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  1. #1
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    Brief Medical History Overview

    Age: 32, Male, Presenting Problem Since: 3weeks, Symptom Behaviour: same, Symptoms Worse (24hr Behaviour): night, Aggravating Factors:: staying still in bed, Easing Factors:: movement, No Investigations, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues

    Major problem / Symptomatic Areas

    Thoracic Spine

    Lightbulb Lower Thoracic Pain

    Physical Agents In Rehabilitation
    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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  2. #2
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    Re: Lower Thoracic Pain

    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.

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  3. #3
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    Re: Lower Thoracic Pain

    Quote Originally Posted by physiobob View Post
    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"


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    Re: Lower Thoracic Pain

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


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    Re: Lower Thoracic Pain

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



 
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