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Related Experiment Videos

Benign thoracic pain.

F E Bruckner, S A Allard, N A Moussa

    Journal of the Royal Society of Medicine
    |May 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Mid-dorsal and unilateral chest pain in young women is often a benign condition, likely from thoracic disc issues. Manipulative treatment and back care effectively resolved symptoms in most patients.

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    Area of Science:

    • Rheumatology
    • Orthopedics
    • Neurology

    Background:

    • Mid-dorsal and unilateral chest pain are common presenting complaints in rheumatology clinics.
    • Visceral causes of chest pain are often excluded, leaving a diagnostic challenge.
    • The etiology of this specific pain pattern requires further elucidation.

    Purpose of the Study:

    • To describe the clinical characteristics of patients presenting with mid-dorsal and/or unilateral chest pain.
    • To investigate the potential cause of this pain, hypothesizing thoracic disc prolapse.
    • To evaluate the efficacy of conservative management for this condition.

    Main Methods:

    • A consecutive series of 73 patients with mid-dorsal/unilateral chest pain were studied over three years.
    • Clinical assessment included pain characteristics, spinal tenderness, range of motion, and neurological examination.

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  • Patients were treated with manipulative therapy and back care advice.
  • Main Results:

    • The majority of patients were young women experiencing dull, continuous pain aggravated by movement and relieved by rest.
    • Tenderness over the T4-5 thoracic spine and adjacent rib was common, with pain at spinal movement extremes.
    • 16.4% exhibited cutaneous hyperesthesia; no other neurological deficits were observed.
    • Most patients improved with manipulative treatment and back care; no spinal cord compression occurred.

    Conclusions:

    • The clinical presentation suggests thoracic disc prolapse as a probable cause of this benign chest pain.
    • Conservative management, including manipulation and back care, is effective in resolving symptoms.
    • This common, benign condition warrants greater clinical recognition.