Thoracic pain originates from the thoracic spine, which consists of 12 vertebrae (T1-T12) located between the cervical and lumbar regions of the spine. This part of the spine is connected to the ribs, forming the rib cage, which protects vital organs like the heart and lungs. The thoracic spine is less mobile than the cervical and lumbar regions due to its attachment to the rib cage, providing stability and support.
Common causes of thoracic pain include sudden sharp blows (car accident/sport injuries) causing a sprain, strain or fracture, but other situations linked to an increase in risk of thoracic pain include sitting or standing for prolonged periods and/or overuse/repetitive movements of the thoracic spine (work or sport).
Symptoms include localised pain in the mid-back region which may or may not include muscle guarding/spasm. Stiffness and limited range of motion in twisting can be issues for some people, and others report pain that worsens with movement or prolonged sitting. In some cases, referral/radiating pain to the chest can occur.
There are other causes of thoracic pain, and thus why a thorough, individualised assessment from an OHL Physiotherapist is integral. Some differential diagnoses include thoracic spine stenosis (narrowing of the spinal cord or foramen), bulging or herniated discs (often asymptomatic unless a nerve root is compressed), osteoporosis (reduced density in the bone), spinal infections, osteoarthritis, ankylosing spondylitis (inflammation of the joints between the vertebrae) and Scheuermann’s disease.
Most cases of thoracic pain will settle with expert physiotherapy using a combination of manual therapy to help reduce muscle guarding and improve joint range of motion. Exercise therapy will help improve strength around the thoracic spine and shoulder as well as improve the ability to move through flexion, extension and rotation. Breathing exercises are commonly used to help mobilise the ribs around the thoracic spine.
If you are worried this condition is limiting your life, reach out and book to see an OHL Physiotherapist this week to get assessed and find an optimal plan. Bookings via 9431 5955 and/or book online via the Client Portal.
