Thoracic back pain, often described as discomfort in the middle and upper part of the back, is a common ailment affecting many individuals. Understanding its causes and available treatments can help individuals find relief.
Anatomy & Causes of Thoracic Back Pain
The back is a complex structure, consisting of small bones, muscles, and soft tissues that surround and protect the spinal cord. Additionally, nerves exit the spinal cord in the back, making it a crucial part of our anatomy. Pain in this region can arise from various factors such as:
Muscle strains
Ligament sprains
Tension from poor posture
Arthritis
Osteoporosis
Interestingly, thoracic vertebrae are unique in that they are the only ones supporting the ribs, making issues in this region particularly significant. 
Common Spine Conditions
Back pain can manifest in various forms, and there are numerous spine conditions that individuals might experience. Some prevalent conditions include:
Herniated Disc
Spondylolisthesis
Spondylosis
Radiculopathy
Disc Degeneration
Scoliosis
General Back and Neck Pain
For more on spine conditions, you can read here.
Treatment Options
Conservative care, like physical therapy or even certain injections, can offer sufficient relief for many experiencing back pain. Some common treatments include:
Laminectomy and Laminotomy
Radiofrequency Facet Denervation
Disc Biacuplasty
Physical Therapy
Artificial Disc Replacement
Epidural Steroid Injections
For a comprehensive list of treatment options, click here.
Expert Advice
It’s important to consult with the right specialist when dealing with back pain. While a spine surgeon like Dr. Dowdell at HSS specializes in the treatment of degenerative spine conditions, he might not always be the first specialist to consult for back pain. Instead, one could consider starting with a physiatrist who can help navigate back pain treatments and provide guidance.
Conclusion
Most adults, at some point in their lives, will experience back pain due to a spine disorder. This pain can arise suddenly, from incidents like heavy lifting or accidents, or develop gradually due to age-related changes in the spine. By understanding the causes and seeking appropriate care, one can alleviate the pain and enjoy a healthier spine.
