Tachycardia osteochondrosis is a non-specific symptom that masks and hampers the diagnosis of the underlying disease. Many patients complaining of tachycardia (increased heart rate) first call for help to the therapist. Given that most patients with middle and old age, the therapist will diagnose hypertension or vascular dystonia and assigns the appropriate treatment. Patients take a long time drugs that usually have no effect.
This is not surprising as to diagnose degenerative disc disease of the cervical or thoracic by its nonspecific manifestations can only be experienced doctor with knowledge in the field of neurology. In order to understand how to identify tachycardia on the background of osteochondrosis, you should know what may cause its appearance. Because the symptoms of the disease is a mapping of the violations that occur in the body.
The mechanism of occurrence of palpitations
Recent studies have shown that low back pain begins to damage the blood vessels of small diameter, which provide nourishment of the intervertebral disc. Violation of the trophic tissue leads to damage, and further starts the process of degeneration of cartilage in connective (scar).
The main factors that contribute to the emergence of disease include: genetic predisposition, the presence of the disease in the immediate family, prolonged or heavy load on the spine, sedentary lifestyle. All these conditions are conducive to the reduction of blood flow in the vessels that supply blood to the cartilage of the spine with subsequent obliteration (obliteration).
A reduction in the number of vessels and volume of blood supply to the cartilage begins to experience a lack of oxygen and nutrients. Violated all processes in cells. The cartilage on the background of constant oxygen and trophic hunger is replaced by scar tissue. However, it is not suitable for performing shock-absorbing functions, which usually performs the cartilage layer. This leads to further progression of the disease with the transition to the bone tissue of the vertebrae and inflammation in the surrounding structures.
Appear on the vertebrae bone spurs (osteophytes) that initially reduce the load on the lower vertebrae due to the increase in the area first. Later, however, their appearance can disrupt the movement in the spine. In addition, osteophytes cause trauma and compression to the surrounding elements. Over time, inflammation develops perivertebral tissues. Appears tonic muscle tension, which will compensate for the load, but in the future are additional factors for the occurrence of pain.
Near the spine are ganglionic and sympathetic nervous education. These structures Innervate the organs of the chest, including the heart. They are also affected, resulting in diverse clinical cardiac and neurological symptoms.
Pathological manifestations occur reflexively in response to stimulation of the sympathetic nerves and present with palpitations, pain in the heart region, fever etc.
Diagnosis of the disease
Palpitations in most cases occurs against a background of pain in the heart. It should be noted that pain in the heart and the spine in osteochondrosis occur simultaneously. Usually the occurrence of cardiac attack is preceded by heavy lifting, awkward body position, coughing or sudden movements.
Pain and tachycardia not amenable to treatment cardiac drugs (nitroglycerine, validol). The duration of the attack usually does not exceed 20 minutes, but in rare cases they may occur within a few days. The attack may be accompanied by feeling of stiffness in the chest and the presence of shallow breathing. ECG pathological changes, in addition to the tachycardia, is usually not detected. An attack may occur when a beating in the thoracic vertebrae (Th2–Th7).
Tachycardia can occur for many diseases like heart disease and without. How to suspect that tachycardia is a manifestation of osteochondrosis? To do this, define the following related symptoms that are identified in osteochondrosis:
- pain in the cervical or thoracic spine;
- the limitation of the spine;
- the voltage of the paravertebral muscles;
- loss of sensitivity
- vascular disorders in the lower extremities.
The main symptom that may indicate osteochondrosis is local pain in the cervical, thoracic spine. It can also give in the shoulder, shoulder blade, even on the front surface of the chest. The pain can be so great that all the attention of the doctor and the patient is confined only to this symptom. Back pain is absolutely all patients with osteochondrosis. It is often not allowed to sleep at night, forcing the patient to constantly roll over from side to side.
Movement in the spine become restricted in osteochondrosis is accompanied by a crunch, there is a feeling of stiffness. Sudden movements can lead to pain according to the type of cross. The muscles of the cervical, thoracic tense and painful. 70% of patients there is an increase or decrease in sensitivity, which is associated with damage to the nervous system.
Also osteochondrosis can manifest violation of the blood supply to the lower extremities in the form of flaky skin, brittle nails, sensitivity to cold feet.
Instrumental methods of research
The main instrumental method of research that confirms osteochondritis the origin of the tachycardia is radiography of the spine. Methods such as echocardiography, electrocardiography will only talk about tachycardia with no other changes in the heart. However, they allow to make a differential diagnosis between tachycardia with heart disease and osteochondrosis. If struck the heart, ECG and ultrasound will be detected organic changes of the heart structures.
Radiography allows us to determine the localization of lesions and degree of severity of the disease. It is held in two positions: maximum flexion and extension. This allows to determine the presence of pathological mobility of the vertebrae relative to each other. Normally, the vertebrae should not move more than 2 mm, in another case we speak of instability of the vertebrae.
What changes on radiographs allow us to confirm low back pain? The basic radiological criteria for the diagnosis is: decrease the height of the intervertebral gap, scar replacement of the bone structures in the area of attachment of the intervertebral disc. Also of great importance is the presence of schmorl’s nodes or boundary bone growths (osteophytes).
If you suspect damage to the spinal canal structures is carried out x-rays with the introduction of special substances – contrast. It is used in order to improve the visibility of the subarachnoid and epidural space of the spinal cord.
An alternative research method is the magnetic resonance and computed tomography. First better visualizes the soft tissue (disc, cartilage) and the second bone. Their effectiveness and informative value is much higher than the x-rays, but they are more expensive.
Treatment of degenerative disc disease
Tachycardia, and other manifestations of the disease, facilitated by comprehensive treatment. It will allow not only to reduce some symptoms and slow the progression of the disease. Treatment of osteoarthritis includes orthopedic activities, medication, physical therapy, medical gymnastics.
Execution and the therapeutic effect
|Bed rest.||In the period of occurrence of seizures with palpitations, pain in the heart or behind the patient shows a bed rest on a solid shield is not less than 10 days.|
|Orthopedic appliances.||Also recommended during work and home wear special corsets chenault that distributes the load on the spine and perform an auxiliary function.|
|LFK.||Among therapeutic exercises the greatest preference is given to swimming classes in the pool. Because the water removes the static tension from the spine, allows you to engage and strengthen the maximum number of muscles.|
|Medicines.||Drug treatment of heart palpitations and pain in the region of the heart is to receive ganglioblokatorov (platifillin, pilocarpine) in combination with diphenhydramine. Also reduce the severity of visceral manifestations of the symptoms of sedative drugs (Elenium, trioxazine). Additionally prescribe b vitamins, which have a neuroprotective effect.|
Painkillers are used only in the acute period, most often it is the injection of dipyrone course for 5-10 days. Quickly relieve local pain paravertebral blockade, but their effect is short-lived. At the moment give preference to the blockades on Fridland with the use of alcohol and novocaine.
Physiotherapy is the application of currents Bernard (5-8 sessions) in the period of exacerbation and in the period decrease in disease – ultrasound (8-10 sessions). These methods reduce pain, improve blood flow, functional status of paravertebral muscles and overall health of the patient. Therapy with use of hormones at the moment is expedient. Studies have shown that hormone therapy, a positive effect was observed.
A significant improvement in patients observed after Spa treatment, where he conducted classes in swimming pools and massage.