HI all, I'd really appreciate if someone could give me some insight please. I have got this 32 yrs old male presenting with lower thoracic pain at night time he wakes up everynight at 3am due to his pain he cannot move in bed, only thing that relieves it is getting out walk and move and take a panamax, before pain goes down 30mins. He is generally healthy, works long 12 hrs shift involving lots of rotation in standing and pulling/pushing with arms. however no pain during day at all, movement actually relieves it. O/E, FAROM all directions with OP. cleared Cx & Lx spine. PA T8/9 TOP and onset of mms spasms... t7-10 on PA GR3. Advice changing sleeping mattress nil effect, lying on a rolled towel bring on the discomfort t8/9 area. it's been going on for a month no, basically, during day when he is active all good, it's afterwards when he goes to bed after shift normally 4hrs of sleep back back comes on... As soon as he starts moving all good... How can I halp him, no pins and needles no referred pain no pain on coughing.
Thanks V

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