Chest osteochondrosis under the mask of other diseases

What Is Osteochondritis? Causes, Symptoms, Treatment For Rib Pain (Health And Medical Video July 2018).

Features of manifestations of chest osteochondrosis, its diagnosis and principles of treatment.

Osteochondrosis of the thoracic spine is less common than the cervical and lumbar sacral parts. This is due to the peculiarities of its structure: the processes of the thoracic vertebrae are tiled overlapping, which limits the extension of the spine.

In addition, the ridges from the vertebral bodies connect all chest fragments of the chest to a relatively rigid system. Limited mobility of the thoracic spine prevents the development of the disease, providing less injuries to the intercostal disks and a more even distribution of the load. The upper intervertebral discs are often affected by the lower ones.

Near the spine are the nerve trunks and nodes of the autonomic (sympathetic) nervous system. The nerve fibers that deviate from them innervate the heart, the gastrointestinal tract, and other organs. Therefore, the changes that occur in the intervertebral discs, edge-vertebral joints and most thoracic vertebrae, accompanied by pain in the heart, bronchus, esophagus, stomach (and other digestive organs) and pelvic and intercostal neuralgia.

Symptoms of thoracic osteochondrosis

One of the main symptoms are pain in the thoracic spine, which increases after exercise or a long stay in an uncomfortable position. Often there is pain in the interscapular region, pain in spinous processes of the vertebrae (palpated in the back). Pain can be quite strong, often given to other parts of the spine and internal organs.

In the period of exacerbation, there are restrictions on mobility, protective, reflex tension of paravertebral muscles (located along the spine), the appearance of symptomatic scoliosis (lateral curvature of the spine), which may disappear after the removal of pain syndrome. For osteochondrosis, repeated pain attacks (shotgun) are also common, they often begin and intensify during daylight hours or when uncomfortable movement and lifting of heavy objects.

Sometimes the patient does not feel pain in the spine, but complains of pain in the heart, liver, or lower chest. Therefore, such patients can be treated for a long time at therapists with a diagnosis of cardio neurorosis, coronary heart disease, dyskinesia of the gall bladder, pancreatitis, pyelonephritis, and others. A thorough examination of these organs does not reveal any pathological changes that can cause such a clinical picture.


  • X-ray;
  • Magnetic resonance imaging (MRI);
  • Computer tomography;
  • Emission-positron tomography.


One of the frequent complications of thoracic osteochondrosis is the formation of hernias of intervertebral discs. In the event of their occurrence (especially during the period of exacerbation), hard, often painful techniques of manual therapy are excluded. Patients are advised to restrict their motor status, undergo medical therapy, physiotherapy, reflexology and osteopathy. In the vast majority of cases it is possible to relieve spasms of paravertebral muscles and muscle tension, improve local blood supply and lymphatic drainage, and restore the normal location of the bone and articular and neurovascular structures of the thoracic spine.

When using osteopathic therapy, there are practically no complications. Her receptions are soft and painless, which is an undoubted advantage in the treatment of exacerbations of osteochondrosis.

After the elimination of acute manifestations it is necessary to continue the practice of physical therapy. Massage, reflexology and balneotherapy (baths) are also recommended. Similar procedures are prescribed only by the neuropathologist (vertebrologist) and kinesiology.

Chest osteochondrosis under the mask of other diseases

Category Of Medical Issues: Diseases

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