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back pain

Thoracic Back Pain

Thoracic back pain describes discomfort and related symptoms in the middle back region. Patients with thoracic pain often complain of stiffness and pain between the shoulder blades which can definitely impede on the functionality of the upper body. Middle back pain often “bleeds” into the neck or shoulder region, since the muscles of the middle back work so closely with these other anatomical areas.

Thoracic Back Pain

Thoracic Back Pain Conditions

The majority of mid back complaints are due to muscular injury. The middle back muscles are used for so many different tasks and are frequent victims of overuse. Back muscle pain is generally not serious, but may be very uncomfortable for a short time frame. The middle back region is not prone to degenerative back pain nearly as much as the lumbar and cervical regions. The middle back is made for structure and support, not flexibility. Therefore, this area does not suffer the same wear and tear as the other more mobile areas of the spine. Regardless, it is still possible to experience herniated discs, degenerative disc disease, arthritis and facet joint syndrome in the thoracic spine. Just remember that these conditions are rarely symptomatic and are usually not responsible for long term chronic back pain syndromes. Thoracic outlet syndrome can be a specific non-spinal cause of persistent upper back, shoulder and arm symptoms.

Thoracic Back Pain Facts

Middle back pain is the least common dorsopathy complaint. Chronic pain conditions are rarely exclusive to the mid back area. Many patients with a primary pain zone located in a more problematic spinal region suffer secondary pain in the middle back region. This secondary pain often comes and goes as the primary pain intensifies or lessens. Patients with this particular condition are usually suffering from a psychosomatic back pain syndrome which enacts regional symptoms due to ischemia, rather than location specific symptoms based on a single spinal abnormality.

Recommendation on Thoracic Back Pain

This is a type of pain I did not experience regularly. I did occasionally hurt some muscles in between the shoulders, either in martial arts training or doing chin-ups. My pain was based in the lumbar spine and occasionally moved to the neck. Some patients have a similar pain profile, but substitute the thoracic region for the cervical. This substitute middle back pain is often blamed on the primary problematic lumbar region influencing the mid spine and causing symptoms. This is almost never the actual reason for the additional mid back pain. 9 out of 10 cases will be the direct result of oxygen deprivation to the entire middle and lower back regions. This type of pain is very common. If you are experiencing this combination of lower and middle back pain, I recommend learning more about how and why ischemic pain syndromes work. You will be happy you did when you can use this knowledge to cure your pain 100%.
Thoracic Back Pain to Lower Back Pain Home 9/24/08 Revised 8/25/09

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