While the osteochondritis development quite often we can face unpleasant complications, such as the spinal disc herniation, symptoms, treatment and causes of which are interesting for many people all over the world.
The spinal disc herniation in the thoracic department of spine is a process while which some separate parts of the disc fall into the area of spinal canal. The spinal disc herniation in the thoracic part of spine we can face quite often nowadays. In spite of the fact that the disc herniation is rarer than in other parts of the spine, but it can bring to the patient a lot of unpleasant minutes, there can be chest pain, heart pain, pain in abdominal cavity organs; these symptoms require serious and complex examination of the patient.
Causes of the disc herniation in the thoracic part of spine
Doctors underline a number of main causes of this disease in the thoracic part of the spine. They are the following:
- Breakage of the disc in the result of the influence of high pressure. For example, lifting some loads in bent posture or landing in the sitting position after fall. If the strength of blow is very big, fracture of spine of intervertebral disc breakage is possible.
- Disc breakage as a result of “fatigue” of the spine. Small load today can lead to the disc breakage in several years. Unserious traumas lead to weakening of the fibrous ring of intervertebral disc. In the result of these traumas the fibrous ring is getting weak considerably and it can provoke breakage even after light load.
- Age. As a rule, from the disc herniation in the thoracic part spine can suffer people of middle age (from 20 to 50 years old). The reason is that modern people in this age get the most physical load. Children suffer from this disease very rare.
Symptoms of the disease
Pain under this disease will appear generally only after irritation of the nervous tissues. If you do not consult a qualified orthopedist and neuropathologist in time, it may lead to complete paralysis of legs. As a rule, girdle pain is one of the main symptoms of the presence of the disc herniation in the thoracic part of spine.
Besides, there can be sensitivity loss in limbs and weakness of muscles.
Under such disease, there can be observed increase of reflex activity of muscles.
Doctor will obligatory ask if there are not any problems with defecation and urinary bladder functioning. Usually there are such problems because of force impact on nervous tissues, which are responsible for intestinal tract and urinary system functioning. If the patient has noticed such problems he has to inform his doctor obligatory. In this case it may be necessary interference of neurosurgeon.
Diagnosis establishment and treatment of the disc herniation
In order the doctor will prescribe you effective treatment it is necessary to establish a correct diagnosis. For such disc herniation it is necessary to make X-ray study. But, unfortunately, with the help of this method it is possible to define the pathology in the thoracic part of spine.
Today X-ray study can be substituted by more modern method of diagnostics. It is magnetic resonance imaging. Magnetic resonance imaging gives more precise result and as a rule it has no side effects. Besides, this procedure is entirely painless.
If carried out investigations proved the disc herniation in the thoracic part of spine, it does not mean in all cases that an operation is obligatory. Clinical presentation is of high importance. If conservative treatment shows positive results and clinical presentation is getting better, then it may happen that the operation is not necessary at all. In those cases when conservative treatment is not effective, and state of the patient is getting worse, an operation should be performed.
At primary stages of the disease, conservative treatment is used. If the disease is not progressing and the patient feels good, the doctor may not use some special treatment. It is quite enough just to observe the patient all the time.
The patient needs complete rest under the disc herniation in the thoracic part of the spine, when pain is intense enough. The doctor in this case the doctor will suggest you to take sick days, to reduce physical load, to have more rest and to walk in the open air. If the pain becomes unbearable, then analgesics are prescribed. First of all, nonsteroidal anti-inflammatory medicines are prescribed.
If these medicines do not bring any relief to the patient, then some narcotics are prescribed. These medicines can lead to drug addiction; that is the reason why doctors prescribe them very rare.
Epidural anesthesia is one more method to remove the pain syndrome in the patient. Usually this method is applied before operations or in cases of short-term anaesthesia, when other medicines are not effective.
Operative methods of treatment
Laminotomy and discectomy are traditional surgical methods of treatment of this disease. Laminotomy is a dissection of several vertebral archs and diskectomy is a removal of some part of the disc or the whole disc.
Except the above mentioned methods, there are two traditional methods of treatment; they are microdiscectomy and endoscopic discectomy. Under microdiscectomy damage of neighbouring to the spine tissues is minimal; all operations are done through a very small cut. During an operation the surgeon can observe the whole process of removal of the part of the disc through special mini cameras. Endoscopic discectomy is applied much rare in medical practice than other methods of the disc herniation removal.