Less common of the degenerative disease disk all available — chest. This form is considered the more terrible, as the symptoms of degenerative disc disease of the thoracic spine is often credited by mistake to other diseases, e.g., myocardial infarction or angina. The article everyone can learn, therefore, if fear of this disease and how to treat it, but also to consult the images on the theme of pathology.
What is GOCH?
The disease is a dystrophic degenerative changes of the intervertebral discs of the thoracic spine.
Consists of chest, the division of 12 vertebrae. It is less agile and well protected by muscular corset. Due to data properties of the osteochondrosis is considered the most rare of the pathology.
However, considering the universal declaration orientation to an increased incidence of low back pain, all joint economic episodes of degenerative disc disease with localization in the thoracic region.
For a more profound understanding of the essence of GOCH, we offer you to familiarize yourself with the code of the disease and its forms of ICD-10.
What are the specifics of this part of the vertebral column?
The low mobility is related to its anatomical characteristics of the connection to the vertebrae with the ribs and sternum offers the possibility of forming fairly mobile and solid system, which are less exposed to external injury and the action.
The statistics proved that a charge of this department supports the fact that the onset of complications comes very rarely. But their appearance can not be called something extraordinary, for example, the non-compliance of the posture and curvature can be some of the causing conditions that lead to the emergence of diseases of the spine.
The reasons
The main cause of GOCH are degenerative changes in the tissue and the complication metabolic of the action, because of a poor diet and an unreasonable load on the intervertebral discs.
Often, the chest, the osteochondrosis is formed due to prolonged sitting in uncomfortable posture, in the presence of a scoliosis, formants that a load on the spine.
The event Dorigo is expressed strongly reinforced the pain, with a view of unexpected heart attack. In addition to limiting the mobility of the back may appear a difficulty in breathing.
When dorsalgia pain, localized in the area of the affected discs, a long is relatively little, and is accompanied by an activity limited to the period or to diseases cervico-thoracic spine.
The degree of
Doctors issue 4 degrees of the disease:
- Occurs because of the rupture disc created by the strong move or a huge load. The patient is in this period feels a strong pain in the spine and the tension of all the muscles.
- Diagnosed at the onset of the signs of the protrusion of the intervertebral disc (bulging up to 5 millimeters) and the presence of over-exploitation intervertebral pole. You should perform thorough diagnostic tests to identify the stage of the disease.
- Characterized by frequent sensations of pain, difficulty of breathing, minor, disorders of the heart and headache. In addition, the strong possibility of the appearance of intervertbral of the hernia.
- Considered the most dangerous to human health. It occurs the appearance of osteophytes that compress the spinal cord and the nerves are are.
The symptoms
Then, we we will tell about all of the most important on the symptoms at different stages.
At the beginning
At the beginning of the period of the disease, while in fact he himself did not express. Often, even before strongly protested against the pain to come of neurological disorders (nausea, "flies" in the eyes, etc), those who are sick do not bind issues back.
Pain in the chest
Observed in the area of the heart, the chest, the back, the side, in the upper part of the abdomen. Discomfort is worse during inhalation and expiration, when driving. Can be felt a numbness of the left hand, and interscapular area.
Tightness
The pain between the shoulder blades from time to time, accompanied by a feeling of lack of air during inspiration. The doctors advise not to fall into panic, and to sit down and determine the beat of the pulse.
In the case where the heartbeat is not greater than 100 beats per minute, the probability of a disorder of the activity of the lungs or of the heart is very low.
Reflex syndromes
Reflex voltage paraspinal muscle is traced when dorsalgia, often asymmetrical, more displayed on the convex side of the deformity.
The syndrome of the chest wall. The onset of pain reflected depends on the effort and degenerative change sterno-kljutchitchno-mastoid muscle, commencing sternum.
The pain increases when the loads on the muscles of the chest, during rotations of the head and body.
Compression
Represents a strong and sudden outbreak of the pain, as well referred to as the "back pain", which manifests itself in interscapular space and is able to appear at any moment. Directly in times of crisis patients often research presented as a race of "dagger", accompanied by a sudden spasm of the erector spinae.
In addition to the sharp pain is manifested by shortness of breath and limitation of the freedom of movement. This complication of the degenerative disease of the disc with seizures may last up to several weeks.
That dangerous root chikungunya?
Osteochondrosis, formed with the syndrome root canal is always accompanied by pain. When this pain spasm, felt in the chest region, often similar to angina pectoris. But contrary to it, the factor may not eliminate the seizure vasodilator of the preparation and of the suspension of physical activity. Each movement of the torso, and in addition, coughing, and a strong inspiration to cause a significant increase of the pain.
The most common symptoms radicular degenerative disc disease and thoracic, with the exception of the pain of lumbago, are considered paresis, incomplete or the absolute lack of sensitivity and modification of reflexes suhozhilnih tissues, identified in the process of the neurological examination. In addition, this syndrome may be accompanied by loss of hair, swelling of the extremities, lividity of the skin.
The signs in the subacute phase
After the aggravation begins subacute stage of the process of breastfeeding to a degenerative disc disease. The pain and respiratory difficulties remain, but they are much less active. No one is more in search of comfort of the location of the body, which has not felt discomfort.
Duration of the period subacute, up to 2 weeks. Subject to the powers of relief, which is specific to the absence of symptoms. Failure Modes led to a new aggravation of the degenerative disease of the disc.
The remission
The remission phase may appear small, sympathy arrangements, sympathy arrangements, uncomfortable feelings to the change in the weather or after cooling. A sharp pain occurs only when the osteochondrosis 2-4 severity level because of the high rotation or tilt of the body.
Psychosomatic
Consider the psychosomatic cough.
What is the origin of the cough?
The pathology of the spine of the cough is accompanied by sore throat, more and more with a single hand. At the beginning of their medical expression looks like a angina. In the last stages of the disease degenerative disk unpleasant sympathy arrangements, sympathy arrangements, feelings of economic standing, especially in night time.
Neurological signs, such as headache, dizziness, the mist in the eyes, blurred vision, sensation of exhaustion, the lack of air that can appear during the displacement of an intervertebral disk, which are tight, nerves are are to and the board of trustees of the board of trustees of the arteries.
These sympathy arrangements, sympathy arrangements, feelings can be felt in the area of the stomach, resulting in the man moves on to the study of the liver, pancreas, etc, do not think that the root cause of the pain – pain in the lower back and chest. When the combination of certain forms of chondrosis neck and chest, people complain of foreign body sensation in the throat, which is strongly pronounced after a physical effort or after a stay in the uncomfortable posture.
The components of vegetative
It can be:
- the dryness and flaking of the skin in the area of autonomic innervation of the nerve;
- local non-compliance of sweating and thermoregulation (also on the area of innervation);
- coldness of the extremities, brittleness of the nails of the feet,
- pain, that can simulate disease of the gastrointestinal tract (e.g., gastritis, stomach ulcer, cholecystitis, and so on);
- the pain in the kidneys, which is not related to the pathology of the kidney (it doesn't change in the urine and ULTRASOUND);
- the pain in the heart, similar to the angina pectoris, including myocardial infarction.
Happens a spasm and dizziness?
When osteochondrosis is observed to have a spasm, and dizziness.
On what affects the pathology in the vertebrae, can it increase the pressure?
When the low back pain can be diagnosed also in an increase of the pressure. As well as in the thoracic region, is found the artery, clamp which has an impact on the pressure.
Is it possible to heat the body in the bathroom, with an increase of the HELL?
Steam with a little the pressure increases not bad. When 3 and 4 stages of high blood pressure steam room is prohibited, because it leads to death. 1 and 2 stages of hypertension target organs are not damaged, that is why the visit of bath is permitted.
GASTRO-intestinal problems and disease
During chest, the shape of the degenerative disc disease of the pain in the gut appear when jamming roots in the area of 8-9 vertebrae (broken innervation of the gastrointestinal tract).
Painful impulses from nerve endings of the spinal cord to the bowel, increase peristalsis. The man suggests bloating, cramping pain in the area of the duodenal ulcer.
Angina and disease
The rib cage has a lot of nerve fibers and several large plexus, after irritation of the pain. Otherwise, the intervertebral discs, narrowing lead to tightening of the nerve roots of the thoracic spine, which causes pain simulating a heart attack.
Other common symptoms
Disorders of sensibility in the hand: they are more "cold", a feeling of cold, it is "cold".
In some variants of signs the degenerative disc disease, and thoracic resemble a panic attack (fear, palpitations, sweating). In combination with the pain behind the breastbone, it can be a sign of myocardial infarction, for this reason, it is best to take the medicine vasodilator and call an Ambulance, which will make a cardiogram.
The violation of the activity of the digestive system: frequent worsening of gastritis, constipation, bloating, upset stomach, periodic diarrhea without error in the power supply.
Dorigo
Dorigo is a sudden and acute pain. Occurs when the search of a person in a posture a lot of time, and then a sudden change in the sound. May appear shortness of breath, difficulty breathing, muscle little respected.
Back pain
Back pain is a stretching of the chronic pain, which is poorly expressed, brings to the patient mild discomfort.
Arrhythmia
Damaged in any degree spinal roots pass morbid leading played by impulses that are abnormal to the different internal organs, including the heart. While this is acceptable from the onset of symptoms of a variety of arrhythmias, but more frequent of them is arrhythmia (extra spasmodic cordial reduction) or sinus tachycardia (uniform common heart rhythm).
The diagnosis
The diagnosis is considered to be a very complex activity. This is due to the fact that this form of the disease has obvious specific characteristic signs degenerative disease of the spine, and with manifestations of diseases of the internal organs.
For the self-employed, the diagnosis of disc degeneration thoracic is a need to focus on the symptoms of diseases of the internal organs. In her apparition, and of the ineffectiveness of a particular treatment is necessary to spend the differential diagnosis, which with the accuracy that can help determine the disease process.
The detection of the disease, which has caused the appearance of chest area pain, begins with the collection of anamnesis.
This specialist with a maximum of accuracy learns the nature of unpleasant sensations, and the cause, on their previous. This can help likely to establish the diagnosis, the patient may be chest pain in the lower back. Step " will become individual of the investigation and palpation of the affected area. It offers the possibility of defining the intervertebral hernia.
During the reception of circumstantial evidence of training of nursing degenerative disc disease, the doctor prescribes laboratory tests blood. This type of study is regarded as essential, because it shows the presence in the body of the inflammatory process that accompanies degenerated degenerative upstream in the spinal post.
But to do this with maximum accuracy to establish the root cause of the occurrence of diseases in the chest, for the definition of the degenerative disease of the disk, in development, on average, the department of the spine, it is necessary to spend:
- In laboratory studies, and diagnostic tool (ECG, ULTRASOUND, x-ray).
- Neurological inspection.
- The MRI allows to determine with precision not only the presence of the hernia, but the extent surprised degenerationism the action of the nerve endings.
- X-rays in 2 projections.
Treatment
Only a holistic approach of treatment will give the possibility to finish with absolutely all signs of the degenerative disease of the disk, suspend, or all, to stop its dissemination on the health of the disks and vertebrae. The pathology of 1 to 2 degrees apply conservative methods of treatment. To disease degenerative disc 3-4 level inherent to the formation of large hernias. In order to eliminate compression of their blood vessels and the spinal roots, may need a surgical treatment.
Drugs
In the treatment of breast degenerative disc disease apply the medications are different substances and clinical and pharmacological companies. At the beginning, the means are used for the intravenous administration rapidly provide a therapeutic effect. A few days of injection solutions replace the tablets, ointments, this patch.
Nonsteroidal Anti-inflammatory drugs
NSAIDS have shown analgesic, anti-inflammatory, decongestant impact. Locate a sharp pain will enable the introduction of intramuscular solutions.
To eliminate the minor sensations that are uncomfortable between the shoulder blades, use tools for a topical application. And with aches and pains well will NSAIDS by the oral route.
Muscle relaxants
To eliminate muscle spasms, generated in response to a lot of pain, apply to muscle relaxants.
Chondroprotectors
The pathology of level 1, the adoption of a chondroprotectors contributes to the recovery of a damaged disc. In other variants of the drugs prescribed for the improvement of the metabolism system in the area of the spine, prevention of the progression of the disease.
Preparations of vitamins of group B
Vitamins are introduced in the therapy, the patients with any level of seriousness. Their use helps to increase the blood flow, improving peripheral activities of the nervous system, the recovery of the trophic and of the innervation.
A set of vitamins of the category B is having a good impact on the degenerative disease of the nerves are to are to and of the musculoskeletal system.
Physiotherapy
In the treatment of breast degenerative disc disease, apply magnetotherapy, laser therapy, UHF-therapy, sinusoidal currents of shock-wave therapy, applications with paraffin oil, and ozokerite. Acute Exacerbations place to electrophoresis, phonophoresis with corticosteroids, anesthetics, vitamins of the B category, the protectors of the cartilage.
Of massage and methods manual
The massage promotes the removal of the pain between the shoulder blades, to the relaxation spazmirovannah muscles skeletal.
Osteochondrosis therapeutically effective any kind of traditional massage, vacuum therapy, acupuncture, connective tissue.
At home massage at ease with the help of a massage therapist are electric, with a long neck.
Gymnastics and PHYSIOTHERAPY
When the low back pain 1 the level of activities of daily living, physiotherapy will give you the possibility to do so without the use of drugs. The treatment is done through the maintenance of muscles, improvement of the vascularization of the tissues of the nutrients. In other variants of the gymnastics and the permanent training, can help prevent the inclusion in the process of destruction of healthy vertebrate parts, continue the remission.
All of the exercises at home
The exercises in the standing position:
- the slopes of the front, by lifting alternately the bent legs;
- the slopes of side with arms lifted alternately with the hands;
- the slopes of the front, trying to reach the hand opposite of the foot.
The number of repetitions is 10 to 12 times in 2-3 approach.
For exercise in the supine position will need a mat for sport or dense, folded two-fold coverage:
- lying on stomach lift feet and hands at the same time;
- lying on your back, lift the upper part of the torso, drag the hands to the feet;
- lying on your back, bend 1 leg, back up the other, trying to touch the knee of sex.
Each lesson is necessary to perform a 7-10 times.
jpg" class="imgblock right center_mob">Folk remedies when the chondrosis
Decoctions and infusions of plants such as pharmaceuticals, ointments, alcohol, and oil of the grinding, compresses neurologists use it after the execution of the primary therapy.
""The traditional remedies apply to the disposal of minor sore between the shoulder blades, sometimes, appear already after the exercise. Apply: the roots of celery, and sunflower, you can also make the house of the ointment.
Characteristic of the therapy during the
The treatment involves:
- the location of the local symptoms of pain killers and analgesics for internal use;
- bed rest;
- walker texas ranger-michel corset for fixation of the vertebrae.
In the case where a worsening heavy, you need to call an ambulance. At admission to the hospital, the doctor look at the condition of the patient and will choose him necessary medicines.
How to remove the crisis?
The pain in the period of recurrence of the breast-feeding of the degenerative disc disease happens acute, bite, it is thus necessary to give first aid. The patient is needed to calm him down, putting it on a hard surface, cover with a warm blanket. In the case where the repetition is accompanied by coordinated palpitations, shortness of breath, high anxiety, you need to call a doctor. To alleviate the suffering of animals to take any non-steroidal anti-inflammatory drug.
The complications and consequences of the
In the absence of medical intervention, thoracic, low back pain can be a factor of pneumosclerosis, arrhythmias, dystonia, offset in the sense of a deterioration of the activity of the gastrointestinal tract, pathology of the sexual and reproductive among girls and men.
Without operating the right treatment, it is able to cause the follow-up of the disease:
- the protrusion and a hernia thoracic spine;
- the compression of the spinal cord;
- problems with the heart, the intestines, the liver, the kidneys and the pancreas.
- the violations in the duodenum, the intestinal peristalsis, of the dyskinesia of the gall bladder;
- intercostal neuralgia — by the displacement of the or irritation of the nerves are intercostal.
Prevention
The prognosis is positive when the detection of the illness, the completion of a full course of treatment. In the case if there were complications of breast feeding of degenerative disc disease, then only in respect of health, all the appointments will give the possibility to achieve remission stable.
As the prevention of the pathology neurologists advisable to exclude from the is by a by a regular mode of life precipitating his reason. It is the excess weight, low physical activity, lack of vitamins and trace elements, the excess load on the spine.
The correct position at rest and during sleep
Correct sitting Position. On upholstered furniture is not recommended. Of the excess pressure on the spine can help you avoid such a state, if the housing is supported sciatic mounds. Perhaps it is only on the hard drives of chairs. The height of the chair should be on par with the shins. The judgment must be based on the ground. Every 15-20 minutes, it is necessary to change the position of the feet, to perform for them in training. The kidneys must be close to the side of the chair. The body to maintain it right.
Keep properly osteochondrosis. If you have a lot of time on the spine is a huge work, especially on the lower back.
- To help the spine to reduce the load of work, you need all of the 10-15 minutes, change the position.
- The need to rely on 1, then on the other leg.
- Animals walk on the spot, that is to say, do not be a pillar, and move.
- Sometimes need to bend backwards, arms stretched to the top and after full sigh.
These procedures are necessary to remove the fatigue of back muscles, the neck, the shoulder girdle.
How to sleep well?
Lying on the back with bent legs – with the vertebrae remain in physiological for them the state, to the difference in posture, when the legs straightened – she of the back muscles remain in a state of stress.
Lying in the fetal position on the side, the shape of the chest bent feet. For the greatest comfort possible to place a small cushion under the feet. In this position, the spine is extremely relaxed, and the patient feels better.
The advice of a doctor
In each complex for the safety of the exercise, a role takes the swimming. It is extremely efficient and for the prevention of the degenerative disease of the disc. Maybe the swimming and as a therapeutic in a way previously invoked osteochondrosis, but not at the time of the aggravation of the disease, only if there is no complaint about the discomfort in the spine and limbs.
Good a result medical offers the most recent system in the pair of massage. The syndrome of the pain is relieved from the same massage to the first procedure.
Food and nutrition during pregnancy
Many painkillers during the pregnancy is contraindicated, for this reason, the neurologists give the benefit of the drugs for external use — ointments, gels better, plasters. In the case where, without the taking of tablets is not their dose is considerably reduced. While wearing children, the main methods of treatment of infants degenerative disc disease — massage and PHYSIOTHERAPY.
Nutritionists advise their patients to refrain from fatty meat, soups, smoked meats, pets, and marinades. You need to reduce the amount of salt in the diet, triggers the development of edema. Each day, you must drink about 2.5 litres of water, the juice of vegetables, fruits and fruit drinks, stewed fruits.
To avoid problems with the department of the spinal column, you often need to when the first symptoms consult a specialist. No self-medication. In case of suspicion of chest, pain in the lower back should be a thorough evaluation of diagnosis, in order to obtain the possibility to differentiate the thorax, the low back pain of other diseases.