Thoracic osteosarcoma is a rare disease and the most "insidious form" of osteosarcoma. Due to anatomical features, this part of the spine is relatively rarely degenerated. The twelve vertebrae of this part are very firmly connected to each other and perfectly protected by a kind of muscle bundle, which greatly limits the range of motion between them. The ribs provide extra stiffness to the vertebrae.
The most likely reason for the formation of osteonecrosis of the ribcage is scoliosis, which is formed even on the study table. Risk factors for disc damage can be:
- Genetic factors;
- improper nutrition and overweight;
- labor activities associated with limitations of movement;
- exorbitant physical activity;
- age factors and hypothermia;
- instability of the segments of the vertebral disc;
- smoking and nervous stress;
- Bruises, fractures and spinal cord injuries are the most favorable factors for the development of thoracic osteonecrosis.
Symptoms and signs
The telltale sign of osteonecrosis of the breast is pain. It is common to break it down into categories:
- Lumbago - dorsal back. Manifestations are sudden, acute pain in the damaged cervical vertebrae. Symptoms of thoracic spondylosis are the result of a prolonged sedentary posture, when you have to sit at a table, hunched over for a long time. Sharp pain (low back pain) that occurs when you try to stand or lift.
- Backache. Pain increases when trying to take a deep breath and when moving the trunk. The muscles in the back are tense and movement can be limited in any area of the spine.
Visceral expression (inside)
With thoracic osteonecrosis, symptoms are varied with internal (visceral) manifestations.
The defeat of the superior thoracic nerve roots causes esophageal and pharyngeal pain.
Pressure on the affected area of the spine causes the pain to increase. It can flare up.
Symptoms of thoracic osteonecrosis, manifested by pain in the stomach, indicate damage to the nerve endings of the midthoracic region, which increases pain when lying on the back for long periods of time.
Compression of the 8th and 9th spinal roots causes duodenal pain. The sensitivity of the anterior part of the abdominal wall is impaired.
Abnormal gastric motility (excretion and peristalsis) is a characteristic symptom of thoracic osteonecrosis.
Result:
- nausea and vomiting;
- heartburn;
- pain in the left hypogastrium;
- flatulence;
- diarrhea or constipation.
Dysfunction of the duodenum (excretory and motility) leads to:
- nausea and belching;
- There is pain and heaviness in the right hypochondrium.
Very often, osteonecrosis of the thoracic region is manifested by symptoms characteristic of other diseases, for example, angina attacks. Also note pain in the heart: cut, press, burn the heart or squeeze the throat.
With laryngospasm - the result of pathology at the level of the cervical vertebrae, symptoms develop that manifest themselves:
- shortness of breath and cough;
- wheeze;
- short of breath.
In the treatment of thoracic osteonecrosis, symptoms and manifestations are similar to pulmonary pathology, it is necessary to accurately determine their relationship to spinal pathology.
Treatment of osteonecrosis of the thoracic spine
When developing a treatment plan that determines how to treat thoracic osteonecrosis, the diagnostic data is based on the aid of radiographic examination. Such an examination would clearly inform the treatment of thoracic osteosarcoma, since radiographic findings reveal proliferation of the vertebral bodies and the presence of changes in the thoracic cavity. Disc spacer (reduced height) is a characteristic symptom of this disease.
Based on the data of the diagnostic examination, identifying the leading symptoms, the clinical diagnosis is clarified, from which the correct strategy can be determined.
Treatment of osteonecrosis of the thoracic spine directly depends on the syndrome, stage of development, and the presence of underlying diseases.
To relieve pain, restore impaired function of the nerves of the spinal roots, prevent the progression of degenerative changes in the structure of the spine, conservative methods are used, in combination with complex treatment. complex step by step.
Treatment of osteonecrosis of the chest includes several physiotherapeutic procedures:
- measure inductance and electrophoresis;
- laser therapy and vacuum therapy;
- sinusoidal and dynamic currents;
- acupuncture and pharmacological acupuncture;
- Acupuncture.
Drug treatment:
- Vasodilators and muscle relaxants (muscle relaxants and venotonics);
- blockade of novokoin paravertebral.
Physical therapy
Physiotherapy for thoracic osteosarcoma is a key stage of recovery. Strengthens the muscles and mobility of the spine. Exercise for thoracic bone resorption improves ventilation in patients with painful deep breathing.
Exercises to treat osteoporosis in the chest are effective:
- when the spine is stretched;
- when setting the correct breathing rate.
But we must not forget that exercise therapy for thoracic osteosarcoma is only effective when all causes of the disease have been identified and eliminated.
If the indicated course of treatment does not yield satisfactory results, various surgical interventions are used, based on the obvious symptoms and extent of destruction.
Cervical bone tumor - chest
Sternum mastoid tumor is a disease caused by processes (degenerative-dystrophic) affecting the intervertebral discs of the cervical spine.
The closely spaced vertebrae are not adequately protected by a relatively underdeveloped muscular framework. Even the slightest stress on the neck causes myelopathy.
Main symptoms
Symptoms of tarsal osteonecrosis are manifested:
- disorders of sensitivity of the muscles of the neck, skin, hands and face;
- headaches and dizziness;
- unsteady gait;
- increased fatigue, impaired vision and hearing.
The pain radiates down the arm, extends from the shoulder to the fingertips, numbs the skin, just a slight movement of the neck can cause a feeling of electric current running through the entire arm.
Pulmonary disease can cause:
- lung and heart disorders;
- dual vision;
- tongue numbness.
Treatment of exacerbations of the disease
The use of complex therapy in the treatment of acute exacerbations of tarsal osteonecrosis can help achieve a positive long-term result. It includes:
- The orthopedic approach is to immobilize the neck with a Chance collar, which provides support for the head, significantly reduces stress on the cervical vertebrae and contributes to their alignment.
- The method uses acupuncture - anti-inflammatory drugs (preferably homeopathic), to relax the spasmodic muscles and prevent aggravation of lens compression.
- Chondroprotectors - to prevent the development of damage to cartilage tissues.
- The drug helps to strengthen the disc-ligand-ligament apparatus of the vertebral discs.
- Acupuncture is applied to quickly relieve pain, reduce muscle spasms, and restore the function of spinal nerves. This method is very effective and its use during an exacerbation halts the progression of the disease for many years.
- Hirudotherapy - treatment with leeches promotes the healing of damaged fibrous rings in the disc, eliminates edema of the nerve roots and improves blood circulation in the discs of the spine.
- Drug therapy - biostimulants, drugs that improve peripheral circulation, vitamins.
- Massage - to relax spasmed muscles, to restore and strengthen them.
In the final stage of treatment, depending on the elimination of muscle spasms and inflammatory processes, they connect - manual therapy, osteopathy, exercise therapy.
Prompt treatment of any disease will prevent exacerbations and various complications caused by them.