that an "incomplete breath" can occur.Usually this symptom is accompanied by back pain, but even if there is no pain, there is no poisoning, as with pneumonia (weakness, the desire to relax, a decrease in the appetite).This can cause panic, but after breaking down your pulse.In the case of thoracic osteochondrosis, it will not be more than 100 lines per minute and in the case of diseases of the heart or lungs.

Other symptoms

• Violation of sensitivity in your hand or in two hands: they become "cool".
• In some cases, the symptoms of an osteochondrosis of the chest region are similar to a panic attack (fear, heartbeat, sweat).In combination with pain behind the sternum, this can indicate a myocardial infarction.In this case, it is better to take nitroglycerin (up to 3 tablets) and call an ambulance that removes the cardiogram.
• Disruption of the digestive system: frequent exacerbations of gastritis, constipation, flatulence, periodic abdominal pain, periodic diarrhea without errors in nutrition.

In the case of thoracic osteochondrosis, such symptoms last about 10 to 14 days, provided that they have temporarily stopped bending and carrying out twisting movements.The disease goes to the subacute stage.

Sign in the subacute stage

There is still pain and breathing difficulties, but they are no longer as intense and less concerned.So if you have to find a situation in the acute phase to fall asleep and not suffocate, you do not have to apply such efforts in the subacute time.

The stage lasts 12 to 14 days.If you observe all the recommendations of the doctor, do not increase weights, do not bend and do not bend, and the remission stage comes - if all symptoms leave.If the regime is disturbed, the disease can go back to the acute stage.

Remission

There are no symptoms during this time.Maybe of course "shoot" under the ribs when you decide to work physically, but it goes by quickly.

A tightening of the disease can be provoked:

• Physical activity (especially weights and inclinations);
• Stress;
• Settlement;
• a sharp change in the heat to cold (immerse yourself in a hole or bathe in the snow after a bath);
• unsuccessful campaign for a masseur or manual therapy;
• longer finding in a curved position;
• Recording of alcohol (especially in combination with one of the above factors).

Diagnosis

The diagnosis and treatment of osteochondrosis of the thoracic spine is involved in a neurologist (neuropathologists).When you come to him and describe your symptoms, he carries out a first inspection: he examines the gaps between the thoracic vertebrae (with osteochondrosis you can find a painful point) and determine the reflexes and sensitivity of the hands.

To confirm the diagnosis, he needs:

• EKG, possibly the background of the load on the treadmill (thread test).This excludes angina pectoris;
• Radiography or computer tomography of the thoracic spine;
• In women, especially older, mammography, since symptoms of breastosochondosis often accompany the diseases of the mammary gland, not always malignant.

Treatment

How to treat osteochondrosis of the Brustr region will say the doctor - after confirming the diagnosis, determination of the stage and the type of violations (sensitivity of the hands, breathing disorders).

A minimal motor activity is recommended in the acute stage, bed or at least half -flooring.The regime is expanding in the future.In general, such methods are used to treat osteochondrosis (you need your complex):

Drug treatment

Non -steroidal anti -inflammatory They are painkillers. They can be drunk in the form of tablets or glued as a patch ("alf") - if the pain is tolerant.In the subacute time they can be used as ointments for osteochondrosis.And in the acute period with severe pain - only as injections. This is Diclofenac (analogue by Voltaren, Almiral, Olfen, Naklofen, Diklak) - the "strongest" of the NSAID group. This also includes Ibuprof, Beting ”, Nise. Such torture medication as Kever, Ketanov or Ketalong are better not to use - they have a weak anti -inflammatory effect.

Musorelaxants Your task is to relieve muscle cramp, which keep the spine from the curve and transmit the nerve ends and blood vessels.In acute time, it is better to take them as injections for osteochondrosis and then switch to tablets. This is Midokalm, Tizalud, Sirdalud.

Chondroprotectors These are drugs whose effectiveness is still controversial.Nevertheless, many doctors recommend using a long course - to give the intermediate disc the opportunity to recover. These are Arthra, Alflutop, Don, Teraflex, structures and others.

B vitamins B vitamins They are needed to improve the transmission of the impulse from the nerve to the muscle.In the acute time it is better to start with injections, for example neurorubin and then to switch to the tablets of neurorubin, Milgamma, neuroinitan or others.

Please note: to relieve the pain in the chest osteochondrosis!Then you can inhale in full force and thus improve the diet of the oxygen of the entire organism.In addition, the elimination of surface breathing is the prevention of stagnant pneumonia.

Physiotherapeutic treatment

This treatment improves the effect of medicines.Applied:

1. Electrophoresis with anesthetics and drugs that improve local blood circulation.In this case, the drug is carried out directly in the back of the back by electrical shock.
2. Magnetotherapy.Under the influence of the magnetic field, the work of the injured nerve ends improves, the tissue edema is removed.
3. The phonophoresis (the introduction of medication with ultrasound) helps to improve the back and to eliminate inflammation of injured tissues.It also has the ability to improve the metabolism in the effect of exposure.
4. Acupuncture - the introduction of special sterile needles into active points responsible for the work of the thoracic spine.
5. Laser therapy using the external method - improves blood flow to the tense muscles and the suffering intervertebral disc.

massage

The massage for osteochondrosis is an effective process when a specialist carries it out.The massage session can improve blood circulation in the affected area, relax the cramping muscles, improve blood drainage and lymphs from this zone.This accelerates healing and reduces pain.

Important: In the acute time of the disease, massage and the charge for osteochondrosis are contraindicated.You can continue 2 weeks after lowering acute pain and breathing difficulties.Massage should not cause unpleasant sensations or pain!

In order to reduce the amount of tightening, it is recommended to find massage courses at least twice a year.It may be:

• Therapeutic manual massage: exposure by hands on the muscles that have lost and lost their tone to normalize their condition;
• Hardware: Muscle study through different types of exciting manipula.You can also fall back on the services that offer cosmetics: endosphere and LPG massage.They also influence the pain well;
• Point: In this case, biologically active points are manually worked out as a result of the condition of the inner organs due to the spine.
• Small: Influence on muscles that have changed the sound is generated using a vacuum.

Training therapy

Exercises for osteochondrosis can only be carried out in the subacute time and in the remission and 2 weeks after removing the hernia of the disc.

LFK is contraindicated, if the back muscles are still very tense, a vertebrae with severe pain is strictly pressed on another, which requires surgical intervention.

It is recommended to start with the self -chalking of the spine.To do this, you need to take a width and smooth board and to make one end on the wall at a height of about 100 cm from the floor (to an angle of 30-45 °).The lower edge lies on the floor.On the upper edge, 2 leather straps are approximately 45 cm long on both sides - so that you can go through yourself and then remove your hands yourself.

The method of self -chalk is that you go into this board with your back, your hands in the belts.Place the soft fabric under your knees by climbing it in a roller and lying for 10-15 minutes.It shouldn't be painful.If there are pain, increase the inclination angle of the board.If this does not help, you have to do it differently:

• Make a blanket on the floor;
• Lie on the roller so that there is a blocked area at the top;
• Dilute your legs slightly;
• Ellbogen and knee - bent, touch the floor, the weight of the body is up to them;
  The head should hang slightly or lie on folded brushes;
• If you don't feel that the spine is stretched, you can increase the cargo: move your legs back and your arms forward.
• 5 minutes with inspiration for 10 seconds to strain the muscles of the back, when exhaling - relax
• Relax and breathe in your stomach - another 5 minutes.

Bridge

Instead of such efforts, you can use the simulator called "Bridge to stretch the spine".It stretches the spine and extends above all the damaged breast region - under the weight of its own body (it is a metal arch).

If you use it in the remission time, you can only extend the painless time for 5 minutes a day.This simulator has many positive reviews.

Complications of thoraxosteochondrosis

This includes:

• Pneumosclerosis;
• Arrhythmias;
• vegetative-vascular dystonia;
• Violation of the digestive organs;
• Determination of sexual and reproductive function - both women and men.

prevention

In order to never feel on yourself what osteochondrosis is (especially if you move little or already gives scoliosis), pay attention to such prevention measures:

1. Do not cool down.
2. Do not abolish the severity: This should be done after preparation.
3. Follow your attitude when you sit and go.An ergonomic chair can be installed in the car that even supports the back.
4. Take breaks during work: get on, go, carry out the self -massage of the back -so that the spine gets enough strength.
5. Do not start with your scoliosis: treat them in time.
6. Reduce the amount of salt and sugar in nutrition.
7. Exclude dishes with smoked meat, marinades and sharp spices.Fried products must also be removed.
8. Sleep on the orthopedic mattress and a low (or orthopedic) pillow.