Possible causes of pain in back and chest

If patient feels pain behind the breastbone in the middle gives back, the doctor cannot make a correct diagnosis based on the clinic.

Pain in chest and back

Spondiloarthrosis

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

The nature of the pain

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

Other symptoms

In the morning there is stiffness of the spine, this phenomenon takes half an hour. Audible "crunch" in the spine due to the development of osteophytes. In the later stages of the process develop contractures. Professional medical advice you must consult a doctor. Diagnosis

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

Treatment

  • Unloading of the spine
  • Analgesics
  • NSAIDs
  • Protectors
  • Muscle relaxants
  • Physical therapy can effectively relieve pain: UFO, electrophoresis of novocaine, ultrasound therapy, current therapy

Osteochondrosis

The description of the disease

The nature of the pain

The pain is of gradual development. In the first exacerbations of osteoarthritis there is pain, with significant physical exertion and is poorly expressed by the intensity. As the progression of the pathological process the pain increases and becomes sharp at enhancing and aching at rest. This pain is called dorsago. Pain syndrome increases in night-time, due to relaxation of the muscular frame. Feeling worse with a deep breath and exhale. Peculiar girdle pain in the chest and back.

Other symptoms

Marked paraesthesia of the skin (the sensation of "chills"). Sometimes the pain may radiate along the course of the phrenic nerve in the region of the pharynx and esophagus.

Diagnosis

  • X-ray diffraction study: to assess the extent of damage to the spine, condition of the bodies of the vertebrae.
  • CT: the level of degeneration of the intervertebral disc.
  • MRI: analysis of the state of soft tissues, presence of hernias, compression of blood vessels and nerves.

Treatment

  • Unloading of the spine
  • The traction on an inclined plane
  • Procaine blockade of the anterior scalene muscle
  • Analgesics
  • NSAIDs
  • Diuretics
  • Muscle relaxants
  • Physical therapy can effectively relieve pain: UFO, electrophoresis of novocaine, ultrasound therapy, current therapy
Diagnosis

The description of the disease

Under understand kyphosis curvature of the spine in the back. Thoracic kyphosis exists in 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 characteristic aching pain in back and chest. With increasing angle the intensity of the pain increases. It is both with activity and at rest.

Other symptoms

Develops a stooped posture, characteristic spasms of the muscles. Arise paresthesia, and weakness in the lower extremities. The shoulder girdle of the patient tilted anteriorly and inferiorly, the chest fell. The abdominal muscles lose tone.

Diagnosis

  • corsets
  • metallo-osteosynthesis plates
  • massage, physical therapy
  • Physiotherapy: electrophoresis, UFO, VVT.

The description of the disease

Under understand scoliosis lateral curvature of the spine. Scoliosis is classified by the spine.

The nature of the pain

Localized pain in the back and chest. First noted the discomfort that the third and fourth degrees of scoliosis strong changes in intensity drawing pains.

Other symptoms

Observed asymmetry of the shoulder girdle. Often disturbed gait of the patient. The fatigue comes faster than a healthy person. With the development of the disease the rib cage is subjected to deformation: on the one hand stand in front, and on the other sinks. Over time, the disrupted internal organs.

Diagnosis

X-ray examination: the evaluation 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 degree of curvature):

  • Rod osteosynthesis

Cholecystitis

The description of the disease

Under understand cholecystitis inflammation of the walls of the gallbladder.

The nature of the pain

A sudden sharp pain localized in the upper abdomen, but often they can irradiate in the back and chest (collar bone, shoulder girdle).

Diagnosis

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

Treatment

  • Antibiotic therapy
  • Anesthesia
  • Antispasmodics
  • Antiemetic
  • Cholagogue: magnesium sulfate
  • Endoscopic cholecystectomy

Peptic ulcer

The description of the disease

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

The nature of the pain

Pain depend on the localization of the ulcer. If the ulcer is located in the region of the cardiac orifice and on the back wall of the stomach, pain in the chest radiates to the back. Pains gradually increase in intensity as you move food through the gastrointestinal tract.

Other symptoms

  • Sour dyspepsia (heartburn, sour belching, vomiting acidic)
  • Dyspepsia
  • Intestinal syndromes
  • Constipation
  • Spastic pain along the large intestine
  • Vegetative dystonia
  • Asthenic syndrome
  • Anxiety disorders

Diagnosis

Laboratory diagnosis:

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

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

Treatment

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

The nature of the pain

The characteristic aching pain in the chest and back. In the thorax often marked pressing pain. The cough reflex aggravates 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, UFA, VVT
  • Surgical removal
Pills

Pneumonia

The description of the disease

Pneumonia is an acute focal inflammatory disease of the lungs. The most common pathogen is Streptococcus pneumoniae.

The nature of the pain

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

There is a shortness of breath, cough 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

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

Bronchitis

The description of the disease

Inflammation of the bronchial mucosa (bronchitis) potentiated by viral or bacterial infections. Bronchitis has a rather favorable prognosis and rarely causes complications in healthy people.

The nature of the pain

The patient may feel that he had a sore belly and back, which gives back. The pain is of severe intensity.

Other symptoms

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

Diagnosis

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

Treatment

  • Antibiotic therapy
  • Respiratory support
  • Bronchodilators
  • Detoxification

Tracheitis

The 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), radiating to the back. The intensity of the pain is poorly expressed.

Other symptoms

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

Diagnosis

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

Treatment

  • Antibiotic therapy
  • Respiratory support
  • Bronchodilators
  • Detoxification

Spontaneous pneumothorax

The description of the disease

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

The nature of the pain

For 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 was trying to take the most comfortable position, uneasy.

Diagnosis

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

Treatment

  • Evacuation of air from the pleural cavity
  • Thoracotomy

Spinal injury

Description

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

The nature of the pain

Sharp pain in the spine, and may radiate to the thoracic region.

Other symptoms Observed limitation of movement, up to complete immobility as a result of 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
  • Traction
  • Bed rest
  • Massage
  • Physiotherapy: heat, electrotherapy, UFA
  • Reposition of bone fragments
Hypotension

Myocardial infarction

Description

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

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

The nature of the pain

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

Other symptoms

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

Diagnosis

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

Conclusion

Sore chest and back, the cause may be all of the above conditions. They have similar clinical picture, for a rational treatment requires correct diagnosis by using additional methods.