Thoracic spine and Chest wall Pain

 

Thoracic spine and Chest wall Pain

Chest wall Pain, Thoracic Spine Pain

This section covers pain anywhere between shoulders to the bottom of ribs. It can arise from

  • Inside the thoracic cavity (inside chest)
  • From the chest wall including the thoracic spine
  • Be referred from the neighbouring areas and structures such as abdomen, cervical spine.

Chest wall pain can originate from any of the chest wall structures including bones, joints, muscles, cartilage, ligaments, tendons, nerves, skin and soft tissue. It generally increases with arm movement and is accompanied by localised tenderness.

Some common conditions/situations leading to chest wall pain are

Prolonged unaccustomed physical activity. This may cause muscle soreness which can persist
Trauma/fall with fracture of ribs or vertebrae. In presence of osteoporosis even trivial trauma can lead to fractures. The event may be difficult to remember specially when the onset of pain is delayed
Spine can be a source of posterior chest pain. Pain may arise from joints including those between the vertebrae (facet joints), between the ribs and vertebrae (costovertebral joints, costotransverse joints), discs, spinal ligaments, muscles (paravertebral muscles) and the nerves. The pain can radiate towards the side of chest and as far as the front of chest and abdomen
Other joints such as the one between the collar bone and sternum or the ones between the ribs and sternum can also be a source of chest wall pain. Inflammation of the cartilage connecting the ribs to the sternum is known as chostrochondritis 
infections such as Shingles commonly affect the thoracic area (Post Herpetic Neuralgia)
Rheumatological disorders such as rheumatoid arthritis, ankylosing spondylitis
Post surgical pain arising after surgeries such as heart, lung, breast surgery
Nerve injury or damage as a result of surgery, trauma or otherwise.
Cancer which has spread to chest wall or bones

Management

The treatment will depend on the cause of pain. A multi disciplinary approach using a combination of medications, physiotherapy, psychology and injections is the preferred approach. Please follow the links to read more about these.

https://www.removemypain.com/thoracic-spine-and-chest-wall-pain.html

Tag : Thoracic spine treatment in Delhi,Chest wall pain treatment in Delhi,Pain Specialist in Delhi,Dr. Amod Manocha

Comments

Post a Comment

Popular posts from this blog

Acromioclavicular Joint Arthritis

Image
  What is acromioclavicular joint and where is it located? The acromioclavicular (ACJ) is a small joint between the collarbone (clavicle) and the tip of the shoulder blade (acromion). It is located at the tip of the shoulder forming the highest point of the shoulder. Like many other joints in the body, it has cartilage covering the ends of the bone, is surrounded by a capsule and stabilised by strong ligaments. This joint has minimal mobility. It is involved in overhead arm movement and when the arm is moved across the body. Arthritis of this joint is more common than that of the shoulder joint (glenohumeral joint) although is less common than that of the hip and the knee joints. It is mostly seen in the middle-aged people and weightlifters and hence the other name of the condition “Weightlifter’s Shoulder”. What are the symptoms of ACJ arthritis? Common presenting features include: Pain over the top of the shoulder Difficulty reaching the arm across the body as while putting on a seat
Read more

Sports Injuries Prevention

Image
  Overuse and trauma are two common factors responsible for sports injuries. Both intrinsic (such as age, fitness level, muscle strength etc) and extrinsic factors (such as equipment, environment, type of activity etc) play a role in injuries. Prevention of injuries may involve changing of training schedule, gear, training, practicing environment and style and many other factors. Primary prevention deals with prevention of an injury whereas secondary prevention is about prevention of re occurrence of injury. As "Prevention is better than cure," here are some tips that can help you prevent sports injuries. Whilst most of these may seem like common knowledge, you would be surprised by how many injuries can be avoided by following these tips. Tip 1: Understand the importance of physical conditioning and know your limits This factor is often overlooked by amateurs who easily succumb to temptation and overindulge.  It is easy to get carried away when you return to sports after a l
Read more

Knee Pain

Image
Knee pain can be a source of significant disability in all age groups as it limits mobility. It can be classified into traumatic or non traumatic and based on the site of pain into anterior, medial, lateral and posterior. The common reasons for knee pain vary with age group and pain site. Pain from other sites such as hip and lumbar spine can also present knee pain. In the above 50 years age group raised BMI is an important risk factor for developing symptomatic osteoarthritis. Genicular nerve blocks & radiofrequency ablation This procedure is performed for   chronic knee pain   which may be secondary to various reasons such as osteoarthritis, degenerative joint disease and persisting pain after knee replacement.   It offers a   safe,   effective   non surgical alternative to knee replacement   for patients who are either not keen or are unfit or have persisting pain after knee replacement . Genicular nerve radiofrequency is performed as a day case under local anaesthesia with   n
Read more