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Osteochondrosis of the thoracic: symptoms and treatment, exacerbations

When osteochondrosis affects the bone and cartilage tissue of the vertebrae of the cervical, lumbar or thoracic spine. Pathology often leads to disability and in advanced cases, for example, in the formation of an intervertebral hernia, requires surgical intervention. On osteochondrosis of the thoracic spine, its symptoms and treatment I will describe in detail in this article.


Thoracic osteochondrosis - what is it?

Thoracic osteochondrosis is a degenerative-dystrophic changes in the vertebrae of the thoracic spine with destruction of the joints, intervertebral discs and cartilage. In comparison with the cervical and lumbar region, the thoracic is not so mobile, and due to the connection with the ribs it is more durable.

Osteochondrosis of the thoracic region

As a result, it is less susceptible to external influences. However, with sedentary work, weak spinal muscles, and associated injuries, the risk of developing osteochondrosis in the thoracic spine is high.

The risk factors are:

  • high loads on the back - weightlifting, pregnancy, wearing high heels, flat feet;
  • sedentary lifestyle;
  • rachiocampsis;
  • back injury;
  • bad posture;
  • genetic predisposition;
  • nerve strain.

The development of thoracic osteochondrosis leads to a thinning of the discs between the vertebrae, the appearance of an intervertebral hernia, abrasion of the cartilage membrane of the spinal joints, pathological growth of bone tissue, and outgrowths are formed on it - osteophytes.

As a result of such changes, clamping of blood vessels and nerve fibers, spinal cord injury (myeloishemia, myelopathy) can occur. Another serious complication of the disease is intervertebral hernia.

Symptoms of thoracic osteochondrosis, photo

Signs of thoracic osteochondrosis

signs of osteochondrosis of the thoracic, photo

In osteochondrosis of the thoracic spine, symptoms more often appear and amplify under the influence of loads, with sudden movements, for example, when turning the torso, when bending.

This may be aching or dull pain arising between the shoulder blades, accompanied by a feeling of constriction in the chest. If the lower ribs are displaced, then the posterior-spinal syndrome occurs when there is a sharp pain in the scapula and at the bottom of the chest.

When probing the spine in the area of ​​the affected vertebrae local pain is felt - at the site of impact.

The compression of nerve fibers causes such symptoms as a violation of sensitivity at the end of the pinched nerves, changes in tendon reflexes (knee and heel).

Symptoms of thoracic osteochondrosis

A malfunctioning of the internal organs is possible, since the nerve roots located in the vertebrae of the thoracic region are responsible for the functioning of the liver, heart, kidneys, lungs, pancreas, and intestines.

Other possible manifestations of osteochondrosis are sexual dysfunction, difficulty breathing, and pain localized in the area:

  • mammary glands;
  • chest and heart;
  • subcostal space - left or right;
  • stomach and intestines;
  • esophagus and pharynx.

Osteochondrosis in the thoracic vertebrae is manifested by two types of pain:

  1. Dorsago - severe, penetrating, sharply arising pain between the shoulder blades and in the region of the ribs, intensifies when trying to turn or change the position of the body. This symptom arises during exacerbations of the disease.
  2. Dorsalgia - appears gradually and lasts 1-3 weeks. The pain is dull, unexpressed and localized in the spinal column at the level of the thoracic region, its intensity increases with a deep breath, a bend. She is accompanied by muscle spasm above and below the painful area, the feeling of lack of air.

Dorsalgia often increases at night and with a long body in one position.

What to do during the exacerbation of osteochondrosis of the thoracic?

exacerbation of thoracic osteochondrosis

Exacerbation of osteochondrosis can provoke physical overloads (playing sports, hard work), hypothermia, severe stress or fatigue, and lifting heavy objects. Along with acute pain may appear:

  • headache;
  • reminiscent of the intensity of migraine attacks;
  • nausea;
  • dizziness;
  • severe weakness;
  • loss of mobility;
  • labored breathing.

Dorso pain arising during an exacerbation of osteochondrosis of the thoracic spine is difficult to resolve on its own. It is not necessary to choose painkillers without visiting a specialist, as self-medication can provoke serious complications.

The first action for acute pain is to call an ambulance or to see a neurologist. When an exacerbation of a person is hospitalized and in a hospital the pain syndrome is removed and the further condition is monitored. Analgesics and local anesthetics (injections, tablets, ointments) are used to relieve pain.

General measures of therapy and rules for the period of exacerbation are as follows:

  • observance of bed rest and minimal activity;
  • taking only those medicines prescribed by the doctor;
  • physiotherapy and light self-massage;
  • physiotherapy;
  • balanced diet.

If the dorsago is caused by intervertebral hernia, drug treatment, wearing a corset, physiotherapy, and for large sizes, is indicated, the only treatment is surgery. It is carried out after a thorough diagnosis and exclusion of other pathologies with similar symptoms.

Tactics of treatment of osteochondrosis of the thoracic

treatment of osteochondrosis of the thoracic

With the defeat of the thoracic, as well as the case of osteochondrosis of the cervico-thoracic spine, symptomatic treatment. The following medications are prescribed:

  1. Nonsteroidal anti-inflammatory drugs - Indomethacin, Movalis, Diclofenac, Ksefokam, Ibuprofen;
  2. Analgesics, which can also be from the group NVPS - Ortofen, Revmoksikam, Nimesil;
  3. Local anesthetics in the form of gels, creams, ointments and patches - Voltaren, Remysid, Diklak;
  4. Muscle relaxants for spasm of the muscles of the back - Tizanil, Mydocalm, Baclofen;
  5. Vitamin-mineral complexes that help restore ligaments and bone tissue;
  6. Antidepressants.

An important component of treatment are chondroprotectors - drugs based on glucosamine or chondroitin - they contribute to the restoration of cartilage tissue and are taken for a long time, courses of six months or more.

The most effective means that include both of these compounds, for example, Teraflex, Artra.

Additional methods of treating breast osteochondrosis:

  • physiotherapy - shock wave, laser, magnetic, ultraviolet exposure, electrophoresis;
  • physiotherapy;
  • massage has a warming effect, increases the intensity of metabolism in the paravertebral and articular tissues, reduces the increased muscle tone;
  • acupuncture - acupuncture;
  • acupressure - tactile effect on biologically active points;
  • healthy food.

remedial gymnastics with chest osteochondrosis

In osteochondrosis of the thoracic spine, therapeutic exercises are performed 2-3 times daily. The program of exercises is the attending physician individually. Gymnastics can be both preventive and curative, designed to strengthen the dorsal and shoulder muscles, restore the natural curves of the spine, help in the formation of posture.

You can start doing it only after overcoming pain syndrome. All exercises basically have movements reminiscent of what a person performs in everyday life, so the muscles during exercise gradually strengthen without overstraining.

Prevention of thoracic osteochondrosis

The nature of the profession often creates the conditions for the development of osteochondrosis. It is important for people who are engaged in heavy physical labor or spend a whole working day in a sitting position, to monitor their posture and regularly perform exercises to strengthen the back muscles.

It is useful to do the warm-up several times during the working day, as well as self-massage.

For the prevention of osteochondrosis of the thoracic spine should be excluded from the diet of excess salt, sugar, spices, sugary carbonated drinks, spicy and fried foods.

Preference is given to natural food without preservatives and dyes, vegetables, fruits, cereals and other cereals, lean meat and lean fish, dairy products, enough water. It is necessary to maintain normal weight, not to forget about moderate physical activity and not to abuse coffee and alcohol.

Body position is important during sleep - sleep should be on your back, on a dense solid mattress. The discomfort that arises from this initially disappears as soon as the vertebrae return to their correct location.

Observance of all preventive recommendations will allow the back to remain healthy, beautiful and live without pain.

2016-12-07 10:23:54
As I understand it, the main thing in the treatment of chondrosis is chondroprosis. I always thought that chondroprotectors are only available in capsules or powders. And it turns out that there are very effective injections - I personally liked Elbon, which helps so well that you only need to put it three times a week for more than a month. Great medicine!
2016-12-07 12:38:25
Is elbon suitable for the treatment of breast osteochondrosis? In general, these hondoprotectors are controversial, I heard the opinion that brawn was more useful (or also), but cheaper.
2017-03-03 03:04:57
It also seems to me that chondroprotectors help no better than jelly, everything that I tried did not give any sense. maybe Elbona is better, but in our pharmacies you will not meet her. but that which is, it is necessary to drink for six months and almost meaningless.
2017-04-13 19:16:09
Chondroprotectors, it is better to take sports, with the addition of sulfur, Kalogen. Plus, vitamin C is needed .. at a dosage of 1 gram per day. Preferably all this before bedtime, then during sleep will be the most effective result! Because during sleep, hormones are produced regenerators. WORKS AT 100 PERCENT. From the pharmacy if only Don! But she is wildly dear
2017-04-15 04:17:00
Don just imported, hence the price tag. And our domestic Elbon, no worse, but for money more affordable.

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