Dorsalgia: what is it? pain in the thoracic and lumbar spine

What is thoracic dorsalgia

»Thoracic spine

Osteochondrosis or dorsalgia of the thoracic spine is an inflammatory process that occurs in the thoracic region.

Among the many types of osteochondrosis, this disease is much less common and affects mainly people leading a sedentary lifestyle. With this type of disease, intervertebral discs are destroyed.

But, despite the complexity of the disease, the symptoms are much less common than in cases with lesions of other parts of the spine.

This is due to the fact that the thoracic spine is an inactive part of the human skeleton, so the symptomatology is less pronounced.

This situation leads to the fact that patients seek help even when the disease is in a neglected and not rarely in a chronic condition.

People who spend a long time in front of monitors, professional drivers, as well as those who have suffered different types scoliosis, should regularly conduct medical examinations on the possible occurrence of disease.

The emergence and manifestation of dorsalgia

Considering the small mobility of the thoracic spine, there are twelve discs in this place, subject to less stress and few chances of possible injury.

This situation is conducive to the fact that the inflammatory processes in this metteus develop much more slowly. However, when a disease occurs, the lateral or anterior section of the spine is affected.

And it is these departments that are most often affected, manifested by osteophytes.

As a result of changes in intervertebral discs, there is compression of spinal nerve cells, blood flow is disturbed and, as a consequence, the spinal cord is affected.

Symptoms of dorsalgia

Diagnosis of the disease is quite complicated, since many of the symptoms are similar to those associated with cardiovascular diseases, angina pectoris, pneumonia, gastritis. Therefore, for a more accurate diagnosis, a more complex examination of the patient is performed. What should be of concern:

• pain in the chest, which increase with palpation or physical exertion;
• aching pain under the shoulder blades;
• painful sensations when raising hands;
• pain when tilted or with rotational movements of the body;
• pain with a sigh and exhalation;
• intercostal pain;
• feeling of squeezing in the chest.

As this description shows, the same symptoms are characteristic of other diseases. In addition, there are often feelings that are similar to digestive disorders or disorders from the neurology, namely:

• sensation of "goosebumps
• burning, itching, coldness of hands or feet;
• peeling skin and brittle nails;
• diarrhea, constipation, nausea, vomiting.

Treatment of osteochondrosis of the thoracic spine

Treatment is aimed at relieving pain and discomfort in the thoracic spine. As a rule, after a complete examination, the doctor prescribes analgesics, anesthetic ointments or gels, NSAIDs.

If the disease has led to violations by neurology, antidepressants or mioreklasanty may be prescribed.

In any case, the treatment of the osteochondrosis of the thoracic spine, as well as the disease sacro-lumbar department, it is proposed the use of drugs capable of restoring cartilaginous tissues and structure of bone tissue. Therapeutic, medicamentous treatment occurs without fail with other methods:

• physiological therapy;
• massotherapy;
• Exercise therapy;
• daily gymnastics;
• acupuncture or acupuncture.

Additional methods, especially acupuncture, help to remove pain and normalize blood flow, increase the work of the immune system, improve the overall condition. Operative intervention with this disease is extremely rare.

Useful recommendations

Dorsalgia of the thoracic spine, like other types of osteoporosis, is difficult to diagnose and difficult to treat, especially in neglected or chronic condition.

People who lead a sedentary lifestyle should take some useful tips to exclude the appearance of the disease.

In addition, there are a number of preventive measures to prevent the disease:

• eliminate the burden on the spine;
• avoid injury;
• Do not make sudden movements, getting up from the workplace;
• Do not move gravity;
• do a regular break in work, accompanying him with simple exercises.

If there is a need to move the gravity, the load, then it must be distributed in such a way that the weight equally falls on both hands. Heavy bags will be best replaced by a backpack.

But, with the first listed signs, you need immediate treatment in the clinic.

Accurate diagnosis and timely treatment will help to avoid serious complications, which is more dangerous than the disease itself.

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An effective remedy for back pain exists. Follow the link and find out what the doctor of medical sciences Sergey Mikhailovich Bubnovsky recommends.

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Back pain (dorsalgia) of various parts of the spine # 8212; how to treat?

Dorsalgia of the lumbosacral spine actually only sounds unusual. Denotes this term pain in the back area of ​​any origin. Dorsalgia is divided into acute and chronic.

They differ in the causes that cause this syndrome. In acute form, pain is caused by a human factor: a sharp rise in something heavy, severe hypothermia.

In chronic dorsalgia, we are talking about destructive pathologies associated with the vertebral column.

Hence the division into two classes:

• vertebrogenic dorsalgia;
• myofascial.

In the first case, the pain is caused by changes in the spine. The second is due to muscle tone and spasms. In some cases, dorsalgia may indicate abnormalities or diseases of the internal organs.

Symptoms of dorsalgia

Symptomatic depends largely on what kind of disease we are dealing with. There are three types:

A source: http://spinanebespokoit.ru/grudnoj-otdel-pozvonochnika/chto-takoe-dorsalgija-grudnogo-otdela.html

Vertebrogenic dorsalgia of the thoracic and lumbosacral spine

Back pain (dorsalgia) is common among all age categories of the adult population. It can be manifested both in persons engaged in heavy physical labor, and in people leading a sedentary lifestyle.

Vertebrogenic dorsalgia of the thoracic and lumbosacral spine takes a leading position among other types of back pain. Often acts as a cause of temporary disability.

Therefore, it is so important to treat and prevent this syndrome in time.

What is dorsalgia

Dorsalgia medicine calls any pain in the back area, regardless of the causes that cause it. Clinically, two forms are distinguished: acute - lasts up to 3 months and chronic - lasts more than 3 months.

In one patient out of five, the acute form can go to the chronic one.

By origin, back pain is divided into two large groups:

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1. Vertebrogenic dorsalgia is caused by the pathology of the structures of the spine of the inflammatory, traumatic, degenerative, neoplastic nature.
2. Nonvertebrogenic dorsalgia implies the defeat of muscles, ligaments, internal organs, the pathology of metabolism. There may also be psychogenic pain.

For localization, dorsalia is divided into:

Causes of pathology of the spine

Degenerative changes of the spinal column include:

• Osteochondrosis is a disease of the spine of a dystrophic nature with primary localization in the intervertebral discs, which leads to the defeat of the vertebrae themselves. This is the most common cause of dorsalgia syndrome.
• Herniated disc or protrusion is the exit of the inner part of the disc (pulpous core) through the outer part (fibrous ring) beyond the vertebral body. The most dangerous are protrusions in the direction of the spinal canal, which can squeeze the spinal cord. Hernia is a frequent complication of osteochondrosis.
• Spondylosis and spondylolisthesis are the degenerative conditions of the vertebrae, which are manifested by the proliferation of bone tissue (the formation of osteophytes) and the displacement of the vertebrae relative to each other.
• Faceted syndrome - deflorctosis of intervertebral joints.
• Deformities of the spine: kyphosis, lordosis, scoliosis.

Inflammatory diseases:

• Osteomyelitis - bacterial inflammation of the bone marrow of the vertebrae.
• Tuberculosis of the spine.
• Bechterew's disease affects the sacroiliac joints and intervertebral joints, leading to a limitation of mobility.

Injuries to the spine:

• compression fractures of vertebral bodies;
• bruises;
• dislocations.

Neoplastic lesion implies the presence of tumors in the spine of the primary (osteosarcoma) or secondary (metastasis of other organs: breast, prostate) localization.

In addition to the main causes of dorsalgia, the contributing background factors distinguish:

• exposure to harmful working conditions: hypothermia, overheating, lifting of weights, vibration, forced pose during work;
• weakness of the back muscles;
• overweight;
• intensive sports training without preparation;
• metabolic disorders due to hormonal disorders during pregnancy, lactation, menopause;
• bad habits and chronic intoxication.

Symptoms of dorsalgia

The most frequent sign is pain. It can have a different degree of severity. The nature of pain can also be different: dull, aching, pulling. These species are more characteristic of the chronic form of dorsalgia.

Sudden severe pain in the thoracic region is called dorsago. It occurs when the body turns sharply, increases with the torso of the trunk, is localized between the blades.

Muscles in this place are considerably condensed, their palpation is painful.

Dorsago can be manifested with radiculitis - inflammation of the root (spinal cord nerve at the exit from the vertebral pillar) of the spinal cord in the thoracic spine, which occurs with osteochondrosis, spondylosis, hernia. It is accompanied by other signs: pain in the arm, along the intercostal spaces, numbness of the skin of the hands, chest, back.

Dorsalgia of the thoracic spine often occurs in people who spend a long time in the same position, for example, sitting at the computer.

Pain sensations in the lesion of the lumbosacral spine may also be unexpressed, subacute, which are localized in the lower back. They are united in the concept of "lumbalgia".

Often bilateral, can irradiate into the buttocks, thigh (with compression of the sciatic nerve - sciatica). Decreases in lying position, and any movement attempt leads to a new pain attack.

Deficiency of the muscles of the lumbar region of the spine is determined. It is accompanied by a numbness of a skin of a hip, buttocks, sometimes there are cramps of muscles of an anticnemion.

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With a significant compression of the spinal cord, its roots, nerves, motor disorders and impaired functions of the organs can develop: control of urination and defecation.

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If symptoms of dorsalgia appear, you should seek help from a specialist as soon as possible.

Diagnostics

Precisely to establish the diagnosis at dorsalgia the skilled neurologist can only. If necessary, he can refer to a more narrowly specialized specialist in spine diseases - the vertebrologist.

The doctor will find out the patient's complaints, the history of the disease, specify the presence of injuries, the nature of the working conditions.

Then he will conduct an examination, perform palpation of pain points, tightened muscles, establish the presence of deformities and pathological mobility of segments of the spine, determine the volume of movements in the spine.

Instrumental research methods:

Computed Tomography (CT)

• radiography;
• computed tomography (CT);
• magnetic resonance imaging (MRI).

Radiography in various projections allows to assess the state of bone structures of the spine: curvature, fractures, dislocations, the presence of osteophytes, tumors.

This method is the most affordable, but does not provide an opportunity to see intervertebral discs, soft tissue.

CT is an x-ray method for layered visualization of the spine. Can be used with contrasting spinal cord - CT-myelography.

MRI will not only assess the condition of the bone structures of the spine, but also intervertebral discs, joints, soft tissues, nerve roots, vessels, spinal cord. MRI-diagnostics is the most accurate among all methods of visualization, it is indispensable in the diagnosis of spinal cord hernia.

Treatment

Acute and chronic dorsalgia of the lumbosacral and thoracic areas requires consultation from a qualified physician.

He appoints complex treatment, determines the terms of incapacity for work. The regime for vertebrogenic dorsalgia in the acute period should be as gentle as possible (bedding).

When symptoms regress, the patient is allowed to get up.

Medication

The following groups of drugs are prescribed:

• Nonsteroidal anti-inflammatory drugs (Nimesulide, Meloxicam, Diclofenac, Celecoxib) to reduce inflammation of soft tissues. Produced in the form of tablets, solutions for injections, gels, ointments, patches.
• Analgesics (Paracetamol, Ketorolac, Dexalgin, Nalbuphine) eliminate pain symptoms. Used in the oral form, injectively.
• Glucocorticosteroids (Betaspan, Diprospan, Flosteron), hormonal preparations with a powerful anti-inflammatory effect, are used both systemically and locally in the form of ointments and injections directly into the muscles of the back.
• Muscle relaxants (Midokalm, Baclofen, Sirdalud) in order to eliminate muscle spasm, which causes dorsalgia of the lumbosacral and thoracic spine.
• Diuretic (furasemide, Torasemide) short course to reduce soft tissue edema.
• Local anesthetics (Novocain) in the treatment of vertebrogenic dorsalgia in the form of a paravertebral blockade - injection of an anesthetic into the back muscles in dorsago and lumbago.
• Vasoactive drugs (Trental, Actovegin, Berlition) improve the blood circulation of the affected segment.
• Vitamins of group B (Milgama, Neurorubin) are involved in the processes of carrying out a nerve impulse.

Physiotherapy

With pain in the back of vertebrogenic origin, the following physiotherapy methods are used:

• magnetotherapy;
• electrotherapy;
• UHF;
• ultraviolet irradiation;
• laser therapy;
• shock wave therapy;
• detensor-therapy (traction);
• vibration influence;
• acupuncture;
• balneotherapy;
• mud treatment.

Massage

This method is a very effective component of treatment of diseases of the spine.

It improves the blood circulation of tissues, strengthens the muscular corset, removes pain, inflames, increases muscle tone, improves the psycho-emotional state of the patient. Massage is not performed in an acute period at the peak of the pain syndrome.

Spot massage of the spine - acupressure - is also used. In the course of this method, pressure is applied not only to the spine, but also to the so-called biological points.

At dorsago, the stimulation of points of the following localization is effective: the knee region, the thumb of the hand and foot, the chest, the subclavian area.

In the case of lumbula, the points are located on the back of the thigh and lower leg, on the sacrum, in the region of the ankles.

Exercise therapy

Physiotherapy is an integral part of therapy for vertebrogenic back pain - dorsago and lumbago.

Physical exercises improve the microcirculation of tissues, the work of internal organs, strengthen muscles, ligaments, stabilize the spine, eliminate the infringement of nerves. Gymnastics is contraindicated in the acute period of the disease.

The complex of exercises is desirable to be selected individually under the supervision of a physician-specialist in exercise therapy.

Manual therapy

The technique is a set of techniques aimed at restoring the normal structure of the spine by dosing the manual impact on the vertebrae. Performed only after receiving the results of instrumental diagnostic methods.

Surgery

It is shown with inefficiency of conservative methods, intervertebral hernias of considerable size, oncopathology, and some injuries. The laser evaporation of the disk with its hernia is also used, however, the results of the procedure may be contradictory.

Prevention

Includes:

• dosed physical exercise;
• balanced diet;
• optimization of working conditions.

The key to successful recovery is the earlier treatment to a specialist, because dorsalgia effectively responds to treatment when it is timely revealed its causes.

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• You can not boast of a royal carriage and try to hide your stoop under the clothes?
• It seems to you that this will soon pass by itself, but the pains are only intensifying ...
• Many methods are tried, but nothing helps ...
• And now you are ready to take advantage of any opportunity that will give you the long-awaited well-being!

A source: http://lechuspinu.ru/other/vertebrogennaya-dorsalgiya-grudnogo-i-poyasnichno-krestcovogo-otdelov-pozvonochnika.html

What is dorsalgia

According to the International Classification of Diseases of the Tenth Revision (ICD-10), dorsalgias (M54) group of various diseases of the musculoskeletal system and connective tissues, as well as their symptomatic signs. With the exception of psychogenic dorsalgia, which is included in the category of somatoform disorders, this class includes:

• Lumbago with sciatica.
• Radiculopathy.
• Cervicalgia.
• Pain in the thoracic spine.
• Pain syndrome at the bottom of the back (waist).
• Neuralgia of cervical vertebrae.

Consider the main signs, symptoms and ways of treating dorsalgia.

General characteristics of the clinical state

If we briefly describe what dorsalgia is, it is a pain syndrome in the spine, expressed in varying degrees of intensity, regardless of age, sex and social status rights.

Not being a separate pathology, pain syndrome, occurs against the background of concomitant diseases that affect the musculoskeletal system or individual tissue connections.

Under the painful sights of lesion dorsalgia may include any musculoskeletal and articular segments of the spine, forming the cervical, thoracic or lumbosacral section of the skeletal skeleton.

Accordingly, the emerging pain reflex is divided into two types:

• vertebrogenic dorsalgia;
• myofascial pain syndrome.

Nonvertebrogenic (myofascial) type of pain sensation arises against a background of stretching, overstrain, spasmodic condition or joint articulation and / or muscle tightening. In addition, provoking factors of a psychogenic nature are not excluded.

Vertebrogenic dorsalgia are pathological conditions of vertebral segments, traumatic, degenerative-dystrophic, inflammatory or neoplastic.

Any manifestation of dorsalgia requires a detailed examination to determine the cause-effect relationship. As a rule, with timely diagnosis and appropriate medical treatment, pain symptoms are successfully eliminated by conservative therapy.

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The clinical problem for medical workers is chronic dorsalgia, when the condition of the joint and musculoskeletal apparatus in the patient is extremely neglected.

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This kind of dorsalgia can be observed in elderly people, or in patients whose professional activity is associated with heavy physical labor.

The main cause-effect factors leading to the development of symptomatic pathology:

• hypothermia of the joint and muscle tissues;
• "Wrong" working posture;
• muscular overstrain of the back, neck or waist;
• physical overload with frequent lifting of gravity;
• traumatic conditions of the joints;
• inflammatory processes in the periarticular segments, incl. infectious;
• alcohol abuse;
• reception of narcotic drugs;
• mental and / or nervous disorders, and so on.

In addition, there are a number of vertebrogenic symptomatic signs, for example, spondylarthrosis, herniated intervertebral discs, osteochondrosis, spondylosis and so on.

Painful signs and sensations

Pain signs and clinical symptoms of dorsalgia depend on the site of localization of the affected area. So, dorsalgia of the cervical spine is, as a rule, a consequence of acute exacerbation of cervical osteochondrosis, characterized by the following pain symptoms and conditions:

• Pain syndrome in the cervical region, accompanied by difficulties in the tilting and turning the head.
• Acute, dull or aching pain radiating to the shoulder and / or forearm.
• There is a pain symptomatology in the armpit.
• Increases intracranial pressure.

In addition, with vertebrogenous dorsalgia of the cervical region, patients complain of a permanent headache in the occipital and / or temporal part of the skull. In neurological practice, such pain symptoms are defined as cervicalgia of the cervical vertebrae.

Painful sensations in the thoracic spine, the symptoms of which are expressed in acute, piercing, burning or aching pain, having a paroxysmal and spontaneously arising character, is defined as dorsalgia of the thoracic spine, or Thoracalgia. Therapeutic treatment of this kind of intercostal neuralgia is aimed at weakening the compression compression and irritation of intercostal nerve endings. Other symptoms of thoracic thoracology include:

• pain syndrome on a sigh;
• tingling in the chest;
• muscle teak (twitching);
• increased sweating;
• the skin acquires a reddish-pale shade.

When a dorsalgia of the thoracic region is diagnosed, the patient's pain is sharply increased with a cough reflex, sneezing, or a change in the position of the body.

Therefore, differentiated laboratory diagnosis in determining intercostal neuralgia is a prerequisite for the treatment of the disease not to go the wrong way.

Vertebrogenic lumbosacral neuralgia characterized by traumatic diseases of the spine is diagnosed in 50 cases per 100 thousand population of the Russian Federation and CIS countries.

However, the most frequent neurologic condition is lumbulgia, or the intervertebral hernia of the musculoskeletal system, which is the most common disease of the lumbar spine.

However, most often painful symptoms occur in people of elderly and advanced age, it is they, unfortunately, who are most familiar with what it is - dorsalgia. The clinical symptoms of neurologic disease are manifested in the following:

• In the projection area of ​​the affected disc, the pain increases with exercise;
• innervation of nerve roots causes numbness or tingling;
• there is an irradiating pain symptomatology in the buttock zone, the back surface of the thigh and lower leg;
• sensitivity of the lower limbs weakens;
• the process of defecation and urination is disturbed.

In addition, in an elderly person with a neurotic lesion, jumps in blood pressure increase.

Clinical diagnosis and treatment and prevention measures

Primary diagnosis should be carried out in specialized neurological centers or departments. After collecting anamnesis, a detailed interview of the patient and a general physical examination, the consulting neurologist will prescribe an additional laboratory and instrumental examination.

A qualitative biochemical analysis of urine and blood will allow to determine the presence of concomitant chronic diseases of the patient's systemic organs. Assign adequate medication with pharmacological drugs, perhaps only after an instrumental study.

Informative diagnostic methods:

1. Radiography, which allows to determine abnormal pathology in the intervertebral zone.
2. Degenerative destruction, dystrophic zones and density of bone muscular tissue are determined by means of electromyographic and densitometric examination.
3. The excessive accumulation of lesions and the general localization of pathology is determined by radioisotope osteoscintigraphy.

A more detailed examination is unthinkable without computed tomography (CT) and magnetic resonance scanning.

The entire information-diagnostic database will help to conduct a high-quality therapeutic treatment for the patient.

In addition, it is recommended to involve other narrow specialists, for example, a vertebrologist.

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It is necessary to know that in the overwhelming majority of cases, neurological symptoms are eliminated by curing the underlying systemic disease.

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Conservative therapeutic treatment involves the use of non-steroidal anti-inflammatory drugs - injections, oral medications and warming ointments.

No less effective pharmacological muscle relaxants, which allow to relax the muscular system. Among the measures of medical prophylaxis, the attending physician recommends a course of therapeutic massage, exercises of exercise therapy and physiotherapeutic procedures.

If necessary, the patient is recommended radical treatment by neurosurgical correction. After discharge from the medical hospital, the following preventive measures will help reduce the risk of repeated development of the neurologic syndrome:

• Prevent the possibility of injury to the osteoarticular segments of the spine.
• Exclude excessive physical activity.
• Avoid supercooling of the body.
• Watch your own weight, observing dietary norms of nutrition.
• In time to seek help from doctors, and every six months to undergo a preventive examination.

The neurological condition in itself does not pose a danger to man. However, the primary source of clinical pathology can provoke complications.

Especially dangerous is the vertebrogenic type of neuralgia, which in the future can functionally restrict the human musculoskeletal system, and, possibly, lead to disability.

Take care of yourself and be well!

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

Dorsalgia: Symptoms and Treatment

Category: Neurology and psychiatry 3912

Dorsalgia - in fact, is the fact of the presence of pain sensations of varying degrees of intensity in the back. It follows that this is not a separate pathology, but a syndrome that occurs in any age category and regardless of gender.

In almost all cases, the source of such a disorder is the course of a disease affecting the bone system or spine. In addition, clinicians also identify the category of predisposing factors.

As for the symptoms, it will be dictated by the disease that was the source of dorsalgia. The main clinical manifestation is a pain syndrome, against which gradually develop other symptoms.

The clinician will be able to diagnose dorsalgia based on the patient's instrumental examinations, which can also be supplemented by physical examination and laboratory tests.

The tactics of therapy are dictated by the etiological factor, but often based on conservative methods.

The International Classification of Diseases of the Tenth Revision singled out a separate meaning for this syndrome. Code on the ICD 10 - M 54. However, it should be noted that unspecified dorsalgia has a value of M 54.9.

Etiology

To cause the appearance of pain in the back or dorsalgia can a large number of predisposing factors, why they are divided into several groups.

The first category includes the pathology of the spinal column and is represented by such ailments:

• osteomyelitis is a disease of an infectious and inflammatory nature, which primarily affects the area of ​​the bone marrow, and then spreads to the bone tissue;
• benign or malignant neoplasms, as well as metastasis of cancer;
• osteochondrosis - thus the hernia of an intervertebral disk is formed;
• osteoporosis - for such a pathology is characterized by increased fragility of all bones;
• spondylolisthesis - in such cases, one vertebra is displaced relative to the rest;
• curvature of the spine;
• spondylarthrosis;
• tuberculosis of bones;
• protrusion;
• narrowing of the lumen of the spinal canal;
• fractures and injuries.

The second group of causes includes muscle diseases, among which there are:

• fibromyalgia;
• Crick;
• myositis;
• muscle spasms.

Dorsalgia can also be caused by:

• hemorrhages in the pelvic region;
• hematomas located in the retroperitoneal space in which the purulent process proceeds;
• traumas and ailments of the pelvic organs;
• pathologies of the digestive tract and kidneys;
• aortic dissection;
• herpes zoster;
• rheumatological disorders.

In addition, there are such risk factors:

• extensive injuries;
• lifting weights by a physically weak person;
• prolonged stay in uncomfortable position;
• prolonged hypothermia of the body.

In addition, in women, dorsalgia can be caused by the period of bearing of the child and the course of menstruation.

Classification

Depending on the location of pain, the following forms of this syndrome exist:

• cervicalgia- has the second name "dorsalgia of the cervical spine
• lumbalia- with the pain localized in the zone of the lower back, why the disorder is also known as the dorsalgia of the lumbar spine;
• thoracalgia- differs in that the main symptomatology does not go beyond the sternum, which means that in such cases, dorsalgia of the thoracic spine will be diagnosed.

By the duration of the expression of unpleasant sensations, the syndrome can take place in several forms:

• acute dorsalgia- is such, if the pains worry patients not more than a month and a half. It differs in that it has a more favorable prognosis, in comparison with the sluggish variety;
• chronic dorsalgia- is diagnosed if the soreness in this or that part of the spine persists for more than twelve weeks. Such a current is fraught with a loss of working capacity or a person with disabilities.

By origin, such a violation has two types:

• vertebrogenic dorsalgia- characterized by the fact that it is directly related to trauma or diseases of the spine;
• nonvertogenic dorsalgia- the occurrence of such a variety is due to other etiologic factors, for example, somatic diseases or psychogenic causes.

Symptomatology

Clinical manifestations of dorsalgia are the expression of pain syndrome, which can be both permanent and paroxysmal, be aching or abrupt. However, in all cases, pain intensifies with physical activity.

Against the background of the fact that such a syndrome develops due to the course of various diseases, it is natural that the symptomatology in each specific case will differ.

In the course of rheumatological pathologies, clinical manifestations will be as follows:

• localization of pain in the lumbar region;
• irradiation of unpleasant sensations in the buttocks and hips;
• increased morbidity with prolonged rest;
• bilateral defeat of the spine.

In cases where infectious processes have become a source, among the characteristic symptoms will be:

• sharp soreness along the entire vertebral column;
• foci of pain in the lower back, buttocks or lower limbs;
• puffiness and redness of the skin in the problem area.

With muscle pathologies that caused dorsalgia of the spine, the symptoms will be as follows:

• spread of pain along the left or right side of the body;
• increased morbidity with climate change or in cases of stressful situations;
• the emergence of painful points located in different areas of the trunk, which are detected by accidental pressure on them;
• muscle weakness.

With osteochondrosis and spondyloarthrosis, clinical signs are presented:

• pain in the back - exacerbation is observed during bends or inclinations;
• discomfort, which occurs with prolonged stay in one position of the trunk;
• numbness or tingling of hands or feet;
• decreased muscle tone;
• headaches and dizziness;
• violation of visual acuity;
• tonic syndrome;
• disorders of motor function.

Radicular pain syndrome

In cases of damage to other internal organs, the following will be expressed:

• pain in the abdomen and frequent urination - with kidney pathologies;
• circumscribing the nature of pain - with gastrointestinal diseases;
• pain in the chest and under the shoulder blades - with lung diseases.

Diagnostics

If you have back pain or dorsalgia, you should seek qualified help from a neurologist. It is this specialist who will conduct the primary diagnosis and prescribe additional examinations.

Thus, the first stage of diagnosis includes:

• collecting a life history and analyzing the patient's medical history - this will help determine what pathological condition triggered the appearance of such a syndrome. Symptoms and treatment will differ depending on the detected ailment;
• general physical examination aimed at palpation of the spine and evaluation of the volume of movements in it;
• a detailed interview of the patient - to establish the nature of pain, presence and severity of additional symptoms.

Laboratory diagnostic measures are limited to performing a general clinical analysis of blood and urine.

The most valuable during the establishment of the correct diagnosis are the following instrumental examinations of the patient:

• Radiography - to detect pathological changes in the vertebrae;
• electromyography - will detect muscle pathologies;
• densitometry - determines the density of bone tissue;
• CT and MRI - to get a more detailed picture of the spine. It is thanks to this that there is an opportunity to distinguish nonvertebrogenic dorsalgia from the syndrome of vertebrogenic genesis;
• radioisotope osteoscintigraphy - the radiopaque substance is distributed along the bones. Presence of foci of excessive accumulation will indicate the localization of pathology, for example, the sacral spine.

X-ray bone densitometry

In addition, you may need a consultation:

• vertebrologist;
• rheumatologist;
• orthopedist.

Treatment

In the overwhelming majority of cases, for the relief of pain in the back, it is sufficient to eliminate the underlying disease.

Nevertheless, the treatment of dorsalgia involves the use of a whole range of conservative techniques, including:

• compliance with bed rest from two to five days;
• wearing a special bandage designed to relieve the load from the spine;
• taking non-steroidal anti-inflammatory drugs - orally, injectively or as an ointment;
• the use of muscle relaxants are medicines, relaxing muscles;
• course of therapeutic massage;
• physiotherapeutic procedures;
• exercise exercise - but only after the abatement of pain.

The question of surgical intervention is decided on an individual basis with each patient.

Prophylaxis and prognosis

To reduce the likelihood of developing a syndrome such as dorsalgia, it is necessary:

• on a regular basis, follow the correct posture;
• to be engaged in the timely treatment of those diseases that can lead to the appearance of back pain;
• rationally arrange a working and sleeping place;
• completely eliminate the hypothermia of the body;
• prevent injuries of the spine, back and pelvic region;
• to exclude the influence of heavy physical exertion;
• follow the indicators of body weight - if necessary, lose a few pounds or, conversely, increase the body mass index;
• several times a year undergo a full preventive examination in a medical institution.

By itself, dorsalgia does not pose a threat to the life of the patient.

However, one should not forget that every disease-source of pain in the back has its complications.

The most unfavorable prognosis is observed with vertebrogenic dorsalgia, since in such cases it is not excluded that the patient will become disabled.

Diseases with similar symptoms:

Diabetic polyneuropathy (concurrent symptoms: 7 of 18)

Diabetic polyneuropathy manifests itself as a complication of diabetes mellitus. The ailment of damage to the nervous system of the patient is based.

Often, the disease is formed in people 15-20 years after the development of diabetes. The incidence of progression of the disease to a complicated stage is 40-60%.

The disease can occur in people with both type 1 disease, and with 2.

... Dorsopathy (concurrent symptoms: 7 of 18)

Dorsopathy - does not act as an independent disease, i.e.

is a generalized term that combines a group of pathological conditions that affect the spine and nearby anatomical structures. They include bundles and vessels, nerve roots and fibers, as well as muscles.

... Diabetic neuropathy (coinciding symptoms: 6 of 18)

There are several predisposing factors for the appearance of such a disorder on the background of the underlying disease.

The main one is addiction to bad habits and high blood pressure indicators.

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Purple thrombocytopenic or Werlhof disease is a disease that occurs against the background of a decrease in the number of platelets and their pathological tendency to gluing, and is characterized by the appearance of multiple hemorrhages on the surface of the skin and mucous membranes shells. The disease belongs to the group of hemorrhagic diathesis, it is rare enough (according to statistics, it gets 10-100 people a year). For the first time it was described in 1735 by the famous German physician Paul Verlhof, in honor of which he received his name. Often, everything manifests itself before the age of 10, while it affects the faces of both sexes with equal frequency, and if talk about statistics among adults (after 10 years of age), then women fall ill twice as often as men.

... Spondylolisthesis (coinciding symptoms: 5 of 18)

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Spondylolisthesis is a pathological condition characterized by the presence of displacement of the vertebrae in the vertebral column relative to each other. It is worth noting that this condition is not a separate disease, but a consequence of congenital or acquired pathologies of the spinal column.

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A source: http://SimptoMer.ru/bolezni/nevrologiya/2500-dorsalgiya-simptomy