Hernia of the thoracic spine
Hernia of the thoracic spine poses a serious danger to humans. It can lead to disruption of normal innervation the vital systems of the body or organ. It is a common disease, which affects about 2 % of all people complaining of back problems. The main age group affected by disease – persons 30-45 years old.
Risk group includes representatives of certain professions, contributing to the development of the destructive processes of the spine. Courses associated with constant prolonged static tension of the muscular system of the chest. The pathology is exposed to programmers, operators welders, cutters, surgeons, stylists, hairdressers.
The problem may not manifest itself externally in the initial stages of formation. Asymptomatic pathology complicates the timely detection of potential danger. The patient may feel signs of lesions of other parts of the spinal column, having problems in the thoracic spine. Therefore, the disease is often diagnosed during the examination of the patient on other occasions or during the complex diagnostic activities. Timely treatment of other diseases, regular exercise in the morning, a healthy lifestyle contribute to better overall health and are preventive measures.
The mechanism of the disease
Hernia is formed when gelatinosa gelatinous core of the intervertebral disc begins to exit through the defective areas of the disc with fibrosis. There may be girdle pains in my ribs, a blunt pain in the upper back area. The numerical advantage of the plots, which formed a disc herniation of the thoracic, belongs to the border area between the waist and sternum area of the arrangement of vertebrae T8–T12.
The characteristic symptoms are manifested, depending on the extent and nature of the pathology development. Hernial lesion may affect the spinal cord or nerve roots. In the vessels and tissues of the stagnant blood, muscle fibers get overworked, nutrients are served in the disk cartilage tissue in a reduced capacity. Is the flattening of the disc, reducing its ability to stretch. This leads to the external or internal protrusion of a disk fragment that may contain nerve fiber.
The most frequent pathology of the inner protrusion directed toward the spinal canal with the liquid.
To assign the correct treatment, it is necessary to accurately classify symptoms, to find out the cause of back pain and its source. Since pain in the upper area of the back reveal a list of alleged illnesses, it is necessary to conduct differential analysis of patient’s condition. To confirm the symptoms of this type of pathology, the patient is prescribed x-rays.
The picture is taken in multiple projections, so the doctor was able to see the disturbed structural integrity of the intervertebral discs. Describing the, the doctor said local site of pathology Latin characters Th. To clarify the size of the hernia, the degree of damage of the disk, the patient undergoes MRI, which allows to obtain three-dimensional drawing.
When the diagnosis of the disease need to take into account the possible complications in the internal organs. Schmorl’s hernia of the thoracic spine may make changes in the normal functioning of the system. Possible complications:
- diseases of the urinary system;
- the formation of atonic colitis;
- dystrophic changes of heart or lung tissue.
At the initial examination in the clinic, these symptoms may come to the fore. Sometimes patients at the initial visit complaining of dysfunction of the arms or legs (paraplegia), which cause – myelopathies changes: blood vessels are compressed by tissue edema, inflammatory process; the spinal roots are affected dystrophy and ischemia; there is no regulation of the functions of the circulatory system nerve impulses; a nerve fiber injured.
Exploring symptoms at the stage of preliminary diagnosis of patients with signs of gastropathy, pancreatic necrosis, renal colic, cholecystitis or angina, it is necessary to exclude a hernia of the thoracic part of the spine. If any may experience the following symptoms:
- persistent pain in the upper region of the lower back;
- discomfort in the pelvic area due to stagnation of the circulatory system;
- violation of urinary functions (too frequent or infrequent urination);
- diarrhea or atonic constipation because of reduced intestinal motility;
- accelerated fatigue of the muscular system of the feet, hands, when the patient performed the usual exercise.
If the disease developed after the injury, the patient experiences continuous pain, the intensity of which varies with the position of the body (tries to sit up from a prone position). Strengthening of pain is not increased after load, and after a certain period of time from the commencement of daily professional activities with static fixation of the trunk.
Diagnosis of thoracic hernia begins with a medical history. Conducted a neurological examination, which determines the localization of the disease, have a damaged spine. The identification of possible vertebral fractures.
Effective therapeutic techniques
The treatment can be administered only after a thorough comparative analysis. Identifying characteristic symptoms, an inexperienced doctor can make a mistake with a diagnosis, not to recognize disease, and the wrong treatment will have serious consequences. The complexity of the diagnostic situation aggravates the disguise of this disease under other diseases, similar symptoms. It is therefore advisable to use only proven clinic with a reputation.
Distinguish between conservative and surgical methods.
|The treatment operation.||Surgical intervention is extremely difficult technically to perform. It is rarely used due to the inaccessibility of the inner part of the thoracic region of the spine.||It is administered only in emergency situations when no other choice. The hernia is justified by the paralysis of the limbs or ongoing pain.|
|Less dangerous cases are treated conservatively.||Effective treatment can consist of treatments manual therapy, acupuncture appointment, massage. The patient can assign individual physical exercises therapeutic exercises for his case. Applied hirudotherapy, balneotherapy, physiotherapy.||Massage therapy, treatment with stretching the spine, the treatment of activation of biologically active points must be strictly dosed by your doctor.|
Individually, each patient is assigned a certain time of the procedure.
The complex of physical exercises
Exercises for the thoracic part of the spine is useful in the treatment and prevention. A particularly important exercise for those who associated with certain types of professional activity, requires constantly to strain the upper body and fix it statically. Industrial gymnastics needed daily for a few short sessions.
If the first symptoms of a hernia, degenerative disc disease, scoliosis, it is advisable to increase the time sessions. Exercises can be performed for 5-10 minutes, changing the load type. Sometimes the exercises are performed with a chair.
Exercises with gymnastic stick, you can perform lying down immediately after waking up. An example of effective development of the muscles: rest the ends of the sticks into the center of the palms, rotate it vertically right and left. Simultaneously rotate in the same direction as the head. The average speed of the movements, breathing evenly. The action is repeated 10 times in each direction.
The effective result is possible when the therapeutic treatment and exercises are performed in parallel.