Thoracic pain and motor control impairments
This is the diagnose classification for patients who have more range of motion than muscular stability. Often these patients present with the following signs and symptoms:
- Reporting feelings of the back “giving out”
- Frequent need to crack or pop the back
- Frequent episodes
- History of catching or locking
- Pain during activities that involve a change in position (i.e., getting out of bed)
- Increase in pain returning to standing following bending forward
- Pain with mild movements
- Difficulty sitting unsupported
- Condition progressively worsening
- Long-term history of pain
- Frequent episodes of muscle spasms
- Temporary relief with a back brace
- Graded strengthening and motor control approach to increase muscular stability
- Dry needling to reduce muscular tension
- Manual therapy to reduce pain and improve range of motion (when indicated)
Further, treatments will address range of motion and strength requirements for all your desired goals.
- Cook, C., Brismée, J. and Sizer, P., 2006. Subjective and objective descriptors of clinical lumbar spine instability: A Delphi study. Manual Therapy, 11(1), pp.11-21.
- Delitto, A., George, S., Van Dillen, L., Whitman, J., Sowa, G., Shekelle, P., Denninger, T. and Godges, J., 2012. Low Back Pain. Journal of Orthopaedic & Sports Physical Therapy, 42(4), pp. A1-A57.
If your pain is in the region between the neck and the shoulder, between or around the shoulder blades or you have both neck and upper back pain, odds are the neck is involved. This is especially true if you also have neck pain.
To determine if a patient needs to be sent to another provider for an X-ray, MRI or other form of medical imaging, we want to be 100% certain a red flag is not present.
For the spine, there is not always a clear black and white answer of the specific anatomical structure causing thoracic pain/symptoms and patients often get hung up on wanting a firm anatomical diagnosis.