What are the common causes of back rib pain. How can you identify symptoms of rib-related injuries. What are the most effective treatments for back rib pain. When should you seek medical attention for pain in the back ribs.

Understanding the Anatomy of Back Rib Pain

Back rib pain can be a perplexing and often concerning experience for many individuals. This discomfort, which can range from a dull ache to sharp, stabbing sensations, originates in the area where the ribs connect to the spine and can extend to the chest and upper back. To fully grasp the complexity of back rib pain, it’s crucial to understand the intricate anatomy of this region.

The ribcage consists of 12 pairs of ribs, each connected to the thoracic vertebrae of the spine. These bones are joined by intercostal muscles and protected by layers of soft tissue. This complex structure allows for flexibility and protection of vital organs, but it also makes the area susceptible to various types of pain and injury.

Key Anatomical Components Involved in Back Rib Pain:

• Ribs and vertebrae
• Intercostal muscles
• Costovertebral joints
• Surrounding nerves and blood vessels
• Soft tissues, including ligaments and tendons

Understanding these components is essential for identifying the root cause of back rib pain and determining the most appropriate treatment approach.

Common Causes of Back Rib Pain: From Injuries to Medical Conditions

Back rib pain can stem from a variety of sources, ranging from acute injuries to chronic medical conditions. Identifying the underlying cause is crucial for effective treatment and management. Here are some of the most common culprits behind back rib pain:

Rib-Related Injuries

Injuries to the ribs and surrounding tissues are frequent causes of back rib pain. These can occur due to accidents, sports activities, or even vigorous coughing. Common rib-related injuries include:

• Bruised ribs
• Pulled muscles
• Fractured ribs
• Broken ribs

Is it possible to differentiate between these injuries based on symptoms alone? While a medical professional is best equipped to make a definitive diagnosis, there are some distinguishing features. Bruised ribs typically cause localized pain that worsens with movement or deep breathing. Pulled muscles often result in a sharp, sudden pain during activity. Fractured or broken ribs, on the other hand, may cause severe pain, difficulty breathing, and tenderness to touch.

Intercostal Muscle Strain

An intercostal muscle strain occurs when the muscles between the ribs are stretched or torn. This injury is often the result of strenuous physical activity, sudden twisting movements, or repetitive motions. Symptoms of an intercostal muscle strain include:

• Sharp, severe pain in the upper back or ribs
• Stiffness and tension in the upper back muscles
• Muscle spasms in the affected area
• Pain that worsens with movement or deep breathing

How long does it typically take for an intercostal muscle strain to heal? The recovery time can vary depending on the severity of the strain, but most cases improve within 3-8 weeks with proper rest and treatment.

Costochondritis: Inflammation of Rib Cartilage

Costochondritis is a condition characterized by inflammation of the cartilage that connects the ribs to the breastbone. This condition is particularly common in adults aged 40-50 and can cause significant discomfort in the chest wall and back of the ribs. Key features of costochondritis include:

• Strong, sharp pain in the chest wall
• Pain that may radiate to the back of the ribs
• Discomfort that worsens with deep breathing or movement
• Tenderness when pressing on the affected area

Can costochondritis be mistaken for a heart condition? Yes, the symptoms of costochondritis can sometimes mimic those of a heart attack or other cardiac issues. This similarity underscores the importance of seeking medical evaluation for any unexplained chest pain.

Underlying Medical Conditions Contributing to Back Rib Pain

While injuries are common causes of back rib pain, several medical conditions can also lead to discomfort in this area. Understanding these underlying conditions is crucial for proper diagnosis and treatment.

Osteoporosis and Its Impact on Rib Health

Osteoporosis is a condition that weakens bones, making them more susceptible to fractures. This condition can significantly affect the ribs, leading to increased vulnerability to breaks and fractures, even during routine activities. Key points about osteoporosis and rib pain include:

• Higher prevalence in older adults, especially women
• Increased risk of spontaneous rib fractures
• Soreness and pain as common symptoms
• Diagnosis often involves X-rays and bone density scans

How can one reduce the risk of osteoporosis-related rib fractures? Preventive measures include maintaining a calcium-rich diet, engaging in weight-bearing exercises, and considering vitamin D supplements under medical guidance.

Fibromyalgia: A Complex Pain Disorder

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, including potential discomfort in the back and ribs. This complex disorder affects various aspects of a person’s health and well-being. Key features of fibromyalgia include:

• Widespread pain in muscles and bones
• Fatigue and sleep disturbances
• Cognitive issues, often referred to as “fibro fog”
• Heightened sensitivity to pain
• Associated symptoms such as headaches and depression

Why is fibromyalgia often challenging to diagnose? The diverse and often subjective nature of fibromyalgia symptoms can make it difficult to distinguish from other conditions. Additionally, there is no single definitive test for fibromyalgia, requiring healthcare providers to rely on a comprehensive evaluation of symptoms and exclusion of other potential causes.

Gallstones: An Unexpected Source of Back Rib Pain

Gallstones, while primarily associated with abdominal discomfort, can sometimes manifest as pain in the back ribs. These hardened deposits in the gallbladder can cause a range of symptoms, including referred pain to the upper back and ribs. Understanding the connection between gallstones and back rib pain is crucial for accurate diagnosis and treatment.

Key Aspects of Gallstone-Related Back Rib Pain:

• Pain typically located in the upper right abdomen, potentially radiating to the back
• Discomfort often intensifies after meals, especially fatty foods
• Episodes of pain may last for several hours
• Associated symptoms can include nausea, vomiting, and in severe cases, jaundice

How can one differentiate gallstone pain from other types of back rib pain? Gallstone pain often has a characteristic pattern, typically occurring after meals and accompanied by digestive symptoms. However, a medical evaluation is necessary for a definitive diagnosis, as these symptoms can overlap with other conditions.

Pulmonary Conditions and Their Relation to Back Rib Pain

Various pulmonary conditions can manifest as pain in the back ribs, highlighting the interconnectedness of the respiratory system and the thoracic region. Understanding these connections is crucial for timely diagnosis and treatment of potentially serious lung-related issues.

Pulmonary Embolism: A Medical Emergency

A pulmonary embolism occurs when a blood clot obstructs a blood vessel in the lungs. This serious condition can present with back rib pain, often accompanied by other alarming symptoms. Key points about pulmonary embolism include:

• Sudden onset of sharp chest pain, often worsening with deep breaths
• Shortness of breath and rapid heartbeat
• Possible leg pain or swelling (if the clot originated in the leg)
• Risk factors include prolonged immobility, recent surgery, and certain medical conditions

Why is prompt medical attention crucial for suspected pulmonary embolism? Pulmonary embolism is a life-threatening condition that requires immediate medical intervention. Early diagnosis and treatment significantly improve outcomes and reduce the risk of complications.

Other Lung Conditions Associated with Back Rib Pain

Several other lung conditions can cause or contribute to back rib pain. These include:

• Pneumonia: An infection that inflames the air sacs in the lungs
• Pleurisy: Inflammation of the membrane that covers the lungs
• Lung cancer: In some cases, can cause referred pain to the back and ribs
• Chronic obstructive pulmonary disease (COPD): Can lead to chest tightness and rib discomfort

How can one distinguish between different lung-related causes of back rib pain? While certain symptoms may point to specific conditions, a thorough medical evaluation, including imaging studies and lung function tests, is often necessary for an accurate diagnosis.

Diagnostic Approaches for Back Rib Pain

Accurately diagnosing the cause of back rib pain is crucial for effective treatment. Healthcare providers employ a variety of diagnostic tools and techniques to pinpoint the underlying issue. Understanding these approaches can help patients navigate the diagnostic process more effectively.

Common Diagnostic Methods:

• Physical examination and medical history review
• Imaging studies (X-rays, CT scans, MRI)
• Blood tests to check for inflammation or infection
• Bone density scans for suspected osteoporosis
• Pulmonary function tests for suspected lung conditions

Why is a comprehensive diagnostic approach important for back rib pain? The diverse range of potential causes, from musculoskeletal injuries to serious medical conditions, necessitates a thorough evaluation to ensure accurate diagnosis and appropriate treatment.

When to Seek Immediate Medical Attention

While many cases of back rib pain can be managed at home or with routine medical care, certain symptoms warrant immediate medical attention. These include:

• Severe, persistent pain that doesn’t improve with rest
• Difficulty breathing or shortness of breath
• Chest pain accompanied by nausea, sweating, or arm pain
• Signs of infection, such as fever or chills
• Unexplained weight loss or fatigue accompanying the pain

How quickly should one seek medical care for these symptoms? If experiencing any of these concerning symptoms, it’s crucial to seek medical evaluation immediately, as they could indicate a serious underlying condition requiring prompt treatment.

Treatment Strategies for Back Rib Pain: From Home Remedies to Medical Interventions

The treatment of back rib pain varies depending on the underlying cause and severity of the condition. A comprehensive approach often includes a combination of home remedies, lifestyle modifications, and medical interventions. Understanding these treatment strategies can help individuals manage their symptoms more effectively and promote faster recovery.

Home Remedies and Self-Care Techniques

For mild to moderate cases of back rib pain, especially those resulting from minor injuries or strains, several home remedies can provide relief:

• Rest and activity modification to avoid exacerbating the pain
• Application of ice or heat therapy to reduce inflammation and soothe discomfort
• Over-the-counter pain relievers such as ibuprofen or acetaminophen
• Gentle stretching exercises to improve flexibility and reduce muscle tension
• Use of supportive devices like rib belts for comfort during healing

How long should one rely on home remedies before seeking medical attention? While minor injuries often improve with self-care within a few days to weeks, persistent or worsening pain should prompt a medical evaluation.

Medical Treatments for Back Rib Pain

When home remedies are insufficient or the underlying cause requires professional intervention, various medical treatments may be recommended:

• Prescription pain medications or muscle relaxants
• Physical therapy to improve strength and flexibility
• Corticosteroid injections for severe inflammation
• Targeted treatments for specific conditions (e.g., antibiotics for pneumonia, surgery for gallstones)
• Osteoporosis medications to reduce fracture risk in vulnerable individuals

What factors determine the most appropriate medical treatment for back rib pain? The choice of treatment depends on the specific diagnosis, severity of symptoms, overall health of the patient, and potential risks and benefits of each intervention.

Lifestyle Modifications for Long-Term Management

In addition to specific treatments, certain lifestyle changes can help manage and prevent recurrent back rib pain:

• Maintaining good posture to reduce strain on the back and ribs
• Engaging in regular, low-impact exercise to improve strength and flexibility
• Practicing stress-reduction techniques like meditation or yoga
• Adopting a healthy diet rich in calcium and vitamin D for bone health
• Quitting smoking and limiting alcohol consumption to promote overall health

How can these lifestyle changes impact long-term back rib health? By addressing underlying risk factors and promoting overall musculoskeletal health, these modifications can significantly reduce the likelihood of recurrent pain and improve quality of life.

Back rib pain, while often benign, can sometimes signal serious underlying conditions. By understanding its causes, recognizing warning signs, and employing appropriate treatment strategies, individuals can effectively manage this discomfort and maintain optimal rib and back health. Regular medical check-ups and prompt attention to concerning symptoms remain crucial in ensuring comprehensive care for back rib pain.

Back rib pain: Causes and treatment

Pain in the back ribs can happen for many reasons. It can result from an injury, such as muscle strain or fractured rib, but it can also be a sign of a more serious condition, such as osteoporosis, gallstones, or a lung condition.

The pain may be sharp or dull and mild or severe. Often, the pain resolves without intervention, but it can sometimes indicate a more serious medical condition that requires specialist care. This is more likely if the pain is intense or there are other symptoms.

This article looks at some common causes of pain in the back of the ribs, as well as the associated symptoms and typical treatments.

Injuries can cause back rib pain. Common rib-related injuries include:

• bruised ribs
• pulled muscles
• fractures
• broken ribs

If pain after an injury is lasting or severe, the cause may be a broken rib. To diagnose this injury, a doctor may use an X-ray or MRI.

Treatment options vary. Many people with broken ribs just need rest and pain relief medication. Surgical intervention is sometimes necessary, but only in severe cases.

An intercostal muscle strain is an injury to the muscles between the ribs. A strain occurs when these muscles tear, often due to strenuous physical activity.

Common symptoms of an intercostal muscle strain include:

• sharp, severe pain in the upper back or ribs
• stiffness and tension in the upper back muscles
• spasms in the intercostal muscles

To treat this type of strain, doctors often recommend pain medication and physical therapy.

Costochondritis is inflammation of the cartilage that holds the ribs together. It is a common condition, particularly in adults aged 40–50, and it causes pain in the chest wall, sometimes at the back of the ribs.

The pain may be strong and sharp, and it may get worse when the person takes a deep breath. It may also worsen with movement.

Treatment may involve:

• heat therapy
• local or oral pain medications
• capsaicin cream
• physical therapy

For many people with costochondritis, the issue improves in a few weeks. However, because the symptoms can be similar to those of a heart condition, it is vital to speak with a doctor.

Preexisting conditions, such as osteoporosis, can weaken the ribs so that they break more easily, often during less intensive activities.

Osteoporosis causes the bones to lose the minerals that they need to stay strong. With a low mineral density, bones can fracture spontaneously or when the person is coughing. It is a common condition in older adults, especially in females.

The Centers for Disease Control and Prevention (CDC) report that 12.6% of adults over 50 had osteoporosis in 2017–2018. The figure for females only was 19.6%.

The symptoms of osteoporosis include soreness and pain. Healthcare professionals often diagnose the issue with X-rays. They may also test a person’s kidney and thyroid function.

Some treatment options for osteoporosis include:

• doing gentle strength training
• reducing alcohol consumption and cigarette smoking, if applicable
• taking calcium and vitamin D3 supplements
• taking medications that reduce the risk of fractures

Fibromyalgia causes widespread pain in the muscles and bones. People may also have specific tender points. Researchers are unsure what causes it, but it is more common in females than in males.

Beyond the pain, fibromyalgia often occurs with:

• fatigue
• headaches
• paresthesia, which is a numb or burning sensation, usually in the extremities
• depression
• anxiety
• cognitive disturbances, such as problems processing and remembering information

Because fibromyalgia has such diverse symptoms, doctors may recommend a variety of interventions, including:

• improving sleep quality
• practicing relaxation techniques
• starting cognitive behavioral therapy
• getting regular cardiovascular exercise
• taking medications, including antidepressants and anticonvulsants

Gallstones are hardened deposits in the gallbladder. They sometimes cause no symptoms, but they can also move and block the ducts of the gallbladder, leading to problems.

Gallstones can cause pain, especially when they block ducts. The classic presentation is pain in the upper right part of the stomach, under or around the ribs. Some people also feel the pain in their back, such as between their shoulder blades.

The pain may be intense, though it is mild for some people. It usually develops shortly after a meal and lasts for a few hours. A person may also have nausea and vomiting or jaundice. This yellowing of the eyes and skin signals that the gallstones are affecting the liver. It may also cause dark urine.

A blocked gallbladder duct can become a medical emergency. Anyone with gallstones should receive prompt medical attention for any intense abdominal pain, especially if there is jaundice.

A pulmonary embolism occurs when a blood vessel in a lung is blocked, often by a blood clot. A person may initially notice pain and swelling in one leg when the clot blocks a blood vessel there. If the clot breaks loose, it can travel to the lungs.

Pulmonary embolisms are serious and relatively common. Research shows that they are responsible for around 100,000 deaths per year in the United States, and this figure is rising.

Aside from pain in the back of the ribs, a pulmonary embolism can cause the following symptoms:

• coughing, which may bring up blood
• sweating
• headaches and lightheadedness
• shortness of breath
• rapid breathing
• anxiety
• an irregular heartbeat

A pulmonary embolism is a life threatening emergency that requires immediate treatment.

Typically, treatment involves blood thinning medication, which makes it harder for clots to form. A person who cannot tolerate this approach receives a different medication that prevents the blood from clotting.

Certain health conditions that affect the lungs can also cause back rib pain.

For example, pleurisy, or inflammation of the lining of the lungs, can cause pain in the chest, shoulders, and back ribs. Researchers know that several underlying issues can cause pleurisy. For this reason, the treatments are varied.

Lung cancer can also cause pain in the chest and ribs. It is life threatening and a leading cause of cancer-related death in the U.S.

Other symptoms of lung cancer include coughing, which may bring up blood, and shortness of breath.

The best course of treatment depends on the cancer’s type and stage, as well as factors specific to each individual. A person may need to undergo surgery, chemotherapy, and radiation therapy.

A person should contact a doctor about back rib pain if:

• The pain worsens.
• It remains after a few days of home treatment.
• It limits the ability to move.
• It occurs with a fever, chills, vomiting, nausea, or other symptoms.

People who think that they may have gallstones should call a healthcare professional and ask if their symptoms are signs of an emergency. But anyone with intense gallstone pain should go to an emergency room.

In general, seek emergency treatment if:

• The pain is so severe that it limits the ability to function.
• It occurs with jaundice.
• It occurs with trouble breathing, shortness of breath, or chest pain.
• The person feels very sick.
• Any symptoms rapidly worsen over several hours.

Minor injuries can cause pain in the back ribs. These injuries are not usually dangerous, and they often heal on their own.

However, this pain can also stem from a more serious health condition. This is especially likely if the pain is very intense, comes on suddenly, with no clear cause, or occurs with other symptoms. Prompt treatment can prevent serious complications and death.

Anyone with persistent or severe back rib pain should contact a healthcare professional.

Chest Pain & Mid-Back Pain: Symptoms, Causes & Treatment

Mid/Upper Back, Rib & Chest Pain: Causes & Recommended Treatment

Mid and upper back pain, rib pain, and chest pain (possibly extending into the shoulder) are often caused by poor posture or daily repetitive activities that strain your muscular-skeletal system. If the pain begins gradually without explanation and worsens over a long period of time, this is the most likely cause. If the onset of pain occurs more suddenly, it could be related to a sudden injury or strain. 

The pain can be felt on one or both sides of the back, the shoulders, the chest or the ribs. Stiffness in the shoulder, chest, and/or upper back due to muscle tightness can reduce the ability to perform basic tasks, such as getting dressed or driving. 

Taking over-the-counter medications can help in the short term, but it is far better to address the root cause of your back or chest pain and find longer-term relief. Here at The House Clinics, our team of specialist Chiropractors, Physiotherapists, and Massage Therapists are expertly trained in the treatment of back, rib, and chest pain.

Common Types of Back, Rib & Chest Pain: Symptoms

Back, Rib, and Chest pain rarely has a serious underlying cause. Seeing a qualified health professional such as a chiropractor or physiotherapist who is experienced in diagnosing back and spine conditions, can help treat the pain, restore mobility, and identify if further investigations are needed.

Simple Mechanical Pain:

Poor posture, particularly as many of us are working from home at the moment, or injury can cause spraining to the spinal and rib joints resulting in stress on the associated muscles and ligaments. Muscle spasms and myofascial pain can present in the connective tissue of a group of muscles, and there are often obvious trigger points or tender spots upon touch.

Nerve Pain:

Pressure on the nerves situated between the ribs or in the spinal column can be caused by conditions such as displaced ribs or a bulging disc. Symptoms can include pins and needles or tingling, burning, sharp, or electric shock-like pain that may worsen with movement. You may also experience radiating pain along a rib from the upper back to the chest area. If the pain is not affected by movement or a deep breath, you may need to visit your GP to check for shingles.

Subluxated rib (popped rib) or intercostal muscle strain:

This is experienced as pain that travels along the rib or possibly between ribs, made worse by taking a deep breath, rotating, or reaching for something. A popped rib can result after a sudden or unusual movement, an injury, or doing something very strenuous.

Trapped Nerve in The Neck:

A trapped nerve in the neck can refer pain to in the upper back, shoulder, and arm.

Osteoarthritis:

Osteoarthritis is caused by the breakdown of cartilage – the substance which cushions the small vertebral joints of the spine. This can cause muscle spasm and pain.

A Fracture:

Mid-back and vertebral fractures are more common in the elderly, usually due to osteoporosis weakening bones. A spontaneous fracture can occur when doing something as simple as carrying shopping. These fractures can result in a loss of height as well as pain.

How Chiropractic or Physiotherapy treatment can help

Chiropractors and Physiotherapists specialise in assessing, diagnosing, and managing conditions of the spine and neck. They are highly trained in finding the cause of your pain. Before starting treatment, your practitioner will undertake a full assessment. This will involve taking details about your condition, current health and medical history and performing a physical examination. Sometimes it may be necessary to refer you for other tests, such as X-rays or MRI scans. 

Before starting treatment, our practitioners will explain your diagnosis and how the therapy can help.

At The House Clinics, we also believe that Massage Therapy can work hand-hand with chiropractic or physiotherapy treatment to speed up your recovery. We may recommend massage therapy as part of your treatment programme to relieve back, rib, and chest pain.

Book A Consultation and Treatment with one of our expert practitioners today!

Call us now on 0117 942 0200

Treatments Recommended

Chiropractic

Our Bristol Chiropractors specialise in the diagnosis and treatment of painful conditions caused by the poor mechanical working of the joints, and their associated ligaments, muscles, discs, and nerves.

Read more

Physiotherapy

Our Bristol Physiotherapy clinic specialises in the diagnosis, management, and treatment of painful conditions that affect the joints of the spine, arms, and legs, as well as the associated muscles, ligaments, and surrounding structures.

Read more

Massage Therapy

Our Bristol Massage Therapists specialise in the treatment of painful conditions of the body, using a variety of manual soft tissue techniques, which bring relief to your joints and muscles.  

Read more

Pain in the thoracic spine

Author : Ilya Illarionovich Grachev
Editor : Larisa Vladimirovna Demidovich

Date of publication: 05/13/2014
Update date: 07/10/2022
All doctors of the clinic

Contents

• Thoracic spine at a glance
• Causes of chest pain
  • Osteochondrosis
  • Herniated disc
  • Intercostal neuralgia
  • Curvature of the spine
  • Ankylosing spondylitis
  • Breast diseases
  • Muscle diseases
  • Diseases of the internal organs
    • Cardiac pathology
    • Diseases of the gastrointestinal tract
    • Diseases of the pancreas and biliary tract
    • Diseases of the respiratory tract
• How to deal with chest pain at home
  • How to get rid of chest pain yourself
    • For pain associated with diseases of the spine
  • Do’s and Don’ts for Chest Pain
  • When to see a doctor urgently
• Treatment of pain in the thoracic region of various nature
  • Chest pain due to coronavirus and infectious diseases
  • Pain in the thoracic region behind and in front
  • Pain in chest when coughing
  • Neck and chest pain
  • Pain in the thoracic region on the right and left
  • Thoracic pain after sleep
  • Acute chest pain
• Treatment of chest pain
  • Diagnosis
  • Treatments for chest pain
    • Medical pain therapy
    • Non-drug pain relief
    • Surgical techniques
  • Prophylaxis
• FAQ

It is not always possible to determine on your own what exactly hurts in the chest. Sometimes it seems to a person that his heart hurts, and the problem is in the spine. Pain in the thoracic spine can be caused by both own diseases of the spine and some internal organs. To understand what hurts and how to treat, only an experienced doctor can. In the Moscow Paramita Medical Center you will fall into the hands of qualified specialists.

Briefly about the structure of the thoracic spine

The thoracic spine consists of 12 vertebrae (Th2 – Th22) and has an arcuate protrusion backwards (thoracic kyphosis). Ribs are attached to the vertebrae. 10 ribs extending from Th2 – Th20 are connected in front with the sternum, ribs extending from Th21 – Th22 have free ends. Between the vertebrae are shock-absorbing pads – intervertebral discs, which are an elastic core surrounded by a cartilaginous ring. Th22 bears the greatest load, it is the most powerful, but it also has the highest risk of injury.

This structure makes this part of the spine the most stable and at the same time retaining mobility. Formed by the vertebrae, ribs and sternum, the chest reliably protects the internal organs from external influences.

Inside the spinal column is the spinal cord, from which spinal roots extend, which are processes of nerve cells. They are divided into:

• anterior – motor, transmitting commands from the central nervous system (CNS) to the muscles;
• back – sensitive, carrying information from the periphery to the central nervous system;
• vegetative – motor and sensory, innervating internal organs, internal glands and walls of blood vessels.

Just outside the spinal column, all roots join to form spinal (spinal) nerves. Each vertebra has its own “zone of responsibility” in the innervation of internal organs, so any pathology (injury, disease) can manifest itself in the form of the following symptoms:

• Th 1 – provokes bronchospasm;
• Th 2 – affects the work of the heart;
• Th 3 – affects the functioning of the bronchopulmonary system;
• Th 4 and Th 5 – innervates the pancreas, bile ducts and gallbladder, affecting their functions;
• Th 5 and Th 6 – innervate the stomach, causing the corresponding symptoms;
• Th 8 – responsible for the overall reactivity of the body, regulates the body’s immune response to various stimuli;
• Th 9 – affects the functioning of the kidneys;
• Th 10 – Th 11 – affects the functioning of the intestines;
• Th 12 – responsible for sexual function.

Chest

Causes of pain in the thoracic region

Features of the structure and functioning of the thoracic spine and associated spinal nerves can cause a variety of changes and symptoms in injuries and diseases of individual vertebrae and internal organs. Therefore, it is most often possible to answer the question of why the thoracic region hurts only after the examination. Sometimes the pain syndrome is fully consistent with the localization of the pathological process. But this is not always the case. In some cases, pain sensations occur, for example, in the region of Th 5 or the stomach, and then are transmitted along the common branches of the nerves to another organ – to the heart, pancreas or gallbladder. Therefore, the symptoms of different diseases can be confused.

Nevertheless, pain in the thoracic spine in most cases is associated with the pathology of this particular structure.

To get rid of such pain, you need to find out why they appeared and carry out adequate treatment. This can be done only in a clinic where there is the necessary diagnostic equipment and qualified specialists.

Osteochondrosis

In the thoracic vertebrae, degenerative-dystrophic disorders develop less frequently than in the cervical and lumbar. But even here, over time, cartilage tissue is destroyed, marginal proliferation of the bones of the vertebrae, infringement of the spinal nerves and painful spasm of the spinal muscles. Depending on which vertebra is affected, pain in osteochondrosis of the thoracic spine is localized in the pathological focus or radiates along the nerves, including simulating pain in the internal organs. The pain is a constant aching reflex in nature, associated with a painful spasm of the muscles that support the spinal column.

Herniated disc

Herniation occurs when the cartilaginous ring of the intervertebral disc is destroyed and the nucleus pulposus bulges outward. Occurs against the background of osteochondrosis, as well as after lifting weights or a sharp turn of the body. This can compress the roots of the spinal nerves.

Intercostal neuralgia

Damage to the intercostal nerves, accompanied by severe unilateral or girdle pain in the region of the ribs. The cause is most often the infringement of the intercostal nerves in osteochondrosis or an inflammatory process (cold, herpes zoster – herpes). The pain syndrome is aggravated by deep breathing, coughing.

Curvature of the spine

Back pain in the thoracic spine and when it is curved. Allocate lateral curvature (scoliosis) and curvature in the anterior-posterior direction. The cause may be a congenital imperfection of the muscles and ligaments that support the spinal column, as well as poor posture. Pain in the back has a constant aching character. Over time, constant compression of the vertebrae leads to their destruction and infringement of the spinal roots with severe acute pain and dysfunction of the internal organs.

Ankylosing spondylitis

Ankylosing spondylitis is a chronic autoimmune (allergic to the spine’s own tissues) inflammatory disease of the intervertebral joints, leading to their fusion (ankylosis) and limitation of movement in this area. The disease begins with the defeat of the lumbar vertebrae, then rises up, causing aching severe pain in the thoracic region, back and stiffness of movements in the morning. Over time, it leads to the growth of the bone tissue of the vertebrae and complete immobility (ankylosis) of the spine.

Diseases of the mammary gland

Pain in the mammary gland can be cyclic bilateral in nature, associated with the menstrual cycle, and unilateral, permanent. With constant soreness in the mammary gland on the left, some women mistake them for heart and even stomach pains. It is possible to differentiate one from the other during the examination. Constant soreness is characteristic of mastopathy, benign and malignant tumors of the mammary gland. It is associated with compression of nerve endings by volumetric formations.

Muscle diseases

Often the thoracic spine hurts with spasm of the back muscles with the formation of painful seals along the peripheral nerves – trigger points. The condition is called myofascial syndrome and develops against the background of muscle strain with various pathologies of the spine and prolonged stress.

Inflammatory processes in the muscles (myositis) develop after exposure to drafts, previous infections and intoxications (for example, alcohol poisoning). Back aching after sleep or when moving. Outwardly visible slight swelling and redness of the tissues over the affected muscle.

Diseases of the internal organs

Pain in the thoracic spine may be a symptom of some disease of the internal organs located in the chest or abdominal cavity.

Cardiac pathology

Thoracic pain can be caused by cardiac pathology

The most common cause of chest pain in diseases of the internal organs is coronary heart disease (CHD). It develops against the background of atherosclerosis of the coronary (feeding the heart muscle – myocardium) arteries. The lumen of the arteries narrows due to the deposition of cholesterol plaques on their walls. With stress, fear, physical activity, arterial spasm occurs and the myocardium remains without nutrition and oxygen. He reacts to this with an attack of angina pectoris – the strongest acute short-term pain. If it lasts more than 2 minutes, then there is a threat of developing a myocardial infarction – the necrosis of a part of the heart muscle that receives nutrition from the affected artery. The same pain syndrome can occur with osteochondrosis. You can distinguish them with the help of Nitroglycerin: taking a pill under the tongue instantly relieves an attack of angina pectoris, but has no effect on pain in the spine.

Pain in myocarditis (inflammation of the myocardium) has a long, aching character and is often combined with heart rhythm disturbances.

Diseases of the gastrointestinal tract

The organs of the gastrointestinal tract are located in the abdominal cavity, but are innervated by autonomic branches associated with the thoracic vertebrae. Therefore, with diseases of the stomach and intestines, soreness in the chest may appear. It must be differentiated from cardiac and spinal pain. The cause of the pain syndrome is a spasm of the smooth muscles of the internal organs – a protective reaction in response to various pathological processes.

Diseases of the pancreas and biliary tract

Severe pain in the thoracic spine in acute pancreatitis is associated with necrosis of the pancreatic tissue, the patient can only be helped in a hospital. Aching and spastic pains in the right side in chronic pancreatitis and chronic cholecystitis are often confused with spinal pains.

Diseases of the respiratory tract

Pain in the chest occurs with various inflammatory processes in the pleura – the membrane that covers the lungs. It is usually accompanied by an increase in body temperature and increases with deep inspiration, coughing, so the disease can be confused with intercostal neuralgia. Sometimes it can be distinguished only by making an x-ray of the lungs.

What to do with pain in the chest at home

If the pain occurs for the first time, is not acute, you need to calm down, if necessary – take any sedative (soothing) remedy – 2 tablets of valerian extract, Novo-Passita tablet or motherwort tincture.

If the attack recurs, you should contact the clinic. Specialists of the Moscow clinic “Paramita” will figure out what hurts and relieve you of discomfort. When acute pain in the chest occurs for the first time, it is better to immediately call an ambulance.

How to get rid of chest pain yourself

This can only be done if you have already been examined and know your diagnosis exactly.

For pain associated with diseases of the spine

Taking drugs from the group of non-steroidal anti-inflammatory drugs (NSAIDs). If you do not have gastrointestinal disorders, then you can take Ketonal DUO 150 mg tablet or Ketorol 10 mg tablet. You can also use Diclofenac 100 mg rectal suppository. But in diseases of the gastrointestinal tract, these drugs are contraindicated, as they contribute to irritation of the mucous membrane of the stomach and intestines. In this case, you need to take a tablet of Nise 100 mg or Celebrex 100 mg.

Gel (ointment, cream) with NSAIDs – 2% Ketorol gel, 5% Diclofenac gel, 2% Voltaren emulgel, etc. should be applied to the painful area. All these medicines can be bought at the pharmacy without a prescription.

Mild aching pain in the cervicothoracic region can be relieved with exercise. They should be performed smoothly, but if the pain increases, the exercise should be stopped:

For pain in the thoracic spine, you can do special exercises

What not to do with pain in the chest

Do not:

• make sharp turns of the body, it is better to avoid any sudden movements;
• to lift weights;
• be in a bent position for a long time;
• sleep on a very soft surface using a high pillow;
• eat a lot of high-calorie foods and increase body weight;
• wear high heels;
• engage in therapeutic exercises with increased pain.

When to see a doctor urgently

Emergency medical care is required if pain occurs:

• very severe pain in the spine, started suddenly after heavy lifting – suspicion of nerve root entrapment;
• strong, acute, began suddenly on the left in the chest, given to the left arm and under the shoulder blade, accompanied by shortness of breath and dizziness – suspicion of myocardial infarction;
• are very strong, have a shingles character – this may be a sign of intercostal neuralgia or acute pancreatitis;
• aggravated by deep inspiration and coughing, accompanied by elevated body temperature – suspicion of pleuropneumonia;
• back pain, more on the right, severe, sudden pain – a sign of infringement of the nerve root or the passage of a stone through the biliary tract.

If you have these symptoms, you need to call an ambulance and if the doctor recommends hospitalization, do not refuse it.

What to do with pain of various nature

Soreness in the chest area can be very different, its nature, duration depends on why it appeared.

Chest pain due to coronavirus infection and other infectious diseases

Pain in the spine during acute infections manifests itself in the form of aches and discomfort against the background of intoxication. Joints and muscles usually also hurt. As soon as the patient’s condition improves, all these symptoms decrease, and with recovery they disappear completely. No special treatment is required.

Pain in the thoracic region behind and in front

Pain in the back between the shoulder blades most often indicates a pathology of the spine or humeroscapular periarthritis – inflammation of the soft tissues in the area of ​​the shoulder joint. They are aching, long, intensify after physical exertion.

What to do: go to the clinic, self-treatment will only aggravate the situation.

Severe sudden pain in this area indicates the infringement of the nerve roots. They can be confused with cardiac in myocardial infarction. Acute heart pain can also occur in front.

What to do: in case of acute chest pain, you need to call an ambulance, but before that you can take a Nitroglycerin tablet under the tongue – this will relieve heart pain, but will not have an effect on spinal pain.

Pain in the thoracic region when coughing

Back pain in the thoracic region of the spine may be related to the respiratory system. Most often it is pneumonia with involvement of the pleura (it is very painful). Pain is aggravated by deep breathing, coughing, body temperature rises.

What to do: call a doctor at home and decide on further treatment in a hospital. At high temperature, you can take any antipyretic drug: Nurofen 200 mg tablet or Paracetamol 500 mg tablet.

Pain in the chest when coughing may be accompanied by fever

Neck and chest pain

Such pain often occurs in people who sit at the computer for a long time with their back and head bent. They are associated with overstrain and muscle spasm in the cervicothoracic region.

What to do: contact the clinic, undergo an examination to rule out a more serious pathology. A course of therapeutic exercises, the correct posture during work and warm-up breaks will help.

Pain in the thoracic region on the right and left

Pain in the right or left lateral regions can be both spinal and from the internal organs. Spinal cords are most often associated with scoliosis. Prolonged aching pains on the left, combined with interruptions in the heart rhythm, can be a sign of myocarditis, and aching on the right side under the ribs – diseases of the biliary tract.

What to do: go to the clinic – there is nothing you can do on your own.

Pain in the chest after sleep

Soreness and stiffness after sleep, first in the lower back, and then in the back – one of the signs of Bechterew’s disease. What to do: if you are still on treatment, then run to the doctor.

Acute pain in the thoracic region

Acute cardiac pain in angina pectoris occurs on the left, is of a short duration, radiates to the left arm and under the left shoulder blade.

What to do: take a Nitroglycerin tablet under the tongue. If there is no improvement, after 5 minutes you need to take another pill. If this does not help, then this is a sign of an incipient myocardial infarction, so you urgently need to call an ambulance.

Acute pain in the right side of the chest may appear in surgical pathology – acute appendicitis, acute cholecystitis.

What to do: call an ambulance. What not to do: apply heat and take any pain medication.

Cracking joints – when to worry

Joint pain at rest

How to treat pain in the chest

To eliminate pain in the chest, you must first find its cause. Sometimes a doctor’s examination is enough for this, but more often an additional examination is required. If you do not know what exactly hurts you, then it is better to contact a therapist, and he will already prescribe an additional examination and consultations of narrow specialists.

Diagnosis

In order to find out the cause of pain in the thoracic region, appoint:

1. Laboratory tests: general blood and urine tests, if necessary – biochemical and immunological blood tests.
2. Instrumental studies (the most modern, including MRI) are prescribed individually, depending on the patient’s symptoms.
3. Consultations of narrow specialists: cardiologist, rheumatologist, gastroenterologist, neurologist.

Methods of treatment

If the thoracic spine hurts, the Paramita Clinic practices a strictly individual approach to pain relief. After examining the doctor, the patient is prescribed an examination and, at the same time, analgesic procedures. If acute surgical pathology is excluded, pain is relieved with the help of drug and non-drug methods.

Plasma therapy in our clinic

Medical pain therapy

Pain relief is carried out in the form of:

1. Intramuscular (IM) injections (shots) – drugs from the NSAID group are administered. The most effective: solutions of Diclofenac (3 ml – 75 mg), Ketorol (1 ml – 30 mg). If the patient has a gastrointestinal disease, then Movalis is prescribed (1.5 ml – 15 mg).
2. For very severe pain, administer the opioid analgesic Tramadol (1 ml – 50 mg) IM or IV.
3. To relieve muscle spasm, the muscle relaxant Mydocalm (1 ml – 100 mg) is prescribed intramuscularly.
4. Pain blockades with Novocaine and Lidocaine.

Medical treatment of pain in the thoracic spine

Non-pharmacological pain relief

Most effective methods:

• acupuncture is the main non-pharmacological method of pain relief; all our doctors were trained in reflexology in China and are able to relieve pain in one session; a course of treatment will relieve pain for a long time;
• physiotherapy techniques – electro- and phonophoresis with Novocain, Hydrocortisone and other drugs;
• sessions of manual therapy and osteopathy – doctors eliminate pain with the help of manual techniques;
• taping – fixing tissues in the right position can remove discomfort for a long time;
• exercise therapy and acupressure – moderate soreness is removed.

Surgical methods

For spinal pain, surgery is performed when conservative treatment is completely ineffective. With a herniated disc, a discectomy is performed – an operation to partially or completely remove the disc. Other types of operations are also performed to eliminate the infringement of the nerve roots and relieve discomfort.

Pain in diseases of the internal organs also sometimes require surgical intervention. This is acute appendicitis, acute cholecystitis, perforation of the wall of the stomach or duodenum.

Prevention

To avoid pain in the thoracic spine you need to:

• lead an active lifestyle, move more;
• engage in therapeutic exercises, swimming;
• eat properly regularly;
• get rid of excess weight and bad habits;
• avoid heavy lifting, sudden body movements and prolonged stress.

Frequently Asked Questions

How to distinguish pain in the heart from osteochondrosis?

Which doctor should I contact for chest pain?

If you are not entirely clear what hurts, then it is better to start with a therapist.

Pain in the thoracic spine is serious. It is impossible to independently distinguish what exactly hurts, such a condition requires an examination in the clinic, and only after that a full-fledged treatment can be prescribed. Paramita Clinic in Moscow has all the necessary resources to help you! Appointments can be made on the website or by phone.

References:

1. Podchufarova E.V., Yakhno N.N. Backache. M.: GEOTAR-media, 2010; 368 p.
2. Podchufarova E.V. Pain in the chest. Difficult patient 2003;1(1):4–9.
3. Spalding L., Reay E., Kelly C. Cause and outcome of atypical chest pain in patients admitted to hospital. JR Soc Med 2003;96(3):122–5.
4. Cohn J.K., Cohn P.F. Chest pain. Circulation 2002;106:530–1.

“You thought about your own health and turned to us – with this step you trusted us with their lives . We highly appreciate your choice, and on behalf of the Paramita Clinic team, I want to assure you that we will do our best to justify it. ”

Ilya Grachev
Head physician of the clinic

We are always happy to help, waiting for your calls
+7 (495) 198-06-06

Possible diseases with such pain

Intervertebral hernia of the thoracic region

Scoliosis of the thoracic region

Pain in the thoracic region. Is the spine to blame?

For some reason, there is an opinion that pain in the thoracic spine occurs solely due to problems in the spine (scoliosis, osteochondrosis, etc.). However, in fact, “true” intercostal neuralgia and vertebrogenic (caused by the disease precisely …

For some reason, it was believed that pain in the thoracic spine occurs solely due to problems in the spine (scoliosis, osteochondrosis, etc. However, in fact, “true” intercostal neuralgia and vertebrogenic (caused by a disease of the spine) thoracalgia (chest pain) are extremely rare.0009

Here are three random examples from practice.

Case one

Male M. , 35 years old. He went to see a neurologist with complaints of sharp pains in the chest on the left , aggravated by inhalation and movements in the spine. The patient regularly worked out in the gym and decided that he “gave a big load on the spine”, so the pain arose. The pains disturbed him very much, disturbed his sleep, since he could not find a place for himself in bed. He treated himself with ibuprofen and at the initial stages the sensation of pain was dulled. On the last night, the patient even called an ambulance because the chest pains were so severe that he thought he had a heart condition. The ambulance doctor performed an ECG and, excluding myocardial infarction, advised me to consult a neurologist. Therefore, the next day the patient still came to the neurologist, while he did not take painkillers. At the time of the examination, it turned out that M. had an increase in body temperature to 38.5 (previously this temperature was lowered by ibuprofen, so it was not determined). When performing a computed tomography of the chest, the patient was found to have left-sided pneumonia and pleurisy (inflammation of the lung with the presence of fluid in the chest cavity), which were the true cause of chest pain. Also in the blood tests, signs of bacterial inflammation were found, and, of course, protrusions of the intervertebral discs in the thoracic spine were found. The patient continued further treatment with the therapist.

Second case

Man B., 40 years old. I went to see a neurologist with complaints of severe pain in the lower thoracic spine . The patient reported that he had hernias in this part of the spine and had been treated for this disease for many years. He even provided the conclusion of an MRI examination of the thoracic and lumbar spine, in support of his words. And before contacting a neuropathologist, patient B. independently conducted a course of treatment with diclofenac – this course was prescribed to him several months ago by a neuropathologist at the place of residence. The patient decided to save time and not to go to the doctor again, he treated himself. But after the end of the course of treatment, the pains not only did not decrease, they intensified, weakness and malaise appeared, the patient stopped eating. When we performed a full examination of the patient, it turned out that the patient had an ulcer penetrating into the pancreas. There is such a special type of gastric ulcer, when a “hole” is formed not on the front surface of the stomach (with this location of the ulcer, it can be felt with your hands, that is, when you feel the projection of the stomach, severe pain will occur), but on the back surface of the stomach (at the same time it is not always possible to feel it) and it “sticks” into the pancreas, causing severe pain that passes to the lower thoracic spine. Such pain in the thoracic spine requires urgent treatment by an abdominal surgeon.

Third case

Patient P., aged 50. Appealed to a neurologist with complaints of pain in the ribs on the right . The pain bothered me for several weeks, aggravated by bending and turning. At first glance, the classic pain in thoracic sciatica. The patient even went to the therapist and was referred to a neurologist with suspicion of intercostal neuralgia. But when we comprehensively examined the patient, everything turned out to be not so simple. The patient was diagnosed with colon cancer with metastases to the liver and ribs on the right. In the course of the research, protrusions in the thoracic spine were also found in this patient, but the true cause of pain in the ribs was a completely different problem that required intensive treatment by an oncologist.

Each of these patients had spinal problems, each was confirmed to have protrusions/hernias in the thoracic spine.

Protrusions and herniated discs are, unfortunately, very common types of spinal destruction. I will even put it differently: if you are already 30 years old, then you definitely have them (protrusions / hernias) and they should be treated, and you should deal with the spine as a whole.