The literature Tietze's syndrome can be found under different names: perichondrium syndrome anterior chest wall, rib chondrite, idiopathic syndrome costochondral pain and so on. D. However, they all mean connective tissue disease, which manifests itself in the form of inflammation of the rib cartilage in the upper part of the sternum . Tietze's syndrome is most often seen in adolescents in the period from 12 to 14 years and adults - from 20 to 40 years. Typically, a lesion is unilateral, but in practice, there are other cases. Despite the fact that Tietze's syndrome is considered to be a relatively harmless disease that can pass without treatment, it often gives a person a regular pain and discomfort in the chest area.
Causes of Tietze syndrome
Tietze German surgeon by the name of which is called the anterior chest wall syndrome, its main cause is thought to malnutrition, which leads to metabolic disorders (such as vitamin deficiencies, or calcium metabolism). Also trigger the disease, according to him, can frequent upper respiratory tract, accompanied by severe coughing fits.
In fact, the exact causes of Tietze's syndrome is not established to the present time, since the costal chondrite is considered a rare disease. At the same time possible to identify several factors that actively contribute to the emergence and development of the disease:
- Regular exercise for the upper body;
- Regular exercise in the chest;
- Recurrent chest microtrauma, such as bruises when doing some combat sports;
- Diseases of the respiratory system;
- Infectious diseases;
- Autoimmune diseases;
We can say that the reason Tietze syndrome often appears any disease that causes metabolic connective tissue and reduces the immunological properties of the human body.
Since the blood circulation in the cartilage after surgery exposed violations and it is more prone to infection, the cause of Tietze's syndrome can also be a step in the chest.
Tietze Syndrome Symptoms
Tietze's syndrome has no distinct features, so it is usually very difficult to determine: it is often the doctors are wrong with the diagnosis. Nonetheless, one can mention some basic signs Tietze syndrome:
- Acute attacks of pain in the front of the chest;
- Moving down, or pain in the left area of the sternum;
- Center of pain usually are the fourth, fifth and sixth rib;
- If any movement of the body the pain is exacerbated;
- With a deep breath as the pain intensified, and vice versa, at rest and under gentle breeze - retreat;
- When you press your fingers to fixing ribs to the sternum, there is considerable pain.
It should be noted that the last in the list symptom Tietze syndrome is the most common symptom of disease. If palpation in the area of connection of the chest and ribs pain is not felt, the probability of having the disease is extremely low.
Another characteristic symptom of the syndrome Tietze is a small swelling in the affected area of the rib cartilage. Typically, the size of 3-4 cm, and it has a dense surface. Any touching this area cause a person pain. If the patient is one of the main features, one can assume the development of Tietze syndrome.
Some patients with the above symptoms in costal chondrite accompanied by shortness of breath, loss of appetite, insomnia and tachycardia. Rarely additional symptoms appear Tietze syndrome swelling of the skin in the chest area and the local temperature increase.
X-ray in the diagnosis of this disease is almost does not make sense, because in the early stages does not reveal the emergence of costal chondrite. It is only necessary to exclude the presence in the examination of lung diseases or cancer of all kinds. To determine Tietze's syndrome, a CT scan is recommended to pass, which can detect changes characteristic of the disease in its early stages.
Tietze Syndrome Treatment
Many experts agree that a full treatment of the syndrome Tietze is only possible with the help of surgery. But subperiosteal resection, which is held in such situations, it is considered an extreme case, since the costal chondrite often very concerned about patients, even for decades. Some of them are not even aware of the existence of at Tietze syndrome, since there are no specific symptoms are not observed.
That is why treatment Tietze syndrome is usually reduced to the most common use of conservative techniques:
- Topical therapy with various ointments and gels having anti-inflammatory effect;
- Compresses Dimexidum;
- Physiotherapy and reflexology;
- Novocaine blockade of the intercostal nerves;
- Injections of anesthetic with a steroid in the zone location of pain;
- Nonsteroidal anti-inflammatory drugs and analgesics.
Treatment of Tietze syndrome using similar methods, of course, does not resolve fibrocystic education. However, these tools help to reduce swelling and inflammation and alleviate pain. On the other hand, Tietze syndrome is considered a chronic disease that, even if temporarily disappears, it is still returned. Thus, by continuous use of anti-inflammatory and analgesic medication side effects may occur.
Tietze Syndrome Treatment folk remedies
When costal chondrite may also help some recipes of traditional medicine. The main traditional therapies Tietze syndrome are:
- Therapeutic baths;
For therapeutic bath is necessary to fill 300 g of chamomile pharmacy 5 liters of boiling water, insist hour and strain. The broth to pour into the tub with warm water. Taking a bath is recommended 20 minutes a day. Instead of chamomile are also used sage and fresh spruce branches.
Tietze Syndrome Treatment folk remedies using concoctions aimed, first and foremost, to improve blood circulation and increase immunity. Typically, broths used for such medicinal components as:
- St. John's wort;
- Nettle root.
It compresses with the syndrome Tietze broth made from rosemary, lemon balm leaves steamed or horseradish. Top of the application is necessary to tie a scarf compress or warm cloth.
It is also good to help rubbing chest bearish or pork fat. Often inflamed rubbing alcohol tinctures of eucalyptus and birch buds. After the procedure, you need a warm blanket to hide, to extend the warming effect.
However, it should be remembered that before the treatment of the syndrome Tietze practice folk medicine, you must consult a doctor.