Thoracic Back Pain: Difference between revisions
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'''Original Editor '''- [[User: | '''Original Editor '''- [[User:Lucinda hampton|Lucinda hampton]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== Introduction == | == Introduction == | ||
[[File:Sam-burriss-zHSX9o2 B7Y-unsplash.jpg|right|frameless|600x600px]] | [[File:Sam-burriss-zHSX9o2 B7Y-unsplash.jpg|right|frameless|600x600px]] | ||
Thoracic back pain is common throughout life but is not as well studied as neck pain or low back pain. Thoracic back pain is more often due to serious spinal pathology than neck or low back pain but thoracic back pain is also prevalent among healthy individuals without any serious underlying cause.<ref name=":0">Briggs AM, Smith AJ, Straker LM, Bragge P. [https://www.ncbi.nlm.nih.gov/pubmed/19563667?dopt=Abstract Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review.] BMC Musculoskeletal disorders. 2009 Dec;10(1):77. Available from:https://www.ncbi.nlm.nih.gov/pubmed/19563667?dopt=Abstract (last accessed 24.4.2020)</ref> | [[Thoracic Anatomy|Thoracic]] back pain is common throughout life but is not as well studied as [[Neck Pain: Clinical Practice Guidelines|neck pain]] or [[Low Back Pain|low back pain]]. Thoracic back pain is more often due to serious spinal pathology than neck or low back pain but thoracic back pain is also prevalent among healthy individuals without any serious underlying cause.<ref name=":0">Briggs AM, Smith AJ, Straker LM, Bragge P. [https://www.ncbi.nlm.nih.gov/pubmed/19563667?dopt=Abstract Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review.] BMC Musculoskeletal disorders. 2009 Dec;10(1):77. Available from:https://www.ncbi.nlm.nih.gov/pubmed/19563667?dopt=Abstract (last accessed 24.4.2020)</ref> | ||
== Epidemiology == | == Epidemiology == | ||
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In children and adolescents, thoracic back pain associated with: | In children and adolescents, thoracic back pain associated with: | ||
* female gender, | * female gender, | ||
* postural changes associated with backpack use, | * postural changes associated with [[Adolescent Back Pain|backpack use]], | ||
* backpack weight | * backpack weight | ||
* musculoskeletal symptoms, participation in specific sports, | * musculoskeletal symptoms, participation in specific sports, | ||
* chair height at school | * chair height at school | ||
* difficulty with homework. | * difficulty with homework. | ||
* Poorer mental health | * Poorer [[Mental Health, Physical Activity and Physical Therapy|mental health]] | ||
In adults, thoracic back pain associated with: | In adults, thoracic back pain associated with: | ||
* Concurrent other musculoskeletal symptoms | * Concurrent other musculoskeletal symptoms | ||
* Difficulty in performing activities of daily living.<ref name=":0" /> | * Difficulty in performing [[ADLs|activities of daily living]].<ref name=":0" /> | ||
* Lower grade male white-collar workers were more likely to report TSP (17%) than male workers in other occupational categories | * Lower grade male white-collar workers were more likely to report TSP (17%) than male workers in other occupational categories | ||
* Upper grade female white-collar and professional workers were more likely to report TSP<ref>Fouquet N, Bodin J, Descatha A, Petit A, Ramond A, Ha C, Roquelaure Y. [https://academic.oup.com/occmed/article/65/2/122/1488588 Prevalence of thoracic spine pain in a surveillance network.] Occupational Medicine. 2015 Mar 1;65(2):122-5. Available from:https://academic.oup.com/occmed/article/65/2/122/1488588 (last accessed 24.4.2020)</ref>. | * Upper grade female white-collar and professional workers were more likely to report TSP<ref>Fouquet N, Bodin J, Descatha A, Petit A, Ramond A, Ha C, Roquelaure Y. [https://academic.oup.com/occmed/article/65/2/122/1488588 Prevalence of thoracic spine pain in a surveillance network.] Occupational Medicine. 2015 Mar 1;65(2):122-5. Available from:https://academic.oup.com/occmed/article/65/2/122/1488588 (last accessed 24.4.2020)</ref>. | ||
== Aetiology == | == Aetiology == | ||
[[File:Alex-azabache-Ydnzshd767I-unsplash.jpg|right|frameless]] | |||
Thoracic back pain occurs | Thoracic back pain occurs | ||
* As a result of trauma or sudden injury | * As a result of trauma or sudden injury | ||
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The most common cause of thoracic back pain appears to originate from | The most common cause of thoracic back pain appears to originate from | ||
* Muscular irritation | * Muscular irritation | ||
* Lack of strength, | * Lack of [[Strength and Conditioning|strength]], | ||
* Poor posture, | * Poor [[posture]], | ||
* Prolonged sitting at a computer, | * Prolonged sitting at a computer, | ||
* Using a backpack, | * Using a backpack, | ||
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Asymptomatic thoracic disc herniations are relatively common but symptomatic disc herniations are rare. They occur in approximately 5 in 1,000 disc herniations presenting in a clinical setting.<ref name=":0" /> | Asymptomatic thoracic disc herniations are relatively common but symptomatic disc herniations are rare. They occur in approximately 5 in 1,000 disc herniations presenting in a clinical setting.<ref name=":0" /> | ||
== References == | |||
== References | |||
<references /> | <references /> | ||
Revision as of 08:06, 24 April 2020
Original Editor - Lucinda hampton
Top Contributors - Nupur Smit Shah, Lucinda hampton, Kim Jackson and Aminat Abolade
Introduction[edit | edit source]
Thoracic back pain is common throughout life but is not as well studied as neck pain or low back pain. Thoracic back pain is more often due to serious spinal pathology than neck or low back pain but thoracic back pain is also prevalent among healthy individuals without any serious underlying cause.[1]
Epidemiology[edit | edit source]
The range of prevalence estimates of thoracic back pain in the general population is broad because of many factors eg the different definitions and duration of thoracic back pain included.
Prevalence data ranged from
- 4.0-72.0% (at any one time)
- 0.5-51.4% (seven-day)
- 1.4-34.8% (one-month)
- 4.8-7.0% (three-month)
- 3.5-34.8% (one-year)
- 15.6-19.5% (lifetime).
Higher prevalence for thoracic back pain in children and adolescents, females > males.
In children and adolescents, thoracic back pain associated with:
- female gender,
- postural changes associated with backpack use,
- backpack weight
- musculoskeletal symptoms, participation in specific sports,
- chair height at school
- difficulty with homework.
- Poorer mental health
In adults, thoracic back pain associated with:
- Concurrent other musculoskeletal symptoms
- Difficulty in performing activities of daily living.[1]
- Lower grade male white-collar workers were more likely to report TSP (17%) than male workers in other occupational categories
- Upper grade female white-collar and professional workers were more likely to report TSP[2].
Aetiology[edit | edit source]
Thoracic back pain occurs
- As a result of trauma or sudden injury
- Through strain or poor posture over time
- From inflammatory, degenerative, metabolic, infective and neoplastic condition.
- From conditions such as primary and secondary osteoporosis (especially vertebral fractures and hyperkyphosis arising from vertebral bone loss), ankylosing spondylitis, osteoarthritis and Scheuermann's disease
The most common cause of thoracic back pain appears to originate from
- Muscular irritation
- Lack of strength,
- Poor posture,
- Prolonged sitting at a computer,
- Using a backpack,
- Overuse injuries (such as repetitive motion), or
- Trauma (such as a whiplash injury caused by a car accident or as a result of a sports injury).
Asymptomatic thoracic disc herniations are relatively common but symptomatic disc herniations are rare. They occur in approximately 5 in 1,000 disc herniations presenting in a clinical setting.[1]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 Briggs AM, Smith AJ, Straker LM, Bragge P. Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review. BMC Musculoskeletal disorders. 2009 Dec;10(1):77. Available from:https://www.ncbi.nlm.nih.gov/pubmed/19563667?dopt=Abstract (last accessed 24.4.2020)
- ↑ Fouquet N, Bodin J, Descatha A, Petit A, Ramond A, Ha C, Roquelaure Y. Prevalence of thoracic spine pain in a surveillance network. Occupational Medicine. 2015 Mar 1;65(2):122-5. Available from:https://academic.oup.com/occmed/article/65/2/122/1488588 (last accessed 24.4.2020)
