Thoracodynia

Thoracodynia (from the Greek words thorak- and odyne, meaning “chest” and “pain”; also called thoracodynia) is chronic pain in the chest area not associated with cardiovascular or pulmonary disease.

Thoracodynia can occur due to damage to the nerves, muscles, bones and joints of the chest. The causes of pain may be osteochondrosis and other degenerative changes in the spine, myositis, fibromyalgia, rib fractures, and inflammation of the joints (arthritis). Thoracodynia is also observed in post-traumatic neuralgia of the intercostal nerves.

The main symptoms of thoracodynia are localized or widespread pain in the chest area, aggravated by movement, coughing, and sneezing. The pain can vary in intensity - from moderate to very severe. There is often pain on palpation of the chest.

Diagnosis of thoracodynia includes anamnesis, examination, palpation, and radiography to exclude other pathologies. Treatment is aimed at eliminating the cause of pain and relieving symptoms with the help of painkillers, physiotherapy, massage, and exercise therapy. If conservative therapy is ineffective, surgical methods are used.

In terms of clinical classification, thoracoligia and thoracadynthia are similar terms that describe patients with chest pain. However, thoracodintia has a less specific etiology for chest pain than thoracangia. Because of this, some patients may be susceptible to both thoracic and thoracadylgic diseases, or vice versa, depending on the specific case and the origin of the pain in the affected person. In addition, some researchers do not consider the difference between these two terms to be significant, especially considering that the term “thoracadynthia” is not given in the standards and recommendations of international organizations and associations. This leads to the fact that such a variety of terms in the treatment of patients faces the problem of determining the correct clinical diagnosis. We should not forget that thoracic treatment can lead to such a painful disease as thoraxandhythia, which requires no less specialized and complex treatment, if possible complications are not taken into account. For example, with dysfunction of nerve roots and trunks caused by infectious pain syndromes, uncontrolled use of non-steroidal anti-inflammatory drugs, which are predominantly “silent” drugs, can only increase inflammation, resulting in an increased risk of complications such as deep vein thrombosis, thromboembo