Leova - and right-sided scoliosis of the thoracic spine: symptoms, treatment

Scoliosis of the thoracic spine (thoracic) is a pathological displacement of the vertebral axis in the lateral plane. During the external examination of the back warp can clearly be seen in the form of a bend between the shoulder blades. The symptoms are observed depending on the severity of the bend.

scoliosis of the thoracic spine - photo of the patient

When a lateral offset of 1 degree (with an angle of curvature not exceeding 10 degrees) overt signs of the disease may not be observed. Thoracic vertebrae ribs is firmly fixed, so the twists and curves of the body do not lead to the infringement of the nerve roots.

Curvature 2nd degree (the angle of curvature of from 11 to 25 degrees) with congenital heart disease can be detected immediately after birth. The children occurs compression syndrome (entrapment of the spinal nerve). They become restless.

Thoracic scoliosis of grade 3 and 4 Is manifested by a pronounced curvature of the vertical axis to the right or left. While scoliotic arc "bulges" outwards with the formation of kyphoscoliosis (bending in the lateral and anteroposterior planes).

Radiological signs of right-sided thoracic scoliosis

On the radiograph right-sided curvature of the spine seen in the scoliotic arc is offset to the right with the top of one of the vertebrae. In the figure it is observed right-sided deformity with the apex at Th10. This pathology is often observed in schoolchildren, that long-term sitting incorrectly at a Desk.

Scoliosis back structure is compensatory and is formed in response to a vertical load on the trunk to prevent the infringement of the nerve roots when lifting weights, and walking.

picture of scoliosis x-ray of the chest

Right-sided scoliosis of the thoracic spine with the apex of curvature at Th10

On the radiograph apex of the scoliotic arc is at the level of Th10. In schools attended by upper (Th7 segments) and lower vertebra (Th12). When digital examination palpation of this area usually, the patient pain.

Simultaneously there is a hypertrophy (increase muscle tone) to the right. Left muscular frame compensatory "stretched", therefore there is excessive tension of the back muscles. Because of the violation of their functionality gradually occur atrophic changes.

1 degree right curvature unnoticeable, but when 2 stage occur the clinical symptoms of pathology in the form of pain and impaired function of internal organs.

Clinical symptoms

The Clinical picture of right-sided thoracic curvature of 1 degree is manifested by the following symptoms:

  • chest Deformity on both sides with the occurrence of intercostal neuralgia;
  • the spaces between the ribs have different sizes. From the side of the convexity they protrude, and with a concave part of a thing;
  • Congenital form of the disease is accompanied by asymmetry of the skin folds between the shoulder blades;
  • With 1 degree of pathology may occur torsion of individual vertebrae (rotation in the vertical axis), and at 2 degree rotation (torsion of several vertebrae in the form of a ladder);
  • disruption of the heart, lungs and intestines occurs on a background of infringement of spinal nerves at offset vertebrae;
  • If you experience cervical-thoracic spine to the right or left may be a disruption of the blood supply in the brain;
  • On the background of cerebral disorder the person has depression, hysteria and the violation of the emotional sphere;
  • If the scoliosis is observed for a long period of time, perhaps the appearance of intervertebral hernia, or protrusion (slight bulging disc).

Timely treatment of thoracic scoliosis will prevent the occurrence of the above symptoms.

the symptoms of thoracic scoliosis are: the chest deflection and torsion of the vertebrae

Principles of treatment of thoracic deformity

Treatment of thoracic displacement is assigned depending on the degree of deformation, the value of scoliotic arc and related complications. The earlier the treatment, the higher the chances of a full recovery of physiological arc.

Congenital abnormality often causes poor performance due to the abnormalities in the brain and reduce the body's defenses. Consequently, at an early age treatment thoracic scoliosis requires the use of specialized preventive and curative care.

The Principles of preventive and curative care when the lateral deformation of the vertebral column:

  • First stage – outpatient clinics (polyclinics and dispensaries);
  • the Second phase inpatient care (in hospitals and specialized hospitals);
  • the Third stage – a Spa treatment (mud baths, sanatoria, preventoria).

The Main role inthe treatment of spine deformations is given to primary link.

Physicians and neurologists identify the first symptoms of the disease and determine the further tactics of treatment of patients. In identifying the curvature of the chest patients go into inpatient neurological Department.

1 the degree of the disease can be successfully treated at home with adherence to doctor's appointments. Curvature grade 3 and 4 often require surgical therapy.

rational division of patients in some medical institutions in the country employs an automated system for detection of patients with radicular disorders (compression of the spinal nerves), developed in 1982 by Luliana and Jivotnym.

It allows to identify patients needing hospital treatment in the primary treatment to the therapist or the neurologist.

The System involves the analysis of patient charts filled with personal electronic computing machine. When contacting the patient fills out a questionnaire with the indication of triggering factors, which is then processed by the program.

For each option calculates a diagnostic factor, which reflects the necessary assistance to the patient.

Outpatient right-sided thoracic scoliosis treated with the use of the following methods:

  • Osteopathy to correct the subluxations of the vertebrae;
  • Therapeutic massage to relieve muscle "clips";
  • Pharmacopuncture in order to impact on the reflex points;
  • Manual therapy to improve blood flow and relieve muscle spasms;
  • Correction of spinal curvature with the help of physical therapy;
  • the Use of pharmaceuticals to relieve pain and inflammation.

There are special breathing exercises according to the method of Katharina Schroth, which eliminates deformation of the rib cage and prevents respiratory failure.

Thus, right-sided scoliosis of the thorax is a complex pathology that requires an integrated approach, both in adults and in children. It is important to efficiently determine the severity of the condition to subsequent stages of therapy to provide maximum effect on scoliotic curve of the back.