Content
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1Nerve pincering in the thoracic region: treatment, symptoms and signs
- 1.1Nerve pincering in the thoracic region: pathogenesis of the disease
- 1.2Symptoms of pinching the nerve in the thoracic spine, photo
- 1.3Diagnosis of the disease
- 1.4Methods of treatment of ailment
- 1.5Consequences of the disease
- 1.6Preventive maintenance of disease, exercises and massage
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2Nerve pincering in the thoracic spine
- 2.1Signs and symptoms of pinching the nerve
- 2.2What are the causes of the disease?
- 2.3Treatment
- 2.4Physiotherapy
- 2.5How to prevent pinching of the nerve?
- 2.6Summarizing
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3Pinch of the nerve in the thoracic spine and symptoms and proper treatment
- 3.1Symptoms of nerve pincers
- 3.2Treatment of the pinched nerve of the thoracic region
- 3.3Home Treatment
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4Pinching of the nerve in the thoracic spine, symptoms, treatment, including at home
- 4.1Description of the state
- 4.2Classification
- 4.3Causes and provoking factors
- 4.4Symptoms
- 4.5Diagnostics and differential diagnostics
- 4.6Treatment
- 4.7First aid
- 4.8Medication Therapy
- 4.9Medication - photo gallery
- 4.10Physiotherapy methods
- 4.11about manual therapy in osteochondrosis and nerve pincering in the thoracic department
- 4.12Physiotherapy
- 4.13Surgical intervention
- 4.14Folk remedies
- 4.15Bath with herbal collection
- 4.16Recipe for removing edema
- 4.17Ointment for pain relief
- 4.18Prognosis of treatment and possible complications
- 4.19Prevention
Nerve pincering in the thoracic region: treatment, symptoms and signs
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The thoracic spine consists of 12 vertebrae and extends from the base of the neck to the mid-back level.
If these bone formations are damaged due to a fracture, trauma or degenerative process, one or more nerves may be pinched off from the spinal cord.
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Nerve pincering in the thoracic region: pathogenesis of the disease
The compression of nerves in the thoracic region, or thoracic radiculopathy, is less common than the cervical or lumbar. This is due to a lesser load on this part of the spine.
The vertebrae are separated from one another by cartilaginous discs. Through the intervertebral openings from the spinal cord, the nerve roots that unite the sensory and motor fibers come off.
If the disc or vertebra is damaged, the diameter of the intervertebral foramen decreases, the roots of the spinal cord are impaired. There is their swelling, blood supply is disturbed.
Ischemia of tissues leads to damage to nerve cells, the release of biologically active substances that cause pain. The inflammatory process is developing.
Nerve pincering in the thoracic region: pathogenesis of the disease
Each spine is responsible for the movement and sensitivity of a specific segment of the body - segment.
If the rootlet is damaged in the area of the corresponding segment, there are clinical signs indicating a violation of the nerve transmission.
The nerves that depart from the thoracic region of the spinal cord are responsible for the functions of the upper limbs and many internal organs.
The main causes of thoracic radiculopathy:
- a hernia of the intervertebral disc, pressing on the roots and causing their inflammation;
- degeneration of the disc during osteochondrosis, leading to its "subsidence" and a decrease in the size of the intervertebral foramen;
- trauma of the spinal cord;
- congenital narrowing of the spinal canal.
Prolonged back pain can be a sign of a compression fracture of the spine due to osteoporosis in the elderly.
Tumor (including metastatic) damage to the spine, as well as tuberculosis and osteomyelitis of the vertebrae are of great danger. At home, it is difficult to recognize this pathology.
Therefore, if symptoms of nerve infringement appear, you should consult a doctor and undergo an additional examination.
Symptoms of pinching the nerve in the thoracic spine, photo
If a person has noticed one or more of the following signs, he should consult a doctor:
- Pain is the most common symptom of a nerve pincer. It can be of different intensity and localized in the middle part of the back, extending to the neck or arms. Sometimes it is accompanied by muscle spasms or radiates to the front of the chest or abdomen, which can cause difficulties for long stays in a sitting or standing position.
- Numbness and tingling result from impaired transmission of nerve impulses from the organs to the nervous system. These sensations are often localized in the upper back and arms. As a rule, they are accompanied by pain in the back.
- Muscle weakness or paralysis. Pinched nerves in the thoracic region can lead to muscle weakness in the upper limbs. Sometimes there is stiffness of the muscles or temporary paralysis. After treatment, the function of the limbs is restored. If the pinching is chronic, the affected muscles will gradually atrophy.
Diagnosis of the disease
When signs of the disease appear, you need to contact a neurologist. The doctor should question the patient and conduct a physical (external) examination, as well as a thorough neurological examination, including the definition of reflexes and sensitivity of affected segments body.
Diagnosis of the disease
Additional diagnostic methods:
- X-ray of the thoracic spine to detect degeneration of the discs and spine joints, fractures, bone deformities, tumors or infection;
- magnetic resonance imaging for visualization of discs, spinal cord and nerve roots;
- computer tomography, helping to get an idea of the cross section of the structures of the spine.
In addition, the patient is electrocardiogram to exclude cardiac pathology.
The manifestations of certain cardiovascular diseases, for example, infarction, can resemble neurological pathology.
Differential diagnostics with lesions of the lungs, pleura, liver, gallbladder and other internal organs is also required.
Methods of treatment of ailment
The methods of therapy depend on the severity of the pathology.
Treatment of acute pain in the back:
- Exclusion of activities that increase pain (tilt, turn);
- taking anti-inflammatory and analgesics, as well as muscle relaxants to relax the muscles;
- cold compress on the neck area for 5 minutes, repeat after 20 minutes;
- in some cases a fairly good effect is provided by injections of B vitamins.
Recommended therapeutic gymnastics and physiotherapy. Physical exercises should be individual for each patient. Initially, they are aimed at reducing the load on the thoracic spine.
As the inflammation subsides, the joints and ligaments of the spine become strained and strengthened. Physiotherapy includes ultrasound, laser treatment, electrical muscle stimulation.
In most cases, these methods help relieve the exacerbation of the disease.
Warming up in an acute period can increase the severity of symptoms. The courses of "vascular" therapy do not have a significant effect on the course of radiculopathy.
.In more severe cases, it is possible to prescribe glucocorticoid hormones that remove edema and inflammation, or the introduction of pain medication into the area of damage.
.With the help of additional diagnostic methods, the cause of problems with the spine is clarified and appropriate treatment is prescribed (for example, surgery for a disc herniation).
Surgical treatment is indicated in such situations:
- inefficiency of conservative methods;
- spread of pain to other segments;
- amyotrophy;
- pathology of intervertebral discs.
In addition to correcting the cause of pain, foraminytomy can be performed, an operation aimed at increasing the lumen of the intervertebral foramen.
Most often with symptoms of pinching of nerves can manage without surgery. The course of treatment lasts from 1 to 3 months. Subsequently, you need to regularly perform exercises that strengthen the spine.
Consequences of the disease
If the treatment is not performed in full or if the doctor comes to the doctor late, pinching the nerves in the thoracic area can cause complications:
- chronic back pain;
- decrease in working capacity, professional restrictions;
- weakness and atrophy of muscles;
- violation of fine motor skills of brushes;
- violation of sensitivity and movements in the limbs, up to paralysis.
If the patient is engaged in therapeutic gymnastics, avoids the intensive load on the spine, performs recommendations neurologist, his spine restores its function, and the symptoms of the disease for a long time retreat.
Preventive maintenance of disease, exercises and massage
To prevent the disease or its relapse should follow such recommendations:
- control of posture;
- weight normalization;
- correct technique of lifting weights (crouching, not bending);
- breaks in work at the computer or with physical exertion;
- regular gymnastics.
Exercises with radiculopathy:
- "Cat" - arching and deflection of the back, the head is straight;
- lifting of the trunk from the prone position on the abdomen, leaning on the arms and bending the back;
- lifting of the head, neck and upper body from the position lying on the back, at the same time you should try to tear off the floor and legs.
Preventive maintenance of disease, exercises and massage
All these exercises need to be repeated every 6 to 8 times each.
Massage with pinching of nerves should be performed by a qualified specialist. It is useful to conduct 2 courses of 10 - 15 sessions per year.
The technique of massage includes stroking, rubbing, kneading, tingling, vibrating action on the muscles of the back and neck.
This strengthens the soft tissues around the spine, preventing swelling and inflammation of the roots.
Massage can be performed at home. Its effectiveness will be lower, but with regular repetition it will also help to avoid exacerbations of the disease. Such an effect on soft tissues of the back can not be carried out during exacerbations of the disease, as well as with unspecified cause of pain.
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A source: http://sustavu.ru/oda/zashhemlenie-nerva-v-grudnom-otdele.html
Nerve pincering in the thoracic spine
The term "pinch" describes with accuracy the ailment, in which the nerve root is literally sandwiched between individual vertebral discs or vertebrae.
Such a phenomenon immediately responds with a pain sensation. The condition can be completely different. Some suffer from persistent, others - from aching pain.
Some can not even unbend their back, suffer from lumbago and numbness of the hands.
Various pain symptoms are caused by a specific pinched nerve, which can be responsible for the following functions:
- vegetative;
- sensitivity;
- motor.
People suffering from osteochondrosis and periods of exacerbation of neuralgia, know for themselves of the acute burning painful sensation that arises from pinching of the nerve in the thoracic region.
Analgesics are practically powerless. To ease pain and ease your condition with such ailments is quite difficult.
Symptomatic of seizures is often similar to heart failure and is manifested by the following symptoms:
- Mobility of the spine in the thoracic region, but the preservation of the motor function of the cervical region. The pinching in the latter occurs much less often. It is more typical for other parts of the spine, surrounded by nerve endings, which are highly sensitive to any imbalance.
- Intercostal neuralgia can be caused by a sudden movement, lifting of gravity, awkward turn of the upper part of the trunk. It is not necessary to take a bar of unusual weight, so that an attack occurs. Weight can be similar to that with which the athlete constantly works. This applies to life situations that are not related to training.
Determine the specific source of the problem is difficult not only for the average person, but also for the specialist.
Visual inspection does not always allow even a doctor to determine whether the pain is caused by heart failure or neuralgia.
To correctly diagnose, prescribe a test. It allows you to eliminate heart problems.
Signs and symptoms of pinching the nerve
Vegetative and sensitive nerves are considered to be the most vulnerable. When one of them is clamped, there is a throbbing and occasionally tingling pain in the heart area.
It becomes difficult to breathe. If you try to breathe deeply into the air, the pain sensation will increase dramatically. Symptoms are similar to a heart attack, but the reason for the neuralgic nature.
And if you take heart drugs, relief will not come.
In the chest area there is a strong stiffness. It becomes more pronounced when a person tries to make any movement. The localization of pain is felt from the ribs to the vertebral column.
Sometimes it is accompanied by a disturbance of the heart rhythm. This often leads to the formulation of an erroneous diagnosis, when neuralgia is taken for a heart attack or ischemia.
Pinching of the nerve, in contrast to irregularities in the work of the heart, is accompanied by prolonged painful sensations that do not stop medicines.
.If the nerve is strongly transmitted, to the rest of the symptoms may be added pains in the stomach, which resemble a gastroenteritis, colitis, ulcer. You can delete these ailments yourself. It is enough to take an antispasmodic.
.If it helps to alleviate the condition, then the problem is of a gastroenterological nature. Otherwise, the pain is caused by neuralgia. The appearance of unpleasant sensations in the muscle tissues further worsens the person's well-being. This is caused by a response.
Muscles, if the nerve is clamped, convulsively contract, repeatedly increasing pain.
Pincushion can be episodic. In other words, instead of prolonged pain, a person suffers seizures that differ in character of the symptomatology and duration.
Often, neuralgia can occur at night, when the body is at rest.
The nerve is often jammed and in moments of taking a relaxed position, when the muscles are not overextended.
What are the causes of the disease?
People at risk are elderly.
Natural aging processes in the body do not pass without a trace for bone tissue, spine, nervous system.
This in no way means that young people do not suffer from this ailment. There are other reasons that cause the nerve roots to become jammed.
Often neuralgia develops against a background of vegetovascular disorders affecting not only the thoracic region.
.Practically everyone has this dystonia, which significantly expands the potential risk group.
.There is a similar violation of meteorological dependence, that is, a response to changes in weather conditions, severe headaches.
Vegetative nerves are highly sensitive to any moral and psychological overload. People who consider themselves perfectly healthy, often suffer from attacks of head and intercostal pain after suffering severe stressful situations.
The most common cause of nerve entrapment in the chest area is exacerbation of such a disease as osteochondrosis, and also caused by a problem with the back, increased tone muscles. These two factors most often lead to the ailment under consideration.
Exacerbation of osteochondrosis provokes the approach of vertebrae against the background of deformation changes in bone tissue, which gives the impetus for clamping the nerve endings.
Hypertonus leads to spasms and does not allow muscles to relax, which leads to harmful effects.
Both phenomena are most often manifested in people who are dealing with significant physical exertion.
Clamping the nerve end is not just a pain, but much more serious consequences.
There is a violation of normal blood circulation, which adversely affects the vascular system, does not allow the body to receive a sufficient number of important enzymes transported by blood. Nerve transmission can occur due to the presence of a hernia in the chest.
Nerves may become jammed when taking an uncomfortable posture, due to prolonged strains on the dorsal region. The development of the intervertebral hernia precedes the problem. People suffering from osteochondrosis should start treatment on time. Otherwise, jamming will occur regularly.
Treatment
It is prescribed exclusively after an accurate diagnosis and the identification of the underlying cause, which caused damage or nerve endings. Regardless of what gave the impulse, there are some general actions, characteristic for the treatment of this neuralgic problem.
The main goal of therapy is the release and restoration of the function of the clamped nerve.Excellent helps manual therapy.
To achieve relief of the condition, weakening the muscle tone, can be a light point massage. For some, one session is enough to relieve pain.
Talk about a full recovery, if the pain has receded, it is impossible. She can return again, but already in a more neglected stage. It is necessary to eliminate the cause of the pinch. Otherwise it will be repeated again.
.People with osteochondrosis need to constantly monitor their condition. You can not leave the disease without attention. Be sure to visit a neurologist to take a survey. If this is not done, pinching of the nerve can occur absolutely at any time.
.Of the drugs most often prescribed antispasmodics and drugs aimed at strengthening the walls of blood vessels and improving blood circulation. The first allow the muscles to relax, which alleviates the pain. If the case, really, neglected, the patient is ordered to wear a fixing corset.
After the removal of pain, prescribe light gymnastics and manual therapy. Both measures allow the spine to restore its lost functions, return to its natural state, prevent muscle spasms.
Patients who have been diagnosed with a hernia should discuss with the doctor the possibility of a removal operation. Without surgical intervention, pinches and pain in the thoracic area can be of a regular nature.
You can not get rid of pinched nerve endings in the chest, if the original cause was not eliminated. Dulling the pain syndrome, only delay the onset of more serious consequences.
If you do not approach treatment correctly and in a timely manner, it can lead to paralysis and disability. This also applies to osteochondrosis.
The progression of the disease leads to irreversible wear of the bone tissue.
When the back hurts, rest and therapy are necessary. Treatment procedures, if you listen to advice to specialists, should be held twice a year. Often enough to maintain the normal state of the spine, so as not to suffer any more from painful sensations, it is enough once a year.
Physiotherapy
Helps to quickly get rid of pinched nerve endings in the thoracic region. Special exercises can be done in case of chronic course of the disease, and during exacerbation. The main thing is that if you have pain, stop exercising and take a comfortable position for yourself.
The therapeutic complex includes the following exercises:
- Sit down on a chair. Straighten your back. Hands put on the back of the head, make a deflection. The spine is pressed against the upper back, bends back and leans forward. Repeat the movement 4 times. When bending back, inhale, and when leaning forward - exhale.
- They get up on all fours, fix the position of the spine. The head is held straight, which helps to smooth the spinal column. Begin to bend and arch your back. The cervical spine should continue the spine. It is recommended to do from 5 to 8 repetitions per 1 cycle. Each deflection must be accompanied by a return to the original position.
- They lay on their stomachs. Hands, resting their palms on the floor, put next to the body. Raise the upper body. The legs remain on the floor, but do not rise. The number of recommended repetitions is 5-8. The head in the extreme upper point can not be thrown back too much. The thoracic area should be stretched due to arching.
- They lay on their backs. The head, neck and body are lifted, legs are torn from the floor surface. For once you need to do from 8 to 10 repetitions.
The complex is quite simple, but effective.
How to prevent pinching of the nerve?
When the pain has passed and the disease has receded, you can not relax. If the jamming occurs, it can be repeated again. To avoid relapse, the following recommendations should be adhered to:
- Try not to overeat. It is better to eat more often, but in smaller portions. Otherwise, the load on the vertebrae will increase.
- It is advisable, if there is a slightest opportunity, to try to relax in sanatoriums and resorts located by the sea.
- Of course, you will not be able to completely stop wearing heavy bags. But the severity of lifting should be correct, periodically changing the shoulder.
- When work is associated with a predominantly sedentary lifestyle, breaks are necessary. You can do gymnastics or just go round and round.
- The chest should be kept warm. Clothing should be selected only by weather.
In the morning or in the evening it is recommended to do light gymnastic exercises.
Summarizing
Be sure to remember that pinching of the nerve in the thoracic spine has a similar symptomatology with impaired cardiac muscle. To timely conduct complex therapy and get rid of the disease, it is necessary to undergo a survey.
Self-determination of the need to consult a specialist allows for a lack of improvement after the acceptance of cardiac drugs. They do not stop the pain. And if so, you should go to the doctor.
To prevent the risk of clamping the nerve endings in the chest area, it is necessary to create conditions in which the muscles do not overextend. As this often leads to the emergence of neuralgic pathology.
.Cure pinching is possible only when not just release the nerve, but completely restore its normal function.
.There is no single universal method of treatment. Correct therapy involves a combination of medications, gymnastics, massage and other procedures.
Otherwise, the problem will only be replaced by the moments of relief, and the seizures will repeat.
A source: http://BuilderBody.ru/zashhemlenie-nerva-v-grudnom-otdele-pozvonochnika/
Pinch of the nerve in the thoracic spine and symptoms and proper treatment
Any person can be overtaken by a situation when a burning, sudden pain, which does not allow moving, or even breathe, collapses.
This may well be a manifestation of pinching of the nerve in the thoracic region, that is, squeezing it with intervertebral discs, vertebrae, muscles, accompanied by pain of a different nature.
In addition to the pain of pinching can be accompanied by a deterioration in the functioning of internal organs and development of neurological deficits (loss of sensitivity, partial impairment of motor activity). If the disease is severe, the development of temporary paralysis is likely.
Factors causing nerve entrapment in the thoracic region:
- Age. People of the middle and old age are more likely to experience pinching due to the general deterioration of bone tissue and the spine.
- protrusion, intervertebral hernia
- vegetovascular dystonia
- Spasmodic and hypertonic spinal muscles
- uncomfortable posture for a long time and high stress on the back
Symptoms of nerve pincers
The nature and strength of pain is determined by the type of pinched nerve and its location. The duration of the attack varies from one minute to several days.
The attack of pain ends as suddenly as it begins.
- Pinched sensory nerve provokes shooting, sharp pain in the place of squeezing the nerve channel and further along its course. They can carry both paroxysmal and permanent character
- The pinching of the autonomic nerves is characterized by pain simulating cardiac nerves. They are either pricking or may be aching. But heart medications do not stop them. Heart rhythm may break
- If the pinching is localized in the thoracic region, this provokes painful sensations in the type of intercostal neuralgia of the surrounding nature. Painful sensations are enhanced by inhalation-exhalation and movement
- The feeling of stiffness in the chest increases when trying to move
- Skin sensitivity varies
- Numbness, tingling from the back to the tips of the fingers and toes
- If the muscles of the back begin to contract as a response to the pain syndrome, this can greatly aggravate the patient's condition.
Treatment of the pinched nerve of the thoracic region
The complex of various medical measures is designed to solve the following tasks:
- liberation of a pinched nerve and restoration of the patency of nerve impulses along fibers
- elimination of spinal cord spasms
- an increase in the spacing between vertebrae
- improvement of blood supply and nutrition of the spine
- removal of possible inflammation
The treatment is performed by a neurologist or a helicopter specialist (spine specialist). A preliminary examination is performed by an orthopedic physician.
The method of treatment is determined by the cause that caused the attack and the type of the compressed nerve.
First of all, it is necessary to make an X-ray, possibly magnetic resonance imaging, to give a general blood test, to conduct an electrocardiogram, fluorography.
If the cause of pinching is osteochondrosis, it is necessary to visit a neurologist and carry out a full study. A visit to a specialist is necessary, since it is impossible to determine the cause, which caused pain, its exact localization, and self-treatment will be useless or will do no harm.
First of all, the treatment is carried out in conservative ways. Quickly helps to relieve the pain of a session of manual therapy. Also acupressure almost immediately can cause relief. But if you do not find the source of pain, she will return.
Drug prescriptions include medicines for vascular strengthening and elimination of disorders blood circulation, as well as antispasmodics, muscle relaxants and B vitamins, helping to establish metabolic processes in cells. Also prescribed ointments and gels with bee venom. Useful in this case is the gel Dolobene, this tool serves to warm and eliminate pain.
If serious diseases of the spine are not available, then the pinching can be eliminated very quickly. Most often enough is already several sessions of manual therapy, and relief comes after the first procedure.
If a hernia is found, it is advisable to consult with a specialist to remove it.
It is necessary to limit movement, but strict bed rest is not recommended.
Home Treatment
After visiting a specialist and following basic instructions, it is possible to continue treatment at home.
There are many recipes for reducing pain symptoms:
- Very popular ointment from carefully mashed hop cones, combined with a tablespoon of creamy unsalted butter, which is carefully rubbed into the place of pain localization.
- Kerosene soap applications
- Warm baths of medicinal herbs, the temperature of about 37 degrees: creeping thyme, roots of the aura, oak and spruce bark, flowers of cereals, spores, chamomile, sage, horse chestnut
- Tincture of lilac for grinding: pour a liter of vodka two glasses of lilac flowers and stand for several days.
- Wormwood rubbing for the spine. Prepare by infusion of a tablespoon of wormwood inflorescences on a half cup of hot water for two hours.
- For oral administration, infusion of cranberry leaves is made: a teaspoon of leaves per half a cup of water. Take half a cup three times a day.
- A good help is the juice from the leaves of celery, it is consumed 2 spoons three times a day.
- Decoction of yarrow leaves. A tablespoon of dried yarrow is insisted in a glass of boiling water for at least an hour. Take a filtered decoction of one tablespoon four times a day.
- Also, various means for internal consumption based on honey will be of great benefit.
In the absence of a positive effect of conservative methods, the attending physician may prescribe an operation. But this is the last measure to go, if the disease is irreparably started. With adequate treatment, the ailment can be defeated without surgery.
Self-medication with folk remedies without timely consultation with a specialist is quite capable of leading to very serious consequences: partial paralysis and disability.
With timely access to a doctor, the predictions are favorable. To reduce the risk of pinching the nerve, you need to train yourself to regular physical activity.
Developed muscles of the body will help protect important nerve nodes and make the load on the spine uniform.
A source: https://helportoped.ru/travmy-spiny/pozvonochnik/zashhemlenie-nerva-v-grudnom-otdele-pozvonochnika.html
Pinching of the nerve in the thoracic spine, symptoms, treatment, including at home
The pains that arise in the chest and stomach can be caused by hundreds of different causes, but among them the most common pinching of the nerves in the thoracic region occurs. This condition can easily be confused with other diseases of internal organs, so self-medication can not be done in any case, it is necessary to consult a doctor.
Description of the state
Daily loads have a negative effect on the condition of the bone and nervous systems.
Until a certain moment, a person can not guess that his vertebrae are being destroyed, but at the onset of pain, it is found that for a long time there are degenerative processes in the area back.
The cervical and thoracic areas are most prone to jamming nerves. Nervous roots are compressed by vertebrae or vertebral discs and cause severe pain, due to which it is sometimes difficult even to breathe.
Classification
There are several types of nerves that are prone to jamming in the vertebral column:
- sensory nerve;
- motor nerve;
- vegetative nerve.
Sometimes there is a pinched vagus nerve, which originates in the medulla oblongata inside the skull, descends the neck down to the thoracic region and then enters the abdominal cavity.
Causes and provoking factors
Pinching of the nerve rarely occurs without concomitant pathologies, like most other diseases. The most common are the following factors:
- exacerbation of intercostal neuralgia due to sudden movements or lifting of weights;
- age-related changes, leading to wear of bones, cartilage and nervous system;
- osteochondrosis, in which the nerve fibers contract due to dislocation of the discs;
- protrusion of the intervertebral disc at which the latter swells and leaves into the spinal canal;
- intervertebral hernia, accompanied by protrusion of the intervertebral disc between the bodies of the vertebrae themselves;
- various congenital or acquired disorders of posture. The most common is scoliosis;
- hypertonic muscle, which often occurs in athletes who are subjected to strong physical stress. Spasmodic muscles squeeze the nerve endings and lead to painful sensations;
- benign and malignant formations in the spine, whereby due to the increase in the tumor all adjacent tissues are squeezed;
- mental disorders, depression, stress;
- sedentary lifestyle;
- diseases of the cardiovascular system. Because of problems with the circulation of blood, the spinal cord decreases, less necessary substances are supplied to it, and accelerated tissue degeneration occurs;
- vegetative vascular dystonia provokes a pinched nerve;
- uncomfortable poses during work or other actions for a long time;
- supercooling, leading to inflammation of the nerve;
- visiting saunas and baths, which due to the influx of blood builds up the edema of the nerve roots and the pressure on them increases;
- traumatic lesions of the spine (cracks, fractures);
- infectious lesions, including herpes zoster.
Pinching of the nerve in the thoracic spine is a consequence of changes in which the ratio of the vertebrae to each other is disturbed
Symptoms
The manifestations of this condition are very diverse and at times depend on where the nerve was pinched:
- the compression of the autonomic nerve causes pain in the heart. The attempt to inhale or exhale may result in deterioration. Painful sensations can be sharp, pricking and extremely sharp for a long time. Cardiac drugs do not lead to improvement;
- the movements are constrained because of the inability to fully move. Sometimes, even with the slightest attempt to bend or turn around, acute pain arises;
- pain can spread from the vertebrae to the ribs, give in the hands, neck, lower back;
- numb upper limbs;
- manifest pain in the stomach, resembling gastritis or ulcer. Taking antispasmodics does not give a positive effect;
- disturbed sensitivity of a different nature. Part of the sensation decreases in the area of the pinched nerve and, conversely, the sensitivity of the skin to the touch increases;
- pinched sensory nerve is accompanied by acute pain in the place of its compression;
- pinched motor nerve often may not manifest itself, but in the future leads to a decrease in motor activity.
The pain of pinching the nerve is so strong that the patient can not make even the slightest movement
In particularly severe cases, the patient may faint, pressure rises from low to high.
Diagnostics and differential diagnostics
Differential diagnostics is carried out with the purpose to exclude diseases of the heart, stomach and other internal organs. Distinguish pathology from each other can a doctor on the basis of examination and the body's response to medications (antispasmodics, analgesics, cardiac drugs).
If the diagnosis is difficult, the doctor may prescribe an x-ray of the spine, ultrasound or magnetic resonance imaging.
In some cases, for the establishment of a specific affected area, myelography is performed (an X-ray photograph taken with contrast agents injected into the spinal canal).
.With the help of these methods, one can visualize the internal processes occurring in the spine and reveal the exact cause of the pains, as well as the pathology that caused the pinched nerves.
.MRI allows accurate pinch diagnosis
Treatment
At the first symptoms of pinching of the nerve, it is necessary to consult a neurologist. Depending on the degree of severity, the specialist will choose the appropriate treatment.
It is advisable to take the patient to take a sick-list for a couple of weeks in order to maintain a sparing regimen.
The back needs rest and rehabilitation, so that the painful symptoms pass as soon as possible.
First aid
Often, the first attacks occur suddenly, and before the arrival of a doctor you need improvised means to alleviate suffering.
During the first signs of pinching, it is worth trying to immobilize the patient and put it on a solid, straight surface to avoid unnecessary pain.
It is not necessary to impose a definite posture, since the patient himself will pick up the most optimal position of the body, at which the discomfort will decrease.
You can take non-steroidal anti-inflammatory drugs, which are in most home medicine kits (Movalis, Ibuprofen, Diclofenac).
Local anesthesia can also help with Ketanov ointment, which must be applied to the back and the areas to which pain is given.
If necessary, give the person an antipyretic and necessarily measure the pressure, as it can vary greatly during an attack.
Ibuprofen has an anti-inflammatory, analgesic and antipyretic effect
.If the patient is very nervous and thus worsens his condition, you can offer him an easy sedative sedative (Novopassit, Persen, Afobazol).
.In case of shortness of breath, release the chest from any stresses, open the windows and ensure the flow of fresh air.
Medication Therapy
Depending on the reason for pinching, the doctor can choose the following means for treatment:
- anti-inflammatory drugs (Diclofenac, Lornoxicam, celecoxib) - this is the most common group of drugs. Have analgesic and anti-inflammatory properties;
- spasming medications (Tizanidine, Tolperizone) are prescribed additionally in case of muscular hypertonia;
- strong prescription pain relievers (Tramadol), prescribed if the above combination of drugs did not give a positive result;
- B group vitamins (Neuromultivitis) improve metabolic processes in nerve fibers;
- Hondoprotectors (Teraflex, Chondroitin) improve blood circulation and metabolism in tissues. They are prescribed if the cause of the pinching is osteochondrosis.
Medication - photo gallery
Diclofenac - an anesthetic and anti-inflammatory drugTeraflex is a simulator of the restoration of cartilaginous tissuesTizanidine is a drug from a group of central muscle relaxants. Trimadol is a psychotropic opioid analgesic
Physiotherapy methods
Sometimes after the first reception at the manual therapist there is a significant improvement in the condition. It will also be useful to conduct electrophoresis, acupuncture, phonophoresis and UHF.
about manual therapy in osteochondrosis and nerve pincering in the thoracic department
Physiotherapy
In case of instability of the vertebrae, therapeutic exercises can be shown to strengthen the muscular corset supporting the back.
Exercise should be done regularly and gradually increase the intensity.
Sometimes after the procedure the doctor recommends wearing special bandages, stabilizing the position of the body.
At home, you can do exercises with the following set of exercises:
- Turns of hands. Perform lying on a hard surface. Pull out your legs, bend your arms in the elbows and position perpendicular to the body. With the help of pectoral muscles, start moving your hands in the horizontal plane, pulling them along the trunk. Do at least ten repetitions.
- Rifts of the body. Lie on your back bend your knees, strain the gluteus muscles and lift the pelvis. Point your hands up and start rolling from one shoulder to the other. All movements should be soft and smooth. Perform the exercise for 1-2 minutes, take a break and repeat the procedure.
- Turns to the side. Stand upright, bend your arms in the elbows, stretch the muscles of the body and make turns left and right, keeping your feet in place. Do ten repetitions, rest and repeat the exercise.
Surgical intervention
Operations are shown in the most serious cases, when it is impossible to cope with pinching with medication and various procedures.In the case of intervertebral hernias, it is sometimes advisable to remove them surgically.
The following types of operations are carried out:
- Discectomy, in which the bulging parts of the intervertebral discs are removed;
- laminectomy - removal of arches of vertebrae;
- spondylodesis - stabilizing operation on the spine;
- removal of tumor formations.
Folk remedies
Folk remedies can not always cope with pinching, but sometimes they can reduce pain.
Bath with herbal collection
On low heat for 20 minutes, boil two liters of water with a hundred grams of oak bark, nettle leaves and sage. Strain the resulting broth and add to a filled warm but not hot bath. Lie in it for 20 minutes.
Recipe for removing edema
Prepare a cold compress by placing pieces of ice in a bag and wrapping it in a thin towel. Drive in the inflamed area for five minutes. Do not do this longer, because you can supercool the nerves and aggravate the situation.
Ice compress will eliminate edema
Ointment for pain relief
Mix in equal proportions the tincture of valerian and fir oil and apply gently massage movements on the back area. Later it is possible not to wash off the received ointment, but only to get wet surplus with a sponge. Repeat every day until pain is reduced.
Prognosis of treatment and possible complications
In most cases, the nerve can be disposed of in a very short time without any consequences. Pain is removed, muscle tension decreases, mobility is restored.
In other difficult cases, when the cause became more dangerous diseases, the forecast is established depending on the degree of their severity.
In the case of intervertebral hernias, tumor formations and other serious diagnoses, the doctor will be able to predict the course of the disease and the effectiveness of treatment based on the results of the survey.
Prevention
To avoid pinching of nerves, there are several rules of prevention:
- support of normal weight, if necessary - weight loss;
- treatment in sanatoria;
- absence of hypothermia;
- stable physical activity;
- avoidance of carrying bags and weights on one side of the body;
- proper nutrition, rich in vitamins, potassium and magnesium;
- constant control of posture;
- absence of long static loads;
- use of orthopedic mattresses;
- a visit to the pool with a swim on the back with a crochet or breaststroke;
- passing courses of therapeutic massage, helping to increase blood flow, reduce muscle tension;
- a periodic appeal to the manual therapist to correct the curvature of the spine.
Prophylactic therapeutic massages will have a general health-improving effect and will serve as a prophylaxis of pinched nerves
Pinching the nerve is an unpleasant condition, but you can cope with it without much difficulty if you contact the doctor in time.
Do not engage in self-medication and for a long time postpone the trip to a specialist, since getting rid of disease in the early stages is much easier than to deal with serious complications in heavier stages.
- Ekaterina Sergeevna
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A source: http://spina-sustav.ru/pozvonochnik/zashhemlenie-nerva-v-grudnom-otdele.html