Thoracic lumbar osteochondrosis

low back pain with osteochondrosis of the chest

The term thoracic lumbar osteochondrosis refers to the identification of dystrophic and degenerative changes in the vertebrae.

As a result of pathological processes, not only the bone tissue of the spine suffers, but also the function of adjacent ligaments, muscles and joints is impaired.

Thoracic osteochondrosis is rarely isolated, often the patient has changes in the cervical spine, and the localization of pain and discomfort contributes to the fact that the disease can be mistaken for a long time with disorders of the heart, lungs and stomach.

Thoracic lumbar osteochondrosis is not often diagnosed. This is due to the structural features of the thoracic region: the discs inside are smaller and thinner, and the mobility of the thoracic region is much lower than that of the rest of the spine. Part of the load is distributed to the ribs and sternum.


The main reason for the development of osteochondrosis in any area of the spine is a violation of metabolic processes, under the influence of which the structure of the bone tissue of the vertebrae changes, cartilage surfaces are destroyed and muscle function - apparatus changes. All these processes are inevitable, and at the end of life, any person suffers to one degree or another from manifestations.

hypodynamics as a cause of thoracic osteochondrosis

The most likely causes of osteochondrosis in the thoracic region are:

  • Hypodynamics - the lack of movement required for the spine leads to a decrease in blood supply to this area and, consequently, the rapid development of pathological changes.
  • Muscle spasm. Long-term muscle spasm occurs when the body is in a stable state with scoliosis.
  • Excessive and improper training.
  • Congenital defects of the spine.
  • Large body weight.
  • Injuries.

Factors that contribute to the development of osteochondrosis include genetic predisposition, hypothermia, impaired immune system function and inflammatory diseases.


Most patients complain of the following symptoms:

  • Chest pain.
  • Bending, stiffness when making turns.
  • Disorders of internal organs.

Pain in osteochondrosis varies in nature and intensity. It is often paroxysmal, aggravated by coughing and sneezing, and is given to the shoulder blade.

The same pain can be accompanied by cardiovascular problems and intercostal neuralgia, so these diseases are often confused with each other without proper diagnosis.

Periodic discomfort and pain appear in the stomach area, a person with such manifestations can be treated for a long time and has no benefit for imaginary digestive problems.

The clinical signs of the disease also depend on the occurrence of the most obvious dystrophic changes.

  1. With damage to the upper thoracic vertebrae, the patient may complain of a foreign body sensation in the throat, discomfort in the esophagus and throat. Difficulty swallowing with obvious changes.
  2. Defeat of the vertebrae in the middle of the thoracic region causes symptoms similar to cholecystitis, pancreatitis, gastritis.
  3. Degenerative changes in the vertebrae of the lower segment cause painful sensations in the intestines.

Pain in the digestive system is not related to food intake and season, it is a sign of true gastrointestinal diseases from osteochondrosis. Of course, a diagnosis is not made solely on the basis of symptoms and hypotheses, but can only be confirmed by an appropriate diagnosis.

The course of the disease

Thoracic osteochondrosis develops quite slowly. The preclinical stage of the disease is characterized by interstitial discomfort in the relevant part of the spine, during which the cartilage elasticity and density decrease.

  • Ongoing pathological changes lead to the development of an acute phase in which all the symptoms of the disease are manifested. In some patients, the symptoms may be insignificant, but this does not mean that no serious degenerative changes have occurred.
  • After the acute period is eliminated with the help of drugs and physiotherapy, the disease becomes chronic. Inflammation during this period depends on the influence of provocative factors and the measures taken by the patient to prevent the development of the attack. Outside the inflammatory phase, patients experience increased fatigue, weakness, and occasional chest discomfort.


Ongoing degenerative changes in the vertebrae, muscle tension and weakening of the ligament apparatus:

  1. Herniated discs.
  2. Radikulitov.
  3. Spondyleses.
  4. Scoliosis.

With a long period of acute period and frequent outbreaks of the disease, the ability to work is often lost and the person becomes disabled.


Making an accurate diagnosis begins with an examination and examination of the patient. During the examination, the range of motion in the chest is examined and the indicators of tendon reflexes are determined. The nature of the pain indicates another disease, so it is necessary to conduct an ECG, ultrasound of internal organs. After the diagnosis is made:

  • Radiography.
  • MRI or CT.
  • Blood tests show signs of inflammation.

Additional treatment depends on the identified changes in the spine.


The treatment regimen for osteochondrosis differs slightly in the acute and chronic stages of the disease. Treatment should be comprehensive, using medications and a reflex effect on the spine.

  • Drug treatment consists of the use of anti-inflammatory drugs, analgesics, chondroprotectors, vitamins.
  • Physiotherapy helps to improve blood circulation and partially relieve pain.
  • An important step is to conduct massage courses and regular use of therapeutic exercises.

Indications for surgical treatment

In some cases, surgery may be offered to the patient because there is no noticeable effect with highly effective therapy. Absolute indications for operation:

  1. Spinal stenosis.
  2. Instability of the spine that causes significant displacement of the vertebrae.
  3. Spinal hernia.

Several types of surgery have been developed for osteochondrosis. The decision to carry them out is based on the clinical picture of complications. Discectomy can be used to create a stable articulation of the vertebrae; There are methods in which a special prosthesis is installed instead of a disc. The hernia can be treated not only surgically, but also with a laser.


The diagnosis of osteochondrosis is a serious reason to change your normal life. Lack of bad habits, proper nutrition, regular physical activity and weight control significantly reduce degenerative processes. Long-term remission of the disease also depends on prophylactic drugs and regular exercise of a number of exercises prescribed by a doctor.