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

The "chameleon" disease, which is masked by dangerous diseases of the heart and lungs, causing panic attacks and a sense of lack of air - this is the osteochondosis of the thoracic spine.Its symptoms can be so different that an inexperienced doctor can, trying to find the cause, prescribe many tests and sometimes put a person in intensive care.

We will talk about how to understand that you have exactly the osteochondosis of the thoracic region and how to resolve it.

Reasons

The disease is quite rare.This is due to the fact that the spine, i.e. the joints between the vertebrae, are created almost immovable in the thoracic region.And if a person does some acute movement, or often moves against the axis of the intervertebral joints (for example, digs or raises gravity with one hand), then all the thoracic vertebrae are lit simultaneously.Separately, they don't work from each other.

The causes of the thoracic osteocondrosis are:

• scoliosis in the thoracic or lumbosacral region;
• excessive or incorrect physical effort;
• Lesions of the thoracic spine;
• Excess weight - over 10% of a "place" per complexion;
• Violation of the metabolism - following endocrine diseases (diabetes mellitus, pathology of the adrenal glands and others) or an inadequate diet;
• Anomalies in the development of the thoracic spine;
• Hypodynamia (intervertebral disc - what is destroyed with osteochondrosis - is also fueled by the back muscles).

Degree of thoracic osteochondosis

The doctors have decided to distinguish the degree of osteochondosis of the thoracic region so that they can understand how far the process of destruction of the disc went between the two mothers' vertebrae.

So there are 4 degrees of osteochondosis in the breast:

• 1 degree.The intervertebral disc loses humidity, becomes more fragile, the cracks appear in it.This is accompanied by a slight pain that disappears alone.
• 2 degrees.The amount of liquid in the fibrous ring of the intervertebral disc becomes even smaller: the height of the disc decreases, the cracks (especially one of them) deepen.The defect fills the "nucleus" of the disc - a multipoose nucleus, which further reverses the crack.The core of the pulp does not penetrate the outside.The muscles of the back in the area of the damaged intervertebral disc are thesis, trying to prevent the spine from turning to the "leaked" disc.This causes serious back pain, due to which you have to take breaks in work.
• 3 degrees.The crack in the fibrous ring of the disc reaches the edge of the vertebra, the octopus nucleus rushes inside it and begins to protrude.Therefore, 3 degrees is an intervertebral hernia.With her, the pain is heard almost all the time - when you work.We have to change the work easier.Self -Service is saved.
• 4 degrees.In the area of the discs concerned, the connective tissue grows.Blocks the nearby vertebrae.In addition, the vertebral bone tries to compensate for a decrease in the layer between the vertebrae and grows.It appears "peaks" bone - osteophyte.

Symptoms

At the start

While the Pulpic core has not completely made the path inside the ring that surrounds it, it is not almost manifesting.Periodically, with inclined or raised weights, the pain between the shoulder blades may appear, which passes quite quickly after rest.

The symptoms of the osteochondosis of the thoracic spine in the acute phase can be very different, this is:

Chest pain

It is more often sore and long term, but sometimes it can be acute.Location:

• Back - between the shoulder blades;
• cardiac area;
• under a spoon;
• In the rib area - so it becomes painful to breathe.

The difference between this pain in osteocondrosis is that:

• It is not so strong that you can lose knowledge.This is characteristic of myocardial infarction;
• It does not arise in response to an emotional load - only to the body;
• It does not appear when walking against the wind, climbing the stairs or when you reach the cold;
• It intensifies when lifting hands, turns and inclinations;
• It intensifies if you make a deep breath;
• Pain attacks differ from each other in location and intensity (with Angina pectis, for example, they will be stereotyped);
• does not disappear if the load is stopped;
• It can be located if someone is pressed on the spine in the thoracic region: in a place it will be very painful;
• It is given in hand, even if more often - in 2 hands.But even if he gives them to his left hand (as he does pain in the heart), then not to the little finger;
• It does not depend on meals, such as with gastritis or angina pectoris;
• Not removed from nitroglycerin, which, on the contrary, helps with angina pectoris;
• It does not intensify when you feel the thoracic gland (if it seemed to be hurt).In this case, no knots or seals are felt in the chest;
• There is no such thing that pain has grown gradually, but after stress has been stopped or nitroglycerin has disappeared abruptly.This is characteristic of Angina Pectoris;
• The pain is not accompanied by nausea, burning of stomach, budding.This can speak of gastritis, as well as angina pectoris.

Felt in the chest

Because of which an "incomplete breath" can occur.Usually this symptom is still accompanied by back pain, but even if there is no pain, then there is no intoxication, as in pneumonia (weakness, the desire to relax, a decrease in appetite).This can cause panic, but, being calmed, count the wrist.With the thoracic osteochondrosis, they will not be more than 100 strokes per minute and with diseases of the heart or lungs, it can be.

Other symptoms

• Violation of sensitivity in hand or in two hands: they become more "fresh", frozen, "goosebumps is running along them".
• In some cases, the symptoms of the osteocondrosis of the thoracic region resemble a panic attack (fear, heartbeat, sweating).In combination with the pain behind the sternum, this can indicate a myocardial infarction, so in this case it is better to take nitroglycerin (up to 3 tablets) and call an ambulance that will remove the cardiogram.
• Interruption of the digestive system: frequent exacerbations of gastritis, constipation, swelling, periodic abdominal pain, periodic diarrhea - without error in the diet.

With the thoracic osteochondrosis, these symptoms last about 10-14 days, provided that you have temporarily stopped bending and making twisting movements.The disease enters the subacute phase.

Signs in the subacuta phase

There is still pain and difficulty in breathing, but they are no longer so intense and less worries.So, if in the acute phase you have to find a situation to fall asleep and not suffocate, then in the subacute period it is not necessary to apply such efforts.

The stage lasts 12-14 days.If you observe all the doctor's recommendations, do not breed weights, do not bend and not hypothermia, the remission stage arrives - when all the symptoms leave.If the regime is disturbed, the disease can go again on the acute phase.

Remission

During this period, there are no symptoms.Perhaps, of course, "shooting" under the ribs if you decide to work physically, but passes quickly.

The exacerbation of the disease can be caused:

• physical activity (in particular lift weights and inclinations);
• stress;
• hypothermia;
• A strong change of heat in cold (immerse yourself in a hole or swim in the snow after a bathroom);
• Campaign without success to a masseur or manual therapy;
• prolonged discovery in a bent position;
• Alcohol intake (especially in combination with one of the above factors).

Diagnostics

The diagnosis and treatment of osteochondosis of the thoracic spine are engaged in a neurologist (neuropathologist).When you come to him, describing your complaints, he leads an initial inspection: probes the spaces between the vertebrae of the breast (with osteochondrosis, you can find a painful point) and determines the reflections and sensitivity of the hands.

To confirm the diagnosis, it needs:

• ECG, possibly above the background of the load on the treadmill (thread test).This will exclude Angina Pectoris;
• radiography or computerized tomography of the thoracic spine;
• In women, in particular the oldest ones, mammography, since the symptoms of the mammary osteocondrosis often accompany the diseases of the mammary gland, not always malignant.

Treatment

How to treat osteochondrosis of the thoracic region, the doctor will say - after confirming the diagnosis, determining the stadium and the nature of the violations (sensitivity of the hands, respiratory disorders).

In the acute phase, the minimum motor activity of bed or at least semi -fiore is recommended.In the future, the regime expands.In general, for the treatment of osteocondrosis, these methods are used (they need their complex):

Pharmacological treatment

Anti -non -stericoidal non -inflammatory They are painkillers. They can be drunk in the form of tablets or glued as patch ("alfen") - if the pain is tolerant.In the subacute period, they can be used as ointments for osteochondrosis.And in the acute period with severe pain, only as injections. This is Diclofenac (analogues of Voltaren, Almiral, Olfen, Naklofen, Diklak) - the most "stronger" of the Fans Group. This also includes Ibuprof ", praying", Nise. Anesthetic drugs such as Kever, Ketanov or Ketalong are better not to use: they have a weak anti -inflammatory effect.

Musorelassant Their task is to relieve muscle spasm that retain the spine from the turn and transmit the nerve endings and blood vessels.In the acute period, it is better to take them as injections for osteochondrosis, then move on to tablets. This is Midokalm, Tizalud, Sirdalud.

Condroprotectors These are drugs whose effectiveness is still contested.However, many doctors recommend using them a long course: to give the intervertebral disc the opportunity to recover. This is Arthra, Alflutop, Don, Teraflex, Structures and others.

Vitamins B Vitamins B They are necessary to improve the transmission of the wrist from the black to the muscle.In the acute period, it is better to start with injections, for example neurobina, then move on to neurobine, milgamma, neurinitan or others tablets.

Note: To relieve pain in the osteochondosis in the breast!So you can breathe in full vigor, thus improving oxygen nutrition of the entire body.In addition, the elimination of surface breathing is the prevention of stagnant pneumonia.

Physiotherapy 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 performed by electric shock directly in the back of the rear.
2. Magnetotherapy.Under the influence of the magnetic field, the work of violated nerve terminations improves, tissue edema is removed.
3. The phonoforese (the introduction of drugs with ultrasound) helps to better anesthetize the back and eliminate inflammation of violated tissues.It also has the ability to improve metabolism in the effect of the exposure.
4. Acupuncture: the introduction of special sterile needles in active points that are responsible for the work of the thoracic spine.
5. Laser therapy according to the external method - improves blood circulation in the tense muscles and the suffering intervertebral disc.

Massage

Osteocondrosis massage is an effective procedure if a specialist performs it.The massage session is able to improve blood circulation in the affected area, relax the spasmodic muscles, improve the outflow of blood and lymphs from this area.This accelerates healing and reduces pain.

Important: in the acute period of the disease, massage and charge for osteochondrosis, is contraindicated.It is possible to proceed with the procedure 2 weeks after the subsidia of acute pain and difficulty breathing.The massage should not cause unpleasant sensations or pain!

To reduce the amount of exacerbations, it is recommended to carry out massage courses at least 2 times a year.Can be:

• Therapeutic manual massage: exposure by the hand to the color of the muscles they have lost and losing their tone to normalize their conditions;
• Hardware: muscle study of various types of exciting maniples.You can also resort to the services that cosmetologists provide: endosphere massage and LPG.They also hit the sore again;
• Point: In this case, the biologically active points are processed manually, consequently, the condition of the internal organs paid due to the round of the spine;
• Small: effect on the muscles that have changed tone is produced using a void.

Operating therapy

Exercises for osteochondrosis can start doing only in the subacute and remission period, as well as 2 weeks after removing the hernia of the disc.

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

Gymnastics for osteochondrosis is recommended to start with the car -the spine of the spine.To do this, it is necessary to take a large and smooth table and attach to one end of the wall, an altitude of about 100 cm from the floor (to make an angle of 30-45 °).The lower edge lies on the floor.On the upper edge, on both sides, 2 leather straps about 45 cm long are attached - so you can pass them through yourself and then - remove your hands yourself.

The car -Sketching method is that you go to this table with your back, hands, hands in the straps.Put the soft fabric under the knees by lifting it in a roller and minds for 10-15 minutes.It shouldn't be painful.If the pain is present, the angle of inclination of the card increases.If this does not help, you will have to do it differently:

• Create a blanket of blankets on the floor;
• Lie on the roller so that there is a blocked area on top;
• Slightly dilute the legs;
• elbows and knees - folded, touches the floor, the weight of the body is on them;
  The head should hang slightly or lie on bent brushes;
• If you don't feel so that the spine is elongated, you can increase the load: move your legs back and arms forward;
• 5 minutes of inspiration for 10 seconds to strain the back muscles, on exhalation - relaxed
• Relax and breathe in the stomach - another 5 minutes.

Bridge

Instead of these efforts, you can use the simulator called "Bridge to lengthen the spine".It lengthens the spine and, first of all, stretches the damaged chest region - under the weight of its own body (it is a metal arch).

Using it in the remission period, only 5 minutes 2 times a day allows you to significantly extend the painless period.This simulator has many positive reviews.

Complications of the cubic osteochondosis

These include:

• pneumosclerosis;
• arrhythmias;
• vegetative-vascular dystonia;
• violation of the digestive organs;
• Deterioration of sexual and reproductive function - both women and men.

Prevention

In order to never feel on yourself what osteochondosis is (especially if you are moving little or there are already scoliosis), pay attention to these prevention measures:

1. Not excessive.
2. Do not abruptly lift gravity: this should happen after preparation.
3. Follow your posture when you sit and walk.An ergonomic chair can be installed in the car, which will support the back.
4. Make sure you take breaks during the work: get up, go, perform cars - back of the back - so that the spine receives enough power.
5. Do not start scoliosis: treat it in time.
6. Reduce the amount of salt and sugar into the diet.
7. Exclude the dishes containing smoked meats, marinades, sharp condiments.Fried products must also be removed.
8. Sleep on the orthopedic mattress and a low (or orthopedic) pillow.