Possible causes of back pain and chest

When the patient experiences pain occurs behind the breastbone in the middle of the gives in the back, the doctor can put the correct diagnosis only on the basis of this clinic.

Sore breasts and back

Spondiloartrozom

Spondiloartrozom represents a form of joint arthritis with the defeat of the joints of the spine. Suffering in dugo-process joints. It is a degeneration of the cartilage in which the cartilage becomes thin and loses its elasticity. In the outcome of the pathology occurs education bone growths.

The nature of the pain

Head rotation of the thoracic department manifests itself when driving, with the progression appears in a state of rest. Weather changes increase the painful feelings. The intensity of the pain deepens with the development of dystrophic changes.

Other symptoms

Morning is present stiffness the spine, this phenomenon takes place half an hour later. Hear "crunching" in the spine regard to the development of osteophytes. In the later stages of the process to develop contractures. For qualified medical advice should be to seek medical help. Diagnosis

  • Xray studies, CT: visualization of osteophytes (outgrowths), the reduction of intervertebral slots.
  • MRI: state of the soft tissues, the degeneration of the cartilage.

Treatment

  • Unloading of the spine
  • Analgesics
  • NSA
  • Protectors
  • Muscle relaxants
  • Physical therapy can effectively shoot pain: UFO, electrophoresis of novocaine, ultrasound therapy, toco-therapy

Osteochondrosis

Description of the disease

The nature of the pain

The pain has a gradual development. During early exacerbations of the degenerative disc disease pain is celebrated during considerable physical exertion and is weakly expressed intensity. With the progression of pathological gambling process the pain gets worse, becomes trenchant when the revitalization and sore still. Such pain carries the name of the dorsago. Painful is amplified at night, due to the release of the muscular frame. Feelings are even worse when deep inhale and exhale. Characterized encircling pain in the chest area and back.

Other symptoms

Celebrating paraesthesia parts of the skin (the sensation of "chills"). Sometimes the pain can irradiate on the go phrenic nerve in the region of the pharynx and esophagus.

Diagnosis

  • Imaging studies: assessment of the extent of lesions of the spine, the condition of the bodies of the vertebrae.
  • CT: the level of degeneration of the intervertebral disc.
  • MRI: analysis of the condition of the soft tissues, presence of hernias, compression of blood vessels and nerves.

Treatment

  • Unloading of the spine
  • The traction on an inclined plane
  • Novocaine blockade of the front ladder muscles
  • Analgesics
  • NSA
  • Diuretics
  • Muscle relaxants
  • Physical therapy can effectively shoot pain: UFO, electrophoresis of novocaine, ultrasound therapy, toco-therapy
Diagnosis

Description of the disease

Under the kyphosis to understand the curvature of the spinal column in the back. Thoracic kyphosis there is a person in the normal range. However, if the angle of inclination of the column is higher than 45 degrees, this is the pathological kyfózae.

The nature of the pain

For infants kyfózaa characteristic aching pain in his back and chest. When you increase the angle the intensity of the pain is intensifying. She appears both in activity and in rest.

Other symptoms

Develops slouch, are characterized by spasms of the muscles. Arise paresthesia, and weakness in the lower extremities. The shoulder belt of the patient tilted to the front and down, the chest sunken. The muscles of the abdominal muscles lose tone.

Diagnosis

  • corsets
  • metal-osteosynthesis plate
  • massage, movement therapy
  • Physiotherapy: electrophoresis, UFO, durable goat.

Description of the disease

Under the scoliosis to understand the lateral curvature of the spinal column. Scoliosis is classified on the spine.

The nature of the pain

Pain localized in the back and chest. First, he celebrated the feeling of discomfort, which is on the third and fourth degrees of scoliosis giving way to the strong intensity of the stretches pain.

Other symptoms

Occurred to the asymmetrical arrangement of the shoulder girdle. Often there is a broken gait of the patient. The exertion comes faster, than in a healthy person. With the development of diseases of the chest exposed to deformation: on the one hand, survives the front, and on the other sinks. Over time, the disturbed internal organs.

Diagnosis

Xray study: evaluation of the deviations of the spine.

Treatment

Conservative treatment:

  • Wearing a corset
  • Gymnastics against scoliosis

Operative treatment (applicable only for patients with 3 and 4 degrees of twist):

  • The core of the osteosynthesis

Cholecystitis

Description of the disease

Under the inflammation of the gallbladder to understand the inflammation of the gallbladder wall.

The nature of the pain

Sudden sudden pain localized in the upper department of the abdomen, but often can irradiate in the back and the chest (the area of the clavicle, shoulder girdle).

Diagnosis

  • General analysis of blood: signs of inflammation (leukocytosis, stab shift, increased ESR, C-reactive protein).
  • General analysis of urine: identification of the diastase.
  • Biochemical analysis of blood: increased levels of bilirubin, increased amylase, creatinine.
  • ECG: for the differential diagnosis with pathologies of the heart.
  • ULTRASOUND examination of the abdominal organs: signs of inflammation, penetrate into the wall of the gallbladder.
  • An overview of the radiography of the chest: the exclusion of pathologies of the respiratory system.
  • An overview of the radiography of the abdomen.
  • The sowing of bile.
  • Duodenal probing.
  • ULTRASOUND: the deformation of the bladder, seal the walls.
Causes of pain under the left scapula the back has

Treatment

  • Antibacterial therapy
  • Analgesia
  • Antispasmodics
  • Antiemetic
  • Choleretic: magnesium sulphate
  • Endoscopic cholecystectomy

Peptic ulcer of the stomach

Description of the disease

Peptic ulcer of the stomach recurrent disease, formed due to a combination of mechanisms of regulation of secretion of stomach problems, hereditary predisposition, local venous disorders, thereby forming a defect of the mucous membrane with it under the slimy layer of authority.

The nature of the pain

Pains are dependent on the localization of the ulcerative defect. If the ulcer is located in the area of cardiac openings and on the rear wall of the stomach, pain in the chest gives in the back. The pain gradually increasing in intensity with the advance of the food for the gastro-intestinal tract.

Other symptoms

  • "Sour" dyspepsia (heartburn, sour belching, vomiting acidic)
  • Indigestion
  • Intestinal syndromes
  • Constipation
  • Spastic pain in the course of the large intestine
  • Vegetative something else
  • Asthenic syndrome
  • Anxiety disorders

Diagnosis

Laboratory diagnosis:

  • The general analysis of blood (in the case of deviations from the standard survey repeated 1 times for 10 days)
  • Iron in blood serum
  • Reticulocytes
  • Analysis of the stool for occult blood
  • General analysis of urine
  • Blood sugar
  • ULTRASONIC examination of organs of the abdominal cavity
  • Endoscopy
  • Histological study of biopsy
  • Cytological study of biopsy
  • Urease test (CLO test, etc.)
  • Identification Of Helicobacter Pylori

The main methods in the diagnosis of peptic ulcer is EGD. This method allows to reveal the ulcerative defect and to take biopsy for the evaluation of morphology.

Treatment

  • Drugs, suppression of the synthesis of hydrochloric acid.
  • Antacids.
  • Film-forming means.
  • The Eradication Of H. pylori standard triple therapy PPI.

The nature of the pain

The characteristic aching pain on the chest and back. On the chest is often celebrated press of pain. The cough reflex is getting worse painful. Other symptoms

Diagnosis

Xray studies, MRI, CT: visualization of the hernia.

Treatment:

  • Strengthening the muscular frame using LTV
  • Physiotherapy: electrotherapy, UFO, durable goat
  • Operative removal
Tablets

Pneumonia

Description of the disease

Pneumonia is an acute focal inflammatory disease of the lung. The most common causative agent is pneumococcus.

The nature of the pain

Pain in chest and back from the side of the affected lung is observed during respiration, in particular when committing deep breaths. Other symptoms

Observed shortness of breath, cough with release of mucus. The typical increase in body temperature to febrile values.

Diagnosis

  • Xray studies: central dimming.
  • Listening to: crackling, gently wheezing, noise of friction of pleura.
  • Percussion: dull sound.

Treatment

  • Antibiotic therapy
  • Respiratory support
  • Bronchodilators
  • Detoxification
  • Heparin
  • General analysis of blood: signs of inflammation (increased white blood cell count, ESR,)

Bronchitis

Description of the disease

Inflammation of the mucous membranes of the bronchi (bronchitis) potentiated viral or bacterial infections. Bronchitis has enough favorable prognosis, and rarely causes complications in a healthy person.

The nature of the pain

The patient may feel that he hurts the sternum and the back, gives in the back. Pain does not have strong intensity.

Other symptoms

Celebrated cough with discharge of sputum, shortness of breath, general malaise, increased body temperature.

Diagnosis

  • Listening to: the gently wheezing.
  • Percussion: lower tones.
  • Xray studies of the: inflammation of the bronchi of the upper.
  • General analysis of blood: signs of inflammation (increased white blood cell count, ESR,)

Treatment

  • Antibiotic therapy
  • Respiratory support
  • Bronchodilators
  • Detoxification

The trachea

Description of the disease

Inflammation of the mucous membrane of the trachea (windpipe) caused by viruses and bacteria respiratory tract.

The nature of the pain

Rarely the patient may experience a painful sensation in the chest (behind the breastbone), gives in the back. Pain intensity is weakly pronounced.

Other symptoms

Celebrated cough with discharge of sputum, shortness of breath, general malaise, increased body temperature.

Diagnosis

  • Listening to: the gently wheezing.
  • General analysis of blood: signs of inflammation (increased white blood cell count, ESR)

Treatment

  • Antibiotic therapy
  • Respiratory support
  • Bronchodilators
  • Detoxification

Spontaneous pneumothorax

Description of the disease

Under spontaneous pneumothorax understand the passage of air in the cavity of the pleura of the environment due to damage to the lungs.

The nature of the pain

For spontaneous pneumothorax typical acute pain in the chest and back. The pain is amplified when attempts at movement, when you inhale.

Other symptoms

Pneumothorax is accompanied by gassy, increased heart rate, blanching, emphysema under the skin. The patient is trying to the most comfortable position, uneasy.

Diagnosis

  1. Xray study: the air in the light.
  2. Pleural puncture.
  3. CT, MRI: definition, causes.

Treatment

  • The evacuation of air from cavity-pleura
  • Thoracotomy

Injuries of the spine

Description

Spinal injuries occur more often in the conditions of the ACCIDENT or during the kata-trauma (fall from a great height).

The nature of the pain

A sharp pain in the spine, can irradiation in the thoracic area.

Other symptoms There were restrictions in movement, and it's up to full immobility due to paresis. Can be bleeding and the development of shock. Diagnosis

  • Xray study: visualization of the lines.
  • CT, MRI: evaluation of the extent of damage to the spine.

Treatment

  • Immobilization
  • Traction
  • Bed rest
  • Massage
  • Physiotherapy: heat, electrotherapy, UFO
  • The relocation of the bone fragments
Hypotension

Myocardial infarction

Description

Myocardial infarction is the necrosis due to acute ischemia. The reasons may be:

  • Thrombosis
  • Spasm
  • Embolism
  • Anemia
  • The rise in blood pressure
  • Hypotension

The nature of the pain

Patients in the myocardial infarction begins with a heart attack, pain in the chest and back. The pain is similar to angina, but is more than strong, long, it is stopped by the NG, is accompanied by emotional misery the feeling of "fear of death", with excitement, sweating.

Other symptoms

Can be bouts of shortness of breath, pulmonary edema. Sometimes there is pain in the upper abdomen, is very strong, the dyspeptic phenomena (nausea, vomiting), may be tension of the abdominal wall.

Diagnosis

  1. ECG: the rise of segment ST increase pronged Question:
  2. Biochemical markers: troponin, myoglobin.

Conclusion

If it hurts the chest and back, the cause may be all of the above diseases. They have a similar clinical picture, for a rational treatment of it is necessary to correctly establish the diagnosis using other methods of research.