Have a pain between your shoulder blades?
Does Hurt when you breathe? Mid back (Thoracic) pain is a very common musculosketal conditions and can prevent you from doing many of the things you enjoy.
Why Does My Mid Back Hurt?
Mid Back pain is usually the result of overworked and angry muscles. Spinal and muscular dysfunction in this area present with muscle spasms between the shoulder blades and constantly remind us of their presence every time we bend, twist or reach for an object.
Our mid backs are made up of small bones, discs, joints and layers of small and larger muscles that help to stabilize us. Our thoracic spine connects with our ribs and allows us to rotate and bend forward. The mid back must support our head, allowing us to remain upright as we go about our day. The structures in our mid back are constantly working, being twisted and compressed as we walk, stand or sit. Gravity, poor body mechanics / posture and aging takes its toll on our mid back. Discs begin to dry out (desiccate), they may bulge (herniate) which can choke the spinal nerves or spinal cord. The vertebrae may slip forward or back on each other. Ligaments and joints will thicken as a result of stress and also choke out the spinal cord or nerves.
What Is Going On?
Mid back pain can be classified into two major groups: Acute pain and chronic pain.
Acute pain is usually due to a traumatic event such as a slip & fall or car accident. It can also be caused by an accumulation of lot of smaller traumatic events such as repetitive motions, poor posture and poor body mechanics. Common forms of acute mid back pain include sprain / strains, trigger points /muscle spasms.
Chronic pain is due to several factors. Aging (degenerative processes), arthritis/ arthrosis, spinal stenosis, bone spurs, disc bulges /herniation, misalignment of the spine and muscle imbalances. Chronic pain does not happen overnight and it is possible to have an acute condition of chronic pain.
How Dr. Fuhrmann can Help?
A proper history and physical exam will determine what is injured and once we diagnose your problem (s), a specific treatment plan will be designed to get you pain free as fast as possible. Dr. Fuhrmann has several treatment options available to reduce and eliminate your pain:
- Spinal Manipulation
- Soft Tissue Therapy /KT tape / Trigger point Therapy
- Instrument Assisted Soft Tissue Mobilization
- Cold Laser / Low Level Laser
- Rehabilitative Exercises
- Patient Education
Back pain patients are more satisfied with chiropractic care than with medical care.
Carey TS, Garrett J, Jackman A, McLaughlin C, Fryer J, Smucker DR. The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. The North Carolina Back Pain Project. N Engl J Med. 1995;333:913–917. http://www.ncbi.nlm.nih.gov/pubmed/7666878
Kane RL, Olsen D, Leymaster C, Woolley FR, Fisher FD. Manipulating the patient: a comparison of the effectiveness of physician and chiropractor care. Lancet. 1974;1:1333–1336. http://www.ncbi.nlm.nih.gov/pubmed/4134675
Hurwitz EL. The relative impact of chiropractic vs medical management of low back pain on health status in a multispecialty group practice. J Manipulative Physiol Ther. 1994;17:74–82. http://www.ncbi.nlm.nih.gov/pubmed/8169546
Chiropractic patients are more satisfied than medical patients with their back care providers after 4 weeks of treatment.
Hertzman-Miller RP, Morgenstern H, Hurwitz EL et al. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. Am J Public Health 2002;92:1628-1633. http://www.ncbi.nlm.nih.gov/pubmed/12356612
A 2013 prospective population-based cohort study of 1,885 workers found that only 1.5% of workers whose first provider was a chiropractic physician had lumbar spine surgery within 3 years compared with 42.7% of patients whose first provider was a surgeon.
Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine (Phila Pa 1976). May 15 2013;38(11):953-964. http://www.ncbi.nlm.nih.gov/pubmed/23238486