Toracalgia Cervicalgia Syndrome. How does thoracalgia appear on the background of the osteochondrosis of the thoracic spine? Clinical picture of Toracalgia syndrome

MKB-10: M54.6 Pain In Thoracic Spine (Pain in the Breastpiece of the Back)

(Per. with lat. torax - breast, algia. - pain; Pain in the chest) is a syndromal diagnosis that matches pain in the thoracic region. The most often occurs vertebrogenic (discogenous) thoracalgia - pain arising from the lesion of the intervertebral disc, vertebrogenic genesis. According to research, Toracalgia ranks second in the frequency of urgent appeals to ambulance, after acute abdominal pain.

Dr. Ignatiev's clinic conducts diagnostics and treatment of Toracalgia. Reception is made by appointment.

In European countries, 25% of the adult population is experiencing chronic thoracalgia (Bonomo L., Fabio F., Larici A.R. N, 2002). Pain in the chest department in 31% of cases occurs due to heart problems, 42% - problems with the gastrointestinal tract (often gastroesophaginal reflux), 28% are caused by skeletal and muscle disorders.

Restriction of mobility with breast osteochondrosis

Symptoms of vertebrogenic thoracalgia

• chest pain;
• number between the blades;
• pain when tilting, bending, rotation of the body;
• pain under ribs, front on the chest (front wall);
• pain that gives his shoulder;
• soreness when inhaling, exhale and some others.

Thoracalgia may occur as in the child (reaction to the rapid growth of the body, some diseases) and adult age. Not regular physical exertion, injuries, sedentary lifestyle, stress, ecology and many other factors contribute to the emergence of diseases of the spine. A special test for the spine represents a pregnancy for which the likelihood of this problem is not excluded.

Diagnostics of the mobility of the spine in the chest department

Causes of Toracalgia

The most common cause of breast pain is: scoliosis, osteochondrosis, the hernia of intervertebral disks and are much less likely any other diseases.

Leading position - thoracalgia Against the background of osteochondrosis, because the height of intervertebral discs is reduced, the height of the intervertebral channels decreases and the probability of infringement increases.

Dysfunction of rib vertebral joints: A-norm; B, B - options for pathology.

Since pain may occur on the left, right or in the center of the spine, this may indicate the infringement of certain roots. Right-sided localization is somewhat more often left.

Causes of vertebrogenic Thoracalgia:

• Osteochondrosis, disk protrusion, intervertebral hernia of informous or cervical;
• Scoliosis, kifoscoliosis, Lordoz, Scoliotic posture, SHEERMANNA-MAY disease;
• Miofascial pain syndrome, Malgia Muscles of the Breast Department;
• Functional blocking of faceted joints in the thoracic department;
• Compression and ischemic lesions of nerve roots.

Other reasons for chest pain: Myocardial infarction (sharp pain with heartbeat, loss of consciousness, etc.), lung diseases (arises on the background of temperature, cough), sliding lisha (local rash on the site of dermatoma), in women, dairy glands etc. In his practice, we met a variety of cases when a helminthine, Titz syndrome and even ordinary furunculez hid under pain in the chest. Any treatment always start after complete diagnosis.

On practice:

We often meet the pain of multifactorial origament. Osteochondrosis itself or infringement is not able to cause long-term symptoms (contrary to many convictions). The leading position is behind the cardiovascular system, and when it is excluded, myofascial pain or rib dysfunction, but it is precisely the disease described above.

Breast Spine Department

Top Toracalgia, Related Diseases
1. Veritebrogenic, discogenous;
2. Toracalgia during pregnancy;
3. Psychogenic thoracalgia (pain arising during overvoltage, long-term seat);
4. Chronic thoracalgia (including vertebrogenic);
5. Bone-muscular thoracalgia;
6. Left-sided, right-sided thoracalgia.

Thoracalgia - Diagnostic

Since pain may arise due to the problems with the heart or light, the first thing should be carried out ECG (be sure to carry out reinforced and infants using a headband), echoch and fluorography. The next step will be the search for the problem in the spine. It should be remembered that the pain can cause not only the chest department, but also cervical.

In childhood (up to 17 years), when the question arises about the possible violation of the posture, the deformation of the spine, the optimal version will be the x-ray of the thoracic department in two projections (sagital and frontal). The most common cause of breast pain in children (more often than boys) - Sheermann-May disease, affect which it is possible to influence which the main formation of the spine (13-14 years).
In more adult age, it is necessary to carry out MRI of the cervical and thoracic spine, since the damage to intervertebral disks, nerve fibers cannot be diagnosed by other methods.

The diagnosis is of great importance during the inspection by a doctor, testing tests and testing symptoms. One of the obvious symptoms of the hernia of the chest department is pain that increases with coughing, chihannie, head slopes, damage torso. These are signs of tension of nerve fibers and, as a result, pain occurs.

Thoracalgia should be distinguished from intercostal neuralgia, cervicalgia and thoracichargia. With intercostal neuralgia, the pain piercing, more often - in front of the chest. When thoracicing, the pain puts in hand. Cervicalgia is pain in the neck if the pain in the neck is combined with the breast, then the name of Cervico Toracalgia, vertebrogenic cervicalgia and Toracalgia

Thoracalgia syndrome usually does not cause difficulties in diagnosis, while determine the cause of pain and the main disease is much more difficult.

In a number of countries, Toracalgia does not take into the army, with a significant limitation of mobility can disability. In the US, from 1997 to 2007, a mortal outcome of the diagnosis was registered.
Algorithm for diagnosing chest pain, Dr. Ignatiev clinic:
1. Anamnese collection is the intensity of pain, duration, localization, reflected pain, changes when changing the position of the body, the effect on meal, burning nitroglycerin;
2. Pain source - surface pain (p. 2.1), visceral (from internal organs, p. 2.2), post-traumatic;
2.1. Surface pain - muscular, bone, skin, bone-muscular thoracalgia;
2.2. Pain from internal organs - cardiac (p. 2,2,1), not heartfelt (p. 2,2,2);
2,2,1. Cardiac pain - ischemic (im, ox), not ischemic (myocarditis, pericarditis, vertebrogenic cardiomyopathy, non-barogenic cardiialgy);
2,2,2. Not hearty pains - light, gastrointestinal tract, aorta, mediated, psychogenic.

Trigger pain can cause long-term painful sensations in the muscles. Often it is a big and small thoracic muscle, but often you have to meet TT and in other muscles.

Chest muscles that can cause pain

Treatment of vertebrogenic, discogenous radiculopathy

Manual treatment techniques for the treatment of vertebrogenic Thoracalgia, Kiev

Quote: " Often, in just a few healing techniques, you can forever eliminate all the manifestations of Thoracalgia, without any consequences for the body ...»

In the clinic of Dr. Ignatiev a course is held toracalgia treatmentwhich lasts about 1-1.5 months. The course includes the correction of the spine, therapeutic gymnastics (charging), various unamicated methods of influence on the affected segment.

How is the treatment of vertebrogenic thoracalgia in Dr. Ignatiev's clinic:

In practice, the soft techniques of manual therapy have proven well. It is recommended that the use of the technician of the postisometric relaxation, using motor and eye synergies, the skin-fascial release; The method of manual inactivation of trigger points, sharp image relaxation, peripheral variants of cranios-cracker technique. To eliminate the dysfunction of rib vertebrate joints, manipulating techniques can be used.

Medical therapy practically does not have to be appointed, but in rare cases it may be necessary to receive NSAIDs (proven to Lornoksikov, diclofenac sodium), vetonics, mineslaxants, etc.

Doing the Medical Charging to the course passed is not recommended, as it can aggravate the condition. The use of massage, warming ointments is contraindicated because it increases blood circulation to the affected root, thereby increasing swelling.

Without treatment, pain can last decades and chronic vertebrogenic thoracalgia develops (pain that is accompanied by more than 2.5 months).

Note! Advice online is not held. Record on contact numbers ..

Pain between the blades. Lot the heat explosion in the chest.

Hello for years for years I suffer in the left thoracic pane of pain in the hands of the thoracic, jumps the pressure, the doctors have diagnosed Toracalgia to fly for the third year, but there are no changes. Please tell me what it can be what you can do what treatment? Can these pains be caused by polype in the stomach?



Hello. I have a regular osteochondrosis, scoliosis, protrusion, hernia, dorsalgia, thoracalgia, stenosis, spondylolisthesis, spondylosis, spondyltrotrosis, two-sided lumboy worshiology, retrolistis, hemangeoma, coxarthrosis. And last year, during the examination, I was discovered in the head, the volume growth of MMU, the inner and cyst of the Turkish saddle. Twice a year lying in hospitals. Than just I was not treated. I also visited the signs and at Cosmoenergetics. They all help, but temporarily. Now for more than half a year, pain in the left breast is tormented, they say that this is intercostal neuralgia. How to get rid of this neuralgia? If anyone knows how to get rid of this neuralgia, please tell me. Thank you in advance.

Two years ago there were pain in the thoracic in front. Manifests itself when turning, slopes, deep breath. Sometimes some clicks are heard. Also, constant back pain on the right in the lower part of the breast department. Mentally made an MRI of the chest department. According to the conclusion of osteochondrosis and hemangioma 1.5 cm. Can hemangioma give symptoms in front of the chest front pain.

Hello. Somewhere months ago, there was a chest pain. To be more accurate, then exactly between the throat and solar plexus. If you click, then the pain is enhanced, a small cough is revered periodically. With a duty of the seat on the spot, the pain is slightly enhanced. Such an impression, how whether it would be a constantly chest presses something. Initially, Terapert will appoint hot injections (like sharp tracherti), injections did not help said that through time it will pass, everything is fine. Now another therapist said that it is intercostal neurology and prescribed injections. Made all the injections, did not help. He said that he did not know why she could not, but this is exactly neurology. Analyzes are good, the heart is also in the ECG in order, the fluraraphy is fresh and nothing has eaten. Topazhir please, what can it be and to whom to contact? Thank you.

A year ago there was a resection of the lung during the operation broke 6 and 7 edges. Now it worries terrible pain in the ribs made CT turned out to be the ribs collapsed and closed the nerve. Offer the first one to make novocaine blockades while the nerve is not atrophied, the option is two resection of the ribs along with the nerve, the option is three pricks an inseparable and drink tablets and wait. What should I do???

You need to contact a thoracic surgeon. He must answer these questions. Our technique in this case is not applicable.

1. Hello, years already worried about back pain somewhere in the area of \u200b\u200bthe blades, I can not sit for a long time, the back will hurt in the evening. Cyffes were found on Rengaten 41 °, MRI was made (I attach). Tell me, is it possible to restore the posture how you can get rid of pain and in general what you would advise in my case. Thanks in advance!

   

   My husband is worried about pain with even a minor load in breast deposit. Spine on the right. Closer to P - ku in the region. 9 - 10 vertebra. Using pain, if you just lie on your back. The surveys did not pass. Age 75 years. From 62 years old - b - Ny Parkinson .. Dulcitate, but the condition gradually deteriorated. When palpation in this region. The pain is sharply enhanced. If I may. Advise what survey must be taken to clarify the diagnosis and subsequent treatment

   Good morning! He took a picture. They diagnosed wedge-shaped scoliosis and the payment of cervical vertebrae, Toracalgia. To disturb the pain in the spine, especially in the cervical department, the rapid fatigue, the anime of the limbs, weakness, pain between the blades. Movasin, Milgamma, Hondragrad, Nicotinic Acid are prescribed. Does not help. What treatment can still try? Maybe this is the consequence of some kind of injury? (As a child, it fell hard on the ice) Thank you !!!

   He's getting worried about the pain in the chest to the left and behind the blade nemethh hurts in the thoracic selection of the body's condition of the body very bad weakness darkens in the eyes There is nothing to do not help the commander of all nervopnotologists in Kazakhstan, tell me how to get rid of this disease. Thanks in advance.

   Good day! Mene Turbuє Taka problem. Opechasiya on Leugeni (Lobektomia) was held in Lyudo Mizyatsі Bula, Pisl strong stress (death from Motherland) I was depicted in the appearance of pain in the Tiy part of the primer Klіtki, de Boula Opechasiya Bіl in the Milkinius Znozі, this ripped Uzv Ale Zmіn Niy Majaє, EXTRESSIVE Zb_lshennya L_mfovuzla in the mezhal norms Mіzh Lopatow. Suputno Zhorovnya Osteochondrosis of the Otino-Breast Vidd_lu Tu Skoleyoz 1-2 Student Ozchi Zmіni to organіzmі.bil trivada is already 4 mіsyatsіyki!

   Hello! I have sclerosis acquired.
   After the operation on the heart.
   Recently.
   Pain began to manifest.
   In the neck, in hand left.
   I can not raise your hand.
   Stretching to make.
   I think it is sclerosis.
   Although the back is not Zhorbenna.
   Windows in the middle of something.
   Very useful article Thank you.
   You.
   And what charging to me to share. Massage can not be bad from him.
   And most importantly, the hand hurts for almost a month.
   The neck is no longer very.
   Of course, I have stress, too, for reasons.
   It is called?.
   Advise which pills, ointments.
   And do and take charging.
   Thanks in advance.

   Dear doctor. I have such a question, here my chest itself does not hurt. But the pain appears only when I turn my head in any direction and with a strong breath. What could it be?

   Good afternoon, dear doctor! For more than 3 months, I suffer from incomprehensible bouts of pain, which mainly comes in the morning, starting in the cervical spine and quickly moving to the chest. At this time, almost everything hurts: the heart, stomach, hands, the pressure jumps to 180-200 / 110-120, covered with cold later, I can not move. Gradually, after receiving tablets, the advocation state is improving. And so daily several times a day, or even at night. Many specialists were examined, the diagnosis of the heart, the spine, all sorts of blood tests. Nothing can determine any doctor, each doctor appoints his medication treatment, but the symptoms of the disease remain the same. Maybe you will tell you something. Thanks in advance.

   In order for you something to advise you, you need to see your MRI neck pictures.

2. I have such a question whether Toracalgia can influence the quality of breathing, I have such a feeling that I constantly lack air. At the rotations of the body in different directions, the chest hurts.

   Yes, it can affect. But it also needs to be selected by the pathology of the heart and lungs, for this you need to contact the profile doctors. And if according to these organs, the norm can be written and come to the treatment of the spine. Yours faithfully

3. Sore chest and spine what to do

   Hello. I am 48 years old began to appear in the chest pain, pain in the form of a spasm gives a feeling in the back between the blades, the feeling as in childhood when you eat bread in Sukhkyyky. For the first time, these pain appeared at 35 years later, then they were not at all. In total, the pain appears during the seat and it becomes easier if I wander back back. Remove the pain of ordinary painkillers. Appealed to therapists each of their own version and all different

   Good day! Happy New Year! Please tell me, recently aggravated the chest pain in the part where the heart, and right. Pain is irraded to hand in the little finger. On the right hand in the thumb, and shoulder. Pains are not strong, annoy. Sometimes in the right part intensifying when swallowing hard food. Recently made ECG, fluorography, gastro. There is no anomalies. And the pain remained, and even if I click on the right side of the neck, I feel pain. Tell me what doctor will you contact and what could it be?

   Good day. Half a year ago began the unpleasant sensations in the chest left. Give in the left hand, left armpit. As if something stops under the arm. Passed the fluorography, made the ultrasound of the mammary glands, saw Masteopathy said nothing terrible. They diagnosed intercostal neuralgia. Propil Naz and ointment. It was easier but not for long. Then again the unpleasant feeling began in hand. And then there were unpleasant squeezing feeling in the back on the left under the blade and lower. On the back it is imperceptible to sleep begins to pull the left side I go to Spotr the hall after him intensifies ... or it seems to me ... I went to a neurologist. Made a cardiogram everything is normal. They diagnosed left-sided thoracalgia. I dug a couple of days a tablet as it was easier. Went
   Sports to do again the pain has come .. Maybe what's the tests to pass or the fluurgography still go? ..

   Hello! Approximately two months ago, the left edge began to root, then it swollen. Pain in the chest squeezing, also on the clavicle there is a small swelling, as if the bone was slightly flushed. I had a doctor, I was told that due to the lack of calcium, the bones began to collapse. At the moment, both ribs began to hurt, when they laugh, when they knead, heaviness and stiffness in the ribs, swelling on the left edge never passes. Pain gives back in the back of the kidneys. Also between the blades stiffness. Also, I also have an osteochondrosis of the lumbar-scene department, maybe because of this hip, legs? Please tell me how best to see a doctor? And what could it be?

4. Hello! Seven summer baby, I fell from a height of ~ 2,5met. Five years ago, they removed the old hematoma, as a result of the fall. Mirt did not do as pregnant. Today I am 43, I feel my back, hurts in the lower chest department, burns, the blades, the feeling of goosebumps. Very fast fatigue, it is hard to breathe and keep your back straight. Very often began to beat the buttock and give back to the right leg, such a feeling that I forget for a few seconds, how to walk. Maybe this is all because of the fall? I did not check the back ((and where I do not know

   It's time to check the entire spine on MRI, the symptoms of this confirmation. Drop at that age does not cause data symptoms. With respect.

5. In a child, 10 years after the power of the back, the thoracic spine, breathing was hampered, after 4 days there was an acute abdomen pain with a vomiting similar to appendicitis. Can this be associated with injury?

   Consultant:it is difficult to answer what kind of bruise, under what circumstances, whether pain and vomiting with the pathology of the gastrointestinal tract, poisoning, which neurological status of a child ... You should contact a full-time consultation, and together with the doctor to find out the reason.

6. He began to hurt two years ago. Were headache, pain in the neck, left hand and left leg, chest pain, fog in eyes. Diagnosed: xp. Vertebrocerswicocrangialgy, Torakolgia. In the treatment, the increased level of glucose in the blood was discovered. Started all write off on the SAH. Diabetes, but during the examination in the endocrinological department, diabetes was not confirmed. A year and a half ago, MRI of the head (conclusion - MRI signs of uneven expansion of convex spaces in the frontal areas of the brain. Expansion of perivascular spaces in the frontal-parietal areas of the brain. Low-peaked thickening of the mucous membranes and the cells of the lattice bone with the elements of the inflammatory process. Retention cyst / Polyp Left Gaine sinus. Volume processes and focal brain lesions were not detected), as well as an MRI of the cervical spine (the cervical physiological lordosis is rectified on a series of tomograms. The intensity of the signal from m / n discs is reduced at the C3-C7 level, on T2i, due to dehydration - signs of manifestations of chondrose. Spinal brain, in the visible length, b / o). As a result, the diagnosis: xp. Vertebrocerswicocrangialgy, VD. He passed the course of therapeutic massage, LFK. After exercises, it became better. The year condition was satisfactory. In October 2012, it became bad again. The same symptoms. The neuropathologist has identified the same diagnosis and recognized the treatment: LFC, Middokalm, Vatakson, Dikloberl Retard, Nicoflex ointment. But before that time, the condition does not improve.
   How to be in such a situation? Do you treat such diseases? If so, how much does the treatment come about? And then, it seems that in 25 years, life has lost its meaning.

   Consultant: We are committed daily with such complaints, the problem should be sought in the cervical spine. Treatment is long, about 6 months. But after the first receptions, patients feel much better. Start with consultation in the clinic and complete diagnosis.

7. Good day! I have such a problem: four days ago, neither with these numbers the tips of the fingers and skin in the chest area (a feeling of gravity appeared). The next day, almost everything is numb, but most of all the stomach and chest. In the morning, strong dizziness and nausea. Then passes. Caused a doctor. Measured pressure, temperature. Analyzes are normal. The next thing became worse. Came to the neuropathologist. He conducted an inspection and said that he did not know what's the matter, because Everything is okay. Injected diclofenac and nerviplex, as well as Detralex Tablets. Directed to the tomography of the cervical spine. I have not yet walked, but numbness intensified. What to do?

   Neuropathologist: Make a survey. You may have a problem with the cervical spine. We recommend consulted by the vertebrologist regarding your Thoracalgia.

8. Good afternoon! 24 years. The back injuries were not ... did not fall ... For about half a year ago, tickling in the vertebral area appeared ... It all starts with a strong heartbeat, then some incomprehensible attacks begin - the muscles begin to shrink on the back, in the groin and capture the whole chest. Spasms without pain, but unpleasant, grabs. 3-5 minutes, there are, continue. Then just the body is all weak, legs and hands are heavy. Such a feeling like after shocking. And I still fog in my head after all this. It is very difficult to think. Emptiness in the head. Then somehow passes. MRI vertebrae did, found only cervical and chest osteochondrosis. MRI heads - everything is normal. Please tell me what it is? What is it to attribute? Waiting for your reply. Thank you.

   Consultant: Perhaps you have polyneuropathy. In any case, it is necessary to be examined at the vertebrologist.

9. Good afternoon, my name is Elena, I am 38 years old, weight 63 kg, pressure is usually 110/70. I have already been concerned about periodic pain in the thoracic spine. Feeling squeezing breathing, I start nervous. Deal and fluorography, thought that the lungs were not in order, went to various doctors, as a result they told me that it was on my nervous soil. Saw sedatives, they calm down a little, I'm not so nervous, but still there is a discomfort. And recently, it hurts from behind the vertebra from above and gives in the middle of the chest. Massage, Sharko's shower, started doing exercises, but still pain returned. I have a sitting job and very movable vertebra, the slightest tilt, they shift, and squeezing begins. Tell me what to do?

   Consultant: We are engaged in treating these problems unlimited. The technique allows you to almost completely deliver the patient from the problem. But you need to start with diagnosis and consultation.

In medical practice, Toracalgia is understood as pain syndrome, which develops due to infringement or compression of the fibers of intercostal or root nerves. The most common is the vertebral toralgia, which develops against the background of diseases of the spine, including osteochondrosis. The main problem of the diagnosis of such pain syndrome is precisely in determining the source of pain.

The thing is that the pain in the chest may well be caused not only by the problems of the thoracic spine, but also by other no less serious diseases of the internal organs located in the chest. It is the similarity of pain with different diseases that often becomes improper formulation of the diagnosis and deferred to proper treatment. When the question arises about whether the army is taken with osteochondrosis, it is the complication in the form of thoracalgia that can cause exemption from service.

Mechanism for the development of osteochondrosis of the thoracic spine

It is worth noting that osteochondrosis of the breastside is quite rare. Complications in the form of thoracalgia during osteochondrosis of this spine is even less common. In the medical theory, pain syndromes caused by degenerative-dystrophic diseases of the musculoskeletal system with the damage to the spine were called spondylogenic thoracalgia. Thoracalgia is pretty cunning pathology, since pain appears far from the location of the location of the nervous tissue.

In order to figure out why thoracake occurs during osteochondrosis of the thoracic department, first need to understand which processes flow in bone-cartilaginous structures in this disease. First of all, it should be noted that osteochondrosis of the thoracic spine meets extremely rarely precisely because this area of \u200b\u200bthe spine is less mobile than the neck or lower back area. In addition, the chest spine accounts for less load than other spoken departments. Many people who have this disease do not even know about its presence, since the elevated temperature in osteochondrosis of the thoracic, pain and other pronounced symptoms, as a rule, do not manifest. In most cases, a small temperature in osteochondrosis appears only after the development of the inflammatory process.

The main cause of the development of osteochondrosis of the thoracic spine lies not in excessive load on bone-cartilage structures or violation of the nutrition of the cartilage, which is typical for the degenerative-dystrophic diseases of other spinal departments. The thing is that in most cases osteochondrosis of the thoracic spine develops against the background of improper formation of vertebral structures due to scoliosis and herbs of varying severity. The presence of such a background as scoliosis, significantly increases the risk of osteochondrosis.

The chest spine contains 12 vertebrae with intervertebral discs adjacent to them. Inside the bone-cartoiling structure there is a bone marrow with nerve roots departing from it, through which the signal is supplied to all small nerve fibers that penetrate all muscles and fabrics. These roots pass through the bone structure of the spine through special gaps. Strong pain in the back or in the chest cavity is observed during the pinching of these nerve roots. The pathological pinching of the nerve endings derived from the spine is a consequence of the change in the bone-cartilaginous structure of the spine.

There is a special fibrous ring between the vertebrae, inside which there is a core core. This cartilage cloth provides the ability to move, and also serves for depreciation during walking, jumping and other physical activity. The amortization function of intervertebral disks retains bone vertebra from erasing and other mechanical damage. During the development of osteochondrosis, the fibrous ring is observed, and at a later stage of the development of the disease - its gap, which can lead to the outlet of the student body beyond the rings and the appearance of protrusions and prolaps. The aggravation of these processes is accompanied by the development of inflammation, the marker of which is an increased body temperature.

The pain in the late stage of development of osteochondrosis of the thoracic spine appears precisely because the fibrous ring becomes less high. This leads to the fact that the bone vertebrae becomes closer to each other. The approach of the vertebrae leads to the fact that the nerve roots passing through the gaps are pinching. It is the squeezing of the roots and the reason for the appearance of severe pain in different parts of the chest, and the painful sensations can manifest themselves both in the muscles and in individual organs.

The reasons for the development of thoracalgia when aggravating the osteochondrosis of the thoracic

The morphological changes of the spine, manifested during the development of the osteochondrosis of the thoracic, are the main cause of the appearance of pain. 3 main types of damage to nerve roots are distinguished:

1. Inflammatory damage to the spinal cord roots. The inflammatory process of nervous tissue may be observed due to a decrease in the blood supply to the root or the surrounding fabrics of cartilage and muscles. In addition, osteophytes can be brought to an inflammatory process that accompanied edema, bone growths that appear to compensate for the damage.
2. Traumatic damage to the spinal cord roots. This type of damage to nerve roots is observed when the height of the intervertebral disk is changed. In this case, the displacement of the bone-cartilage structures is reduced to stretching and breaking the fibers of the nerves.
3. Kospepsian damage to the spinal cord roots. This type of damage to nerve roots is observed most often. Such damage occurs during the compression of the nervous tissue located near the vertebrae and morphologically personal intervertebral discs.

Damaged nerve roots partially or completely lose the ability to carry out electrical signals. This leads to the fact that reflected pain in muscle tissue or organs located in the hypochritic zone develops. Damaged nerve endings cannot correctly transmit signals from the brain and back, and distorted electrical pulses are interpreted by the brain as painful sensations in a particular area, and in fact, there are no prerequisites for the appearance of pain in this part of the body. The nature of such a reflected pain is not fully clear, but it is developing precisely against the background of nerve damage.

In rare cases, the appearance of a chest pain during osteochondrosis is observed not due to the pinching of nerve roots in the spine itself, but due to damage to the nerve fibers located in the intercostal space. As a rule, in this case, the pinching of the nerve fibers occurs due to the decrease in the height of the intervertebral disks. This causes a decrease in the distance between the ribs and the infringement of the fabrics located between them.

Osteochondrosis of the breast department develops already at a young age against the background of scoliosis, so when the question arises about whether the army with osteochondrosis is taken, the conscript may be "rejected" only if there are complications such as severe pain in the breast or same morphological changes in 2-5 vertebrate segments. However, as a rule, osteochondrosis of the chest department is manifested by serious symptoms at a later age, therefore most recruits with only the first signs of illness are quite suitable for service in the army. It should be immediately noted that when we are talking about whether the army of young people having osteochondrosis of the chest department are taken, in most cases young people are suitable for service. But if there is a Toracalgia, then the reason for liberation can be frequent complaints of chest pain, which were recorded in the history of the disease.

Clinical forms of thoracalgia observed in osteochondrosis of the thoracic spine

With damage to certain nerve fibers, pain in certain organs and tissues are observed. Depending on which nerve fibers were damaged during the development of osteochondrosis, 4 main types of thoracalgia can be distinguished:

1. Thoracalgia of the lower-cervical spine. With damage to the nervous tissue in this area there is an appearance of pain in the top of the sternum. In some cases, painful sensations in the test area can be joined.
2. Thoracalgia of the upper and thoracic spine. Painfulness of a suitable character appear in the area behind the sternum. As a rule, with this version of thoracalgia, pain is observed constantly or for a long time.
3. Tocararalgy of the front wall of the chest. The main zone of the localization of pain is located near the parder line and in the area of \u200b\u200bthe anterior axillary region.
4. Thoracalgia of the blade and rib area of \u200b\u200bthe back. The localization zone of pain is located below the axillary fifth, in the area between the blades. In most cases, pains have a hatching and stitching.

Depending on the degree of damage to nerve fibers, Toracalgia may flow both in acute and chronic form. Complication of osteochondrosis of the thoracic spine and sharp pains of pain are observed, as a rule, by 2-3 degrees of the development of the disease, while the chronic form develops at the last stage of the development of the main disease.

Characteristic signs of thoracalgia in osteochondrosis of the inflation

Thoracalgia has quite blurred symptoms, which in the acute and chronic form of this disease can manifest itself in different ways. The main diagnostic sign of pathology is the nature of pain, their duration, as well as the specificity of painful sensations during peace and loads. With sharp form of Toracalgia, most patients experience the strongest attacks of pain, as a rule, accompanied by a panic attack, expressed by uncontrollable fear and a sense of approaching death. Usually such attacks last no more than 3-5 minutes. Under the sharp form of thoracalgia, the body temperature can increase, but not in 100% of cases. Miene the temperature (even small) cannot be, since the effects of inflammation can be fatal.

When moving head or torso, pain does not enhance, remaining at the same level. In the presence of physical loads, pain can be intensified, but only for a very short time. To relieve pain syndrome, it is quite enough to receive analgesics or nitrates.

Most people having chronic thoracalg noted a decrease in the intensity of pain symptoms.With thoracalgia, as a rule, not only pain syndrome is observed, but a number of other specific symptoms developing due to damage to the nerves. The most common symptoms of Toracalgia include the following pathological manifestations:

• the appearance of a crunch in the thoracic spine;
• explicit discomfort in the field between the blades;
• appearance of butterbearing with long stay in one position;
• strong tension of the muscles of the thoracic and neck;
• soreness in respiration;
• pain of varying degrees of intensity between ribs.

Most often, Toracalgia in osteochondrosis is manifested by pain in the heart, gallbladder and pancreas.

In addition to the painful sensations that are manifested to one degree or another, additional features may be observed, which may indicate damage to the nerves. Such signs include a disturbance of the sensitivity of different fields of the chest, trophic changes in muscles, hair loss, the formation of the skin, pallor, a decrease in the reflexes of tendons, paresis.

It is worth noting immediately that the symptoms of thoracalgia are most well manifested in people leading a sedentary lifestyle. The fact is that people belonging to this category are extremely poorly developed by the muscles of the abdomen and spins, therefore, with sharp turns of the body, the risk of the appearance of protrusions and damage to nerve fibers increases.

Factors promoting the development of thoracalgia in osteochondrosis of the inflation

Osteochondrosis of the thoracic spine and its complication is extremely rare. Not all people having this degenerative dystrophic disease of the spine, there are any complications, because in most cases it proceeds asymptomatic, without delivering to a person of any discomfort. There are many diverse factors that are able to raise the development of root syndrome and Tarakalgia with the sophisticated spinal osteochondrosis:

• excessive physical exertion;
• improper power with low content of vitamins and minerals;
• spinal injuries of varying severity;
• frequent supercooling;
• diseases of internal organs and blood vessels;
• inflammatory diseases contributing to the exacerbation of the inflammatory process;
• the presence of static loads with the complete absence of dynamic;
• wearing shoes on high heels.

Frequent stresses and nervous shocks can also be given to the development of thoracalgia, which negatively affect the overall condition of the body. There are other factors that can raise the aggravation of osteochondrosis of the thoracic spine. Therefore, in the presence of this disease, it is very important to observe the gentle mode.

Diagnosis of thoracalgia with osteochondrosis of the lumbar department

In young people who have scoliosis, osteochondrosis of the chest department with all complications peculiar to him are detected with planned inspections or medical examination in the military commissar. If a person has slightly elevated the body temperature and there are obscure etiology in the chest, the doctor may suspect the presence of spinal problems. In young people, such symptoms at osteochondrosis of the thoracic spine are extremely rare, so the question of whether they take into an army with such a degenerative dystrophic disease, it disappears, because there are no obvious signs of the progression of the disease, the young man is suitable for the service, and its necessarily Take it to pass it.

If there is an increased body temperature and painful sensations in absolutely healthy organs and tissues, then after the diagnosis, the question of whether they take into an army with a similar problem with the spine, disappears itself, since such symptoms indicate a deterioration in the state.

In addition, if a young person often passes medical examinations and there are complaints about the deterioration of the state, such a history of the disease can be the basis of a medical commission for exemption from service.

To confirm the diagnosis, a complete collection of anamnesis and a number of studies are necessary to find out whether there are diseases of internal organs that can cause pain. After the appearance of suspicion of the presence of osteochondrosis of the thoracic spine and problems with nerves, such research can be appointed as:

• scintigraphy;
• blood tests for the presence of the inflammatory process;
• ENG;
• densitometry;
• magnetic resonance imaging;
• radiography.

After confirmation of thoracalgia with the existing osteochondrosis of the thoracic spine, treatment is assigned aimed at improving the overall state of the spine, stopping dystrophic processes, improving blood supply and so on.

Basic methods of treating thoracalgia

Tokarakia, as a rule, is treated with conservative methods. Surgical techniques are used extremely rarely and only in cases where the patient has signs of a serious inflammatory process, including increased body temperature. If the main disease, that is, osteochondrosis occurs in a more or less light form, then the optimal solution is drug therapy in combination with physiotherapy. Basically, the elimination of thoracalgia uses preparations aimed at eliminating inflammation and edema of nerve spine roots, neuroprotectors and muscle relaxants.

Therapeutic physical culture is an essential tool for treating both osteochondrosis and thoracalgia, since with a number of exercises you can not only return the disks in place, but also to train the muscles correctly, which will continue to serve as support for the skeleton of the spine. Improve the treatment can therapeutic water procedures and a massage course. It is impossible to completely eliminate the effects of the destruction of intervertebral disks, but with proper treatment, a person can lead a full-fledged life that does not feel any symptoms.

Be sure to consult a doctor before treating diseases. This will help take into account individual tolerability, confirm the diagnosis, make sure that the treatment and eliminate the negative interactions of drugs. If you use recipes without a consultation with your doctor, then it is completely for your fear and risk. All information on the site is presented for informational purposes and is not a healing benefit. All responsibility for use lies with you.

Vertebrogenic Thoracalgia or Vertebrian Thoracalgia is a thoracic pain as a result of infringement, inflammation, nerve irritation for spinal diseases.

Osteochondrosis is considered the most frequent cause of the pathological process, especially with complicated flow and the formation of intervertebral hernia. In the international classification of the disease of the ICD 10, the Code M 54 is assigned.

The reasons

The thoracalgia of vertebrogenic nature is usually developing against the background of degenerative-dystrophic diseases of the spinal column, under which intervertebral discs are damaged.

The destruction of the disk leads to a violation of its depreciation properties, narrowing the distance between the vertebrae and the infringement of the spinal roots in the field of the thoracic spine.

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

Osteochondrosis is the most common cause of vertasca of vertebrogenic nature

The main causes of vertebrogenic thoracalgia include:

• osteochondrosis of the spinal column, accompanied by protrushes and hernias of intervertebral disks;
• spinal curvature - pathological kyphosis and lordosis, scoliosis;
• spin injuries in the chest spinal column;
• spondyltrosis is a degenerative damage to the facet of vertebral joints;
• herpetic infection, causing inflammation of intercostal nerves - listened;
• spasm of muscle frame back - muscular and tonic syndrome;
• intensive axial load on the spine due to heavy physical labor or sports;
• shayerman-Mau disease is the deformation of the spine during the growth period of the skeleton and the development of pathological kyphosis.

By the nature of the emergence of Vertebrian Thoracalgia is divided into several types:

1. Traumatic form - nervous root.
2. Compression form - infringement of the nervous root.
3. Inflammatory form - inflammatory process of nervous fabric root.

Squeezing the spinal nerve leads to pain and root syndrome

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

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

Damage to the nervous tissue The root of one or another nature disrupts the carrying out of the nervous pulse and leads to the deterioration of the function of organs and parts of the body, which innervates the affected spinal nerve.

Clinical picture

The main sign of Vertebrian Thoracalgia, which follows from the name of the pathological condition, is painful syndrome due to the damage to the root.

Toracalgia translated from the Latin language means pain in the chest area.

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

• painful pains;
• strengthening pain when inhaling, sneezing, cough, corners and slopes of the body;
• the location of pain on one side of the chest or pain has a sickening character;
• the spread of pain in the course of intercostal intervals, where intercostal nerves pass;
• stacks of intense pain in the spine, neck, hand on the side of the lesion;
• the appearance of paresthesia is a sense of numbness, burning skin, "crawling of goosebumps";
• disturbance of the sensitivity in the course of the affected nerve;
• the tension of the muscle of the chest in the portion of the pathological process (muscular defanes);
• vegetative violations - panic attacks, lumps feeling in the throat and lack of air.

In the case of degenerative-dystrophic diseases of the spinal column, crunchs are detected when moving, the disorder of the posture leads to the deformation of the chest.

Singing deprived is accompanied by small painful rash with transparent content in the course of intercostal intervals.

The thoracalgia of vertebrogenic nature is often accompanied by muscle-tonic manifestations - a resistant increase in muscle tone with the occurrence of pain in the focus of pathology and other parts of the body.

Visceral syndrome must be differentiated with diseases of internal organs

In the clinical picture of Toracalgia, also distinguish visceral syndrome, which occurs during damage to the nerves innervating internal organs.

The disease may proceed along the type of angina, myocardial infarction, esophagitis, pleuritis, ulcerative stomach disease. In this case, functional disorders on the part of the internal organs can be observed, but organic manifestations are not detected.

The symptoms of visceral disorders require differential diagnosis with true diseases of the organs of the chest and abdominal cavity.

Clinical options

Chest pain may have different localization. By the emergence of pain syndrome in one or another side of the breast, several clinical variants of the disease are distinguished:

1. The thoracalgia of the spine in the lower cervical and painful sensations are localized in an instrument and subclavian fossa, the upper half of the chest, apply to the neck, lower jaw, hand on the side of the lesion. Pain feelings are enhanced when driving the body.
2. The thoracalgia of the spine in the upper thoracic departure - the painful pain behind the sternum, which is not associated with the movement of the body, is distributed to the inter-opumen area.
3. Thoracalgia in the blade and rib area - a noving or stole pain that occurs in the left side of the chest is felt between the blades, in the area of \u200b\u200bthe nipple and the axillary yam. Discomfort is enhanced with deep breathing.
4. Thoracalgia in the field of anterior breast wall - new and long pain, which is enhanced by movement.

Diagnosis and treatment

Before the treatment of Vertebrian Thoracalgia, a neuropathologist appoints additional examination methods and consult profile specialists to eliminate the disease of the internal organs.

Recommend chest radiography, ECG, CT (computed tomography), MRI (magnetic resonance tomography). The manifestations of visceral syndrome requires an inspection of a patient with a pulmonologist, a cardiologist, a gastroenterologist.

In case of suspected injury of vertebrae, the patriest is sent to a consultation to a traumatologist, and when the spine is curvatched, to the orthopedist.

On a computer tomogram, an arrow indicates an intervertebral hernia

After the diagnosis and the causes of the pathological process are prescribed treatment, which includes:

• nonteroidal anti-inflammatory drugs (NSAIDs) - remove the inflammatory process and eliminate pain syndrome (diclofenac, mowed, nimesulide);
• novocaine blockades with the addition of glucocorticoids (dexametozan, hydrocartesone) - the rapid achievement of an anesthetic effect;
• miorosanta - eliminate pathological muscular spasms and muscle-tonic manifestations (Middokalm, Sirdalud, Baclofen);
• neuroprotectors - improve the metabolism and blood flow in the nervous tissue of the roots (tioctic acid, complex of vitamins of group B);
• local treatment - rubbing ointments based on NSAIDs;
• physiotherapy - improves blood flow and metabolism (electrophoresis, cryotherapy, magnetotherapy, UHF);
• massage - relaxes muscles and improves blood flow in the focus of inflammation;
• manual therapy - restores the physiological position of the vertebrae relative to each other, reduces muscle spasm;
• therapeutic physical culture (LFC) - strengthens the muscular-ligament apparatus, normalizes the amplitude of movements, prevents infringement of nerves.

Massage, physiotheredresses and leafs are prescribed after passing through drug treatment and eliminate acute pain syndrome.

Vertebrogenic or vertebral thoracalgia - widespread by pain syndrome with damage to nerve roots due to degenerative-dystrophic diseases of the spine. Timely diagnosis of the disease, which led to nerve damage, and complex therapy determine the effective elimination of pain without losing the quality of life.

Source: http://moyaspina.ru/Bolezni/verTebrogennaya-Torakalgiya.

Toracalgia vertebrogenic: to diagnose and cure

The painful sensations of a different nature in the field of breast may be disturbed not only because of diseases of the internal organs, but also with various problems with the spine.

It is often quite often a patient suffering from new, cutting, stitching, or hailing pain in the chest area, is diagnosed with Toracalgia.

Term " torkalgia"(From Latin" Thorak "- Breast," Algia "- pain) is called pain syndrome caused by irritation or compression of nerve roots, peripheral intercostal nerves, in which a person feels severe pain in the thoracic spine and chest. Sometimes this phenomenon is called intercostal neuralgia.

Tyoracalgia types and causes of occurrence

Specialists share several types of Toracalgia:

1. Vertebrogenic. The cause of pain is diseases or damage to the spine.
2. Bone-muscular. This type of thoracalgia is associated with the formation of trigger (painful) points in muscle or bone-cartilage structures in injuries, muscle overloads, rheumatic diseases, osteochondrites (inflammation of the cartilaginous and adjacent bone tissue in the joint), metabolic disorders, etc.
3. Psychogenic. Arises against the background of emotionally physical fatigue. Pain syndrome is often accompanied by the state of internal anxiety and depression.
4. Thoracalgia during pregnancy. Characteristic symptoms appear due to additional load on the spine.

Vertebrogenic Thoracalgia occurs at the following spinal pathologies:

• Osteochondrosis of the cervical department. In this disease, the pain usually occurs in the cervical or between the blades, but it happens that it "gives" in hand or chest.
• Osteochondrosis of the chest department. The disease is manifested by a stupid one with periodic "striking".
• Scoliosis, kifoscolyosis.
• The presence of an intervertebral hernia or prudrusion of the chest department.
• The injuries of the spine of various origins (fall, blows, etc.).
• Fractures of ribs.
• Tumors of the spinal cord, vertebrae. It can be independent benign and malignant neoplasms, as well as tumors that arose due to metastasis.
• Disease of Shaierman-Mau.Prie's pathology During the growth period, the deformation of the Nizhneggudinal vertebrae occurs, which leads to an increase in the bend of the spine (chest kyphosis) and constant butter pain in the thoracic department.
• Osteoporosis. Pains arise against the background of a typical complication: compression vertebral fractures.
• Increased physical exertion.

In most cases, with the above-described diseases of the intercostal nerves, the pressure of surrounding tissues (ligaments, muscles, etc.) turns out. As a result, this is happening:

1. inflammation (swelling) of the nerve;
2. compression (squeezing) nerve;
3. punch (injury) nerve.

In accordance with these processes, inflammatory thoracalgia, compression and thoracalgia, resulting from physical exertion or injuries.

Diagnostic examination

To appoint proper treatment, it is necessary to establish the type of thoracalgia and exclude pathology of other origin.

Similar symptoms can be observed:

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

Therefore, it is necessary to conduct differential diagnostic measures: examine the patient's history, designate ECG surveys, ultrasound, make a fluorographic snapshot or an x-ray of the chest, go through the MRI procedure.

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

• Burning bakery or incessant pain in the chest area, propagating during the intercostal interval, encircling or localized on the side.
• Strengthening pain syndrome when coughing, sneezing, deep breath.
• The appearance of painful sensations when pressing points located on the back along the thoracic spine and in the intercostal interval zone.
• Painful sensations in the heart.

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

1. Pain syndrome in the upper zone of the chest, in the applied and irradiation (distribution) in the neck, the left shoulder, the forearm or the entire hand is characteristic of toracalgia of the lower area of \u200b\u200bthe cervical spine. In addition, pain occurs during the turn, tilt, rotation head.
2. Long-term latter pain concentrated behind the sternum or in the inter-opumen region is typical for toracalgia Verkhnegood Spinal Department. When driving the body, the pain is not enhanced.
3. For bluidian Storm Toracalgia Characterized short-term or long, buttering or stinging pains, localized on the left side, in the inter-opacculent or near-axis zone, along the axillary line, slightly lower the axillary pamph. Painful sensations arise when breathing-exhale.
4. For thoracalgia Front Breast Wall The pain syndrome is observed in the zone, limited to the axillary and ocal lines. Pain enhancement occurs when driving, slopes.

Treatment of thoracalgia vertebrogenic

The specificity of treatment is to eliminate the causes of pain syndrome.

Getting rid of thoracagia caused by diseases of the spine, suggests a long course of treatment, however, with competently designated therapy, the patient may feel the improvement in a month.

For this, the neurologist will definitely prescribe drugs, as well as a course of physiotherapy procedures.

Medicase treatment includes, as a rule, use:

The purpose of these drugs is aimed at reducing pain. Dosage of drugs and the method of their reception defines a neurologist.

Physiotherapy and massage are the main methods for the treatment of intercostal neuralgia. Excellent result is guaranteed with the complex of these procedures.

An ideal option is considered when the physiotherapy session ends with a massage of the subband muscles and the paravertebral zone of the thoracic.

During the procedure, the patient should not have pain, all manipulations should have a relaxing nature.

The use of warming ointments, rigid massage techniques for vertebrogenic thoracalgia is prohibited, since the increase in blood circulation in the damaged zone may contribute to the tissue edema and complication of the disease.

Modern clinics offer a large range of procedures capable of facilitating the patient's condition. These include:

• laser impact;
• electrophoresis;
• igloreflexotherapy;
• moxa-therapy (impact on pain points with warm from glowing cigar with medicinal herbs);
• pharmacopuncture (combination of acupuncture, homeopathy and injection injection of the drug);
• physiotherapy;
• spinal stretch.

Chronic thoracalgia

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

Like any alert, Toracalgia requires careful diagnosis and timely treatment. It is imperative to establish the true cause of chest pain and carry out the most efficient treatment of pathology that caused the vertebral form of the disease. Self-medication in this case is unacceptable.

Source: http://pomogispine.com/bolit-v/gruudnoj-otdel/torakalgiya-vertebrogennaya.html

Vertebrogenic Thoracalgia

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

Vertebrian or vertebrogenic thoracalgia may occur in adolescence due to the active growth of the body, during pregnancy, when the load on the spine is increasing, at a higher age, when ligaments and muscles weaken.

Toracalgia code for ICD 10 m 54.6.

Views

There are several varieties of illness arising from various factors.

For reasons of occurrence, the following types of thoracalgia distinguish:

1. Vertebrogenic.
   Caused by diseases of the spinal column.
2. Bone muscular.
   It is related to the appearance of painful points in muscle and cartilage structures after injuries, overvoltage, diseases of rheumatism, problems with metabolism, osteochondrites.
3. Psychogenic.
   Developed due to emotional and physical fatigue, accompanied by constant depression and anxiety.

According to the degree of damage to the nerve distinguish:

• Inflammatory Thoracalgia, at which the nerve swells.
• Traumatic thoracalgia arising from heavy physical exertion on the spine. With this form, the nerve obscure occurs.
• Compression thoracalgic, characterized by squeezing the nerve due to muscle spasms or spinal hernia.

Causes of syndrome

Thoracic syndrome may occur for various reasons, but the main thing is the defeat of the spine. Provokes the appearance of the disease:

1. osteochondrosis;
2. scoliosis;
3. osteoporosis;
4. kyphosis;
5. lordoz;
6. arthrosis spondylogenic nature;
7. shingles;
8. muscular tonic syndrome;
9. intervertebral hernia;
10. spinal injuries;
11. strong and sharp load on the spine;
12. tumors;
13. disease of Shaierman-Mau, when, with the enhanced growth of the body, the Nizhneggudinal vertebrae, muscle spasms are deformed. As a result, the muscles begin to squeeze the intercostal nerves. The nerve swells, his head and squeezing appears.

Toracalgia vertebrogenic genesis develops due to degenerative dystrophic processes in the spine. Due to the displacement of the vertebrae, nerve roots are damaged or pinned. They can be sophisticated due to patching them with spashed muscle tissues or due to infectious damage.

With any form of no gone, the nerve in the spinal cord swells, becomes more in the amount. This leads to a violation of metabolic processes and blood circulation in the affected area. There is pain, the conductivity of the nerve impulse and the operation of organs, the impulses in which pass through the damaged nerve are disturbed.

Symptomatics

Diagnose vertebrogenic Thoracalgiya experienced doctor is quite easy due to clear symptoms: chest pain when inhaling and exhale, permeating intercostal pain when driving. If not to treat the disease, it will become chronic and painful in the chest will torment a person throughout his life, gradually enhanced.

Vertebrogenic Thoracalgia has several syndromes:

1. Visceral.
   In this case, the syndrome occurs strong discomfort in the chest, in the intercostal intervals, there is a violation of the functioning of the internal organs.
2. Root.
   It includes the following symptoms: a sensitivity impairment in the course of the affected nerve, pain in the intercostal intervals, sharpness in the spine, hand, clavicle, neck, chest muscle tension, panic attacks, sensation of air shortness and coma in throat, sharp mood swings, pressure jumps .

Symptoms depending on the location of the nerve

Pains appear in different places depending on the location of the affected nerve.

If the vertebrogenic thoracalgia arose in the lower cervical department, then a person has a pain in an invioxual, subclavian hole, irradiating in the neck (symptom of cervicalgia), hand. The pain symptom is enhanced when trying to make even the simplest movement.

With the thoracalgia of the upper thoracic, there is a minor stiff pain that is not associated with the movement propagating to the area between the blades.

Thoracic pathology in the field of anterior breast wall manifests itself a long-term pain, increasing when driving.

The defeat in the blade and edge region is manifested by pain symptoms (minor or stitching) in the left side of the chest, between the blades, in the armpit area. It becomes stronger when trying to breathe deeply.

Diagnostics

To find out the type of disease, it is necessary to diagnose. The doctor listens to the patient's complaints, collects anamnesis (history of the disease), listening to the heart, determines the localization of trigger points, proves the stomach, studies the mobility of the joints.

During the diagnosis, the differentiation of thoracalgia with such diseases, like angina, myocardial infarction, dump truck and respiratory system, ischemic heart disease. For this, the doctor sends a patient to an ECG, x-ray, fluorography, if necessary on the MRI of the spine, gives direction for blood and urine.

X-ray helps to reveal the fractures of the ribs, narrowing the intervertebral distance, damage to the vertebrae, tensile bone tissue.
CT reveals bone changes and deformation of internal organs.

MRI identifies pathological processes in muscles, vessels, ligaments. Densitometry helps diagnose bone thinning. Electronomyography determines the available inflammatory changes.

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

The doctor for diagnosis can send the patient to narrow specialists (pulmonologist, cardiologist, gastroenterologist, traumatologist, orthopedic).

With the help of laboratory and instrumental diagnostic techniques, you can conduct a differentiation of thoracalgia and assign adequate treatment.

Treatment

Thoracalgia therapy is long and complex. Use drug and physiotherapeutic treatment.

Medical therapy

Medicase treatment of Toracalgia includes:

• novocaine blockades using glucocorticoids (hydrocortisone, dexamethasone);
• miorosanta to relieve muscle spasm (Middokalm, Sirdalud, Naclaosan); neuroprotectors, increasing blood circulation and metabolism in nerve roots (vitamins of group B);
• NSAIDS To remove the vertebrogenic pain syndrome and inflammation (aerial, diclofenac, meloxico, Kebrex).

The dosage of the doctor selects individually in each case.

Physiotherapy

The main and efficient means for vertebrogenic thoracalgia is physiotherapy in which include:

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

With a comprehensive conduct of physiotherapy procedures, the positive trend in treatment is guaranteed.

In modern clinics to facilitate the state of patients, numerous procedures are offered, including:

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

If the Vertebrian Thoracalgia has already passed into a chronic shape, then the new breast pain and constant discomfort worried a person.

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

These procedures for a while removes the pain and calm the inflamed nerves.

With the help of physiotherapy during vertebrush thoracalgia, metabolic processes and bloodstream are improved, and the massage relaxes the muscles. Manual therapy reduces:

1. muscle spasmodics;
2. restores the normal position of the vertebrae;
3. helps to restore the mobility of the motor spinal sections;
4. removes the muscular clamp;
5. restores the volume of movement.

The LFC strengthens muscles and bundles, prevents the pinches of the nerves, helps to restore the natural amplitude of movements.

For each Toracalgia syndrome, individual treatment is prescribed.

In pathology, at the top of the chest, the treatment is aimed at restoring the operation of the segments of intervertebral discs using advanced relaxation.

When inadvertecently lesion make exercise to strengthen the breast muscles and relaxing massage.

If the disorders occurred in the lower cervical department (vertebrogenic cervicalgia), the treatment is sent to restore the operation of motor segments. With blatant-ripe defeat, therapy is aimed at restoring muscle mobility that raised the blade.

Folk remedies

As additional funds in the fight against thoracalgia, folk methods can be applied. Alcohol rubbing well helps, heating the sick place with a bag with hot salt, sand. Herbal teas with chamomile, mint and melissa will help to relax.

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

For several sessions of therapy, patients already feel significant relief, the disease retreats.

If you do not know what it is Toracalgia, not paying attention to its signs, the disease will go into a chronic shape and will disturb until the end of life.

Source: https://moipozvonochnik.ru/otdely-pozvonochnika/pozvonochnik/verTebrogennaya-Torakalgiya.

Vertebrogenic Thoracalgia is a state for which the appearance of pain of varying degrees of severity in the chest is characterized, but there is a damage to the spine. Calculate such disorder can be as completely harmless factors and the flow of severe diseases. The most common provocateurs are a sedentary lifestyle, intervertebral hernias, osteochondrosis and curvature of the spinal column.

The main clinical sign is considered pain, against the background of which there may be a decrease in sensitivity, the feeling of "goosebumps" on the skin and a sense of air shortage.

Only clinician on the basis of information obtained during the study of the results of laboratory and instrumental examinations, as well as a detailed survey of the patient can be delivered.

Treatment of such a pathological process is based on conservative methods, among which medication, physiotherapeutic procedures and the passage of the course of therapeutic physical education.

In the international classification of diseases of the tenth revision of such a disease, a separate value is assigned. Thus, the code on the ICD-10 will be M54.6.

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

• violation of the depreciation of the spine;
• narrowing between the vertebrae;
• infringement of spinal roots.

The main causes of the development of such a violation are considered:

1. osteochondrosis;
2. the formation of intervertebral hernia;
3. the curvature of the spine, which exists in several forms - kyphosis, lordosis and scoliosis;
4. a wide range of injuries of the chest vertebral pillar;
5. spondilitrosis;
6. herpetic infection, provoking the occurrence of hay liding;
7. spasification of the muscular frame of the back, which is also known as the muscular-tonic syndrome;
8. excessively severe load on the spine caused by weight lifting or professional sports. This also should be attributed to a low-wear lifestyle or sedimentary working conditions - in such situations, the overload of the spine is caused by a permanent seat;
9. sherman-Mau's disease is a disease in which the deformation of the spinal column occurs at the stage of intrauterine development of the fetus;
10. malignant or benign formations in the spinal cord or on the vertebrae;
11. fractures of ribs;
12. protrusion of the thoracic spine;
13. osteoporosis;
14. heart diseases;
15. exchange diseases;
16. pathology of connective tissue;
17. eternal nutrition.

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

The separation of alert, based on the nature of the formation, implies the existence of such forms of vertebrogenic thoracalgia:

• traumatic - is a consequence of the observation of the nervous root;
• compression - arises due to the infringement of the nervous roaster;
• inflammatory - forms against the background of localization of the inflammatory process in the nervous fabric root.

By clinical option, such a disorder is divided into:

• thorcalgia of the spinal column in the lower cervical department - in such situations, the hearth is an inscluster or subclavian pit. Soreness can be irradiating to the area of \u200b\u200bthe neck, lower jaw or the upper limb on the side of the defeat;
• the thoracag of the spine in the field of the upper thoracic - pain for the chest is often becoming a good character and are not connected with the movement of the body;
• thoracalgia of the blade and rib area - a new or stitching pain, arising in the chest on the left, and also gives into the armpit, to the zone between the blades and the nipples
• the thoracag of the front breast wall is long-term pains that are amplifying when driving or in the respiratory process.

In addition, vertebrogenic thoracalgia is acute and chronic.

Based on the name of such a pathological condition, it becomes clear that the main clinical signs are painful sensations that have such characteristics:

1. specificness of severity - styled, stitching and compressive pain;
2. the duration of the attack is no more than a few minutes;
3. the amplification of pain is observed in the process of motor activity, during breathing, as well as at rest, with cough or sneezing.

As additional symptoms are:

• the appearance of a characteristic crunch during movements;
• cervicalgy;
• the feeling of "goosebumps" on the skin in the chest area and between the blades;
• tension muscles of the back and neck;
• imitation of heart pains;
• numbness of the skin in the area of \u200b\u200bthe affected nervous root;
• panic attacks;
• persistent increase in muscle tone;
• sense of insufficient air intake;
• reducing or complete lack of sensitivity throughout the length of the pinched nerve;
• sleep disorders;
• violation of posture;
• deformation of the sternum;
• lump in the throat;
• reduced appetite.

All of the above symptoms without exception are observed in each patient, regardless of age-related category and sexuality.

Symptoms of vertebrogenic thoracalgia

The symptoms of vertebrogenic thoracalgic nonspecific, which is why the process of establishing the correct diagnosis requires a thorough and integrated approach. First of all, a specialist from the field of vertebrology must independently perform several manipulations, in particular:

1. explore the history of the disease - to identify the most likely primary factor having a pathological basis;
2. familiar with life anamnesis;
3. conduct a thorough physical examination of the patient with the obligatory palpation and percussion of the thoracic spine;
4. in detail to interview the patient - to compile a complete symptomatic picture and the degree of severity of clinical manifestations.

As instrumental procedures are:

• CT and MRI of the vertebral pillar;
• radiography of the sternum;
• densitometry;
• scintigraphy;
• ENG;

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

It is also worth considering that there are a number of other aids with almost similar symptomatics of vertebrogenic thoracalgia. For this reason, this condition is worth differentiation from:

Only conservative techniques take part in the therapy of such alert. First of all, after confirming the diagnosis, patients show the reception of the following medicines:

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

Among physiotherapy procedures should be allocated:

• • medicinal electrophoresis;
  • cryotherapy;
  • hivamat;

Hivamat therapy:

• needleflexotherapy;
• magnetic therapy;
• laser therapy.

In addition, the treatment of vertebrogenic Thoracalgia may include:

1. medical immobilization;
2. novocaine blockades;
3. the use of specially intended orthopedic structures;
4. manual or hardware massage;
5. manual therapy;
6. pulling of the spine;
7. medical gymnastics.

Therapy is not excluded using folk remedies, but this is only possible after prior consultation with the attending physician. Alternative treatment is directed to:

• warming up with mustard pieces, heating or bags filled with heated salt;
• rubbing alcohol tinctures;
• reception inside herbal teas based on chamomile, valerian and melissa;
• rubbing the juice of black radish into the hearth pain.

Such remedies will help to get rid of symptoms for some time, but cannot fully cure the thoracaging of vertebrogenic nature.

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

1. excision of intervertebral hernia;
2. decompression of the nervous root;
3. plastic of the motor segment of the spine;
4. vertebral or disk prosthetics;
5. elimination of complications.

To avoid the development of vertebrogenic thoracalgia, as well as the accompanying cervicotraculgia, there are no specific preventive measures. However, such recommendations may reduce the likelihood of the development of pain syndrome:

• maintaining a measure of active lifestyle;
• proper and balanced nutrition;
• minimizing stress;
• avoiding injuries of the chest or cervical spine;
• rejection of bad habits;
• timely diagnosis and full treatment of diseases that can cause vertebrogenic thoracalgia;
• regular passage of a full medical examination with a visit to all specialists.

Adequate therapy makes it possible to achieve a positive effect in a rather short period of time and will lead to a favorable forecast.

However, the complete absence of treatment of vertebrogenic thoracalgia can cause violation of the motor function and disability.

In addition, you should not forget that each basic ailment provoking such pain syndrome has a number of its own complications.

Thoracalgia against the background of the osteochondrosis of the thoracic spine means painful syndrome in the chest area. It arises due to the compression of the nerve roots in the exit zone from the spinal column. The cause of infringement can be muscles, ligaments, vertebra. Diagnosed with pain syndrome in people of any age.

The reasons

According to the international classification of Toracalgia in adults assigned a code on the ICD 10 - M 54.6. The provoking mechanism of pain syndrome is osteochondrosis of the thoracic spine. Due to dystrophic changes in intervertebral disks, a distance between the bodies of the vertebrae occurs, their friction is created, bone growths (osteophytes) are formed, which irritate muscle tissues and squeeze the nerve roots. The condition causes pain in the field of an inflation, which can be irradiated into other parts of the body. Pain syndrome is diagnosed as vertebrogenic thoracalgia.

The main causes of the pathological state are:

• osteochondrosis of the spine, accompanied by hernias and protrushes;
• curvature of the spinal column;
• injuries of the chest;
• shingles;
• muscular spasms as a result of the friction of the vertebrae;
• deformation of the spine during the formation of the skeleton.

On a note. Spinal nerves can be infected due to infectious diseases and squeezing with spasmated muscles.

Vertebrogenic Thoracalgia is divided into several types:

• traumatic;
• compression;
• inflammatory.

Any form causes nerve swelling, an increase in its volume, blood flow and conductivity. This leads to the occurrence of pain of different intensity.

Symptoms

Thoracalgia syndrome is manifested in breasts, similar in the pathologies of the cardiovascular system. It can be a novel, burning, cutting. The pain is intensified with deep breath, cough, sneezing, try to change the position of the body. Thoracalgia is often localized on the left, sometimes spreading to hand, blade, collar area and lumbar zone. In addition to painful sensations, the sensitivity of the skin in the chest area is disturbed. This indicates damage to nerve roots.

The main symptoms of Thoracalgia:

• painful syndrome when inhaling;
• facial redness;
• increasing sweating;
• tingling in the intercostal zone;
• appearance of butterbearing with long stay in one position;
• burning in the heart;
• discomfort between the blades;
• pallor skin;
• rarely slight temperature increase.

In chronic thoracalgia, pain syndrome remains for a long time. The attack can last up to 48 hours. The reception of nitroglycerin does not bring relief. In some cases, against the backdrop of pain occurs, there is a violation of the heart rhythm, panic attacks occur, the appetite is reduced, insomnia torments.

On a note. It is possible to understand that the pain is associated with osteochondrosis, it is possible by a whip in the spine when driving and corners of the body.

Diagnostics

Breast thoracalgia has many symptoms similar to other diseases. Because of this, the diagnosis is carried out especially carefully. At the inspection, the doctor polls the patient, conducts a visual inspection.

For a clearer picture, laboratory and instrumental research is carried out. These include:

• general analysis of blood and urine;
• MRI of the spine - allows you to identify pathological changes in bone structures, soft tissues, vessels and nerve endings;
• densitometry is a non-invasive method to determine the density of bone tissue;
• electrocardiography;
• scintigraphy - the introduction of radioactive isotopes to obtain a two-dimensional image;
• x-ray of the thoracic department.

Such studies allow you to put an accurate diagnosis and choose the most effective treatment.

Medical therapy

Toracalgia treatment begins to eliminate pain syndromes. The main course is aimed at removing inflammatory processes, improving blood circulation, recovery of intervertebral disks. Comprehensive therapy includes the reception of drugs, physiotics, massages, leaf.

Drugs:

1. The drugs of the NSAID group are eliminated by inflammation, reduce pain. They are often prescribed, diclofenac, nimesulide.
2. Novocaine blockades are used to quickly relieve pain syndrome.
3. Vitamin complexes of the group B -, Milgamma, trigamma.
4. Miorlaxants - help eliminate smooth musculature spasms (Middokalm, Sirdalud).
5. Chondroprotectors - the effect of drugs is aimed at regenerating cartilage structures and restoring intervertebral disks. Drink tablets with a long course, the most popular drugs: arthro, alflutop, teraflex.
6. Preheating gels and ointments are used externally.

Physiotherapy and Massage

Physiotherapeutic procedures allow you to accelerate recovery, improve blood circulation, reduce inflammation and pain syndrome.

The doctor may assign:

1. - Warming up with a constant current with medicinal solutions. This allows active substances to get into the sick zone, bypassing the stomach.
2. Laser therapy - reduces inflammation, removes muscle spasms, launches the processes of tissue regeneration.
3. Magnetotherapy - acts on the patient zone by magnetic fields, stops inflammatory processes, relieves the pelliness of the muscles, increases the elasticity of the vessels.
4. Ultrasound therapy - the effect of high frequency sound on the sore zone.

Massage are prescribed after physioproceedores for studying the subband muscles. It improves blood microcirculation, relaxes musculature, stimulates metabolic processes.

LFK with thoracalgia

Therapeutic gymnastics is necessary to stretch the vertebrae and eliminate pinches. It helps strengthen the muscles, improves blood flow and charges energy.

Complex of exercises at vertebrogenic Thoracalgia:

1. Lie on a flat surface, straight hands lift the head, pull the socks on yourself, lower your hands, relax the feet.
2. Right brush lift up, left along the body, stretch your back, changing limbs.
3. Take left hand to the side, perpendicular to the body. Right brush, pull to the left without tearing the blades from the surface, repeat the movement to the other side.
4. Bend the legs in the knees, the feet rest in the surface. Right thigh down to the floor, trying to touch the knee. Lift the leg at the starting position, re-move the other foot.
5. Without changing the positions pull your hands in front of you. Take off the shoulders from the surface and pull the brushes to the ceiling.
6. Do not change your hand poses pull along the body. Lift, taking off the blade from the floor, strain the press, delay for a few seconds. Source to the floor.
7. Pose lying on the back, bent legs rest in the floor. Lift the torso at the expense of the engineering muscles, delay, go down to the surface.
8. Turn on the side, make mahi legs, describe the circles, take in the side. Turn over the other side. Repeat movement.
9. Pose lying on his stomach, hands stretched forward. Remove your breasts from the surface for a few seconds. Return to the starting position.
10. Without changing the postures, lift the legs and hands at the same time. Weighing and reduce the front and rear limbs.
11. Climb on your knees, back straight, macushka stretches up, arrange hands on the belt. Do not be flexing in the lower back Take the housing back. Return to the original position.
12. Without changing the postures, make the slopes to the right and left.

All exercises repeat 10-15 times. Therapeutic complex is complemented by push-ups, for stretching the vertebrae, tamped ahead with the relaxation of the spine.

Thoracalgia of the Breast Department is a serious problem that requires a long and integrated treatment. The earlier the therapy will begin, the higher the chance of complete recovery. The best prevention is the leaf, which requires a conscious and daily approach.

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The painful sensations of a different nature in the field of breast may be disturbed not only because of diseases of the internal organs, but also with various problems with the spine. It is often quite often a patient suffering from new, cutting, stitching, or hailing pain in the chest area, is diagnosed with Toracalgia.

Term " torkalgia"(From Latin" Thorak "- Breast," Algia "- pain) is called pain syndrome caused by irritation or compression of nerve roots, peripheral intercostal nerves, in which a person feels severe pain in the thoracic spine and chest. Sometimes this phenomenon is called.

Tyoracalgia types and causes of occurrence

Specialists share several types of Toracalgia:

1. Vertebrogenic. The cause of pain is diseases or damage to the spine.
2. Bone-muscular. This type of thoracalgia is associated with the formation of trigger (painful) points in muscle or bone-cartilage structures in injuries, muscle overloads, rheumatic diseases, osteochondrites (inflammation of the cartilaginous and adjacent bone tissue in the joint), metabolic disorders, etc.
3. Psychogenic. Arises against the background of emotionally physical fatigue. Pain syndrome is often accompanied by the state of internal anxiety and depression.
4. Thoracalgia during pregnancy. Characteristic symptoms appear due to additional load on the spine.

Vertebrogenic Thoracalgia occurs at the following spinal pathologies:

Overall symptoms and character of pain

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

• Burning bakery or incessant pain in the chest area, propagating during the intercostal interval, encircling or localized on the side.
• Strengthening pain syndrome when coughing, sneezing, deep breath.
• The appearance of painful sensations when pressing points located on the back along the thoracic spine and in the intercostal interval zone.
• Painful sensations in the heart.

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

Treatment of thoracalgia vertebrogenic

The specificity of treatment is to eliminate the causes of pain syndrome. Getting rid of thoracagia caused by diseases of the spine, suggests a long course of treatment, however, with competently designated therapy, the patient may feel the improvement in a month. For this, the neurologist will definitely prescribe drugs, as well as a course of physiotherapy procedures.

Medicase treatment includes, as a rule, use:

The purpose of these drugs is aimed at reducing pain. Dosage of drugs and the method of their reception defines a neurologist.

Physiotherapy and massage are the main methods for the treatment of intercostal neuralgia. Excellent result is guaranteed with the complex of these procedures. An ideal option is considered when it ends with a massage of the subband muscles and the paravertebral zone of the thoracic. During the procedure, the patient should not have pain, all manipulations should have a relaxing nature.

The use of warming ointments, rigid massage techniques for vertebrogenic thoracalgia is prohibited, since the increase in blood circulation in the damaged zone may contribute to the tissue edema and complication of the disease.

Modern clinics offer a large range of procedures capable of facilitating the patient's condition. These include:

Chronic thoracalgia

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

Pain, depending on localization, can manifest itself within 2-3 months, then get squeezed. After some time, it appears again, but with more power. The accompanying signs of chronic shape of painful syndrome, as a rule, become irritability and nervousness.

Like any alert, Toracalgia requires careful diagnosis and timely treatment. It is imperative to establish the true cause of chest pain and carry out the most efficient treatment of pathology that caused the vertebral form of the disease. Self-medication in this case is unacceptable.