Possible causes for pain in back and chest

If the patient feels pain behind the breastbone, in the middle of the giving back, the doctor cannot make a correct diagnosis, which is based at the clinic.

Pain in chest and back

Spondiloarthrosis

In spondylosis is a form of osteoarthritis of the joints of the spine. Suffer, dugo-process decisions. The degeneration of the cartilage in which the cartilage becomes thin and loses its flexibility. In the result of the pathology is the formation of bone outgrowths.

The nature of the pain

Pain back, the thoracic part of the spine is manifested by movement, as the progression is shown in a state of rest. Changes in weather increase the pain. The intensity of the pain increases with the development of degenerative changes.

Other symptoms

The morning stiffness of the spine, this phenomenon takes place half an hour later. The sound of the "crunch" in the spine due to the development of osteophytes. In the later stages of the process, the development of contractures. Medical advice you should consult with your doctor. Diagnosis

  • X-ray examination, CT: visualization of osteophytes (outgrowths), reduction of the intervertebral gaps.
  • MRI: state of the soft tissues, degeneration of the cartilage.

Treatment

  • Unloading of the spine
  • Analgesics
  • Nonsteroidal anti-inflammatory drugs
  • Protectors
  • Muscle relaxants
  • Physical therapy may effectively relieve pain: UFO, electrophoresis of novocaine, intravenous therapy, current therapy

Osteochondrosis

Description of the disease

The nature of the pain

The pain is of gradual development. In the first acute exacerbations of osteoarthritis the pain is marked by significant physical activity and is poorly expressed by the intensity. As the progression of the pathological process, pain increases and becomes sharp at strengthening and pain at rest. It's a pain, which is called dorsago. Pain syndrome increases in night-time, due to relaxation of the muscle framework. The sensations are aggravated by deep inspiration and expiration. A peculiar girdle pain in the chest and back.

Other symptoms

Marked paraesthesia of the skin (a feeling of "chills"). Sometimes the pain can spread after the expiry of the phrenic nerve in the region of the pharynx and the esophagus.

Diagnosis

  • X-ray diffraction study: to assess the extent of damage to the spine, the status of the vertebral body.
  • CT: the level of degeneration of the intervertebral disc.
  • MRI: analysis of the status of the soft tissues, the presence of a hernia, a compression of blood vessels and nerves.

Treatment

  • Unloading of the spine
  • Traction on an inclined plane
  • Procaine blockade of the anterior scalene muscle
  • Analgesics
  • Nonsteroidal anti-inflammatory drugs
  • Diuretics
  • Muscle relaxants
  • Physical therapy may effectively relieve pain: UFO, electrophoresis of novocaine, intravenous therapy, current therapy
Diagnosis

Description of the disease

Below to understand the kyphosis curvature of the spine in the low back. Thoracic kyphosis, there is a norm. However, if the angle of the pole exceeds 45 degrees, we are talking about pathological kyphosis.

The nature of the pain

For thoracic kyphosis is characterized by pain, pain in back and chest. With increasing angle the intensity of the pain increases. It seems as if activity and at rest.

Other symptoms

Develop stooped posture, characterized by spasms of the muscles. Arise paresthesia, and weakness in the lower extremities. The shoulder girdle of the patient is directed anteriorly and inferiorly, the chest is sunken. Abdominal muscles lose tone.

Diagnosis

  • corsets
  • metallo-osteosynthesis plate
  • massage, physical therapy
  • Physiotherapy: electrophoresis, UVI, UHT.

Description of the disease

Below to understand scoliosis, a lateral curvature of the spine. Scoliosis is classified according to the spine.

The nature of the pain

Localized pain in the back and the chest. First noted the discomfort that the third and fourth degrees scoliosis gives way to strong in intensity of absorption of the pain.

Other symptoms

Observed asymmetry of the shoulder girdle. Often disturbed gait of the patient. Fatigue comes more quickly as a healthy person. With the development of the disease on the rib cage is subjected to deformation on the one hand, will stand in the front, and on the other sinks. Over time, the disrupted internal organs.

Diagnosis

X-ray examination: assessment of the deflection angle of the spine.

Treatment

Conservative treatment:

  • Wearing a corset
  • Gymnastics vs scoliosis

Surgical treatment (only for patients with 3. and 4. the degree of curvature):

  • Rod osteosynthesis

Cholecystitis

Description of the disease

Under the understand, cholecystitis inflammation of the walls of the gallbladder.

The nature of the pain

Sharp sudden pain localized in the upper part of the abdomen, often it can irradiate in the back and chest (collar bone, shoulder girdle).

Diagnosis

  • General analysis of blood: signs of inflammation (leukocytosis, stab shift, increased ESA, C-reactive protein).
  • The general analysis of urine: the detection of diastase.
  • Biochemical blood test: increased bilirubin, increased amylase, creatinine.
  • ECG: for the differential diagnosis with heart disease.
  • Ultrasound of abdominal organs: signs of inflammation, infiltration in the walls of the gallbladder.
  • Plain radiography of the chest: the exceptions of respiratory diseases.
  • Plain radiography of the abdomen.
  • Screening of bile.
  • Duodenal intubation.
  • Ultrasound: the deformation of the bubble seal wall.
Causes of pain in left shoulder blade in the back, from behind

Treatment

  • Treatment with antibiotics
  • Anesthesia
  • Antispasmodics
  • Antiemetic
  • Cholagogue: magnesium sulfate
  • Endoscopic cholecystectomy

Peptic ulcer

Description of the disease

Peptic ulcer recurrent disease, which is the result of a combination of the mechanisms of regulation of gastric secretion, genetic predisposition, local trophic disturbances, thus becoming the error in the mucosa with infiltration under the mucous membrane layer of the body.

The nature of the pain

The pain depends on the localization of ulcers. If the ulcers, which are located in the region of the heart opening and the back wall of the stomach, pain in the chest radiates to the back. The pain gradually increase in intensity as you move food through the digestive tract.

Other symptoms

  • Acid dyspepsia (heartburn, sour belching, vomiting acidic)
  • Dyspepsia
  • Intestinal syndromes
  • Closure
  • Spastic pain along the colon,
  • Vegetative dystonia
  • Asthenic syndrome
  • Anxiety disorder

Diagnosis

Laboratory diagnosis:

  • General blood test (if deviation from the norms study to repeat 1 time in 10 days)
  • Iron in serum
  • Reticulocytes
  • Fecal occult blood
  • Urine
  • Blood sugar
  • Ultrasound examination of the abdominal cavity
  • Endoscopy
  • Histological review of biopsy material
  • Cytology biopsy
  • Urease test (CLO-test, etc)
  • Detection Of Helicobacter Pylori Infection

The main methods in diagnosis of peptic ulcer disease is an EGD. This method allows you to define the ulcerative defect and to take a biopsy to evaluate morphology.

Treatment

  • Drugs that inhibit the synthesis of hydrochloric acid.
  • Antacids.
  • The Film forming means.
  • Eradication of H. pylori: standard triple therapy with PPIS.

The nature of the pain

The characteristic of pain, pain in the chest and back. In the thorax often marked by pressing pain. The cough reflex increases the pain. Other symptoms

Diagnosis

X-ray, MRI, CT: visualization of the hernia.

Treatment:

  • Strengthening the muscular frame with the help of physical therapy
  • Physiotherapy: electrotherapy, UVI, UHT
  • Surgical removal of the
Pills

Pneumonia

Description of the disease

Pneumonia is an acute focal inflammatory diseases of the lung. The most common pathogen is Streptococcus pneumoniae.

The nature of the pain

Pain in the chest and the back side of the affected lung occurs when breathing, especially when making deep breaths. Other symptoms

There is shortness of breath, coughing with phlegm. Characterized by increased body temperature to febrile values.

Diagnosis

  • X-ray: patchy darkening.
  • Auscultation: crepitus, finely wheezing, pleural friction RUB.
  • Percussion: dullness of sound.

Treatment

  • Treatment with antibiotics
  • Respiratory support
  • Bronchodilators
  • Detoxification
  • Heparin
  • General analysis of blood: signs of inflammation (increased white blood cells, erythrocyte sedimentation rate)

Bronchitis

Description of the disease

Inflammation of the bronchial lining (bronchitis) potentiated by viral or bacterial infection. Bronchitis is quite favorable prognosis and rarely causes complications in healthy people.

The nature of the pain

The patient may feel that he had pain in the abdomen and back pain, radiate to the back. The pain is of severe intensity.

Other symptoms

Celebrated cough with sputum, shortness of breath, General weakness, rise in body temperature.

Diagnosis

  • Auscultation: fine wheezing.
  • Percussion: the lower tones.
  • X-ray examination: inflammation of the bronchioles.
  • General analysis of blood: signs of inflammation (increased white blood cells, erythrocyte sedimentation rate)

Treatment

  • Treatment with antibiotics
  • Respiratory support
  • Bronchodilators
  • Detoxification

Tracheitis

Description of the disease

Inflammation of the lining of the trachea (tracheitis) is caused by viruses and bacteria of the respiratory tract.

The nature of the pain

Rarely, the patient may experience pain in the chest (behind the sternum), radiate to the back. The intensity of the pain weakly expressed.

Other symptoms

Celebrated cough with sputum, shortness of breath, General weakness, rise in body temperature.

Diagnosis

  • Auscultation: fine wheezing.
  • General analysis of blood: signs of inflammation (increased white blood cells, erythrocyte sedimentation rate)

Treatment

  • Treatment with antibiotics
  • Respiratory support
  • Bronchodilators
  • Detoxification

Spontaneous pneumothorax

Description of the disease

Spontaneous pneumothorax understand the passage of air into the pleural cavity from the environment due to damage to the lung.

The nature of the pain

For a spontaneous pneumothorax is characterized by acute pain in the chest and back. The pain is worse when the attempts of the movement, when you inhale.

Other symptoms

Pneumothorax is accompanied by shortness of breath, increased heart rate, pallor, emphysema under the skin. He tried to take the most comfortable position, restless.

Diagnosis

  1. X-ray: air in the lungs.
  2. Pleural puncture.
  3. CT, MRI: identification of the reason.

Treatment

  • Draining air from the pleural cavity
  • Thoracotomy

Spinal injuries

Description

Injury to the spine occurs more often in the circumstances of the accident or kato-damage (falling from a great height).

The nature of the pain

A sharp pain in the spine, and can radiate into the chest region.

Other symptoms Noticeable restriction of movement, up to complete immobility due to paresis. Can be bleeding and shock. Diagnosis

  • X-ray: visualization of the fracture line.
  • CT, MRI: to assess the extent of damage to the spine.

Treatment

  • Immobilization
  • Grip
  • Bed rest
  • Massage
  • Physiotherapy: heat, electrotherapy, UFO
  • Displacement of bone fragments
Hypotension

Myocardial infarction

Description

Myocardial infarction – is necrosis due to acute ischemia. The reasons can be:

  • Thrombosis
  • Spasm
  • Embolism
  • Anemia
  • Increase in blood pressure,
  • Hypotension

The nature of the pain

The patient with myocardial infarction begins to attack, pain in the chest and back. Pain similar to angina, but more severe, long-lasting, not relieved NG, accompanied by emotional anxiety, a feeling of "fear of death", agitation, sweating.

Other symptoms

Can asthma attacks, pulmonary edema. Sometimes pain in the upper part of the abdomen, very strong, diarrhoeal phenomenon (nausea, vomiting), may be the tension of the abdominal wall.

Diagnosis

  1. ECG: ST-segment elevation, increase of the q wave.
  2. Biochemical markers: troponin, myoglobin.

Finish

If it hurts in the chest and back, may be the cause of all the above mentioned terms and conditions. Have a similar clinical picture, for a rational treatment requires a correct diagnosis with the use of additional methods.

22.09.2018