A less common type of degenerative disc disease of absolutely all available — ray. This form is considered the more horrible, because the symptoms of degenerative disc disease of the thoracic spine is often mistakenly credited with other diseases, for example myocardial infarction helena angina pectoris. From the article, everyone can figure out, the zdf is terrible this disease and how to treat it, and also to get acquainted with the images on the subject of pathology.
What's GOCH?
The disease represents a degenerative degenerative changes in the intervertebral discs of the thoracic spine.
Consists of the thoracic department of 12 vertebrae. It is less active and well protected by muscle actors. From the data properties of osteochondrosis is considered the most rare pathology.
However, taking into account the general orientation to increase the morbidity of osteochondrosis, all common episodes are degenerative disc disease with localization in the thoracic region.
For a deeper understanding of the essence of GOCH, we offer to get acquainted with the code of the disease and its forms according to ICD-10.
What is the specificity of this part of the spinal pillar?
Low mobility is associated with its anatomical characteristic features – the connection of the vertebrae with ribs and the sternum provides the ability to form relatively agile and powerful system that is less exposed to injury and external actions.
Statistics shown, that a small burden on this department provides assistance to the fact that the appearance is in no complications hit only rarely. But when their occurrence can not be called something special, for example, the non-possession of your body, and the curvature may be some provoking terms and conditions, leading to the emergence of diseases of the spine.
Reasons
The main cause of GOCH are degenerative changes in their tissues and complications of metabolic events due to bad eating habits and disproportionate burden on the intervertebral discs.
Often thoracic osteochondrosis arises as a result of prolonged sitting in an uncomfortable posture of your body, in the presence of scoliosis, formative uneven load on the spine.
Speech Dorigo expressed strongly reinforced by pain, which has views of an unexpected heart attack. In addition to limitation of motion of the back may appear breathing difficulties.
When dorsalgia pain, localized in area affected drives, it has a permanent character, is relatively weak taken, and is accompanied by reduced activity in the lumbar-thoracic either in the neck-thoracic region of the spine.
Extent
Dr. emit, there are 4 degrees of the disease:
- Arises as a result of rupture of the intervertebral disc, triggered a sharp movement either a huge load. Ill in this period is feeling a strong pain in the spine and muscle tension.
- Diagnosed when symptoms of the extrusion of the intervertebral disc (bumps up to 5 mm), and in the presence of volatile intervertebral column. It is necessary to conduct a thorough diagnostic examination to identify the stage of the disease.
- Characterized by frequent feelings of pain, difficult breathing, minor disorders of the heart and headaches. In addition, the high possibility of the occurrence of intervertebral hernia.
- It is considered the most dangerous for human health. When it happens, the formation of osteophytes which pinch the spinal cord and its nerve endings.
Symptoms
Further explain all the most important things about the symptoms in different stages.
At the beginning of the
In the early period of the disease completely herself expresses. Often, even into strongly indicates a pain syndrome occurring neurological disorders (nausea, "flies" in the eye, etc.), which the patient does not associate with the problems of the back.
Chest pain
It is evident in the region of the heart, chest, back, in the side, in the upper part of the abdomen. Disease are sharpened when you inhale and exhale, while driving. You may feel numbness of the left hand, and interscapular zone.
The feeling of squeezing
Pain between the shoulder blades, from time to time are accompanied by a feeling of lack of air when you inhale. Doctors advise not to panic, and to sit down and figure out the heart rate.
In the case that the beat is not higher than 100 beats per minute, the probability of a pathology of lungs helena's heart is very small.
Reflex syndromes
Reflective voltage of the paravertebral muscle is evident when dorsalgia, often asymmetric, most will be reflected on the convex side of the deformity.
The syndrome of the anterior chest wall. The emergence of pain is due to the inverse effort and degenerative change of the Sterno-clavicular-mastoid muscle, commencing at the sternum.
The pain increases when the load on the muscles of the chest, while turning your head and your body.
Compression
Represents a strong and unexpected flare of pain, and so hereinafter referred to as "cross", which is manifested in the interscapular location and is able to occur at any time. Directly time seizure patients present as the "dagger strike", accompanied by a sudden spasm of back muscles.
In addition to severe pain, manifested by shortness of breath and significant restrictions on freedom of movement. It is a complication of degenerative disc disease with periodic záchvatmi can take up to several weeks.
How dangerous root syndrome?
Osteochondrosis, emerging with root syndrome, is always accompanied by pain. When the pain of this spasm, felt in the chest, often as angina pectoris. But unlike her, the pain factor cannot be eliminate the intake of vasodilator drug and the suspension of physical activity. Every movement of the torso, and in addition, cough and strong breaths induce a significant increase in pain.
Common signs of root degenerative disc disease of the thoracic department, in addition to the pressure křížs, are considered paresis, incomplete helena the absolute lack of sensitivity and change in reflexes the tendon tissue, identifying in the process the neurological examination. Also, this syndrome may be accompanied by hair loss, edema of the extremities, lividity of the skin.
Signs in the subacute phase
After the aggravation of starting the subacute phase of the process thoracic degenerative disc disease. Pain and breathing difficulties persist, but are significantly less active. A person already looking for a comfortable position of your body, in which not feel the nausea.
The length of the short-term period — up to 2 weeks. In compliance with all medical appointments happening the weakening of the, for which is characteristic the lack of displayed symptoms. Non-compliance with the scheme sees a new growth of degenerative disc disease.
Remission
In the stage of remission may appear small, the discomfort when the weather changes helena after hypothermia. A sharp pain occurs only in osteochondrosis of the 2-4 levels of severity due to the sharp turn of helena the tilt of your body.
Psychosomatics
Consider psychosomatics cough.
What is caused by a cough?
When the pathology in the spine cough is accompanied by pain in the neck, to a greater extent from one side. At the beginning of their medical term as a pain in the neck. In the later stages of degenerative disc disease discomfort are persistent, the next night.
Neurological symptoms, such as headaches, dizziness, fog in the eyes, blurred vision, feeling of fatigue, lack of air, they appear in the bias of the intervertebral disc, when the compressed nerve endings and blood vessels.
These feelings can be felt in the stomach area, which causes a person is sent to the study of the liver, pancreas, etc., and without thinking, what is the cause of the pain – degenerative disc disease of the thoracic department. When the combination of some forms of chondrosis – neck and chest, people can complain about the feel of the outside of your body in the throat, which becomes strongly pronounced after physical exertion helena after a stay in an uncomfortable pose.
Vegetative components
It can be:
- dry and flaky skin in the area of innervation of individual nerve;
- local non-sweating and thermoregulation (also in the zone of innervation);
- cold tional extremities, brittleness of the nails on the feet;
- the pain, the simulation of diseases of the gastrointestinal tract (e.g., gastritis, gastric ulcer, gastritis, cholecystitis, and so on);
- pain in the kidneys, which actually has nothing to do with the pathology of the kidney (does not happen changes in the urine and ULTRASOUND examination);
- pain in the region of the heart, like angina pectoris, including myocardial infarction.
It's become cramps and dizziness?
When breast osteochondrosis observed cramps and dizziness.
What is the effect of pathology of the spine, while it increases pressure?
When breast osteochondrosis may be diagnosed also increase the pressure. So as in the thoracic area artery of the terminal which has an effect on pressure.
Can I warm body in the bath increased blood pressure?
Bath at a slightly elevated pressure is not hurt. At 3 and 4 hypertension steam bath is prohibited, because it is fatal. When 1 and 2 hypertension authorities-the target is not damaged, so a visit to the spa is permitted.
The digestive system and diseases of the
In the thoracic form of degenerative disc disease pain in the intestines to appear when the disturbance of the root in the area of 8-9 vertebrae (broken innervation of the gastrointestinal tract).
Painful impulses coming from the nerve endings of the spinal cord to the intestinal tract, increase its irritant. A person suffer from flatulence, cramping pain in the region of the duodenum.
Angina pectoris and disease
The chest has many nerve fibers and a few large plexus, after the irritation that appears pain. Otherwise, the intervertebral discs, narrowing, lead to the pressure of the nerve roots in the thoracic area of the spine, which sees to the pain mimicking a heart attack.
The next most common symptoms
Violation of the sensitivity in your hands: they are made more "cold" winter, according to her "shiver".
In certain variations of the signs of degenerative disc disease of the thoracic department resemble the attack of panic (fear, palpitations, sweating). In combination with the pain behind the breastbone can be a symptom of myocardial infarction, for this reason it is better to take vasodilator drugs and cause the "Quick help" that will do a cardiogram.
Violations of the activity of the gastrointestinal system: frequent exacerbation of gastritis, constipation, flatulence, periodic discomfort in the abdomen, periodic diarrhea – no errors in the diet.
Dorigo
Dorigo – it's sudden and acute pain. Arises in finding the person in the certain possession of your body a longer period of time, and then a sharp change in his. It may appear shortness of breath, difficulty in breathing, muscles are poorly monitored.
Dorsalgia
Dorsalgia represents the stretching chronic pain, that is rarely expressed, brings the patient slight discomfort.
Arrhythmia
From damaged in any level of the spinal roots of the ongoing painful impulses to various internal organs, including the heart. While this permitted the occurrence of symptoms of different options of arrhythmias, however, the more common of them is arrhythmia (other spasmodic hearty decrease) in helena sinus tachycardia (uniform frequent palpitations).
Diagnosis
The diagnosis is considered to be quite a complex undertaking. This is due to the fact that this form of the disease has the discernible specific symptoms characteristic of degenerative diseases of the spine and passes through with the health manifestations of diseases of internal organs.
In the independent diagnosis of degenerative disc disease of the thoracic department is the need to focus attention on the symptoms of diseases of the internal organs. At its inception, and inefficient special treatment is necessary to undergo a differential diagnosis, with an accuracy able to help identify the disease process.
Detection of the disease, which caused the occurrence in the thoracic region pain syndrome, begins with the collection of medical history.
In this case the specialist with the maximum accuracy it finds the character of the unpleasant sensations and a key cause of them before. It will be able to help supposedly set, that the diagnosis in a patient may be thoracic osteochondrosis. The subsequent step will be to individual examination and probing of the affected area. It provides the ability to determine the presence of intervertebral hernia.
In obtaining evidence to form the thoracic degenerative disc disease, the doctor will prescribe laboratory examination of the blood. This type of study is considered essential because it indicates the presence in the body is an inflammatory process that binds degenerative-degenerative current in the spinal rod.
But to do so with the maximum right to install a key cause of developing the disease in the chest, for the determination of degenerative disc disease, emerging in the diameter of the spine, it is necessary to pass:
- Laboratory studies and instrumental diagnose (ECG, ULTRASOUND, x-rays).
- Neurological examination.
- MRI, which allows you to accurately determine not only the presence of intervertebral hernia, but to what extent is the wonder degenerationism action on the nerve endings.
- Chest x-2-x planes.
Treatment
Only a comprehensive approach to treat you the option to do away with absolutely all of the symptoms of degenerative disc disease, suspend helena to completely stop its spread to healthy discs and vertebrae. When the pathology of the 1-2 grade shall apply conservative methods of treatment. For degenerative disc disease 3-4 level for the creation of large hernias. For this , to eliminate the compression of their blood vessels, and spinal roots, it may be necessary to surgical treatment.
Drug medication
In the treatment of thoracic degenerative disc disease are applied drugs – substances of different also clinical-pharmacological companies. In the initial stage to use the funds for intravenously administered, rapidly provides a therapeutic effect. Through several days of injectable solutions replace tablets, ointments, patches.
Non-steroidal anti-inflammatory
The NSA have shown analgesic, anti-inflammatory, decongestant influence. Locate the sharp pain you intramuscular introduction of solutions.
For removal of small awkward feeling between the shoulder blades applying means for local application. And with reasonable pain well you would cope the NSA for ingestion.
Muscle relaxants
For the removal of muscle spasms that arise in response to great pain, apply a muscle relaxant.
Chondroprotectors
In pathology 1 level, the rate of adoption of chondroprotectors helps restore damaged disks. In other variations of the drugs they are appointed to improve the metabolism of the affected sector of the spine, prevention of the progression of the disease.
Preparations vitamins of group B
Vitamins are introduced in the medicinal scheme of patients with pathology of all levels of severity. Their use helps increase blood flow, improve the activity of the peripheral people with a weak heart system, restoring trophic and innervation.
The combination of vitamins of the category B has a good effect on degenerative diseases of the nerves and musculoskeletal system.
Physiotherapy treatment
In the treatment of thoracic degenerative disc disease true magnetic therapy, laser, UHF-therapy, sinusoidal currents, shock-wave therapy, body wraps of paraffin and ozokerite. At exacerbations carried out electrophoresis, phonophoresis with corticosteroids, local anesthetics, vitamins, category B, cartilage protectors.
Massage and manual methods
Massage helps to eliminate the pain between the shoulder blades, release spazmirovannah skeletal muscle.
In osteochondrosis of the therapeutically effective all types of massage — a traditional, vacuum, acupuncture, connective tissue.
In home massage conveniently carried out using an electric massager with a long handle.
Gymnastics and movement therapy
When breast osteochondrosis 1 level daily lessons in health physical education give the opportunity to do without the use of drugs. Treatment is carried out by maintaining the muscles, improve the blood supply to the tissue of the nourishing elements. In other variations of gymnastics and steady can help to prevent involvement in destructive process of healthy vertebrae parts, continue at the stage of remission.
A comprehensive workout in home conditions
Exercises in a standing position:
- sail forward, lifting alternately bent legs;
- sail to the side with his alternating hands;
- sail forward, trying to reach the hand opposite of the foot.
The number of repetitions — 10-12 times for 2-3 access.
For exercise in the supine position need sports rugs helena solid, built to double blanket:
- lying on your stomach lift legs and arms at the same time;
- supine lift the upper part of the torso to reach the hands to the feet;
- lying on your back, bend 1 leg to another, trying to touch the knees sex.
Each exercise must be carried out on 7-10 times.
Folk remedies in the chondrosis
Infusions and decoctions for pharmaceutical plants, ointment, alcohol, and oil milling, the tiles neurologists will allow you to use after the basic therapy.
Folk remedies are used for the removal of minor ailments between the shoulder blades, sometimes they appear after physical exertion. Apply the roots of celery and sunflower, you can also make homemade boban friends.
Features of therapy in the deterioration of the
Treatment includes:
- localization of symptomatology local painkillers and analgesics for internal use;
- bed rest;
- toe corset for fixation of the vertebrae.
In the case that the deterioration of the heavy, need an ambulance. During hospitalization in the hospital the doctor watches a patient's condition and selects him the necessary medication.
How to remove a seizure?
Pain in the period of relapse of the thoracic degenerative disc disease becomes acute, piercing, therefore it is necessary to provide first aid. The patient should be calm, put on a hard surface, shelter a warm blanket. In the case that repetition is accompanied by a rapid heartbeat, pompous, high anxiety, then you need to call the doctor. For relieve pain home, take any non-steroidal anti-inflammatory drugs.
Complications and consequences
In the absence of medical intervention thoracic osteochondrosis may be a factor of pulmonary fibrosis, arrhythmia, vascular dystonia, the bias for the worse activity of the gastrointestinal tract, the pathology of the sexual and reproductive function in girls and men.
Without operating the right treatment is able to provoke the following diseases:
- protrusion and hernia of the thoracic spine;
- compression of the spinal cord;
- heart problems, intestinal problems, liver, kidneys and pancreas;
- disorders in the duodenum, irritating the intestinal tract, dyskinesia of the gallbladder;
- intercostal neuralgia — about the displacement of the helena irritation of the intercostal nerves.
Prevention
The forecast is positive thanks to the detection of the disease, the implementation of a comprehensive treatment. In the case that there are no complications of thoracic degenerative disc disease, it is only by adhering to all medical appointments give you the opportunity to achieve a stable remission.
As a prevention of pathology neurologists recommend to exclude from their regular lifestyle precipitating cause. It's overweight, low motor activity, lack of vitamins and trace elements, the excess load on the spine.
The right posture of your body during play and during sleep
Proper planting. On upholstered furniture placed, it is not recommended. Unnecessary pressure on the spine, can help to prevent such a state, if the shell is supported by the seating of the hill. It may just be on hard chairs. The height of the chair is required to be on the same level with shin. The foot should rest on the floor. Every 15-20 minutes, it is necessary to change the position of the feet, to perform for them to exercise. The shoulders should just attach to the back of the chair. The body must be keep straight.
Correctly state when osteochondrosis. If it feels long, on his back carries a huge amount of work, especially on the lower part of the back.
- To give you a backbone to reduce the load, it is necessary every 10-15 minutes to change the posture of your body.
- It is necessary to rely then on 1, then on the other foot.
- Home walk on the spot, i.e. they may not be the plague, and move.
- Sometimes it is necessary to bend back, stretching his arms up and performed a full sigh.
These procedures are necessary to remove the fatigue of the muscles of the back, neck, shoulder girdle.
How to sleep properly?
Lying down on your back with your legs bent – while the vertebrae remain in a physiological for them able, unlike the possession of your body, when the legs straightened – in her muscles of the lower part of the back remain in a charged state.
Lying in the fetal position – on his side with a toned chest bent legs. For the greatest comfort it is possible to take out a small pillow under the legs. In this position, the spine is very relaxing, and the sick feel better.
Tips doctors
In any complex exercise wellness, physical education an important role is taking swimming lessons. It very effectively and the prevention of degenerative disc disease. Maybe swimming and as a therapeutic method in the earlier to have osteochondrosis, but not at the time of the acute illness, only if there are no complaints of discomfort in the spine and extremities.
A good health outcome provides the latest system a few massages. Painful taken a similar massage from the first procedure.
Diet and nutrition in pregnancy
Many analgesics contraindicated in pregnancy, for this reason, the neurologists give an advantage to medicines for external use — ointments, gels, patches. In the case without the ingestion of diet pills can not do, their benefits greatly reduced. During the child bearing main ways therapy thoracic degenerative disc disease — massage and movement therapy.
Nutritionists advise wrong, to refrain from fatty meat, greasy soups, sausages, home and factory of the marinade. It is necessary to reduce in the diet the amount of salt, the initiation of the development of edema. Every day need to drink about 2.5 liters of fluids — water, vegetable juice, berry fruit drinks, fruit compotes.
To avoid problems with separation of the thoracic spine, it is necessary to frequently at the first signs to turn to an expert. Do not indulge in self-heal. In suspected thoracic osteochondrosis should be implemented a thorough diagnosis, gain the ability to distinguish thoracic osteochondrosis from other diseases.