Thoracic spine: diseases, causes of persistent pain


  • 1Causes of pain in the thoracic spine
    • 1.1Etiology of chest pain
    • 1.2Muscle pain
    • 1.3Problems in the work of the musculoskeletal system
    • 1.4Diseases of internal organs
    • 1.5Dorsago - sharp pain in the chest
    • 1.6Timely diagnostics
    • 1.7How and what to treat diseases of the musculoskeletal system?
    • 1.8Medication
    • 1.9Physiotherapeutic treatment
    • 1.10Folk methods
    • 1.11Physiotherapy
    • 1.12Manual therapy
    • 1.13Acupuncture
    • 1.14Surgical care
    • 1.15Effects
  • 2Pain in the thoracic spine: causes
    • 2.1General information
    • 2.2The provoking factors
    • 2.3Clinical picture
    • 2.4The dystrophic process
    • 2.5Disorders of the work of sympathetic nerves
    • 2.6Dysfunction of internal organs
    • 2.7More about deviations
    • 2.8Differential diagnostics
    • 2.9Pain in the thoracic spine: treatment
    • 2.10additional information
    • 2.11Home physical education
  • 3Pain in the thoracic spine: symptoms, treatment
    • 3.1The nature of pain in the thoracic region
    • 3.2Why there are pains
    • 3.3Treatment of pain in the thoracic spine
    • 3.4Methods of manual therapy
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    • 3.5Medication Therapy
    • 3.6Physiotherapy
    • 3.7Physiotherapy
    • 3.8Prevention of pain
  • 4Pain in the thoracic spine: causes, treatment
    • 4.1Causes of pain in the thoracic region
    • 4.2Pain in the thoracic region due to osteochondrosis
    • 4.3The cause of the pain is the disturbed biomechanics
    • 4.4Spondylarthrosis and pain in the thoracic region
    • 4.5Reflexive chest pain
  • 5Causes of pain in the thoracic vertebral column of a vertebrogenic and non-carcinogenic nature: symptoms and treatment of probable diseases
    • 5.1Possible causes of pain
    • 5.2Possible complications
    • 5.3Diagnostics
    • 5.4Effective methods of treatment

Causes of pain in the thoracic spine

Pain in the thoracic spine may indicate the presence of theunpredictable diseases.

Most often, the cause of pain is the problems in the functioning of the spine and accompanying muscles, howeverproblems with the cardiovascular systemare capable of provoking the same reaction.

In this regard, with the appearance of acute pain is not recommended to engage in self-medication, as it is impossible to correctly diagnose itself at home.

Etiology of chest pain

Causesthe emergence of painful feelings physicians are divided into three large groups:

  • muscular neuralgia and impairment;
  • disruption of the locomotor system and spine;
  • disruption of internal organs.

In itself, the pain of this department, as a rule, manifests itself in different ways:

  • Sharp fettering - most often characteristic of radiculitis and muscular infringements between vertebrae, caused as a result of a sedentary lifestyle or severe physical exertion.
  • Aching pulling speaks about the presence of problems with the cardiovascular system, in particular the post-infarction state.
  • Periodic, lost during movement, can indicate possible vertebral hernias.

The nature of pain, as well as its duration and frequency- thisone of the key points in the survey, they talk about the presence of pathology. Let's consider in more detail all possible causes of pain in the thoracic region.

Muscle pain

Thoracic spineincludes 12 vertebrae, connected with each other. It is worth noting that this department is fully involved in the process of breathing, which is supported by an abundant muscular system.

Painful sensations in the muscles can occur in the following situations:

  • excessive physical stress, leading to stretching;
  • inflammatory processes of muscle tissue;
  • injuries of clavicles and ribs;
  • vasculitis, radiculitis, spondylarthrosis and other inflammations caused by pathogenic microflora.

Usually discomfort disappears when the patient takes a comfortable position and does not move, and also increases with any active movements.

Problems in the work of the musculoskeletal system

There are a number of diseases associated with bone tissue and possible deformities that can provoke pain in the chest. We will get to know them closer.

  1. Osteochondrosis of the thoracic region.It is characterized by abnormal changes in bone tissue, leading the spine to an unnatural position relative to other organs. Constant seats and force loads above the norm lead to the fact that the distance between the vertebrae the intervertebral discs cease to perform their functions, making any movement of the upper limbs painful. The acute stage of osteochondrosis, which is inherent in people of advanced age, implies constant pain in the sternum, especially during a deep inspiration, a strong prolonged cough and a sharp sneeze.
  2. Intervertebral hernia.The exhaustion of the disc, which serves as a kind of lining between the vertebrae, providing them with a comfortable contact, leads to the fact that the spinal fluid leaves the bag, provoking the formation hernia. For the thoracic region, which is marked by less mobility than the cervical and lumbar, a hernia is extremely rare, but it can easily cause back pain.
  3. Osteoporosis.This disease is considered the lot of elderly people, when worn joints practically lose their efficiency, and bone tissue irretrievably deforms.
  4. Curvature of the spine.Such ailments as kyphosis, lordosis, scoliosis and scoliophysis, characterized by a complete change in the shape of the entire spine, can cause permanent pain in the chest. This is explained by a whole range of disorders and infringements of the muscle and nerve fibers, which leads to the formation of painful sensations. They arise as a result of a long position of the body in a certain plane, in which the main groups of muscles of the back are involved.
  5. Injuries.Fractures of the ribs, nails and normal hematomas can also cause back discomfort. The pain is particularly pronounced in severe back injuries, which are accompanied by fractures of spinous processes with a violation of the integrity of the vertebrae.

Diseases of internal organs

Strangely enough, but the progressive inflammation andpathology of internal organs also reflected on the state of the back.

How are these two parts of the body connected? With the help of muscle fibers and nerve endings.

Irradiating spinal pain may indicate problems with the following internal organs.

  • Respiratory system organs.Lungs and a diaphragm, can have diseases, both inflammatory character, and oncological, provoking a pain in a back.
  • Organs of blood and the circulatory system.Myocardial infarction, accompanied by identical symptoms, problems with blood vessels and qualitative composition of blood, can become the main cause of painful sensations. Often problems with the liver provoke unpleasant sensations in the interblade area.
  • Organs of the digestive system.Gastritis and stomach ulcers can also cause back pain. This is due to the fact that these two parts of the human body have cumulative musculature.

On the disease of internal organs account for 20% of all pain,diagnosed in the thoracic region. However, this indicator should be taken into account when making a diagnosis, offering the patient to undergo a full medical examination.

Dorsago - sharp pain in the chest

A separate disease, or rather a symptom of acute sharp pain, is considered dorsago. This attack is characterized by the spontaneous appearance of dagger pain in the back, which it is almost impossible to liquidate independently.

There is such an attack because of a prolonged body in an uncomfortable position, which fetters the movement, disrupting the normal circulation of the sternum.

To distinguish a dorsal attack from a heart attack or stroke is rather difficult, because the symptoms are almost identical.

Spontaneous manifestation of an attack,which can not be eliminated with a tablet of nitroglycerinunder no circumstances, should be accompanied by qualified assistance. When palpation in the area of ​​the thoracic vertebrae, sharp, piercing pain is seen, which is transmitted into the cavity of the thorax.

Timely diagnostics

Many people negligently treat unpleasant sensations in the back, writing off them for overwork.

But when they do not pass for a long time, the question arises: where to seek help? Initially, you can go to the local polyclinic to the local therapist and tell you about the nature of the pain, their duration and strength.

After collecting the primary data, the doctor will necessarily send an x-ray study, which will give an idea of ​​the state of the spine.

Often, an x-ray image can be limited, in order to put the right diagnosis and get comprehensive help. If this is not enough, and you can not accurately establish a diagnosis, it is recommended to consult the following doctors:

  • traumatologist;
  • the neuropathologist;
  • oncologist;
  • gastroenterologist.

The mostThe optimal option is the passage of MRI. Although the procedure is not cheap, but its effectiveness compared to other methods of research is greatest.

How and what to treat diseases of the musculoskeletal system?

Depending on the diagnosis, the patient is selected individual treatment, which is made, both in the hospital and at home.

It is worth noting thatto treat the problems of the musculoskeletal system, it is necessary in a complex way, using not only medicinal preparations, but also exercise therapy (physiotherapy exercises).


Use such groups of medicines as:

  • antispasmodics- eliminate acute spastic pain;
  • nonsteroidal anti-inflammatory drugs- relieve muscle pain;
  • analgesics- eliminate acute attacks;
  • narcotic painkillers- are used in extremely rare cases, when the pain is unbearable and threatens with a painful shock;
  • muscle relaxants- Relax muscles, removing their acute spasm.

With regard to ointments and creams, their local effects are used in combination, given the compatibility of the drugs used.

Physiotherapeutic treatment

Physiotherapeutic procedures allow you to remove muscle spasm, normalize the bloodstream of the spine, and also give the back tone. The most popular and effective procedures are:

  • electrophoresis- is the impact of small doses of electric current, one of the most effective ways with intervertebral hernias and sprains;
  • ultrasound therapy- influences high-frequency waves on a problem site, stimulating its natural activation;
  • mud baths and compresses- help the spine to normalize all processes, reducing pain;
  • Sharko shower- jets of water, fed under a certain pressure, allow you to perform some kind of natural massage, normalizing the work of the spine;
  • phonophoresis- the introduction of small doses of drugs directly into the place of pain localization, using ultrasonic waves.

Folk methods

In folk medicine, various compresses, ointments and tinctures made from herbs and alcohol are often used. The most effective of them:

  • tincture of calendula and acacia- have a warming and anti-inflammatory effect;
  • a pack of burdock and lime- Increases muscle tone;
  • ointment from mutton fat and propolis.

Any folk recipes should be used with caution, and it is even better to consult with a doctor before use.


Simple, easy and accessible exercises, performed under the guidance of the instructor, will gently and gently stretch your back without exacerbating the patient's condition.

Usually LFK is the final stage of therapy, it is applied onlywhen the patient feels well and does not have acute inflammation.

The course of exercises will help to consolidate the positive result of medications and reduce the risk of such a situation in the future.

Manual therapy

Correct massage with elements of sharp pressure helpsTo put vertebrae on a place, to eliminate pains at an intervertebral herniaand to remove swelling of the muscle tissue.

An experienced specialist is able to put a person on his feet without using medicines.

However, incorrect movements can provoke the aggravation of the disease, so this procedure should be treated carefully and carefully, not trusting your health to the hands of amateurs.

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By thrusting thin needles into the skin, you can act on the biologically active points of the spine,eliminating any pain. This procedure can only be carried out by specialists whose experience of such manipulations is great enough.

Surgical care

When medicines, used in conjunction with other procedures,no results, the only way out is surgical intervention. Of course, any operation is a risk, but an experienced surgeon can remove a hernia, mount discs and remove various growths, with minimal consequences for the patient.


When addressing a doctor, each person wants to get rid of the disease as soon as possible, but it takes time to relieve the condition. How quickly the patient gets rid of the pain depends on the seriousness of the situation and the timeliness of the care provided.

Attention!!! Early diagnosis and the passage of routine medical examinations significantly reduces the risk of various problems with the spine.
Painful attacks can not be tolerated, it is better to immediately seek help from specialists. The consequences of self-medication can be most unpredictable. Take care of your health, it is always better to be safe than to let the disease run its course!How to forget about joint and spinal pain?

  • Does pain limit your movements and full life?
  • Are you worried about discomfort, crunching and systematic pain?
  • Perhaps you have tried a bunch of medicines, creams and ointments?

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Pain in the thoracic spine: causes

The pain of the spine in the thoracic area is often confused with the heart or with signs of a cold.

Many do not pay any attention to these sensations and do not rush to the doctor, nevertheless, discomfort can signal serious enough pathologies.

Further we will understand, what character at a pain in a thoracal department of a backbone. Causes and methods of therapy will also be described in the article.

General information

Before talking about what provokes pain in the thoracic spine, you should get acquainted with the anatomy of this area. It consists of 12 elements. The thoracic department looks like the first part of the capital "X". Specialists call this physiological kyphosis.

The department in question performs the task of keeping the back wall of the chest. The joints of the trunk participate in the attachment of the ribs. Together with them the skeleton of a backbone provides protection of internal organs and a thorax from damages.

Disks in this part of the pillar have a rather small height. This does not allow the spine to be very mobile in this zone. Staticness is also ensured by special processes. They are called awned. These processes are located along the column in the form of tiles.

The reliable position of this part of the spine is also ensured by the thorax. A narrow channel runs along the column. Even minor disturbances in it can provoke a hernia or a tumor, as well as the formation of osteophytes.

All these phenomena cause pain in the thoracic spine.

The provoking factors

Why do pains appear in the thoracic spine? The causes of the pathological condition can be different. Unpleasant sensations can occur with poor performance or injury to the muscles.

These phenomena, in turn, can be the result of damage directly to the thoracic department. The person begins to feel the discomfort between the ribs and in the press area.

Especially the pain of the spine in the thoracic region is expressed during active movements, with sneezing or coughing. Unpleasant sensations can be triggered by disorders of the digestive tract or heart.


Pain in the thoracic spine and discomfort in the throat may be associated with impairment of the respiratory system. The pathological condition in the area of ​​ligaments and joints in this area can be the result of stretching or inflammation.


Strengthening the pain of the spine in the thoracic region can be noted at the sites of attachment of the ribs to the post. The same can be observed also in the places of their adhesion. Often there are pains in the thoracic spine with exacerbation of osteochondrosis.

Particularly important in a number of provoking factors are injuries. The pain of the spine in the thoracic region may be a consequence of problems with the skeleton - scoliosis-type deformations. In most cases, they touch the pillar directly.

However, often deformations also extend to the edge group. In addition, it is necessary to take into account changes after damage to the musculoskeletal system. Often the pain of the spine in the thoracic region occurs in old age due to the development of osteoporosis.

Clinical picture

The nature of the pain may be different. It can be firm and strong. This can signal the presence of a tumor. Stitching pain can indicate the compression of the nerve roots.

Pathology can be caused by infectious disease. For example, a background disease is often a tuberculous spondylitis, an abscess of epidural sites.

In these cases, the pain can be prolonged and have a pulling character. As a provoking disease may act as herpes or herpes zoster.

Against the background of these pathologies pains are stitching, sharp, burning. The same sensations accompany vasculitis or diabetes mellitus.

The dystrophic process

If it extends to the intervertebral joints, then spondyloarthrosis develops. Later, osteoarthritis may join him. For this pathology is characterized by damage to the ribs, vertebrae and vertebra-rib joints and their transverse articulations.

As a result of this, narrowing of the holes occurs, which, in turn, provokes compression of the nerve roots near the post. The fibers are under pressure, and a strong inflammatory process develops in this area, accompanied by pain.

It is quite intense and makes breathing difficult.

Disorders of the work of sympathetic nerves

These structures are involved in regulating the activities of internal bodies. Disorders of their functions are often associated with violations in their work.

The pains arise in the sternum and can give into the zone between the shoulder blades or spread vertically along the entire vertebrae. They begin to increase with deep breathing or during active movement.


With the compression of the nerve root, the pain takes a surrounding nature. Most often it appears on one side - on the site where the intercostal nerve is located.


If his sensitivity is disturbed, limbs begin to grow dumb, a feeling of "running goosebumps" appears. However, it can happen vice versa. The sensitivity of the nerve can increase, causing the pain to become burning.

Dysfunction of internal organs

When the heart is broken, there are pains of the stenocardic type. The patient feels burning, general weakness, squeezing. The condition can be accompanied by pain in the liver.

At the same time, the activity of organs such as the stomach or intestines is often disrupted. A number of patients have difficulty urinating, also accompanied by pain.

In this case, it is recommended to conduct ultrasound. Also recommended radiography. During the procedure, the thoracic department is examined in two projections.

According to the pictures, the expert estimates the difference in height between the vertebrae, determines the presence of bone growths.

More about deviations

According to the statistical data, no more than 1% of cases of pain are associated with the appearance of a hernia of intervertebral discs of the thoracic region. As a rule, these pathological protrusions are formed in the four elements of the lower part of the column.

However, cases of the appearance of a hernia in the thoracic section are not uncommon. In this case, the spinal cord is compressed. It provokes severe pain. Osteoporosis is often accompanied by bone injuries, as their structure becomes brittle.

This is especially true for elderly patients. Osteochondrosis is very diverse in its manifestations. His clinical picture is often poorly expressed. The most obvious symptom of osteochondrosis is pain in the thoracic region of different intensity.


It can intensify after a load or in a supine position. Often there are pains in the thoracic spine at night. In this regard, a person is forced to constantly change the position during sleep.


In this case, the pain may be compressive or dull, acute or aching, as well as a burning character. It can spread to the entire area between the shoulder blades.

Often there are pains in the thoracic spine during pregnancy. A future mother in this case it is necessary to consult a specialist and adjust the regime.

The doctor may prescribe sparing therapy to relieve pain in the thoracic spine. Exercises are considered to be the most effective and suitable help in the prenatal period.

At a young age, there may be signs of Sheyermann-Mau syndrome. This pathology is accompanied by burning pain in the chest. It provokes its exacerbation of kyphosis.

In this condition, the spine begins to bend, which in turn is accompanied by deformation of its elements and the lower region of the breast.

Differential diagnostics

During the examination, in the first place, it is necessary to exclude the pathology of blood vessels and heart. For this purpose, the specialist appoints an ECG. Among other pathologies accompanied by pain in the chest, the most common are the following:

  • Pneumonia.
  • Myeloma.
  • Aneurysm and aortic rupture.
  • Pleurisy.
  • Pulmonary embolism.
  • A peptic ulcer.
  • Abscess of diaphragm.
  • Cancer in the pancreas.
  • Cholecystitis.

It is recommended to pass the examination with the following specialists:

  • Oncologist.
  • The neurologist.
  • Traumatologist.
  • Osteopath.
  • Gastroenterologist.
  • Specialist in exercise therapy.
  • The masseur.
  • A chiropractor.
  • The vertebrologist.

Pain in the thoracic spine: treatment

Condition therapy includes a variety of activities. This or that complex is selected in accordance with the causes, nature and duration of the course, as well as taking into account the individual characteristics of the patient.

As the main methods of treatment using manual therapy and massage. With a combination of these procedures, there is a significant increase in the effect, which leads to a more rapid disposal of the pathological condition.


Together with this, manual therapy and massage are considered the most gentle methods of influence. Nevertheless, a specialist must carry out the procedures.


When the massage is performed correctly and the manual effect, a fairly rapid elimination of soreness is noted.

additional information

Timely contact with a doctor and the appointment of treatment will avoid surgical intervention. If the process is protracted, then an operation is often prescribed. Intervention is performed in accordance with the indications.

An important factor in the elimination of pain is also the adjustment of the patient's lifestyle. The expert can recommend for a while to reduce physical activity, change the diet.

It is advisable to engage in physical therapy at home, to spend more time outdoors.

Home physical education

Specialists have developed special sets of exercises that contribute to significant relief and faster relief from pain. Some manipulations can be done sitting on a chair with a strong back.

For example, hands are folded on the back of the head in such a way that the spine is pressed against the upper back of the chair. Next, you should bend back and then lean forward, repeating this 3-4 times. The initial position can be lying down.

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At the same time, a roller is placed under the back to the chest area. It can be made from a towel, wrapping it on a rolling pin. The hands are folded behind the head. Next, you should bend over, and then raise the upper torso area.

In order to apply the effect to all areas, the roller should be moved along the spine, repeating the exercise 3-4 times.

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Pain in the thoracic spine: symptoms, treatment

Pain in the thoracic spine can not be overlooked. It can signal a variety of diseases of the bones, respiratory or digestive organs, as well as a symptom of cancer.

Suffer from pain in the thoracic spine of people who are engaged in hard work, leading a sedentary, sedentary lifestyle, with excessive body weight, injured in the spine.

That's why today almost everyone is familiar with the pain in the thoracic spine.

The nature of pain in the thoracic region

It is possible to suspect a pathology of the thoracic spine if there is a pain in the chest:

  • when inhaling or exhaling, physical exertion;
  • when tilting left or right;
  • in the region of the heart or liver, as well as giving under the scapula;

Pain in the thoracic region, which can be described as a squeezing, may occur due to compression of the spine and nerve roots. Very severe pain can signal the presence of tumors of the spine.

The pain caused by infectious diseases, pulling, are permanent and exhausting. Acute, severe pain in the thoracic region may be provoked by herpes zoster or herpetic infection. In some cases, the thoracic spine has a pain in diabetes mellitus or vasculitis.

Very strong, almost intolerable pain, the patient experiences with spondyloarthrosis.

Why there are pains

The thoracic spine and ribs form a strong frame, which reliably protects the internal organs.

This part of the spine is practically immovable due to the low height of the intervertebral discs and the spinous processes of the vertebrae.

Pain in the thoracic spine may be caused by the following reasons:

  • injury. If you injure the thoracic spine, a person feels quite severe pain in the muscles of the press when coughing or sneezing, and also with sudden movements. Any trauma, dislocation and subluxation can lead to damage to the spinal cord and to serious consequences for a person. In particularly severe cases, paralysis is likely;
  • chronic pain in the thoracic spine may be a consequence of pathologies of the heart, respiratory organs, gastrointestinal tract;
  • Osteoporosis can also be the reason that the thoracic department suffers;
  • Some infectious diseases lead to pain, for example, tuberculosis or poliomyelitis;
  • scoliosis, as well as kyphosis or kyphoscoliosis most often provoke pain in the thoracic spine;
  • radiculitis is also a common cause that the patient is concerned about the thoracic spine;
  • spondylarthrosis;
  • the spine can be ill with heart diseases: ischemic heart disease, angina pectoris.

If the thoracic spine sore, the diagnosis is carried out in three stages. First, the patient is asked to describe in detail the nature of the pain. The anamnesis is carefully studied.

At this stage, you need to determine whether the cause of the pathology of the spine or the case in diseases of internal organs, for example, the heart. The intake of nitroglycerin followed by observation can give an answer to this question.


Further, manual diagnostics is performed, during which the doctor can already determine the degree of the pathology of the musculoskeletal system in general, and also examine thoracic sections in detail.


Then, additional studies are carried out: X-ray diagnostics, computed tomography, magnetic resonance imaging. In addition, an ECG study can be administered to a patient. And only after this treatment is prescribed.

Treatment of pain in the thoracic spine

After the diagnosis is prescribed treatment.

These can be manual therapy methods, namely chiropractic or osteopathy, therapeutic massage, physiotherapy, physiotherapy or medication.

Depending on the diagnosis, one or more of the methods for exposing the entire vertebrae or only to the thoracic area may be used.

Methods of manual therapy

Treatment can be carried out in two ways. This can be chiropractic or osteopathy.

Some methods of osteopathy are used by traumatologists, orthopedists, and neurologists, but, nevertheless, the effectiveness of osteopathy is not proven, and the method is considered one of the directions of traditional medicine, but is resolved to use.

Patients suffering from pain in the thoracic spine, note significant improvement in well-being after treatment with the osteopath. At the heart of the method is the treatment of the entire human body as a whole, and not of its separate organs.

During the session, certain manipulations with the body are made, but there is no direct effect on the spine.

The technique has contraindications: some diseases of the brain and blood, mental illnesses, acute infectious diseases, bone fractures, osteoporosis, malignant tumors.

Treatment with chiropractic means the impact on the spine, including the thoracic region, joints and ligaments with jerks of varying intensity.

To achieve a positive result, if the thoracic spine hurts, with the help of chiropractic it is possible in much shorter periods than by means of osteopathy.

You can not treat the spine with chiropractic if there are bone fractures, tumors, mental disorders, wounds, tissue necrosis, osteoporosis, infectious diseases.

Medication Therapy

Treatment of pain only medication is undesirable. But as an addition to other methods, it gives excellent results if you are concerned about the thoracic spine.

In addition to anesthesia, with the help of drug therapy it is possible to restore microcirculation in damaged tissues, to remove muscle spasm, to remove inflammation, to remove swelling.


Unlike drug therapy, treatment with physiotherapy has no side effects and very well affects the spine in general and the thoracic region in particular.

But with her help you can achieve good results: remove swelling in the thoracic region, muscle spasm, reduce inflammation, improve lymph circulation and blood circulation, due to which organs and tissues receive all necessary substance.

You can not treat the spine with the help of physiotherapy, if there are metabolic disorders, decreased immunity, insomnia, migraine headaches, gastrointestinal diseases, cardiovascular system, gynecological diseases, urological, skin and others.

Due to the large number of contraindications, it is necessary to collect a complete history of the patient and correctly diagnose before the procedures.


Therapeutic physical training has both a preventive and therapeutic effect. This is a necessary stage of treatment of diseases of the spine, in particular, pain in the thoracic region. Today there is even a specialization - physician LFK.

Thanks to the correctly selected complex of exercises you can increase the tone of the body, strengthen the cardiovascular system, create a muscular frame for the spine, improve immunity.

Contraindications: tendency to bleeding, fever, sepsis, malignant tumors, acute infectious diseases, some diseases of internal organs.

That's why you should definitely contact an experienced physician.

Prevention of pain

Methods of prevention very pain in the thoracic department are simple. Observance of elementary rules will allow for many years to lead a healthy, active life and never learn what is the pain in the back.

  1. Only 20 minutes of time should be allocated in the morning to all the well-known morning exercises - and cheerful for the whole day and health of the back for life.
  2. Excess weight is not only an aesthetic problem. Each purchased extra kilogram increases the load on the spine. Therefore, you need to monitor the diet. The best diet for life is a balanced diet.
  3. Screw is not dangerous for those who are familiar with hardening. The rest is better to beware of hypothermia and drafts.
  4. It is important to sleep properly. A pose is preferred in which the spine is as relaxed as possible on the side. It is very desirable to purchase an orthopedic mattress and pillow, which can have a beneficial effect on the spine.
  5. It is necessary to organize the workplace correctly. Ideally, if you can buy an orthopedic chair. In any case, you need to sit with a flat back, leaning on the back of the chair. Legs should be placed on the floor without crossing.
  6. The car seat should also be orthopedic, provide a comfortable, physiological position behind the wheel.
  7. It is better not to lift weights at all, but if this is unavoidable, then the back should be even, not rounded, slightly bent in the waist.
  8. It is very desirable to go in for sports. It is important to do this under the guidance of an experienced coach, so that all exercises are performed technically, with the least strain on the spine.

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Pain in the thoracic spine: causes, treatment

The thoracic region is an extremely important vertebral area, since it carries a double supporting function - this is a support for the spine itself as a whole, and for the chest.

The protective function is also very important: it is in the chest that there are extremely vital organs whose failure means death to a person.

That is why the pain in the thoracic spine is always disturbing and makes you immediately seek its causes.

Causes of pain in the thoracic region

If the pain in the cervical or lumbar region is more directly associated with the pathology of the spine than with the internal organs, then in the chest area the situation is just the opposite:

The point is that the thoracic department is the most stable and compensated of all the parts of the spine. There are following explanations for this:

  • 12 vertebrae are strengthened by a rib framework (cage), which is attached using three types of articulations:
    • costal-spinal
    • intercostal
    • costo-sternum
  • The height of the intervertebral discs is small, and this limits the mobility of the department
  • The decrease in mobility also occurs because of the long length of the spinous processes of the thoracic vertebrae

Thus, the chances for development in them or the discs of degenerative-dystrophic processes are minimal:

Pain in the thoracic region due to osteochondrosis

Breast osteochondrosis is also quite rare and can develop for reasons:

  • Prolonged lack of mobility
  • Large loads, inadequate own capabilities
  • Age-related degenerative changes

How to determine its first signs?

  • Constant pain in the chest area. Localization and pain properties:
    • between the blades
    • between the ribs
    • appears in the hands when they rise
    • increases with breathing and movement
  • Provoke false attacks of angina, heart attack or gastritis
  • For chest osteochondrosis, there are two types of pain:
    • Dorsago - sharp pain, like a dagger blow
      • It hurts so much that it is difficult to breathe
      • The projection of a pain attack between the shoulder blades and gives grounds for the erroneous diagnosis of heart disease
    • Dorsalgia - moderate pain, accompanied by discomfort, muscle tension and a painful sensation when breathing
  • And another characteristic feature of breast osteochondrosis:
    • The feeling that you are in an iron shell, from which you can not escape even at night
    • after a motionless posture, the feeling of discomfort and the symptom of the surrounding pain only increase

Other causes of chest pain

Such reasons can be:

Scoliotic deformation:

  • scoliosis
  • kyphosis
  • kyphoscoliosis

The source of chronic chest pain at a young age may be Sheyermann-May disease, a hereditary disease with unclear causes, leading to abnormal kyphosis (stoop).


  • fracture and bruise of ribs
  • bruise
  • pneumothorax

This is a far from incomplete list of injuries that can be obtained by falling or striking

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The source of injuries in old age often becomesosteoporosis:

Periodically, chest pain can also be caused bybronchitis.
You probably noticed that a strong cough in a couple of days necessarily causes pain in the costal area? This is due to excessive stress on the rib muscle due to a persistent cough

The cause of the pain is the disturbed biomechanics

And yet the most common cause of pain in the thoracic region, from directly related to the spine - is a biomechanical disorder. Let's consider in more detail, in what it is shown.

The second reason is rib pathology:

  • Because of the inconvenient posture, the ribs are blocked together and the tension of the muscles
  • All this contributes to the development of scoliosis, increased muscle tension and the growth of painful chronic process

Thus, the blockage of mobility in this area of ​​the spine occurs more often due to articular and costal pathologies, rather than vertebrae.

Spondylarthrosis and pain in the thoracic region

Because of the large number of joints in the thoracic region, such a disease as Spondylarthrosis and its more severe stage - osteoarthritis can become a real disaster and a permanent source of pain.

Progression of arthrosis can result in:

  • to the formation of bone growths (osteophytes)
  • to stenosis of the intervertebral canal
  • to infringe not only the spinal nerve, but also sympathetic ganglia (nodes of the vegetative system associated with the spinal nerve and innervating all the organs of the human body)

Therefore, it is not surprising that thoracic spondyloarthrosis leads to the same radicular and sympathetic syndromes as osteochondrosis, according to the type:

  • The phenomena of paresthesia (numbness, chills, chills, burning)
  • Heart Attacks
  • Gastrointestinal disorders, etc.

If you have painful joints, then do not be surprised that it periodically hurts in the region of the heart or stomach. Such symptoms do not at all mean in fact that these organs are sick.

Reflexive chest pain

Nevertheless (we will repeat again):

Pain in the chest is most often caused by diseases of internal organs, rather than the musculoskeletal system:

  • Pleurisy
  • Pathologies of the thoracic aorta:
    • stratification
    • aneurysm
    • thromboembolism
  • Back myocardial infarction
  • Pancreatitis
  • Cholecystitis
  • Ulcer of duodenum and stomach
  • Diseases of the diaphragm

It is also possible to exclude the most critical options:

  • Cancerous tumors of vertebral bodies and spinal cord
  • Tuberculosis processes in the spine or lungs
  • Malignant pathologies in internal organs
  • Epidural abscess

Therefore, if there was a pain in the chest, to her in no case can not be treated scapegoat.

The examination of the thoracic spine should begin with a doctor-therapist, who will then forward to one of the following specialists:

  • Cardiologist
  • To the Pulmonologist
  • Gastroenterologist
  • Orthopedist (or vertebrologist)
  • To the
  • Neurologist and other doctors

Health to you!

: Pain in the thoracic spine


A source:

Causes of pain in the thoracic vertebral column of a vertebrogenic and non-carcinogenic nature: symptoms and treatment of probable diseases

Complaints of pain in the thoracic spine are not uncommon.

The height of the intervertebral discs is less than in the cervical and lumbar region, the spinous processes of the thoracic vertebrae are quite long.

The middle part of the supporting column is less mobile, the dystrophic and degenerative processes proceed with low intensity.

Often, the pain syndrome appears against the background of injuries and inflammatory processes with the penetration of infection. Discomfort of varying strength in the thoracic region often occurs when internal organs are affected.

Possible causes of pain

The appearance of unpleasant sensations in the middle of the back, heart area, rib area, directly in the spine or between the shoulder blades is an occasion for an early visit to the vertebrologist.

When doubting the causes of discomfort, you can visit the therapist, take tests, voice complaints. Further the doctor will direct to the narrow expert: vertebrologu, the neurologist, the traumatologist-orthopedist.

Not always pain in the spine indicates problems with the pillar: the cause of discomfort lies in the defeat of the heart, blood vessels, liver, stomach.


Sometimes the examination shows the development of malignant tumoral process in the prostate, mammary glands, other organs with metastases to the spine.


Pain vertebrogenic nature (associated with pathologies and spinal injuries) arise against the background:

Acute and moderate pain are associated with various causes:

  • pinching sympathetic nerve fibers;
  • compression of the spinal cord and nerve roots;
  • development of the dystrophic process in the intervertebral joints;
  • affection of the intercostal nerve.

The pains of a non-aboriginal nature (reflected, projection) in diseases of internal organs cause:

  • pancreatitis;
  • stratification, thromboembolism or aortic aneurysm;
  • diseases of the diaphragm;
  • vasculitis;
  • cholecystitis;
  • pleurisy;
  • epidural abscess;
  • pulmonary tuberculosis;
  • diabetes;
  • ulcer in the stomach and duodenum;
  • herpetic lesions;
  • myocardial infarction.

Nature of pain:

  • dorsago. Painful, sharp pain, piercing the thorax (chamber). The sensations are so strong that it is difficult to breathe;
  • dorsalgia. The discomfort is moderate, there is a spasm of muscles, unpleasant sensations during inspiration.

The pain is:

  • girdling;
  • stupid;
  • acute;
  • shooting;
  • noisy;
  • weak;
  • chronic.


  • the patient complains that the breast is crushed by an "iron hoop
  • there is burning, tension in the thoracic part of the support column;
  • unpleasant sensations are amplified by sneezing, movement, deep inspiration;
  • pain gives to the zone of the liver, heart, under the scapula, in the sternum;
  • the affected area, the adjacent tissues grow numb, it seems that creepy creeps are creeping over the body;
  • pain intensifies when probing the problem zone, slopes, raising hands, bends;
  • sensitivity of the problem department increases, touching the back causes trembling, burning, unpleasant sensations.

On a note!Many symptoms in the chest and spine with diseases of the pillar are often confused with the development of a heart attack, acute gastritis, myocardial infarction. It is no accident that physicians prescribe a comprehensive examination, a visit to a cardiologist to exclude or confirm the presence of pathologies of the heart muscle. With dorsago (sudden lumbago in the chest), in contrast to the infarction, palpation of the problem area intensifies the painful sensations.

Possible complications

If the pain in the spine appears against the background of spondylarthrosis, ankylosing spondylitis, thoracic osteochondrosis, then doctors advise not to start a disease, on the background of which develops acute or chronic discomfort. Over time, the pathological process in the bodies of the vertebrae and discs progresses, there is a sympathetic and radicular syndrome.

The risk of complications is increased:


When there is pain in the chest, ribs, between the shoulder blades, muscle tension, neurological disorders, you need to visit a specialist or a therapist. The doctor examines complaints, anamnesis, reveals possible causes of discomfort.

Diagnostic procedures and studies:

  • X-ray (two projections);
  • MRI of the thoracic department;
  • removal of the electrocardiogram;
  • conduction of ultrasound of the heart, pelvic organs, abdominal cavity;
  • biochemical and general blood analysis;
  • collection of material from the problem area (puncture of the spine) when suspected of serious infections (tuberculosis spondylitis);
  • electromyography to clarify the state of muscle tissue;
  • scintigraphy of the skeleton. Study with a contrast agent is often prescribed with a high probability of metastases and oncological diseases of the spine.

Effective methods of treatment

After a comprehensive examination, the diagnosis of the patient begins therapy under the guidance of a specialist: the profile depends on the detected disease. In severe cases of pathologies, the detection of a "bouquet" of diseases will require the help of several doctors.

During the period of therapy, the patient receives recommendations for correcting the regimen of the day, proper nutrition, motor activity, organization of sleeping and working places.

It is important to know:in the presence of bad habits (addiction to alcohol, smoking, excessive consumption of strong coffee), treatment is of low effectiveness.

Many pathologies of the spine, provoking vertebrogenic pain, have a chronic course. The patient must follow the doctor's instructions to reduce the risk of exacerbations.

Who to contact:

  • Vertebrologist or orthopedist.Degenerative and dystrophic processes in the spine, congenital deformations of the supporting column, scoliotic changes, problems with joints, back muscles. For the treatment of most diseases, an integrated approach is needed: preparations for oral administration plus local remedies (NSAIDs, muscle relaxants, chondroprotectors, vitamins of the group B, corticosteroids), massage, therapeutic exercises (Dr. Bubnovsky's complex provides a good result), multi-needle devices (Lyapko applicator and applicator Kuznetsov). For the health of the back and spine are useful turpentine, radon and coniferous baths, electro- and phonophoresis, mud treatment, ozocerite applications, magnetotherapy. A good effect is provided by the underwater and dry extension of the support post.
  • Traumatologist.With bruises, compression fractures of the vertebrae, rupture of ligaments, destruction of bone elements, it is often necessary to wear a plaster corset or an operation on the spine. The doctor specializes in the treatment of injuries of varying severity. With low effectiveness of conservative therapy, the doctor prescribes treatment in the neurosurgery department. To restore the bodies of problem vertebrae, to remove pinching of the nerves, use minimally invasive techniques, including puncture vertebroplasty.
  • Neurologist.The doctor eliminates the causes and manifestations of intercostal neuralgia, radicular syndrome, cerebral disorders on the background of spinal diseases, lumbago, sciatica, lumboschialgia. The specialist deals with disorders of the central and peripheral nervous system. When a spinal column is diagnosed, the patient also visits the vertebrologist. The patient receives drugs to improve the blood supply to the problem area of ​​the spine and brain, neurotropic B vitamins, sedatives, NSAIDs, injections / tablets of glucocorticosteroids, applies to the painful zones of the ointment plant extracts and warming facilities. It is useful to perform complex exercise therapy, receive massage, physiotherapy.
  • Phthisiatrician.One of the reasons for the pain syndrome is osteomyelitis (an inflammatory process in the bone tissue). Tuberculosis spondylitis is also dangerous. Severe disease often develops against the background of penetration of mycobacteria tuberculosis. To combat a dangerous infection, the patient is treated in a specialized institution - a tuberculosis dispensary. It is important to stop the development of infection, to prevent the destruction of the vertebrae. Specialists of the TB department select an individual complex of anti-tuberculosis drugs (Isoniazid, Rifampicin and others), depending on the severity of the disease, the characteristics of the body, contraindications, age. Long-term therapy - 6, 9, 12 months or more.
  • Cardiologist.The specialist provides treatment for pain in the thoracic area, if the examination showed the development of diseases of the cardiovascular system. Reflected pain in heart pathologies is often confused with the defeat of the pillar. If discomfort in the spine weakens after taking cardiac drugs, then you need to be examined without delay from the cardiologist.
  • Gastroenterologist.Ulcerous lesions of the mucosa of the digestive tract, gastritis, colitis, severe liver damage, acute pancreatitis, oncological pathologies of the pancreas can provoke soreness in the thoracic region department. The doctor prescribes a set of drugs and a diet.

When a malignant tumor is detected, treatment is performed by an oncologist.

Pain in the spine is a signal about a malfunction in the body. It is important to find out the cause of discomfort, to understand, the thoracic section of the support column or the patient is disturbed by projection pains on the background of heart diseases, digestive organs, lungs, and diaphragm.

Comprehensive examination and treatment in the specialized specialist is the best option for eliminating acute and moderate discomfort in the ribs, chest, between the shoulder blades.

In the next video the neurologist tells about the frequent pains of the spine and about the irradiation of the pain of the internal organs in the thoracic part of the support post:

A source:

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