Lower Thoracic Pain

[arouffparfaitv]

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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[physiobob]

Is T8/T9 the apex of his thoracic curve? If so it is taking the most demand during the day in terms of excessive flexion at that area. Perhaps unloading the tissue a little with some k-taping or the like to assist his postural awareness would assist. Then looking at how he is lifting to modify it slightly to reduce the stresses on that area. Eliciting some muscle spasm at that area would perhaps indicate some underlying trauma, strain, repetitive breakdown, small disc lesion. It may be that his position in bed if kept for a long period causes the pain and wakes him up. e.g. if he is slide lying in rotation then sleeping for a few nights with a pillow under the top leg to reduce the rotation on the Tx might reduce the symptoms. It would be worth a trial to see what happens.

[arouffparfaitv]

Is T8/T9 the apex of his thoracic curve? If so it is taking the most demand during the day in terms of excessive flexion at that area. Perhaps unloading the tissue a little with some k-taping or the like to assist his postural awareness would assist. Then looking at how he is lifting to modify it slightly to reduce the stresses on that area. Eliciting some muscle spasm at that area would perhaps indicate some underlying trauma, strain, repetitive breakdown, small disc lesion. It may be that his position in bed if kept for a long period causes the pain and wakes him up. e.g. if he is slide lying in rotation then sleeping for a few nights with a pillow under the top leg to reduce the rotation on the Tx might reduce the symptoms. It would be worth a trial to see what happens.

"Thanks I will take your advice on board"

[joosts sports injury clinic]

sounds like a sublux with associated muscular pain......any pain or discomfort when taking a deep breath? if so poss rib displacement aswell.....

[bhawananancy]

I suggest you buy the best firm mattress for lower back pain. It will definitely helpful in your treatment.