Vertebrogenic torakalgiya indicative of pathological condition of nerve endings and muscle fibers in the thoracic spine. It characterized it the appearance of acute or chronic pain in the intercostal space to the front or rear side of the chest. This primary spine disease symptoms or internal organs located in this part of the body.
The content of the article:
- 1 Vertebrogenic torakalgiya - what is it?
- 2 symptomatology
- 3 Symptomatology, depending on the location of the nerve
- 4 Differences pain associated with vertebral and cardiac ischemia torakalgii
- 5 The causes of the disease
- 6 Possible consequences
- 7 Diagnostics
8 medication therapy
8.1 Muscle relaxants
- 8.1.1 baclofen
- 8.1.2 Mydocalm
- 8.2.1 diclofenac
- 8.2.2 piroxicam
- 8.3.1 Teraflex
- 8.3.2 Artrofish
- 8.1 Muscle relaxants
9 Auxiliary drugs
- 9.1 ibuprofen
- 9.2 cyanocobalamin
10 Folk remedies
- 10.1 Poultice of blue clay, honey and aloe
- 10.2 Compress incense and apple cider vinegar
- 10.3 warming mustard plasters
- 10.4 dry heat
- 11 Surgery
12 Therapy without exacerbation
- 12.1 LFK
- 12.2 spine stretch
- 12.3 Turn towards a gymnastic cane
- 12.4 Exercise using the ball for fitness
- 12.5 Massage
- 12.6 Physiotherapy and chiropractic
- 13 Video of the vertebral torakalgii
Vertebrogenic torakalgiya - what is it?
Vertebrogenic torakalgiya appears sharp, aching, chronic pain or spazmiruyutsya syndrome, which is localized in the back area, front chest side or sides with side edges.
It is a pathology that is characterized by inflammation of nerve endings, spasm of the muscle fibers, as well as a constant voltage. Torakalgiya is a common disease, which periodically worried about 25% of the world population.
Vertebrogenic torakalgiya - a pathology, which is the main symptom is severe pain, worse at the time of performing physical activities, weight lifting, sudden movements. Symptoms of the disease state of the nerves and muscle fibers of the chest depend on the severity of the pathological process, and are expressed as the following symptoms.
|The type and shape of vertebral torakalgii||Characteristic clinical picture|
|Left-sided||Man with left torakalgiey feels sharp, aching or pain in the sweep edges. Pathology can completely cover the entire left side of the chest body, localized solely at the top or bottom. The acuteness of symptoms of pain depends on the causes of the pathology, as well as the severity of the inflammatory process.|
|Right hand||Right-torakalgiya characterized by aching or sharp pain, which affects only the right side of the torso. The localization of the pathological process focuses in the edges and partially covers the back, the front right portion of the thoracic cage.|
|acute||This is the most painful form of torakalgii which can cover completely the whole chest, including her right hand, the left side as well as front and back area. Acute painful syndrome characterized by spasms, lumbago, hypertonic muscle fibers. Torakalgiey patient with an acute form of hard to breathe, to move, it hurts to lie in one position.|
|chronic||The chronic form of vertebral torakalgii characterized by periodic appearance of nagging or acute pain, which covers a certain part or all of the whole chest. Painful syndrome occurs after hypothermia, lifting heavy objects, an extended stay in the same position, heavy physical labor.|
Determination form torakalgii performed during examination of the patient, which is performed in a stationary separation using instrumental methods of diagnosis.
Symptomatology, depending on the location of the nerve
Vertebrogenic torakalgiya - a painful condition of the chest, which the symptoms depends on the location pinched and inflamed nerves.
The pathology is characterized by the following features:
- increased muscle tone and pain in the back while squeezing the nerves in the spine;
- attack shooting pains on the left or right side, with intercostal neuralgia;
- steady pain from the front of the chest, upper limb numbness, impaired the mobility of the shoulder joint, if there is damage to the peripheral nerves front saphenous branch.
The severity of pain depends on the type of disease and causes of inflammation or nerve entrapment. During the patient's neurologist survey pays particular attention to the location of pain.
Differences pain associated with vertebral and cardiac ischemia torakalgii
A distinctive feature of acute attacks or aching pain that is caused by vertebral torakalgiey, is hypertonicity of muscles, as well as the prevalence of unpleasant sensations in the half or the whole of the breast cells. This person does not interfere with the disturbances of the cardiovascular system.
Pain caused by cardiac ischemia, or localized on the left in the middle of the thorax, accompanied by increased heart rate, arrhythmia, shortness of breath, feeling of breathlessness, unstable blood pressure.
The causes of the disease
Vertebrogenic torakalgiya - a painful condition of the body, which can be caused by diseases of the locomotor system or diseases of internal organs.
Identify the following causes of disease:
- chronic osteochondrosis of the thoracic spine;
- intercostal neuralgia;
- inflammation of the peripheral nerves caused by bacterial and viral microorganisms;
- long reception anabolic steroids;
- herniated discs;
- ribs and spine injuries resulting from blows, falls from a great height;
- sharp lifting heavy objects;
- sports injuries of the chest;
- a pinched nerve;
- spontaneous pneumothorax;
- pulmonary embolism;
- aortic aneurysm;
- a compression fracture of the spine;
Attribution vertebral torakalgii is the basic condition for the formation of an effective course of therapy with minimal risk of disease recurrence.
Vertebrogenous torakalgiya is a painful condition of the thoracic spine, which is caused by the presence of concomitant diseases of the body.
Lack of diagnostic and qualified treatment can lead to an inflammatory lesion pinched nerves, their loss, partial or complete paralysis of the muscle fibers, loss of tissue sensitivity, motility upper limbs.
Vertebrogenic torakalgiya - a pathology, which can be determined using the following instrumental methods of diagnosis:
- X-ray of the chest;
- Ultrasound of the heart and aorta;
- MRI of the thoracic spine, as well as the gastrointestinal tract;
- biochemical analysis of venous blood;
- clinical study of capillary blood;
- Analysis of morning urine biochemical parameters.
Besides the use of instrumental methods of diagnosis the patient is undergoing tests at the doctor-neuropathologist, which determines the localization of the inflamed or damaged nerves. For injuries of the spine, ribs, or bone anterior wall of the chest require a surgeon's consultation and trauma.
For ease painful symptoms torakalgii use drugs following pharmacological categories that help to eliminate inflammation, relieve muscle spasm, have analgesic act.
Muscle relaxants - a medication that relaxes the muscle fibers of skeletal muscles. To treat vertebral torakalgii used following preparations of this group.
This tablet formulation in which the composition is baclofen active substance with a concentration of 10 or 25 mg. Take 0.5 tablets 3 times a day. Medication is contraindicated for use in meningitis, multiple sclerosis, stroke, traumatic brain injuries.
The duration of therapy is determined individually neurologist. The average cost of the drug is 580 rubles. 50 tablets.
Mydocalm is a centrally acting muscle relaxant, reducing the increased muscle tone due to the direct effects on the CNS. The active substance of the medicament - a tolperisone hydrochloride with a concentration of 50 or 150 mg in each tablet. Is assigned to reception of a daily dose of 150 to 450 mg divided into 3 times.
The drug is contraindicated in patients with renal and hepatic insufficiency, intolerance lactose, a pregnant woman, as well as to the mother's lactation newborn baby milk. The price of the drug is 565 rubles. per pack of 30 tablets.
To eliminate the inflammation in the rough endings and muscles of the chest using the following products, which are categorized as non-steroidal anti-inflammatory drugs.
The active ingredient of the drug is diclofenac sodium. The medicament is administered intramuscularly in compliance with daily dosage - 75 mg from 1 to 2 times per day. The duration of therapy is 4-5 days. The drug is contraindicated in patients with gastric ulcer, bronchial asthma, severe liver disease and kidney. The average cost of Diclofenac is 125 rubles. 10 ampoules.
To achieve rapid anti-inflammatory and analgesic effect using piroxicam in the form of suppositories. The drug is administered rectally at 10-40 mg 1 to 2 times per day. The duration of the therapeutic course of 4-6 days.
Medication is contraindicated in people who are prone to allergic reactions to the drug are suffering from peptic ulcer, intestinal diseases. The price of the drug 140 rubles.
Chondroprotectors - a separate group of drugs that are used for complex treatment of inflammatory processes in the tissues of the musculoskeletal system. In this case, the following tools are used.
The composition of this preparation is 2 basic substance. This glucosamine and chondroitin. The medicament is administered to reception 1-2 capsules a day with duration of therapeutic course of 3 to 6 months.
Teraflex contraindicated in people with asthma, renal and liver failure, diabetes, stomach ulcer. The price of the drug is 1550 rubles. 120 capsules.
The active ingredient of the drug is chondroitin. The medicament is assigned to the reception of 2 capsules 2 times a day during meal time. The treatment course is 1 month.
The drug is contraindicated for people who are prone to the manifestation of allergic reactions to the active ingredient preparation. Not recommended for pregnant women to the reception, as well as the nursing baby. Artrofisha average price is 750 rubles. 60 capsules.
In combination with the above drugs these medications can be used to facilitate the removal of pain and accelerate healing.
The active substance preparation is ibuprofen. It has analgesic and anti-inflammatory effect. Is assigned to the reception of 1-2 tablets per day. therapy is not more than 3-5 days.
Ibuprofen is contraindicated in patients with heart failure, severe liver and kidney, digestive tract pathologies, women for 3 trimester. The average price of the drug is 95 rubles.
It is a medicine containing the active ingredient is vitamin B12. The medicament used for intramuscular injection in compliance with a dosage of 200 to 500 micrograms per day. The duration of treatment is 14 days.
Cyanocobalamin is contraindicated in patients with erythrocytosis, erythema, cancer tumors. The cost of the drug is 50 rubles. 1 vial.
The following recipes of traditional medicine that can successfully deal with the manifestation of symptoms of vertebral torakalgii.
Poultice of blue clay, honey and aloe
For the preparation of this tool will need to use the following components:
- 100 g of blue clay;
- 300 ml of warm water;
- 5 g of honey;
- 1 aloe leaf.
The principle of the preparation of domestic medicine is that the blue clay is mixed with the specified amount of liquid, but their composition is added honey and crushed aloe leaf to the slurry.
The resulting mass is placed on the body surface in the area of pain localization. From above it is closed with cling film, and then tied a woolen scarf. With such a compress it is necessary to go 1 hr. Medical procedure is done daily for 2 weeks.
Compress incense and apple cider vinegar
To prepare this tool, you need to take 50 grams of incense, and the same amount of apple cider vinegar. All components are thoroughly mixed in a liquid solution, the bandage is moistened and then placed on the area of pain as a compress. Warming bandage must be worn until it is completely dry. Duration of treatment 5-7 days.
warming mustard plasters
Medical procedure performed in the evening. It should take 1-2 mustard plaster, moisten them with warm water and set on the body surface, wherein the pain syndrome is concentrated. Therapeutic procedure should last at least 15-20 minutes. Then mustard removed and the skin, where they were smeared with honey. Therapeutic measures should be performed 2-3 times a week until the complete disappearance of pain.
To use this method of national treatment, it is necessary to take 200 grams of salt, heat it in a pan, and then pour on the segment of woolen cloth. The flap salt fastened in a tight knot, which is placed on the surface of the skin of the chest, where the pain is concentrated. The process lasts 20-30 min soak. daily. therapy period is 2-3 weeks.
Therapy vertebral torakalgii using only as a last resort used for surgery. Operation is used to release the nerve compression, which is in the fevered condition causes pain and hypertonus muscles of the chest.
Surgical treatment is indicated in the intervertebral hernias, traumas and fractures offset bone. Operative intervention is carried out under general anesthesia in a hospital surgical department.
Therapy without exacerbation
To prevent exacerbation of the disease, Save Cancel mobility of the thoracic spine, and avoid pinching inflammation of nerve endings, it is recommended to engage in physical therapy and periodically take courses manual therapy.
People who are prone to diseases of the thoracic spine, periodically faced with the occurrence of vertebral torakalgii attacks should do the following exercises therapeutic physical education.
For this exercise, horizontal bar crossbar need and desire of the individual. In the morning, immediately after waking up from a dream, you should do warm-up and then lock the hands on the bar and hang on to it so that the tips of your toes do not touch the floor.
The body should be completely relaxed. Hang on the bar must be as long as enough physical strength. The exercise is performed on a daily basis.
Turn towards a gymnastic cane
This exercise helps to improve posture, prevents the progression of degenerative disc disease of the thoracic and inflammation of nerve endings. You must put your feet shoulder-width apart, make gymnastic stick behind his back and to fix on the level of the blades.
Then it is necessary to perform smooth turns the body into right and left side. Exercise is done on a daily basis in 3 sets of 30 repetitions.
Exercise using the ball for fitness
To perform this exercise you need to use the main sports equipment in the form of a ball for fitness. Its average price is 750-850 rubles.
The principle of the exercise lies in the fact that a person falls back to the surface of the ball and rolls back and forth so as to perform an adequate deflection back and massage the thoracic spine. This type of exercise therapy is performed 1 time per day.
Therapeutic massage is an excellent means of prevention of the onset of symptoms vertebral torakalgii. It should be carried profile specialist in manual therapy and neurology.
People with diseases of the thoracic spine is recommended to visit the office of massage therapy 2-3 times a week. Massages cost depends on the skill of his pricing policy, but the average is from 350 to 1000 rubles. for 1 session.
Physiotherapy and chiropractic
Manual therapy involves the use of massage elements and techniques restore the natural position of the joints of the shoulder girdle, thoracic vertebrae.
Doctor eliminates dislocations, relieves muscle tissue blocks which are in a state of hypertonus, mobilizes segments musculoskeletal system. Thanks to the skillful actions of the chiropractor reduced pain symptoms is not allowed infringement of the nerve endings.
Manual therapy includes not only the restoration of mobility elements of the musculoskeletal system, but the use of acupuncture. The doctor uses a special needle, which are introduced into biologically active points on the surface of the chest, as well as other parts of the body.
Physiotherapy vertebral torakalgii includes applying the following techniques:
- laser therapy;
- mud applications;
- mineral baths.
The above treatments are carried out in the centers of spa rehabilitation and physiotherapy rooms. Purpose of treatment carried neurologist doctor after a preliminary examination.
Vertebrogenic torakalgiya is a pathological condition of the spine and muscles musculoskeletal system, which is characterized by bouts of severe, aching, cutting, or spazmiruyutsya sweep pain.
It is a symptom, which covers completely the whole chest, can be localized exclusively to the left, right, front side or the back. In most cases, the pathology develops in people who are suffering from intervertebral hernia, chronic degenerative disc disease, previous history of fractures of the spine or ribs.
Registration of the article: Vladimir the Great
Video of the vertebral torakalgii
Doctor of torakalgii: