Pain in the thoracic area (mid-back) is most of the time the result of a spinal column alignment problem, like scoliosis or poor posture. Pain from internal organs like gallbladder, liver, intestine, and heart should be carefully ruled out.
Muscles, tendons and ligaments
Chronic poor posture and motion injuries are often the cause of pain in the thoracic area. Pain from superficial thoracic tissues, like muscles, tendons and ligaments, is called myofascial pain. Start by working with a physical therapist or chiropractor for posture correction and myofascial release therapy. Trigger point injections and regenerative techniques can improve your pain and restore function by correcting your posture and healing the strains and sprains in these areas.
The ribs and ribcage can also cause pain, either from rib fractures or injuries to the nerves coursing under the ribs (intercostal nerves). Intercostal nerve blocks are useful in diagnosing these conditions.
Although thoracic disc pain is more rare than in the lumbar spine, it can be diagnosed and mapped out with the aid of a provocative thoracic discogram.
Thoracic facet joints
Accurate diagnosis of thoracic facet joint-generated pain requires precision techniques and careful monitoring of patient’s response.
Herniated discs or arthritic bones in the facet joints can irritate the thoracic nerves and cause thoracic pain and radiating pain around the rib cage with a loss of sensation. The pain sources can be diagnosed and mapped accurately with diagnostic selective nerve blocks or thoracic transformational epidural injections. Thoracic nerves are commonly affected by the shingles virus, and this has to be carefully ruled out, especially in the presence of an associated rash.
Ask us a question regarding thoracic pain.