Thoracic Spine Flashcards
What are risk factors for thoracic pain
15% of 66% of back pain is thoracic
1. >50
2. Were tall
3. Performed frequent bending or sustained bending
4. Drive for >4 hours per day
Transvers processes in t spines are found ___ their corresponding spinous process or at the same level
Above
Erector spinae muscle weakness has been associated with what in older adults?
Hyperkyphosis, osteoporosis, increased falling, decreased quality of life
What are signs of T4 syndrome?
Bilateral UE paresthesias (glove pattern)
Sweating
Heaviness of hands
Tenderness of T4 or hypomobility
Neck pain
HA
Pain from the chest radiating to the back. Sudden and unrelenting pain
Dissecting thoracic aneurysm
Boring type thoracic spine pain that is relieved or worsened by eating
Peptic ulcer (usually from long term NSAID use)
Fever, r upper quadrant pain, and r infrascapular pain. What test would you perform?
+ Murphy sign (deep breath with palpation of subcostal region would indicate gallbladder
Thoracolumbar pain, fever
Pancreatitis
Morning stiffness of more than 30 minutes, improving back pain with exercise not rest, awakening with back pain in the second half of the night, and alternating buttock pain
Ankylosing spondylitis (also chest expansion <2.5 cm
Chest pain on one side (usually 2nd and third ribs) is called
Tietze syndrome
How many standard deviations on the dexa is considered high risk of fx
2.5 below reference
To perform a thoracic thrust the patient is side bent___ and rotated___
Toward and rotated away
Individuals who are low to medium risk for disability and prolonged recovery should be treated with
Education, exercise, and manual therapy
Individuals who are at high risk for prolonged pain and disability should be tx with
Prolonged education, graded exposure to rehab and referral for multidisciplinary management
This occurs in younger females and get snapping and pain at lower anterior chest
Slipping rib syndrome (tested by pulling rib anteriorly
