Thoracic spine treatment in Delhi

1. Thoracic spine treatment inDelhi • This section covers pain anywhere between shoulders to the bottom of ribs. It can arisefrom • Inside the thoracic cavity (inside chest) • From the chest wall including the thoracic spine • Be referred from the neighbouring areas and structures such as abdomen, cervicalspine. • Chest wall pain can originate from any of the chest wall structures including bones, joints, muscles, cartilage, ligaments, tendons, nerves, skin and soft tissue. It generally increases with arm movement and is accompanied by localisedtenderness. • Some common conditions/situations leading to chest wall painare • Prolonged unaccustomed physical activity. This may cause muscle soreness which canpersist • Trauma/fall with fracture of ribs or vertebrae. In presence of osteoporosis even trivial trauma can lead tofractures. • The event may be difficult to remember specially when the onset of pain isdelayed

2. Spine can be a source of posterior chest pain. Pain may arise from joints including those between the vertebrae (facet joints), between the ribs and vertebrae (costovertebral joints, costotransverse joints), discs, spinal ligaments, muscles (paravertebral muscles) and the nerves. The pain can radiate towards the side of chest and as far as the front of chest andabdomen • Other joints such as the one between the collar bone and sternum or the ones between the ribs and sternum can also be a source of chest wall pain. Inflammation of the cartilage connecting the ribs to the sternum isknown • as chostrochondritis • Infections such as Shingles commonly affect the thoracic area (Post HerpeticNeuralgia) • Rheumatological disorders such as rheumatoid arthritis, ankylosing spondylitis • Post surgical pain arising after surgeries such as heart, lung, breastsurgery • Nerve injury or damage as a result of surgery, trauma or otherwise. • Cancer which has spread to chest wall orbones