Protrusion of the discs of the thoracic spine: treatment

Protrusion of intervertebral discs in the thoracic region

Protopsy of the thoracic spine is considered a rare, but very dangerous for human motor activity. Constant spinal pain, increased pressure on the internal organs, as well as dyspnea are frequent companions of such a disease.

What is the thoracic protrusion?

Diagnosis of protrusion also indicates the presence of osteochondrosis, which, in fact, causes it. A characteristic feature of the pathology is the displacement of the vertebrae: they become more prominent in one direction.

This happens because the nutrients themselves do not go to the vertebrae themselves, or this is not observed at all. There is a failure in the process of metabolism, and the load on the spine only aggravates the situation.

In addition, the affected area is simply dehydrated, so the vertebra itself loses its ability to recover.

If the protrusion is not treated at the initial stage, then there is a risk of developing an intervertebral hernia. It is capable of squeezing not only the nerves, but also the spinal cord, as a result of which its function is violated.

All because of the structure of the thoracic region, it contains 12 vertebrae, as well as cartilages, ligaments and joints. Ribs are also attached here, which makes this department more rigid. Additional protection is a muscular corset around this part.

Age and any injuries of the thoracic vertebrae only worsen the situation with protrusion, which eventually becomes a hernia.

Why does

Develop a protrusion of the spine (treatment of it largely depends on the cause) can for a number of reasons. Among them, the doctors singled out:

• intensive physical activities that cause increased pressure on each vertebra and cartilage;
• bad habits, which lead to a deterioration of the water balance in the body and all its tissues;
• spinal trauma (due to falls, surgical interventions, etc.);
• congenital pathologies of the spine, for example, in cerebral palsy;
• inflammatory processes in the tissues of intervertebral disks (they, as a rule, have rheumatoid character);
• age: the older the person, the greater the likelihood of the occurrence of pathological deformities of the vertebrae;
• other diseases of the spine, for example, kyphosis, scoliosis, etc .;
• the frequent tension of the back, which arises as a result of its incorrect position (this happens when a person has specific work, used to sleep in one wrong position or in women breastfeeding in an uncomfortable position);
• genetic factor;
• lack of mobility (it provokes stagnant processes in the spine);
• severe birth, which led to trauma to the spine;
• the disturbed metabolism, because of what the disks do not receive the proper amount of useful substances.

The combination of several of these risk factors causes protrusions many times faster.

How is the disease manifested?

As a rule, even the first stage of protrusion of the thoracic spine is noticeable. Symptoms can mislead a doctor, but they manifest themselves in a very short time.Among the most common manifestations are:

1. feeling of squeezing, stiffness in the thoracic region (is a consequence of the narrowing of the canals and weakness of the muscles);
2. deterioration of the functioning of both hands (indicates the lesion of the central part of the thoracic disc);
3. shortness of breath and pain with deep breath;
4. temporary numbness of one or two arms;
5. unpleasant sensations in the heart or internal organs;
6. impaired coordination (especially common in older people);
7. pain during palpation or depression of the intervertebral disc (indicates a lesion of the mid-lateral section);
8. discomfort and pain only in specific places (indicates damage to the side of the discs);
9. permanent chronic or severe acute pain in the region of the scapula or between the ribs;
10. a sense of chills when turning.
11. sometimes protrusion can be supplemented by pain in the pancreas, migraines, elevated blood pressure.

Noticing at least one of these symptoms, a person must necessarily consult a doctor - a neurologist or a vertebrologist. Additional information will be provided by diagnostics using special methods.

Methods of diagnosis

Diagnosis of the disease is seriously complicated by a variety of symptoms.

So, quite often the protrusion of the thoracic region is confused with heart disease, pancreas, gallbladder and intercostal neurology.

In this regard, a person is treating a non-existent pathology, and the condition of the disk at this time is aggravated.

The first step to establishing the correct diagnosis is a doctor's examination. Motor tests, back palpation and patient data collection are mandatory at this stage.

The most frequent and affordable option for diagnosing protrusions in the thoracic region is the x-ray of the spine. However, the picture shows only stern structures, and soft tissues do not lend themselves to this type of diagnosis.

Indirect signs are a decrease in the height of the joint gap, the presence of osteophytes. As a rule, several discs are struck in succession. But the doctor can confirm his guesses with other methods of examination.

More informative is the method of magnetic resonance imaging. With her help, you can more thoroughly examine the thoracic area, notice even minor changes.

This method is used for the diagnosis of soft tissues. Any changes in the structure of the intervertebral disc can be seen on the picture, which allows us to clarify the degree of protrusion.

To exclude the possibility of other diseases, the patient can be recommended:

• Ultrasound of internal organs;
• MRI of the head;
• general and biochemical blood tests.

In the most difficult cases, when the diagnosis can not be established, a spinal cord puncture is performed.

Whether it is possible to cure?

Treatment of protrusions in the thoracic spine can be effective only with a comprehensive approach.

The most important thing is to start treatment at an early stage, eliminate the burden on the spine.

Initially, the doctor recommends conservative treatment to the patient, and if it does not work, surgery is indicated. Any treatment primarily pursues:

1. relief of pain and symptoms;
2. struggle against the root cause of protrusion;
3. restoration of the normal form and functioning of disks.

MedicationTo fight the disease

To combat the disease, a whole range of medicines is used. All of them are used in a complex way to obtain a positive effect in the shortest possible time.The medication is indicated to use in the period of inflammation.

All begin with the use of non-steroidal anti-inflammatory drugs.

Their action is aimed not only at relieving pain, but also inflammation, which causes swelling.

The drug is selected by the attending physician in a strictly defined dose. Otherwise, the use of this group of drugs can cause complications.

Vascular tools are also indicated to be used to improve microcirculation. Since protrusion is the result of dehydration, the use of vascular agents will allow it to be filled with liquid and nutrients.

A source: https://travms.ru/protruziya-grudnogo-otdela-pozvonochnika.html

Protrusion of intervertebral discs of thorax

When protrusions of the thoracic spine, the symptoms manifest themselves in view of the severity of the disease. The thoracic region has an additional fixation of the costal arch and low mobility of its segments. Gradually, excessive physical work provokes bulging discs.

Etiology of the disease

Pathology can have many causes:

• weakening of muscles;
• deformity of the sternum with traumatic injuries;
• another pathology, which violates the integrity of the intervertebral and articular-ligament apparatus.

The protrusion of the thoracic region, what is the essence of pathology? The thoracic part of the spine is 12 vertebrae with discs. Their role is to depreciate the spinal column.

On the sides to the vertebrae are attached ribs. Spines of the vertebrae create a special channel for the protection of the spinal cord.

The integrity of the vertebrae, intervertebral discs is supported by muscles and ligaments.

Disks in the spine are cartilaginous elements. They are deprived of their own microcirculation. The food is due to diffusion. Therefore, minimal damage to the anatomical components of the spine affects the work and nutrition of the discs.

Deficiency of food provokes signs of lesions of intervertebral elements. Gradually, destruction develops: in the cartilage, cracks appear, and then the pulpous nucleus itself falls out.

On the periphery of the disc is a fibrous ring - this is a rough connective tissue with increased strength. When the core is displaced, it only stretches without breaking. This forms the protrusion of the thoracic spine.

The breakthrough of the fibrous ring forms a hernia of the spine.

Clinic of the disease

Symptoms and treatment are interrelated. The initial stages of the disease proceed asymptomatically. The patient may feel slight tingling when turning or lifting weights. A person "writes off" everything for fatigue, and the disease progresses.

The clinic of protrusions in the thoracic region, when the nerves are infringed, sharply increases. The most common complaints of patients:

1. soreness in the back and the site of the affected vertebra;
2. morning stiffness due to swelling of the tissues;
3. a sharp increase in pain when performing movements;
4. weakening the strength of the intercostal muscles, their soreness with minimal movement.

Each symptom of protrusions in the thoracic department can not be called specific. Similar complaints can also occur in other pathologies (defeat of internal organs, neuritis, neuralgia). This makes it difficult to diagnose and verify the condition.

Some patients with prolapse of breast discs complain of soreness in the head, blood pressure jumps due to vascular overexpression.

Similar signs happen at defeat of heart, a brain and vessels.

Therefore, to establish a definitive diagnosis, one must consult with cardiologists and neuropathologists.

The protrusions of the discs are accompanied by bright neurologic symptoms:

• paresis of upper extremities in symmetrical areas - restriction of their mobility;
• the soreness of the spine itself, which is sharply increased by palpation;
• with lateral localization of the lesion, there is a limited pain in certain points.

The protrusion of the discs of the thoracic spine infringes many roots. Among them there may be fibers innervating internal organs.

At the same time there is a bright clinic of soreness in the chest or in the abdomen. Similar symptoms simulate a heart attack or an attack of acute pancreatitis.

Rarely, but there is a sagittal variant of soreness in the upper abdominal area, which is more like an aggravation of an ulcer.

Diagnosis of the disease

The disease is important to timely and correctly diagnose, because the treatment of the disease depends on the prevalence of the process and the type of lesion (median, lateral or median-lateral protrusion). To assess the location and features of the condition, MRI is prescribed. This is the "gold" standard for diagnosing lesions of the spine.

On the basis of the images obtained, specialists are able to determine:

1. presence of cracks;
2. degree of discoloration.

To diagnose an illness in hospitals, indirect methods are used. The diagnosis is based on the x-ray examination of the thoracic department in two projections.

In addition, the neuropathologist and therapist are examined. With such a survey it is difficult to talk about specially selected treatment.

Therapy of such patients is carried out according to the general principles of the combined scheme.

The availability of opportunities does not always make it possible to make an MRI. There are some contraindications to this procedure:

• presence of a pacemaker in the patient's body;
• claustrophobia - pathological phobia of enclosed spaces.

Methods of therapy

How is a thoracic protrusion treated? The best therapy is the prevention of this pathology. To do this, use:

1. manual therapy;
2. osteopathy;
3. therapeutic physical therapy;
4. physiotherapy;
5. phytotherapy.

Manual therapy is applicable for controlling tingling in the back area. This therapy allows to strengthen the muscular corset. Due to the influence on active points, reflex stabilization of problem zones occurs.

Therapeutic exercises with protrusions are carried out using various techniques.

The moderate load on the musculoskeletal device allows to strengthen it, normalizing the blood supply to the damaged zones. LFK promotes stretching of the spine.

Such a complex consists of those exercises that are designed to normalize the motor activity and eliminate the protrusion of the discs.

Experts recommend to treat protrusions by qualified methods.

It is possible to cure vertebroneurological, myofascial and reflex disorders, ensuring freedom of movement.

Application of complementary therapies

The choice of treatment tactics is carried out by the doctor, guided by certain principles:

• elimination of etiological factors;
• form and stage of the disease;
• normalization of the functional abilities of the patient.

Pathology can be accompanied by a significant displacement of the vertebrae itself due to their instability. To strengthen the muscular fixation, stabilize the vertebral segment, apply:

1. wearing corsets;
2. measures to stretch the spine;
3. bed rest;
4. exclusion of any physical activity.

In some cases, medicamental therapy is used to develop muscle fixation. Prescribe drugs that stimulate tissue repair (Plasmol). Apply anabolics.

They are shown for the buildup of muscle tissue, so they are prescribed for pronounced dystrophies (Nerobolil).

Treatment in the conditions of separation is indicated in severe cases or in the presence of a strong compression syndrome. In such cases apply:

• therapy of the compression factor itself;
• traction treatment;
• manual procedures (gymnastics, massage);
• anti-edema effects;
• stimulation of immunity.

Such patients are prescribed dehydration therapy. It stops soreness. Within a week, it is possible to stabilize the condition.

When the nerves are infringed, there is irritation of the sinoatrial node. This causes a disturbance of the heart rate.

In such cases, drugs are prescribed to restore the functionality of the heart.

The main objectives of therapy:

1. normalization of blood flow and nutrition of the whole spine;
2. minimization of inflammation in surrounding structures.

Modern treatment of problems with the spine involves the use of innovative therapies.

A source: https://OrtoCure.ru/pozvonochnik/protruziya/grudnogo-otdela-simptomy.html

Protrusion of the thoracic spine (s): treatment, symptoms

By the term "protrusion" is meant a pathology in which the intervertebral disc extends without damaging the fibrous ring. The disk swells and protrudes toward the vertebral canal.

This pathology is a borderline between a healthy and affected herniated vertebral column. Most often, the disease is localized in the lumbar spine, less often in the cervical spine. Separate thoracic localization is rare enough (but often there is a cervicothoracic protrusion).

The causes of protrusions in the thoracic region

There are many reasons for the development of dorsal protrusion of the thoracic spine. For the most part, the disease develops due to intense physical exertion, and even physically trained people are not protected from it.

The main causes of protrusions in the thoracic department:

1. Intensive physical activity, significant spine overload (for example, lifting weights).
2. Injuries of the spinal column, surgical interventions on the spine.
3. Age changes in the spine, senile destruction of bone and cartilaginous tissue of the back.
4. Presence of concomitant diseases: osteochondrosis, pathological kyphosis, scoliotic disease, arthritis.
5. A sedentary lifestyle, physical inactivity, general detunement of the musculature of the body.

How often do they appear?

Protrusions of the thoracic vertebrae are common in general statistics of back problems. However, of all the thoracic departments, this disease is less likely to be affected. Typically, protrusions affect the lumbar region because of its high mobility and the heavy load attributable to it.

Further (according to the statistics of morbidity) there is a cervical department. Although it experiences incomparably lesser loads than the lumbar region, because of its physiological "fragility" it is struck comparatively easier and faster.

Bulging of the intervertebral disc

Why is the thoracic spine relatively rarely affected by protrusions?

It's all about its anatomical features. He is inactive, and experiences relatively low loads. Even severe injuries of the thoracic region of the back are carried in most cases relatively easily.

Risk group: who can appear?

The most exposed to the protrusions of the thoracic area are those people who are engaged in intensive physical work (for example, builders and loaders). The disease often develops in those who engage in martial arts, in particular wrestling (because of throws).

At risk are also those who have an unbalanced diet. The lack of calcium and various vitamins leads to "fragility" of cartilage and bone tissue. This is aggravated by the lack of vitamin D, which is produced by the body when it hits the skin of the sun's rays.

And from this it follows that in a group of risk and homebody. For normal production of vitamin D in the sun, you need to stay 2-4 hours a day (not necessarily to have it at the zenith, and weak rays are enough).

Than it is dangerous?

Protrusion is a borderline pathology. On the one hand - a healthy spine, on the other - a herniated intervertebral disc. And so the most obvious danger is the transition of the disease into a hernia.

In addition, the protrusion itself can lead to various serious problems. For example, a strong protrusion of the vertebral disc is fraught with overlap (stenosis or compression) of the spinal canal.

With the defeat of the cervical spine, compression of the vertebral arteries is possible, although in practice this complication is rare. Do not forget about the severe pain syndrome, which occurs often enough (especially with the defeat of the vertebrae Th7 and Th8).

Symptoms of protrusions in the thoracic spine

There are no specific signs of protrusion in the thoracic department. Any of the symptoms is similar to the signs of other diseases of the spine. The severity of the symptomatology is also variable: from quite moderate (symptoms generally can not be observed for months), to the painful.

Symptoms of protrusions in the thoracic region:

1. Pain syndrome, from moderate to extremely painful. The more the disease exists, the stronger the pain syndrome.
2. Stiffness in the movements of the back, especially in the first hours after awakening.
3. Violation of coordination of movements, paresthesia (numbness) in one or two hands.
4. Moderate shortness of breath and / or pain when trying to take a deep breath.
5. Strengthening the pain syndrome with physical activity or when trying to hump / fully straighten up.

Diagnostics

Diagnosis of protrusion of the thoracic spine is carried out exclusively using visualization techniques (CT, MRI, X-ray). Why? The fact is that the clinical signs of protrusions very much resemble other diseases of the back.

Diagnosis of thoracic protrusion with MRI

Symptoms can easily be confused with banal osteochondrosis or spondylosis. To confirm the protrusion, radiography is initially performed. But this is only a primary diagnosis, to determine the use of magnetic resonance imaging or computed tomography.

Preference for MRI, as this technique is available, and absolutely safe for health. In complex cases, a CT scan using contrast agents and 3D spine modeling may be required.

Treatment of protrusions of the thoracic spine

How to cure a protrusion of the thoracic spine? Treatment of this pathology is extremely complex, implying the application of several techniques simultaneously. To treat the disease with folk remedies is meaningless - this will only lead to a worsening of its course.

For the treatment of protrusions of the thoracic region apply:

• exercise therapy (LFK) and gymnastics - this includes both physical exercises and some exercises from yoga (basic and only the most sparing);
• massage (including manual) - usually carried out a superficial classic massage, but with a moderate course of the disease, it is possible and manual therapy;
• physiotherapeutic procedures - acupuncture (acupuncture) and exposure to heat for pain relief are the most effective;
• medicamentous means - warming up plasters, painkillers, non-steroidal anti-inflammatory drugs are used.

Exercises

Physical exercises are the basis of treatment for most diseases of the back. And this is relevant in the case of protrusion.

But gymnastics for this pathology is prescribed only in breaks between exacerbations.

In the presence of exacerbation, gymnastics is contraindicated because it can lead to rupture of the fibrous ring.

Thoracic protrusions are treated with gymnastics

What exercises do you prefer? Usually they use standard therapeutic exercise. It prescribes a neurologist, traumatologist or therapist (if there are no other specialists). But in general, in the absence of contraindications, normal gymnastics is effective.

You can also use exercises from yoga or other therapeutic complexes. But only after consulting with your doctor.

Massage

Massage procedures are not an independent way of treatment of thoracic protrusions. They should be considered only as a method of symptomatic treatment to eliminate pain and swelling (it also has a place to be).

A classical surface massage is usually used. It is not necessary that a doctor does it - you can rely on relatives. In the simplest cases, even self-massage is suitable, if this is possible (you need to buy special devices for this).

Anatomy of the thoracic spine

Manual therapy is allowed for use in patients with moderately leaking protrusion. It can be done only after receiving a picture of the spine and excluding contraindications.

Physiotherapy

Physiotherapeutic procedures, like massage, should also be considered as symptomatic treatment. Their goal is to reduce the severity of the pain syndrome and, if possible, reduce inflammation in the tissues of the back.

It is best to apply acupuncture and heat to the back. First, both these procedures are extremely safe. Secondly, they do not create unnecessary pressure on the tissues of the spine (as, for example, shock-wave physiotherapy).

In some cases mud baths can help, but, unfortunately, they are carried out only at sanatorium treatment. Therefore, in the priority of acupuncture and thermal exposure (but the second procedure has a lower priority, like efficiency).

Medications

Along with physical exercises, drug therapy is the basic treatment for thoracic protrusions. Unfortunately for many people who do not tolerate "chemistry without medicines in 90-95% of cases, the protrusion of the thoracic department can not be cured.

What is this therapy? A prerequisite is the appointment of the patient painkillers (from Paracetamol to Ketanov) and non-steroidal anti-inflammatory drugs (Diclofenac, Nimesil).

Also, anti-inflammatory and warming patches can be prescribed, which should be fixed for 6-12 hours a day on the pathological site of the back. In some cases, injections (for example, blockades with very severe pains) can be prescribed.

A source: http://osankino.ru/gryzha/protruziya-grudnogo-otdela.html

Protrusion of the thoracic spine: signs, symptoms, treatment, pain

The protrusion of the thoracic spine is less common than the damage to cartilage in the cervical and lumbosacral spine.

This is explained by the fact that the thoracic region belongs to the most protected parts of the spinal column, since the vertebrae in it are well fixed by the ribs and muscles of the back.

The causes of the disease are the same provoking factors as in other types of pathology.

What is the essence of the disease?

The intervertebral disc consists of several elements.

This fibrous ring (a dense cartilaginous shell of collagen and elastic fibers) and a pulpous nucleus, which is a gelatinous cartilage.

Due to the anatomical aging of the organism and the impact on the spinal column of external and internal factors, the cartilage contracts, compacts, loses its cushioning abilities.

With the further development of pathology, the pulpous nucleus is shifted towards the weakest, thinned section of the fibrous ring.

The main risk of pathology is the transition of protrusion into the intervertebral hernia - rupture of the cartilage shell with the subsequent release of gelatinous contents beyond the fibrous ring.

Causes of pathology

There is a pathology under the influence of many provoking factors:

• lack of physical activity;
• heredity;
• weakness of the muscular corset;
• scoliosis, non-observance of posture;
• injuries of the spinal column;
• intensive physical activity;
• more harmful than habit.

Internal factors of the disease include the transfer of infectious diseases, diseases of the endocrine system, the violation of metabolic processes of the body, hormonal failures, accumulation of salts. Not the last place is the aging of the body, the development of the inflammatory process in the tissues, located near the intervertebral discs.

How does the disease in the thoracic region manifest itself?

The compression of the disc is accompanied by its displacement, which causes the nerve endings located near it to be jammed. This process leads to the development of many unpleasant symptoms, which are aggravated with the further course of the disease.

The first manifestations of pathology pass unnoticed for the patient.

At the initial stages of the disease, patients note a slight discomfort in the sternum, a slight tingling in the corners of the body, a quick fatigue of the back muscles. Manifestations of the disease quickly pass, people rarely seek medical help.

At later stages, the following signs develop:

• pain in the area of ​​the affected vertebra;
• edema of the tissues of the diseased area;
• strengthening of stiffness and pain during movements and corners of the body;
• tingling and numbness in the chest;
• limitation of mobility;
• weakness of muscles.

In addition to the above-described manifestations, there are dangerous neuralgic symptoms of protrusion of the thoracic spine:

1. Partial or complete paralysis of the upper limbs;
2. If you press on the affected vertebra, the patient experiences severe pain, which indicates the development of mid-lateral protrusion.
3. With side hernias, the pain has a local sharp character.
4. Increase in blood pressure.
5. Muscle spasm.
6. Flickering flies before the eyes.

To diagnose pathology, only the doctor can by visual inspection and use of the necessary instrumental diagnostic methods.

Forms of protrusions

The protrusions in the thoracic region are classified in the direction of protrusion. The main types include:

1. Central - its other name is median. The protrusion of the disk here is directed toward the center of the spinal canal. Danger of the disease is the risk of damage to the spinal cord.
2. Lateral or lateral - with this type of intervertebral ring protrudes into one side, provoking the risk of squeezing the nerve roots of the spinal cord to the left or right. Lateral protrusion occurs in 10% of all cases of the disease.
3. Posterior - protrusion directed directly toward the spinal cord. This type of pathology is considered the most dangerous.
4. Zadnelateralnaya - the disc protrudes back and slightly to the side. If nerve endings are not affected, the pathology proceeds asymptomatically or is accompanied by brief, non-intensive pain.

Diagnosis of the patient

When a patient enters a hospital, an anamnesis is collected, which includes detailed information about when the first symptoms appeared, what was their intensity.

To find out the causes of pathology, the doctor takes into account the peculiarities of the patient's work activity, whether infectious diseases preceded the exacerbation of the state of health.

Based on the obtained data and the results of instrumental diagnostic methods (ultrasound, magnetic resonance imaging) it is possible to form a clear picture of the disease and to choose the necessary species treatment.

Methods of treatment of the disease

Strengthening the back muscles is an important point in the treatment of protrusions

Treatment of the protrusion of the thoracic spine depends on the type and size of the protrusion, as well as possible complications for the patient. The goals of therapy include:

1. Adjustment of blood circulation in the tissues of the spine.
2. Elimination of pain and inflammation.
3. Restoration of cartilaginous tissue.
4. Strengthening of the back muscles.
5. Saturation of the body with useful vitamins and minerals.
6. Prevention of the progression of pathology.

To achieve these goals, a comprehensive approach is used, including medical treatment, physiotherapy, curative gymnastics, diet compliance, rejection of bad habits.

Features of treatment with medication

Synthetic drugs are used to eliminate pain, swelling, inflammation. To do this, use the following group of drugs:

1. Commonly restorative vitamin complexes - contribute to strengthening the body, establish tissue metabolism, normalize the course of nervous processes. These are such preparations - Osteo-Vit, Omega-3, Complivit.
2. Nonsteroidal anti-inflammatory drugs - their action is directed to the removal of pain, inflammation. Here, Ibuprofen, Indomethacin is used.
3. Miorelaxants - have the ability to relieve muscle spasm. Among them are Mefedol, Midokalm, Sibazon.
4. Chondroprotectors - provide restoration of cartilaginous tissue, its elasticity. Popular means are Artro-Active, Structum, Alflutop.
5. Sedative drugs - help relieve nervous tension, normalize the patient's psychosomatic state. They include Valerian, Motherwort, Persen.

Types of physiotherapy

It is recommended to treat protrusions with the help of methods of physiotherapy. The use of heat, light, electricity helps to repair damaged tissues, normalize blood flow and lymph flow, reduce manifestations of the disease, prevent the development of complications. The most popular methods include:

• acupuncture;
• ultrasound;
• magnetotherapy;
• electrophoresis;
• laser treatment.

Hardware therapy is complemented by such treatments as massage, therapeutic gymnastics, the use of mud, clay.

Surgery

Treatment of the spine in the formation of protrusions can be performed with the help of an operation.

Indications for surgical intervention are the ineffectiveness of other treatments, severe damage nerve endings, a large protrusion size with the risk of her transition into a hernia, a severe deterioration in the quality of life patient.

The operation is an extreme measure, since the method has many contraindications, complications often arise, relapses of pathology.

Facing such a disease as protrusion, it is extremely important to take all the necessary measures in time for its treatment.

The started stages of pathology carry the risk of developing serious neuralgic disorders, the formation of hernias.

A careful attitude to your body will help prevent complications and keep health for many years to come.

A source: https://proods.org/protruzii/protruzii-grudnogo-otdela-pozvonochnika.html

What is the protrusion of the thoracic spine?

One of the most unpleasant and sometimes severe complications of osteochondrosis is the protrusion of the intervertebral disc. The word protrusion comes from the Latin protrusión - protrusion, extension.

This literally means protrusion, extension of the intervertebral cartilaginous disk beyond its position in the intervertebral space.

Most often this occurs in the direction of the invertebral canal, where there are fewer obstacles from the ligaments and muscles.

In itself, protrusion is not a disease, but a syndrome with osteochondrosis of the spine, or rather its complication. This happens when the following factors are combined:

• decrease in the height and elasticity of the disc during osteochondrosis;
• The presence of cracks in the fibrous ring surrounding the disc;
• increased pressure of the pulpous nucleus of the disc under physical stress;
• weakening of the connection between the disc and the vertebral body.

We recommend reading about protrusion of the lumbar disc in addition to this article.

All this occurs with osteochondrosis - a disease of cartilaginous discs. Other causes may be trauma to the spine, tumors or tuberculosis lesions of the vertebrae and discs. The starting point of protrusion can be lifting weights, sudden movements of the trunk.

We recommend that you study:

• Treatment of spinal disc protrusion of the lumbar spine
• The causes of protrusion of cervical discs

In the thoracic spine, protrusions and disc hernias are much less common, because it is less mobile and less likely to destabilize the vertebrae. Nevertheless, the pain syndrome is quite pronounced and has its own peculiarities. Here, from the spinal cord, vegetative nerve fibers exit to the organs of the thorax and upper abdomen.

Therefore, in addition to pain in the spine itself, pain syndrome can develop both in angina pectoris, gastritis, cholecystitis, and peptic ulcer disease.

For intercostal nerves, pain can be irradiated (given) to the front of the chest, to the sternum.

Without special examination, it is impossible to find out the cause of such pains and to make a differential diagnosis.

How to cure a protrusion of lumbar discs at home?

The protrusion of the lumbar spine is a disease accompanied by protrusion of the tissues of the vertebral disc beyond the spinal column without damaging the fibrous ring. The main cause of the disease is osteochondrosis, and its treatment is carried out both in the conditions of a medical hospital and at home.

In addition, we recommend:

• Methods of getting rid of protrusions of cervical discs
• How to cure a protrusion of lumbar discs at home?

In order to detect changes in the discs, ordinary radiography of the spine is not enough. More informative methods of examination are:

• CT scan;
• Magnetic resonance imaging;
• CT-MRI is a method that combines computer and magnetic resonance imaging;
• radioisotope study (scintigraphy);
• Myelography - a contrast study of the spinal canal and spinal cord to determine the degree of disc displacement and the possible squeezing of the spinal cord.

The procedure of MRI of the spine will allow timely detection of the protrusion of the fibrous ring

Treatment of protrusions in the thoracic spine

Treatment after detection of protrusion of the disk in the thoracic spine consists of 2 stages: the removal of acute disease and the course of complex treatment taking into account the cause of protrusion. In acute stages, physical rest, medication (analgesics, anti-inflammatory drugs), acupuncture, paravertebral novocain blockades are prescribed.

The video shows exercises for the treatment of protrusions

After the removal of acute phenomena, a course of treatment is prescribed:

• drug therapy (analgesics, antispasmodics, chondroprotectors - drugs that improve the condition of the cartilaginous tissue of the discs);
• Physiotherapy exercises to strengthen the muscular corset of the thorax;
• physiotherapy, reflexotherapy;
• diet therapy;
• manual therapy;
• massage;
• laser therapy;
• surgery.

The treatment program and indications for the operation are determined individually for each patient. It is extremely important to perform special exercises with protrusions in the thoracic spine.

They need to be coordinated with a specialist in the field of exercise therapy and performed continuously and daily to increase the elasticity and strength of the muscular corset.

It is his condition and affects the stability of the spine and the likelihood of protrusions and disc herniations.

The treatment of protrusions with exercises developed by Professor Bubnovsky

A source: http://MoyPozvonok.ru/bolezni/protruziya/chto-takoe-protruziya-grudnogo-otdela-pozvonochnik/

Treatment and symptoms of protrusion of the spine

The protrusion of the intervertebral disc is one of the stages in the development of osteochondrosis of the spine. According to modern views of doctors, the protrusion (protrusion) of the cartilage area occurs under the influence of various causes.

The disease can lead to neurological complications: from twitching of the muscles to loss of control over urination and defecation, and even paralysis. Therefore, it is necessary to know the symptoms of this disease.

To treat the problem it is necessary to combine, combining various medical procedures.

Causes and pregrains

The protrusion is also called a "pregraining condition" because the causes that caused the disease lead to herniation of the disc with progression. Osteochondrosis in general and protrusion in particular arise under the influence of a number of factors. These include:

• Overload of the spine.
• Prolonged forced position of the body.
• Injuries to the back.
• Degenerative diseases.
• Weakness of the muscles and ligaments of the spine.
• Systemic diseases of connective tissue.
• Anomalies of development.
• Hereditary predisposition.

Most often these factors are combined.

The mechanism of development

What is protrusion and how does it appear? The mechanism of the development of a pathological condition must be known in order to properly treat the disease.

Our vertebral column consists of small bones - vertebrae. Between them lie cartilages - intervertebral disks. They participate in the nutrition of surrounding tissues, amortize the movement of bones.

Each disc consists of the outer part - the capsule and the inner - the core. Under the influence of the indicated reasons, the region of the capsule becomes inconsistent, and the core of the cartilage begins to exit through the defect.

When a large portion of the core leaves the inner tissue of the cartilage, a herniated disc will arise. The state preceding this event is called protrusion.

Symptoms and clinical picture

The clinical picture of protrusion is usually not very bright. Symptoms only begin to manifest themselves, but under certain circumstances neurological symptoms may already occur. For example, after drinking alcohol, a number of patients experience muscle twitching or limb numbness.

Symptoms of the disease for the most part depend on the localization of the pathological process. In each specific part of the spinal column there are certain neural formations, with the defeat of which there are obvious symptoms.

Cervical protrusion

What are the manifestations that arise when the cervical spine is involved. The protrusion leads to the following symptoms:

• Pain in the head and neck.
• Dizziness, weakness, decreased efficiency.
• Unreasonable nausea.
• Blood pressure jumps.
• Decreased visual acuity, hearing impairment.
• Twitching of the muscles of the upper limb.
• Numbness of the skin, sensitivity disorders in the hand.
• Loss of muscle strength.

Clinical manifestations depend on the number of disks involved in the process, as well as on the degree of protrusion of the nucleus. Some conditions occur only when the pressure inside the spinal canal increases. This is particularly characteristic for muscle twitching.

Treatment of protrusions of the cervical spine is sometimes a vital measure, since the upper part of the neck contains the respiratory and vascular nerve centers.

Thoracic protrusion

The pathology of the discs of the thoracic region most often does not make itself felt. This is due to the small number of nerve formations in this zone. The level of the thoracic floor of the back is long and stable, so the symptoms are not bright. The manifestations include:

• Pain in the thoracic spine.
• Shoots into the rib cage along the rib.
• Sensitivity disorders in the chest.

Despite a meager clinic, the pathology of the thoracic department also needs to be treated. With the progression of the disease, the hernia can squeeze the site of the spinal cord and lead to irreversible complications.

Therefore, with protrusion of the thoracic department, a full-fledged instrumental diagnosis is very important.

Protrusion of the lumbosacral spine

How does protrusion of the lumbosacral part show itself? Symptoms depend on the stage of the process. While the process has not been transformed into a herniated disc, the clinic is moderate. Symptoms of pathology of the lumbosacral floor:

• Twitching of the muscles of the lower limb.
• Pain in the lower back, sacrum, across the lumbosacral region.
• Stress, spasm of the muscles of the back.
• Pain in the leg.
• Numbness, weakness in the extremities.
• Lame with prolonged walking.
• Inability to stand on one's feet for long.

If the pathological process in the zone of the lumbar-sacral floor progresses, it will lead to the following violations:

• Paresis of one or both lower limbs.
• Absence of cutaneous sensation in the legs.
• Incontinence of feces and urine.

The manifestations of the pathology of the lumbosacral section mostly depend on the involved nervous formation. With radiculitis, the phenomena are not very bright, but if the disease leads to compression of the spinal cord, the patient is in for serious complications.

Diagnostics

The doctor can make the first impression of the possibility of a spinal protrusion diagnosis when he is examined. Whether it's a therapist, an orthopedic trauma specialist or a neurologist, a specialist will note the tension of the back muscles, the pain when pressing, the presence of neurologic symptoms.

After that, the next stage of diagnosis comes, which will involve the use of instrumental methods of research. These include the following procedures:

1. Radiography of the spine in two projections. Can not detect protrusion, but excludes pathology of bone tissue, fractures and spondylarthrosis.
2. Computed tomography is also ineffective for diagnosing the described disease. Better visualizes hard, bone tissue.
3. Magnetic resonance imaging is the "gold standard" for the study of patients with osteochondrosis and protrusion of discs.

MRI can detect a defect in the capsule of the disc, learn the level of lesion, the involvement of nerve fibers. Excludes tumor processes, autoimmune and infectious inflammation and other types of pathology.

If the pathology is localized in the lumbar and cervical divisions, sometimes a neurological examination is sufficient for the diagnosis. When the process occurs in the thorax area, complete diagnostic instrumentation is indispensable.

How to treat?

Since there is no unambiguous method for treating protrusion, doctors prefer a combined method of therapy: combining drugs and exercises, physiotherapy and massage. It is rare at this stage of the process to resort to surgical intervention.

Medicines

Exercises with protrusions play a major role in the treatment, however, medications help to get rid of the symptoms.

To treat pathology with medications is necessary to remove manifestations of the disease, to return the patient to the habitual way of life.

The condition of protrusion is an indication for the following medicines:

• Non-steroidal anti-inflammatory drugs.
• Hormonal means.
• Muscle relaxants. Allow to remove spasm of the muscles of the back.
• Vitamins and microelements.
• Drugs that improve microcirculation.
• Nootropics.

Part of the drugs only affects the symptoms of protrusion, but some interfere with the pathological mechanism of development. After using some drugs, side effects may occur. Consultation of the doctor is necessary.

LFK and massage

The basis of therapy is the medical exercises. They allow not only to maintain the right tone of the back muscles, but also to prevent the progression of degeneration.

Therapeutic exercises should be carried out together with a qualified specialist. Only a person with the right education and sufficient experience will help to choose the optimal load regime. Exercises are performed in order of increasing complexity.

After a complex exercise exercise therapy it is necessary to relax the muscle fibers. This will help a good back massage of the muscles. This procedure helps to reduce fatigue symptoms after gymnastics and strengthen the nutrition of the protrusion area.

Exercises in combination with a massage can effectively contain the pathological process.

Physiotherapy, procedures

Strengthen the effect of previous methods allow physiotherapy. Contraindications to these methods are sufficient, so the physician is choosing a complex of physiotherapy. To treat protrusions with physiotherapy procedures, you can use the following methods:

• Electrophoresis of anti-inflammatory drugs.
• Phonophoresis.
• Paraffin applications.
• Acupuncture.
• Electromyostimulation.
• UHF and UFO.

Each method has pluses and minuses. The latter include contraindications for cardiovascular diseases, infectious processes, rheumatic diseases.

Operation

When the disease progresses, and conservative treatment does not achieve the optimal effect, doctors resort to prompt intervention. There are a number of modern minimally invasive interventions that allow to eliminate the lesion at the stage of protrusion.

The situation becomes more severe, with the addition of neurological symptoms. The neurosurgeon is forced to perform decompression of the nervous structures, which is associated with certain risks for the patient.

The protrusion of the cervical, thoracic and lumbar spine requires timely diagnosis and full treatment.

A source: http://MedOtvet.com/drugie-zabolevaniya-pozvonochnika/lechenie-i-simptomy-protruzii-pozvonochnika.html