Thoracic Pain

Thoracic Back Pain treatment in Gurgaon | physiotherapy for Back Pain

Thoracic back pain is common these days due to our lifestyle. It is generally less severe until it is associated with some underlying pathologies. It can also affect young or adolescent age group due to muscular imbalances and weak muscle strength. This is the most susceptible area as more weight of upper head and neck is loaded onto it and is the most mobile segment of our spine causing rotations and compression forces thorough it.

We are DynaFisio provide the Thoracic back pain treatment in Gurgaon, Here we are tell about Thoracic back pain Causes, Symptoms & Treatment. If you have any contact us for Thoracic back pain treatment. Our Doctors give Best physiotherapy for Thoracic back pain

Thoracic Back Pain Causes

It is associated with every age group due to certain reasons like;

Some of the reasons affecting children group are:-

  • Due to carrying heavy backpacks to their schools.
  • Stooping posture while studying
  • Studying in an ill-defined position like on beds and couches
  • Watching TV in half lying positions
  • Always busy with their phones

Similarly, in adolescents and adults:-

  • Most commonly females are affected with upper back pain due to their puberty with their breast development which can lead to postural changes
  • Due to continuous sitting for desk job workers
  • Lack of muscular strength
  • Overuse injuries

Other Pathological Causes

  • Sudden trauma or injury during some activities
  • Fracture at the thoracic spine
  • Muscle strain or sprain
  • Inflammatory causes like Spondylitis
  • Metabolic disorders like osteoporosis which usually occurs in the old age group
  • Degenerative disorders like osteoarthritis, etc.

Thoracic Back Pain Symptoms

  • Pain can be persistent or episodic
  • Sharp, dull aching pain
  • Pain may radiate to the Shoulders and neck
  • Weakness or discomfort
  • Difficulty in Sitting comfortably or in certain postures
  • Stooping posture
  • Stiffness in mid back area

Ways to Investigate

  • X-ray, MRI or CT Scan can be done to rule out the exact cause
  • Blood test or smear test in some cases
  • Physical examination

Differential Diagnosis

  • Thoracic Kyphosis – It is the structural deformity which can be on a single segment (knuckle) or multiple segment (gibbous) manifested as the outward protrusion of some segments of thoracic spine in relation to others. It can be identified in X-Ray and characterised by persistent sharp pain.
  • Musculoskeletal causes - It is due to weak paravertebral muscles which leads to spasm of one side of muscle and weakening of another side of muscle group. Muscular strain or sprain can also during some jerky movements or exercising in incorrect pattern. These pain results in continuous dull aching pain.
  • Thoracic disc herniation – Asymptomatic disc herniation are very common compared to symptomatic disc herniation. Best identified through MRI imaging of disc bulge.
  • Osteoporosis – It is the weakening of the bone and is age related. Older age group is generally affected and is characterised by sudden sharp pain which gets worsen by standing, walking or twisting movements and relieved with rest or lying down. It can also lead to Stress fractures or compression fractures.
  • Spondylosis – It is also known as the osteoarthritis of spine results from degeneration of bone again in old age group. Can be differentiated through X-Ray which shows narrowing of vertebral spaces and demargination of vertebral body.
  • Tb Spine – It occurs when bacteria dislodge from lungs and travels to your spine. Every symptom of Tb will be there including sharp pin pricking pain at particular segment of your spine affected. Mild localised can also be located in this condition which is known as Caseous necrosis identified by MRI.
  • Ankylosing Spondylitis – It usually occurs in lower back but can also affect thoracic spine. This is also characterised by continuous pain and can be differentiated through X-Ray which shows straightening or squaring of spine and positive test for HLA B27.
  • Dissecting thoracic aneurysm – Sudden severe and unrelenting chest pain that may radiate to upper back, jaw and neck which is often unrelieved by lying down. It can be differentiated through chest X-Ray or CT scan.
  • Cholecystitis - Sudden, sharp pain in the upper right-hand side of your tummy (abdomen) and spreads towards your right shoulder, Shoulder blade (scapula). The affected part of the tummy is usually very tender, and breathing deeply can make the pain worse.
  • Peptic ulcer - Boring pain from epigastric are to mid thoracic spine. Triggered or relieved with meals. Perforated ulcer can refer pain to shoulder with irritation of your diaphragm.


  • Many cases resolve without any treatment.
  • Medical treatment and surgical treatment depends on underlying pathologies.
  • Physiotherapy can be advised for muscular strength, reduction in pain, poor movement patterns and restoration of range of motion.

Physiotherapy Treatment for Thoracic Back Pain

Physiotherapy treatment includes different goals and techniques for different conditions-

  • Electrotherapy modalities like; TENS, IFT or US can be used for the reduction of temporary pain
  • Moist heat pack and Ice pack are advised according to the patient condition whether it is acute or chronic.
  • Stretching exercises like;
    1. Cat cow stretch – It can be done in quadrapod position with knees under hips and hands under your shoulder, arching their lower back up and down with the opposite movement of the head looking down and towards the ceiling respectively.
    2. Pectoral stretch – It is done at the corner of the wall with your forearms resting on the wall and leaning forward toward the wall to stretch your pectoral muscle.
    3. Foam roller stretch – Lying supine on the roller just above the segment you want to treat and sliding your body up and down over it can release your tight muscle effectively.
    4. Foam roller side stretch – Side lying on the roller and stretch your lower edge muscle by raising your head, neck and shoulder above the mat on both sides.
    5. Lion’s stretch – Sit on your knees and then slide forward with hands resting on the bed and maintaining the stretch in the position.
  • Strengthening exercises like;
    1. W-Y-T exercises for your shoulder blade muscles strengthening can be done in both lying and sitting positions.
    2. Pelvic bridging exercises with your tummy tuck and squeezing your buttocks. This can be progressed to single leg bridging or swiss ball exercises.
    3. Isometric back exercises
    4. Cobra pose
    5. Thera band exercises
  • Instrument Assisted Soft tissue mobilisation can be done to release your tighten fascia.
  • Low-grade Thoracic manipulation except in cases like osteoporosis, osteoarthritis or Tb
  • Cupping and dry needling to improve your circulation and reduce inflammatory changes.
  • Kinesio-taping can be done to both facilitate and inhibit the overactive muscle.
    Postural education is also a must in these types of back pain.
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