Thoracic referred pain

[mikeshelley]

Can anyone offer treatment suggestions for unilateral thoracic pain with referral along corresponding rib? Any suggestions other than unilateral AP's??

[SamBowden]

Mike,
I'm sorry this is so late, but i've only just started tpo have the occasional look on here (I can't believe the lack of use...where is everyone chatting about problems?) Have you anymore information about the sopurce/more importantly the pain mechanisms behind this pain/ agg and ease etc....his pain copuld be due to a whole host of probs..........

Sam

[giri_pad]

The typical pain pattern indicate that there could be a costovertebral dysfunction. The typical movement dysfunction in this case would be related to the type of dysfunction like a expiratory dysfunction would cause limitation of Tsp flexion. contralateral sidebending and rotation and vice versa for inspiratory dysfunction. The patient would benefit from pure grade 4 PA's or a gap manip., whichever you are comfortable doing. If you have more questions you can email girish.padmanabhan@calgaryhealth region.ca.