Thoracalgia vertebrogenic: symptoms and treatment

Vertebrogenic Thoracalgia

Vertebrogenic thoracalgia or vertebral thoracalgia are pains in the chest as a result of infringement, inflammation, irritation of the nerves in diseases of the spine.

The most common cause of the pathological process is considered to be osteochondrosis, especially with complicated flow and the formation of intervertebral hernias. In the international classification of IBD disease 10, the disease is assigned code M 54.

Causes

Thoracalgia of vertebrogenic nature usually develops against a background of degenerative-dystrophic diseases of the spinal column, in which intervertebral discs are damaged.

Destruction of the disk leads to a violation of its damping properties, narrowing the distance between the vertebrae and infringing the spinal roots in the thoracic spine.

The disease can develop due to back injuries, viral infections, hereditary pathologies of the musculoskeletal system. The most common cause of pain in the chest is considered to be a complicated course of osteochondrosis.

Osteochondrosis is the most common cause of thoracalgia of vertebrogenic nature

The main causes of vertebrogenic thoracalgia include:

• osteochondrosis of the spine, accompanied by protrusions and hernias of intervertebral discs;
• curvature of the spine - pathological kyphosis and lordosis, scoliosis;
• back injury in the thoracic spine;
• spondylarthrosis - degenerative lesion of the facet joints of the vertebrae;
• herpetic infection, causing inflammation of intercostal nerves - shingles;
• spasm of the muscular backbone - muscle-tonic syndrome;
• intensive axial load on the spine due to heavy physical labor or playing sports;
• Sheyerman-Mau disease - deformation of the spine in the period of skeletal growth and development of pathological kyphosis.

The nature of the occurrence of vertebral thoracology is divided into several types:

1. Traumatic form - nerve root tear.
2. Compression form - infringement of the nerve root.
3. Inflammatory form - the inflammatory process of the nerve tissue of the spine.

Pressurization of the spinal nerve leads to pain and root syndrome

With any form of the disease, the spinal nerve swells, increases in volume, which leads to a violation of blood flow and the metabolism of the nervous tissue in the pathology site.

This causes pain syndrome of varying degrees of intensity and neurological manifestations.

Damage to the nerve tissue root of one or another nature disrupts the conduct of a nerve impulse and leads to a deterioration in the function of organs and parts of the body that innervate the affected spinal nerve.

Clinical picture

The main sign of vertebral thoracalgia, which follows from the name of the pathological condition, is the pain syndrome due to damage to the rootlet.

Thoracalgia, translated from Latin, means pain in the chest area.

The main manifestation of the disease is the radicular syndrome, which includes such symptoms:

• aching pains;
• intensification of painful sensations during inspiration, sneezing, coughing, corners and torso of the trunk;
• the location of pain on one side of the chest or pain sensations are shrouded in nature;
• the spread of pain along the intercostal spaces where intercostal nerves pass;
• strep of intense pain in the spine, neck, hand on the side of the lesion;
• the appearance of paresthesia - a feeling of numbness, burning of the skin, "crawling crawling
• violation of sensitivity along the affected nerve;
• muscle tension of the chest in the area of ​​the pathological process (muscular defens);
• vegetative disorders - panic attacks, a feeling of a lump in the throat and a lack of air.

In the case of degenerative-dystrophic diseases of the spinal column, a crunch is detected during movement, a violation of posture leads to deformation of the thorax.

Shingles are accompanied by a small, painful rash with clear contents along the intercostal spaces.

Thoracalgia of vertebrogenic nature is often accompanied by muscular-tonic manifestations-a persistent increase in muscle tone with the onset of pain in the focus of pathology and other areas of the body.

Visceral syndrome must be differentiated from diseases of internal organs

The disease can proceed according to the type of angina pectoris, myocardial infarction, esophagitis, pleurisy, stomach ulcer. In this case, functional abnormalities can be observed from the internal organs, but organic manifestations do not reveal.

Symptoms of visceral disorders require differential diagnosis with true diseases of the thoracic and abdominal organs.

Clinical Options

Pain in the chest may have different localization. By the emergence of pain in this or that part of the breast, several clinical variants of the disease are distinguished:

1. Thoracalgia of the spine in the lower cervical region - pain sensations are localized in the supraclavicular and subclavian fossa, upper half of thorax, extend into neck, lower jaw, arm on side defeat. Painful sensations increase with the movement of the trunk.
2. Thoracalgia of the spine in the upper thoracic region - aching pain behind the sternum, not associated with the movement of the body, spreads into the interlobular region.
3. Thoracalgia in the scapula-rib area - aching or stitching pain that appears in the left side of the chest, is felt between the shoulder blades, in the nipple and axillary fossa. Discomfort increases with deep breathing.
4. Thoracalgia in the area of ​​the anterior thoracic wall is aching and prolonged pain, which is aggravated by movement.

Diagnosis and treatment

Before the treatment of vertebral thoracology, the neuropathologist appoints additional methods of examination and consultation of specialized specialists to eliminate the disease of internal organs.

Recommend chest X-ray, ECG, CT (computed tomography), MRI (magnetic resonance imaging). Manifestations of visceral syndrome require examination of the patient by a pulmonologist, cardiologist, gastroenterologist.

If a vertebral injury is suspected, the patient is referred for consultation to a traumatologist, and if the spine is curved, it is referred to the orthopedist.

On the computer tomogram, the arrow shows the intervertebral hernia

After the diagnosis is established and the cause of the pathological process, a treatment is prescribed, which includes:

• non-steroidal anti-inflammatory drugs (NSAIDs) - relieve the inflammatory process and eliminate pain syndrome (diclofenac, movalis, nimesulide);
• Novocaine blockades with the addition of glucocorticoids (dexamethozan, hydrocardisone) - rapid achievement of an analgesic effect;
• muscle relaxants - eliminate pathological muscle spasm and muscle-tonic manifestations (midokalm, sirdalud, baclofen);
• neuroprotectors - improve metabolism and blood flow in the nerve root tissues (thioctic acid, a complex of B vitamins);
• local treatment - rubbing ointments on the basis of NSAIDs;
• physiotherapy - improves blood flow and metabolism (electrophoresis, cryotherapy, magnetotherapy, UHF);
• massage - relaxes muscles and improves blood flow in the focus of inflammation;
• manual therapy - restores the physiological position of the vertebrae relative to each other, reduces spasm of muscles;
• exercise therapy (LFK) - strengthens the musculoskeletal apparatus, normalizes the amplitude of movements, prevents the infringement of nerves.

Massage, physiotherapy and exercise therapy are prescribed after medical treatment and elimination of acute pain syndrome.

Vertebrogenic or vertebral thoracalgia is a common pain syndrome in the lesion of the nerve roots due to degenerative-dystrophic diseases of the spine. Timely diagnosis of the disease that led to nerve damage, and complex therapy cause effective pain removal without loss of quality of life.

A source: http://MoyaSpina.ru/bolezni/vertebrogennaya-torakalgiya

Thoracalgia vertebrogenic: correctly diagnose and cure

Painful sensations of a different nature in the chest area can bother not only because of diseases of the internal organs, but also with various problems with the spine.

Quite often a patient suffering from aching, cutting, stitching, or girdling pain in the chest region is diagnosed with "thoracalgia".

The term "torcalgia"(From the Latin" thorak thoracic algia pain) is called a pain syndrome caused by irritation or compression of the nervous rootlets, peripheral intercostal nerves, in which a person feels severe pain in the thoracic spine and thoracic cell. Sometimes this phenomenon is called intercostal neuralgia.

Types of thoracalgia and causes

Experts share several types of thoracalgia:

1. Vertebrogenic. The cause of pain is a disease or spinal injury.
2. Musculoskeletal. This type of thoracalgia is associated with the formation of trigger (painful) points in the muscular or osteochondral structures with injuries, overloads muscles, rheumatic diseases, osteochondritis (inflammation of the cartilaginous and adjacent bone tissue in the joint), metabolic disorders and etc.
3. Psychogenic. Appears against the background of emotional and physical fatigue. Pain syndrome is often accompanied by a state of internal anxiety and depression.
4. Thoracalgiaduring pregnancy. The characteristic symptomatology appears due to the additional burden on the spine.

Vertebrogenic thoracology occurs with the following pathologies of the spine:

• Osteochondrosis of cervical department. With this disease, pain usually occurs in the cervical region or between the shoulder blades, but it happens that it "gives" to the arm or chest.
• Osteochondrosis of the thoracic region. This disease manifests itself with a dull, aching pain with periodic "lumbago".
• Scoliosis, kyphoscoliosis.
• Presence of intervertebral hernia or protrusion of the thoracic region.
• Injuries of the spine of various origin (falls, strokes, etc.).
• Fractures of the ribs.
• Tumors of the spinal cord, vertebrae. These can be independent benign and malignant neoplasms, as well as tumors that arise as a result of metastasis.
• Suleyman-Mau disease. With this pathology during the growth of the organism, deformity of the lower thoracic vertebra occurs, which leads to an increase in the bending of the spine (thoracic kyphosis) and constant aching pain in the thoracic region.
• Osteoporosis. Here pains arise against a typical complication: compression fractures of the vertebrae.
• Increased physical activity.

In most cases, with the above-described diseases, the intercostal nerves are exposed to the pressure of surrounding tissues (ligaments, muscles, etc.). As a result of this happens:

1. inflammation (swelling) of the nerve;
2. compression (compression) of the nerve;
3. trauma to the nerve.

In accordance with these processes, distinguish inflammatory thoracology, compression and thoracology, arising from physical exertion or trauma.

Diagnostic examination

For the purpose of proper treatment, it is necessary to establish a type of thoracology and exclude pathologies of a different origin.

Similar symptoms can be observed:

• with ischemic heart disease,
• angina pectoris,
• myocardial infarction,
• prolapse of the mitral valve,
• diseases of the gastrointestinal tract,
• respiratory system.

Therefore, it is necessary to conduct measures of differential diagnosis: to study the patient's anamnesis, prescribe an examination of the ECG, ultrasound, do a fluorography or chest X-ray, pass the MRI procedure.

The appearance of the following symptoms should be a signal to contact a specialist who will determine the cause of their occurrence:

• Burning paroxysmal or persistent pain in the thoracic region, extending along the intercostal space, surrounding or localized laterally.
• Strengthening of the pain syndrome with coughing, sneezing, deep inspiration.
• The appearance of painful sensations when pressing points located on the back along the thoracic spine and in the zone of intercostal spaces.
• Painful sensations in the heart.

There is a dependence of the nature of pain on the type of vertebrogenic thoracalgia:

1. Pain syndrome in the upper chest zone, in the sub- and supraclavicular areas with irradiation (spread) to the neck, the left shoulder, the forearm or the whole arm is characteristic forthoracalgia of the lower region of the cervical spine. In addition, pain occurs during the rotation, tilt, rotation of the head.
2. Long aching pain, concentrated behind the sternum or in the interblade area, is typical forThoracalgia of the upper thoracic spine. When the trunk moves, the pain does not increase.
3. Forscapula-rib thoracologycharacterized by short-term or prolonged, aching or stitching pain localized on the left side, in the interscapular or near-sucking zone, under the axillary line, slightly lower than the axillary fossa. Painful sensations arise when breathing in and out.
4. Whenthoracalgia of the anterior thoracic wallThe pain syndrome is observed in the zone limited by the axillary and perigerminal lines. Increased pain occurs when moving, inclines.

Treatment of Thoracalgia vertebrogenic

Specificity of treatment is to eliminate the cause of the onset of pain syndrome.

Getting rid of thoracalgia caused by diseases of the spine, assumes a long course of treatment, but with a properly prescribed therapy the patient can feel the improvement in a month.

For this, the neurologist will prescribe medications, as well as the course of physiotherapy procedures.

Drug treatment includes, as a rule, the application of:

Physiotherapy and massage are the main methods of treatment of intercostal neuralgia. An excellent result is guaranteed with a combination of these procedures.

The ideal option is when the physiotherapy session ends with a massage of the subscapular muscles and the paravertebral zone of the thoracic region.

During the procedure, the patient should not experience pain, all manipulations should be relaxing.

The use of warming ointments, rigid massage techniques in vertebrogenic thoracalgia is prohibited, because increased blood circulation in the affected area can promote swelling of the tissues and complication disease.

Modern clinics offer a wide range of procedures that can alleviate the condition of the patient. These include:

• laser exposure;
• electrophoresis;
• acupuncture;
• moxa therapy (effect on pain points by heat from smoldering cigars with medicinal herbs);
• pharmacopuncture (combination of acupuncture, homeopathy and injection drug injection);
• physiotherapy;
• Spinal traction.

Chronic Thoracalgia

If you do not start timely treatment, thoracology can go into a chronic form, for which the constant pain sensations, although weaker, are typical.

Like any ailment, thoracalgia requires careful diagnosis and timely treatment. It is extremely important to establish the true cause of pain in the chest and to conduct the most effective treatment of pathology, which has caused the vertebrogenic form of the disease. Self-medication in this case is unacceptable.

A source: http://pomogispine.com/bolit-v/grudnoj-otdel/torakalgiya-vertebrogennaya.html

Vertebrogenic Thoracalgia

Thoracalgia is a disease of the peripheral nerves characterized by the presence of a pain syndrome in the chest caused by compression or irritation of the nerve roots of the intercostal nerves. Sometimes such a disease is called intercostal neuralgia.

Vertebral or vertebrogenic thoracalgia may occur in adolescence due to active growth organism, during pregnancy, when the load on the spine increases, at an older age, when the ligaments and muscles weakened.

Code of thoracology according to the ICD 10 M 54.6.

Kinds

There are several types of maladies that arise due to various factors.

For reasons of origin, the following types of thoracalgia are distinguished:

1. Vertebrogenic.
   It is caused by diseases of the spinal column.
2. Musculoskeletal.
   It is associated with the appearance of painful points in the muscular and cartilaginous structures after injuries, overstrain, diseases of rheumatism, problems with metabolism, osteochondritis.
3. Psychogenic.
   It develops due to emotional and physical fatigue, accompanied by constant depression and anxiety.

The degree of nerve damage is different:

• Inflammatory thoracology, in which the nerve swells.
• Traumatic thoracology, arising from heavy physical exertion on the spine. With this form of illness, a nerve tear occurs.
• Compression torakalgiyu, characterized by compression of the nerve due to muscle spasm or hernia of the spine.

Causes of the syndrome

Thoracic syndrome can occur for various reasons, but the main one is the defeat of the spine. It provokes the appearance of the disease:

1. osteochondrosis;
2. scoliosis;
3. osteoporosis;
4. kyphosis;
5. lordosis;
6. arthrosis of spondylogenic nature;
7. shingles;
8. muscular-tonic syndrome;
9. intervertebral hernia;
10. spine trauma;
11. strong and sharp loads on the spine;
12. tumors;
13. illness Shayermana-Mau, when with increased growth of the body deformed lower thoracic vertebrae, muscle spasms. As a result, the muscles begin to squeeze the intercostal nerves. The nerve swells, its tearing and squeezing appear.

Thoracalgia of vertebrogenic genesis develops due to degenerative-dystrophic processes in the spine. Due to the displacement of the vertebrae, the nerve roots are damaged or jammed. They can become inflamed due to pinching them with spasmodic muscle tissue or due to infection.

With any form of disease, the nerve in the spinal cord swells, becomes larger in volume. This leads to disruption of metabolic processes and blood circulation in the affected area. There is pain, impaired conductivity of the nerve impulse and the work of the organs, impulses into which pass through the damaged nerve.

Symptomatology

Diagnosis of vertebrogenic thoracology to an experienced physician is easy enough because of clear symptoms: pain in the chest during inspiration and exhalation, piercing intercostal pain during movements. If you do not treat the disease, it will become a chronic and painful syndrome in the chest will torment a person throughout life, gradually intensifying.

Vertebrogenic thoracalgia has several syndromes:

1. Visceral.
   In this syndrome there is a strong discomfort in the chest, in the intercostal spaces, there is a disruption of the functioning of internal organs.
2. Radicular.
   It includes the following symptoms: a violation of sensitivity along the affected nerve, pain in intercostal spaces, lumbago in spine, arm, collarbone, neck, chest muscle tension, panic attacks, sensation of lack of air and coma in the throat, sudden mood swings, pressure jumps.

Symptomatic depending on the location of the nerve

Pain appears in different places, depending on the location of the affected nerve.

If vertebrogenic thoracalgia appeared in the lower cervical region, then a person has pain in the supraclavicular, subclavian fossa, radiating to the neck (a symptom of cervicalgia), an arm. The pain symptom increases when trying to make even the most simple movement.

In thoracalgia of the upper thoracic region, aching chest pain is felt, not associated with movement, extending into the area between the scapulae.

Defeat in the scapula-rib area is manifested by painful symptoms (aching or stitching) in the left part of the chest, between the shoulder blades, in the armpits. It becomes stronger when you try to breathe deeply.

Diagnostics

To determine the type of illness, it is necessary to carry out a diagnosis. The doctor listens to the patient's complaints, collects an anamnesis (medical history), listens to the heart, determines the localization of trigger points, probes the abdomen, studies the mobility of the joints.

During the diagnosis, thoracalgia is differentiated with diseases such as angina, myocardial infarction, gastrointestinal and respiratory diseases, coronary heart disease. To do this, the doctor sends the patient to the ECG, X-ray, fluorography, if necessary on the MRI of the spine, gives direction to the delivery of blood and urine.

Roentgen helps to identify fractures of the ribs, narrowing of the intervertebral distance, damage to the vertebrae, stretching of bone tissue.
CT scan reveals bone changes and deformation of internal organs.

MRI reveals pathological processes in muscles, vessels, ligaments. Densitometry helps to diagnose thinning of bones. Electroneuromyography determines the existing inflammatory changes.

Clinical studies of urine and blood help to identify inflammatory processes in the body.

The doctor for diagnosis can refer the patient to a narrow specialist (pulmonologist, cardiologist, gastroenterologist, traumatologist, orthopedist).

With the help of laboratory and instrumental diagnostic techniques, it is possible to differentiate thoracalgias and to prescribe adequate treatment.

Treatment

Thoracalgia therapy is long and complex. Apply medication and physiotherapy treatment.

Therapy with medicines

Medical treatment of thoracology includes:

• Novocain blockades using glucocorticoids (Hydrocortisone, Dexamethasone);
• muscle relaxants for the relief of muscle spasm (Midokalm, Sirdalud, Baclosan), neuroprotectors, which increase blood circulation and metabolism in the nerve roots (B vitamins);
• NSAIDs to relieve vertebrogenic pain syndrome and inflammation (Aertal, Diclofenac, Meloxicam, Celebrex).

The doctor selects the dosage individually in each case.

Physiotherapy

The main and effective remedy for vertebrogenic thoracalgia is physiotherapy, which includes:

1. gymnastics;
2. massage;
3. relaxation;
4. acupuncture.

With the complex conduct of physiotherapeutic procedures, the positive dynamics of treatment is guaranteed.

In modern clinics, numerous procedures are offered to alleviate the condition of patients, including:

• electrophoresis;
• laser therapy;
• moxibustion;
• traction of the spine;
• pharmacopuncture.

If the vertebral thoracalgia has already passed into a chronic form, then aching pain in the chest and constant discomfort disturb the person.

This leads to constant irritability, nervousness, stressful state. Helps to improve the patient's state of physiotherapy and acupuncture.

These procedures temporarily relieve pain and soothe the inflamed nerves.

With the help of physiotherapy with vertebral thoracalgia, metabolic processes and blood flow improve, and massage relaxes the muscles. Manual therapy reduces:

1. muscle spasms;
2. restores the normal position of the vertebrae;
3. helps restore the mobility of the motor parts of the spine;
4. removes muscle clamp;
5. restores the volume of motion.

LFK strengthens muscles and ligaments, prevents jamming of nerves, helps to restore the natural amplitude of movements.

For each thoracalgia syndrome, individual treatment is prescribed.

With pathology in the upper chest, the treatment is aimed at restoring the work of the intervertebral disc segments by post-isometric relaxation.

If the violations occurred in the lower cervical (vertebrogenic cervicalgia), the treatment is directed to restore the motor segments. In the scapular-rib defeat, the therapy is aimed at restoring the mobility of the muscles that lift the scapula.

Folk remedies

As additional means in the fight against thoracalgia, people's ways can be used. Good help alcohol rubbing, warming the sore spot with bags of hot salt, sand. Relax and relax will help herbal teas with chamomile, mint and melissa.

Thoracalgia is a disease that significantly worsens the patient's quality of life, so it is important to consult a doctor in time to prescribe the treatment.

For several treatment sessions, patients already feel considerable relief, the disease recedes.

If you do not know what a thoracalgia is, do not pay attention to its signs, the disease will go into a chronic form and will bother until the end of life.

A source: https://MoiPozvonochnik.ru/otdely-pozvonochnika/pozvonochnik/vertebrogennaya-torakalgiya

Vertebrogenic Thoracalgia: Symptoms and Treatment

Category: Neurology and psychiatry 1575

Vertebrogenic thoracalgia is a condition characterized by the appearance of pain sensations of varying degrees in the chest, but there is a lesion of the spine. Such a disorder can be caused by completely innocuous factors, as well as the occurrence of serious diseases. Most often, provocateurs are a sedentary lifestyle, intervertebral hernia, osteochondrosis and curvature of the spinal column.

The main clinical sign are painful sensations, against which there may appear a decrease in sensitivity, a feeling of "goosebumps" on the skin and a feeling of lack of air.

Only the clinician can make a correct diagnosis on the basis of information obtained during the study of the results of laboratory and instrumental examinations, as well as a detailed questioning of the patient.

The treatment of such a pathological process is based on conservative methods, including the use of medications, physiotherapeutic procedures and the passage of a course of therapeutic physical training.

In the international classification of diseases, the tenth revision of this disease has a separate meaning. Thus, the code for the ICD-10 will be M54.6.

Thoracalgia of vertebrogenic genesis is a consequence of the course in the human body of various degenerative-dystrophic processes, negatively affecting the bone system, in particular, spine. Against this background, the most often affected intervertebral discs, the destruction of which entails:

• violation of cushioning ability of the spine;
• narrowing of the interval between vertebrae;
• infringement of spinal roots.

The main reasons for the development of such a violation are:

1. osteochondrosis;
2. formation of intervertebral hernias;
3. curvature of the spine, which exists in several forms - kyphosis, lordosis and scoliosis;
4. a wide range of injuries of the thoracic spine;
5. spondylarthrosis;
6. Herpes infection, which causes the formation of herpes zoster;
7. spasm of the muscular backbone, which is also known as muscle-tonic syndrome;
8. excessive strain on the spine, caused by lifting weights or professional sports. This should also include a sedentary lifestyle or sedentary working conditions - in such situations congestion of the spine is caused by a constant sitting;
9. Sheyerman-Mau disease is a disease in which the deformation of the spine occurs during the fetal stage of fetal development;
10. malignant or benign formations in the spinal cord or vertebrae;
11. broken ribs;
12. protrusion of the thoracic spine;
13. osteoporosis;
14. heart diseases;
15. exchange diseases;
16. pathology of connective tissue;
17. irrational nutrition.

In addition, as a predisposing factor of vertebral thoracology, it is customary to consider a genetic predisposition.

Separation of the disease, based on the nature of formation, suggests the existence of such forms of vertebrogenic thoracalgia:

• traumatic - is a consequence of the breakdown of the nerve root;
• compression - arises from the infringement of the nerve root;
• inflammatory - is formed against the background of the localization of the inflammatory process in the nerve tissue of the spine.

According to the clinical variant of the course, this disorder is divided into:

• thoracalgia of the vertebral column in the lower cervical region - in such situations, the focus of pain is located on the supraclavicular or subclavian fossa. Soreness can be irradiated to the region of the neck, lower jaw, or upper limb on the side of the lesion;
• thoracalgia of the spine in the region of the upper thoracic region - chest pains often have a aching character and are in no way related to the movement of the trunk;
• thoracolumbar thoracolar region - a aching or stitching pain syndrome that appears in the chest on the left, and also gives to the armpit, the area between the shoulder blades and the nipple
• Thoracalgia of the anterior thoracic wall - prolonged pain, aggravated by movement or during breathing.

In addition, vertebrogenic thoracalgia is acute and chronic.

Based on the name of such a pathological condition, it becomes clear that the main clinical sign is pain, which has such characteristics:

1. Specificity of expression - retrosternal, stitching and constrictive pains;
2. the duration of an attack is not more than a few minutes;
3. increased pain is observed in the course of motor activity, during breathing, as well as at rest, when coughing or sneezing.

As additional symptoms are:

• the appearance of a characteristic crunch during movements;
• cervicalgia;
• sensation of "goosebumps" on the skin in the chest and between the shoulder blades;
• tension of the muscles of the back and neck;
• imitation of heart pain;
• numbness of the skin in the area of ​​the affected nerve root;
• panic attacks;
• persistent increase in muscle tone;
• feeling of insufficient air intake;
• decrease or total absence of sensitivity along the entire length of the pinched nerve;
• sleep disorders;
• violation of posture;
• deformity of the sternum;
• a lump in the throat;
• decreased appetite.

All the above symptoms without exception are observed in every patient, regardless of age category and gender.

Symptoms of vertebrogenic thoracology

The symptomatology of vertebrogenic thoracalgia is non-specific, why the process of establishing the correct diagnosis requires a thorough and integrated approach. First of all, a specialist in the field of vertebrology must independently perform several manipulations, in particular:

1. to study the medical history - to identify the most probable underlying cause, which has a pathological basis;
2. get acquainted with a life history;
3. conduct a thorough physical examination of the patient with mandatory palpation and percussion of the thoracic spine;
4. to interview the patient in detail - to make a complete symptomatic picture and the severity of clinical manifestations.

As instrumental procedures are:

• CT and MRI of the spine;
• Radiography of the sternum;
• densitometry;
• scintigraphy;
• ENMG;
• ECG.

General laboratory studies are necessary only to exclude the course of the inflammatory process.

It is also worth noting that a number of other ailments have a similar symptomatology typical of vertebrogenic thoracalgia. It is for this reason that this state should be differentiated from:

Only conservative methods take part in the therapy of such an ailment. First of all, after confirming the diagnosis, patients are shown the following medicines:

1. anti-inflammatory drugs;
2. muscle relaxants;
3. neuroprotectors;
4. glucocordicoids;
5. vitamin complexes.

Among the physiotherapy procedures, it is worth mentioning:

• • drug electrophoresis;
  • cryotherapy;
  • hivamat;

Khivatam-therapy:

• acupuncture;
• magnetotherapy;
• UHF;
• laser therapy.

In addition, treatment of vertebrogenic thoracalgia may include:

1. therapeutic immobilization;
2. Novocain blockades;
3. use of specially designed orthopedic structures;
4. manual or hardware massage;
5. manual therapy;
6. spinal traction;
7. therapeutic gymnastics.

It is not excluded with the help of folk remedies, but this is possible only after preliminary consultation with the attending physician. Alternative treatment is aimed at:

• heating with mustard plasters, a heating pad or bags filled with heated salt;
• rubbing with alcoholic tinctures;
• ingestion of herbal teas based on chamomile, valerian and lemon balm;
• rubbing the juice of black radish into the hearth of pain.

Such remedies will help to get rid of the symptoms for a while, but they can not completely cure the ver- trabrogenic thoracology.

Surgical intervention is carried out only on individual indications, but can be directed to:

1. excision of the intervertebral hernia;
2. decompression of the nerve root;
3. plastic of the motor segment of the spine;
4. prosthetics of vertebrae or discs;
5. elimination of complications.

To avoid the development of vertebrogenic thoracalgia, as well as the concomitant cervicotoracalgia, there are no specific preventive measures. However, to reduce the likelihood of developing pain syndrome, such recommendations can:

• keeping an active lifestyle;
• correct and balanced nutrition;
• minimizing stress;
• avoiding injuries to the thoracic or cervical spine;
• rejection of bad habits;
• timely diagnosis and full treatment of diseases that can cause vertebrogenic thoracology;
• regular passage of a full medical examination with a visit to all specialists.

Adequate therapy makes it possible to achieve a positive effect in a relatively short period of time and lead to a favorable prognosis.

However, a complete lack of treatment for vertebrogenic thoracalgia can lead to impaired motor function and disability.

In addition, do not forget that every basic ailment that provokes such a pain syndrome has a number of its own complications.

A source: http://SimptoMer.ru/bolezni/nevrologiya/2791-vertebrogennaya-torakalgiya

The main methods of treatment of thoracalgia in chest osteochondrosis

Pain in the chest is a problem affecting a large number of people regardless of age.

Quite often it can be as a consequence of a disease, or a bell about its development.

Often pain in the chestappears along with diseases of the spine(osteochondrosis).

In medicine, chest pain caused by the infringement of the intercostal nerves is called thoracalgia.

Pain sensations associated with thoracology are confused with heart disease, but the nature of this pain syndrome is completely different.

What is thoracology and its features

Thoracalgia (or intercostal neuralgia) - infringement or squeezing of the intercostal nerves with muscles, tissues or ligaments, which entails acute pain in the chest area.

The syndrome is divided into:

1. vertebrogenic thoracology (pain in the thoracic spine);
2. musculoskeletal thoracalgia; sycogenic thoracology (caused by fatigue and physical exertion, panic attacks);
3. left and right-sided thoracology;
4. thoracalgia during pregnancy (caused by the effect of the fetus on the spine);
5. chronic thoracology.

The manifestations of thoracalgia are really similar to the pain in the heart, so do not be serious about them and at the first signs you need to see a doctor or call an ambulance.

Causes of pain in the thorax with thoracalgia

Pain in the chest with thoracalgia can be caused by a number of reasons,the main:

• curvature of the spine (scoliosis);
• intervertebral hernia;
• frequent overwork and intense physical activity;
• back injury;
• osteochondrosis;
• diseases of internal organs and heart;
• psychological factor.

It is worth remembering that thoracalgia is a consequence of any disease, therefore, if its symptoms are detectedit is necessary to see a doctor as soon as possibleto determine the reasons for its occurrence.

Thoracalgia with osteochondrosis

The area of ​​the spine struck by the osteochondrosis literally "presses" on the chest, causing compression (squeezing) of the intercostal nerves - thoracology

Osteochondrosis of the thoracic spine isone of the most commoncauses of chest pain (thoracalgia).

Osteochondrosis is caused by inflammation of the intervertebral tissues, which entails a change in the structure of the affected area of ​​the spine.

The main causes of thoracalgia in osteoarthrosis:

1. inflammation of the roots of the spinal cord;
2. injuries of the roots of the spinal cord;
3. infringement of roots of a spinal cord.

Symptoms of the disease

Pain in thoracalgia occurs with attacks lasting several minutes

Thoracalgia with osteochondrosis of the thoracic spine is accompanied mainly by pain in the chest and back.

These pains can differ both in their specificity, and in duration and intensity.

Attacks last for several minutes, causing severe pain to the patient and causing panic, which is negativeaffects the psychological statepatient.

In the presence of thoracalgia against the background of osteochondrosis, the patient's body temperature almost always rises.

There is a decrease in pain sensitivity, both due to the squeezing of nerves, and in contrast to severe pain during an attack.

The main symptoms of thoracology are:

1. pain, burning in the ribs;
2. exacerbation of pain in the chest with twists of the trunk, coughing, breathing;
3. crunching of vertebrae with straightening of the spine;
4. increased pain during hypothermia;
5. deterioration with a long stay in one position.

In addition to pain, a whole list of accompanying symptoms, described above (a crunch in back pain, increased pain in the chest in the cold and in a static position, pain between the ribs) and such, as:

• hair loss;
• blue skin in the chest;
• occurrence of skin cuts.

Difference of heart diseases from vertebrogenic thoracalgia

Vertebrogenic thoracalgia (thoracalgia caused by diseases of the back, in particular - by osteochondrosis) is similar in appearance to heart disease is not so much on the symptoms, but because of prejudice and fear of the occurrence of a heart attack and lethal outcome.

Do not underestimate the pain in the chest, but it is necessary to classify it sensibly and differentiate.

For the sake of clarity of the signs of thoracalgia in diseases of the back and heart diseasesare presented in the form of a table:

Specificity of pain	Pressing pain, burning, panic, fear of death	aching and stiff
Duration of painful attacks	Enough fleeting, last a few minutes	Can last as minutes, and for hours, and even for days
Intensity of painful sensations during movement and changes in the position of the spine	Remains the same	Changing. Especially the pain increases with sharp movements
Physical exercise	Heart pain is the result of physical activity	Strengthens with loads on the spine
Reception of analgesics and nitrate-containing drugs	Almost always passes	Can subside only after taking analgesics
Physiotherapy, manual therapy	Has almost no impact	Causes visible improvements

If there is pain in the chest area, you should immediately contact a doctor who, based on the patient's complaints, will schedule a checkup.

Variants of thoracalgia diagnosis in osteochondrosis of the thoracic spine:

1. Scintigraphy. A procedure that allows visualizing changes in the structure of tissues by introducing luminescent radioactive isotopes into the blood. A sufficiently effective method for identifying the focus of the disease, since it is in them the concentration of isotopes is higher than in healthy tissues;
2. Blood tests to determine the presence of inflammatory processes;
3. Electroneuromyography (ENMG). The method of examination, which allows to determine the state of muscles and nerves, consisting of a set of two methods of examination: electromyography (diagnosis of muscular activity) and electroneurography (determination of the transmission rate of nerve impulses by nerve fibers);
4. Densitometry. Method for determining bone density. There are ultrasound and x-ray densitometry;
5. Magnetic resonance therapy (MRI);
6. X-ray.

Thoracalgia with osteochondrosis of the thoracic spine can develop according to different scenarios. There is a classification of the disease depending on the causes of its occurrence:

• 1. Violations and pathologies in the lower part of the cervical spine. It is accompanied by pain in the upper part of the chest, which can give to the neck, shoulder, forearm.
• Disturbances and pathologies in the upper part of the thoracic spine. They are accompanied by a prolonged aching pain, not associated with physical exertion and movement.
• 3. Lopatochno-ribural thoracalgia. It is accompanied by pain between the shoulder blades, in the area of ​​the nipples, between the ribs. The pain intensifies with intense breathing and can change the place of its localization.
• 4. Pectalgic syndrome (a syndrome of anterior thoracic wall). It is accompanied by a stiff ache in the front of the chest.

Signs of thoracalgia in chest osteochondrosis

The main signs of thoracology in the osteochondrosis of the thoracic spine include chest pain along with spinal pain caused by osteochondrosis.

Identify the disease on the background of chest osteochondrosis is quite difficult in view of the blurring of the manifestations. How to diagnose and treat chest osteochondrosis is written in this article.

Therefore, the definition of its availability depends more on the quality and methods of medical examination of the patient, appointed by the attending physician.

Treatment and basic methods of therapy

Treatment of thoracalgia in chest osteochondrosis, appointed by the attending physician, can be very diverse. The main types of treatment:

1. reflex treatment (massages, manual therapy);
2. treatment by physiotherapy;
3. medicamentous treatment (taking analgesic drugs);
4. surgical intervention (extremely rare).

In most cases, the patient is given reflex treatment or physiotherapy, and more often complex treatment, combining several species. Treatment of thoracalgia in chest osteochondrosis is administered individually.

Physiotherapy as a method of treatment

Physiotherapy is one of the most effective methods of treating thoracalgia in chest osteochondrosis and eliminating its symptoms.

The essence of physiotherapy is to use the effects of basic natural phenomena and physical processes, such as light, water, electromagnetic field, ultrasound (both artificially recreated, and natural).

Physiotherapy can be a variety of different treatments:

1. Electrotherapy. It consists in the use of electric current, electric field, magnetic field, electromagnetic field with the purpose of affecting the affected nerve endings, normalizing blood circulation in the tissues around them, weakening compression
2. Light therapy.
3. Water therapy (medical baths, mineral water).
4. Ultrasonic therapy.
5. Thermal treatment.
6. The use of mechanical (physical impact).

ElectrotherapyThermal treatmentLight therapy Ultrasonic therapyWater therapy There is a whole complex physical exercises that allow not only to ease pain with thoracalgia, but also contribute to the elimination of its causes - treatment.

Gymnastics for the treatment of thoracalgia in chest osteochondrosis in fact is the same exercises that are prescribed in the treatment of osteochondrosis of the thoracic region, self-massage.

Gymnastics consists of exercises for the head, spine.

Despite the fact that physiotherapy is a sufficiently safe method of treating thoracalgia in osteochondrosis, itcontraindicated in the following cases:

• during an exacerbation of the disease;
• presence of tumors in the spine;
• the presence of psychological diseases.

Manual therapy

Despite some "unconventionality manual therapy is widely used to treat thoracology in the osteochondrosis of the thoracic spine.

Its essence consists in manual influence on the sites of the spinal column affected by osteochondrosis.

Performed manual therapy by a special doctor - a manual therapist, who concurrently is a neuropathologist.

There are the following types of treatment for manual therapy:

• subcutaneous myofascial therapy (manual effect on tissues and muscles in order to normalize their functioning);
• arthrovertebral therapy (joint therapy). Actively used in the treatment of thoracology against a background of osteochondrosis;
• visceral therapy (treatment of internal organs).

Classification of techniques for manual therapy:

1. stretching;
2. rotational;
3. squeezing.

Contraindications for manual therapy:

• infectious diseases;
• relatively recent injuries;
• oncology;
• impaired circulatory system in the spinal cord;
• mental disorders.

Medical treatment of thoracalgia in chest osteochondrosis

Treatment of thoracalgia with osteochondrosis of the thoracic spine by medication is usually performed with complex treatment.

Sent drug treatment primarily to reduce the symptoms of the disease. About what are the symptoms in women, and what men read here.

Medicamental treatment of thoracalgia in chest osteochondrosis alone does not have a wide application.

It is worth remembering that the treatment is carried out exclusively under the supervision and with the appointment of the attending physician, exactly as the determination of dosages, preparations and the possibility of combining them during treatment.

A source: http://OsteohondrozInfo.com/vidy/grudnoj/torakalgiya