Fibroids of the chest are a difficult disease to diagnose. It is less common than cervical and lumbar spine injuries, because the thoracic vertebrae do not function. Due to the proximity of vital internal organs to the spine, it is not always possible to make an accurate diagnosis immediately: symptomatically, serious diseases of the heart, large vessels, lungs close to necrosisbone - and vice versa: osteonecrosis may be present. itself is similar to pulmonary or cardiac symptoms.
The pain can be diffuse, radiating down the shoulder, below the shoulder blade in the form of low back pain, severe when taking a deep breath. There may be chest pain, manifested by an uncomfortable position, leaning over. Pain in the left side of the chest resembles a heart attack, and in the right hypochondrium - cholecystitis. The vertebral muscles are often tense, often with numbness and tingling in the chest, abdomen, and arms.
The spinal canal in the thoracic region is quite narrow, so even small hernias or protrusions that form during osteonecrosis can compress the spinal cord. All this disrupts the quality of life, affects performance, the emotional sphere.
Treatment of fibrocystic breast must be timely and competent in order to prevent the progression of the disease and the development of complications. You should know that it is not possible to completely cure thoracic osteonecrosis. But it is quite possible that this disease brings a person the fewest problems. It's important to change your lifestyle, introduce new habits, be physically active, and follow treatment recommendations. And then osteonecrosis will not be felt on its own.
Risk factors for developing osteonecrosis of the breast
- Sedentary lifestyle. Osteoarthritis affects sedentary workers, fixed body posture in the workplace, for example, at computer desks, sewing machines, who are not aware of physical activity. The muscles that support the spine lose function and the static load on it increases.
- Overweight. The higher the weight, the higher the load on each vertebra.
- Smoke. This bad habit leads to interruption of blood supply to tissues, including vertebrates.
- Excessive physical activity, incorrect. This includes lifting and carrying weights, jumping and running.
- Postural disorders, curvature of the spine. These spinal diseases lead to degenerative changes in the discs, muscle tension.
Treatment of osteonecrosis in the chest
- Drug treatment:
- anti-inflammatory drugs - they reduce pain and swelling of soft tissues. Local forms in the form of gels, ointments, and creams may be useful for intercostal neuralgia;
- anesthetic - injected across the spine to relieve pain and relieve muscle spasms;
- glucocorticosteroids - these hormonal drugs are used as vertebral blocks when other medicines are not effective;
- muscle relaxants - relieve painful muscle spasms;
- antidepressants - help reduce psycho-emotional stress inherent in osteonecrosis;
- vitamins of group B - nourish nerve formation, thereby combating nervous disorders. In the treatment of osteonecrosis, preparations containing vitamins B1, B6 and B12 are used;
- chondroprotectors - have the ability to partially suspend the destruction of discs, improve bone metabolism. It is better to inject them directly into the vertebral tissues, because oral drugs require long-term oral administration and high doses.
- Physical therapy. Physiotherapy works locally to the heart of the disease - pain relief, spasms, improved blood circulation, tissue nutrition. In case of osteonecrosis in the chest, the doctor may prescribe magnetic therapy, electrophoresis, UHF, laser.
- Massage. Massage the neck area, chest area, hands. In the case of an exacerbation, massage should not be started on the first day and should be done sparingly at first. It is necessary to achieve relaxation of the spasmodic muscles. During the pain-free period, massage techniques become different - these techniques are more intense. In addition to the usual way, you can make point effects. In case of osteonecrosis of the chest, manual and vacuum massage, vibrating massage are very helpful. These types can be combined or alternating.
- Physical therapy. Performing special therapeutic exercises daily will help prevent or reduce the frequency of exacerbations of osteosarcoma. For example, you can do the following exercises:
- while sitting in a chair, bring your hands behind your head and inhale, then bring your shoulder blades together, touching the back of the chair (exhale). Repeat 10-15 times;
- Stand on all fours and slowly arch your back, like a cat, lingering in this position for a few seconds. Then bend your back up and also lie in this position. Repeat 15-20 times;
- In a supine position, raise your head and straighten your arms along your body, hold for a few seconds, and return to the starting position. Repeat 7-10 times;
- Lie on your back, raise your legs straight up 20-30 cm, hold for 15-20 seconds. Repeat 10 times;
- Undo the spine. It is performed on a special table, massage bed with rollers. Underwater traction is also possible. The soft tissues are stretched, and the discs are removed.
- Relaxation after isostatic. It is performed by a massage therapist or a rehabilitation therapist who knows the technique. This method allows you to relax the spasmodic muscles of the back.
- Acupuncture. Allows you to relieve muscle spasms and relieve pain.
- Hirudotherapy. With the help of biologically active substances secreted by leeches, blood flow is improved, pain syndrome is reduced and inflammation of soft tissues stops.
What you can do yourself to prevent and treat osteonecrosis of the chest
- Try to avoid static poses. If you're sitting in front of a computer or workstation, take a break by warming up every hour and a half. Stretch, perform breathing exercises, bow forward, backward, to the side, rotate arms, bend torso. The office chair should have a comfortable back that follows the curve of the spine. You can put a special orthopedic pillow on it. The chair must be sturdy, the height of the chair should be equal to the length of the lower leg. There are requirements for the table top - the table top is usually at elbow level of the bent arm.
- It is recommended to sleep on an orthopedic mattress so that the natural curves of the spine are respected.
- Do not carry heavy weights, but if necessary, squat or kneel to lift the weights off the floor. Sew the shirt with a straight back, spread evenly on both hands.
- With osteonecrosis, it is necessary to maintain body weight, eat less fried and greasy foods, and exclude carbonated drinks and alcohol.
- Sports like swimming and skiing are useful. Exercise regularly.
Optimal treatment for thoracic osteonecrosis should include several complementary approaches. The treatment program is formed individually. The key is to relieve pain, improve tissue nutrition, relieve discs, relax spasmodic muscles, and increase muscle corset strength. For these purposes, therapy must be carried out several times, and at least twice a year, supplemented with daily therapeutic exercises, systematic swimming and spa treatments.
Which doctor to contact?
If symptoms of osteonecrosis of the breast appear, you should consult a neurologist. Usually, an additional examination by a neurosurgeon is indicated, if necessary - a therapist, a cardiologist, a rheumatologist, an autopsy to exclude concomitant diseases. Physical therapy is very important in the treatment of disease, so it is helpful to consult a nutritionist, physiotherapist and massage therapist.