Mid-Back Pain Treatment

Mid-back pain is a common complaint among those who do any amount of sitting, computer work, or driving as part of their daily routine. Some of the more common causes of pain in the mid-back include facet joint irritation, costovertebral irritations, muscle spasm, and osteoarthritis. The appropriate diagnosis and treatment of mid-back pain significantly and efficiently improves outcomes.

Facet Joint Irritation:
Facet joint irritation can occur at any level of the spine, though it is often seen in cases of mid-back pain. Irritations of the facets occurs as either limitations in normal range of motion at a joint (a restricted facet joint), or, too much or improper motion at the joint (a facet joint sprain). In both cases, pain, stiffness, and sensitivity at the level of the irritation occurs.

Treatment for facet joint irritations include: joint mobilizations, joint manipulations, and rehabilitation exercise

Costovertebral Irritation:
Costovertebral irritation is a term that describes pain or symptoms at the joint between a rib and a vertebrae. Such irritations are caused by restricted range of motion between the rib and the vertebrae. A patient with costovertebral irritation will usually describe the feeling of a rib being “out of place” and will report sharp pain on deep breathing. This condition is usually quickly and easily managed by restoring normal range of motion to the joint.

Treatments for costovertebral irritation: joint mobilization, joint manipulation, stretching and strengthening exercises.

Muscle Spasm:
Muscle spasm in the mid-back is often caused by sudden, unexpected, or aberrant movement patterns that cause improper muscle splinting and stabilization. Muscle spasms of mid-back often involve symptoms of the shoulders and/or chest and may frequently result in extreme dysfunction and stiffness that may be persistent or recurrent. Soft tissue therapies followed by strengthening exercises are effective in the treatment and prevention of muscle spasm and its potential recurrence.

Treatment options include: massage, Active Release Techniques, electrotherapeutic modalities, rehabilitation exercise.

Osteoarthritis:
Osteoarthritis occurs when the joint space between articulating bones decreases; it can occur at any joint within the body and is a very common condition resulting from use, overuse, and normal processes of aging. Osteoarthritis can cause pain and stiffness leading to overuse of surrounding soft tissues as a compensation mechanism. Although osteoarthritis, itself, cannot be reversed, the symptoms of it can be significantly reduced using manual therapies and exercise.

Treatments for the symptoms of osteoarthritis: strength and stability exercise, acupuncture, Laser, and Active Release Techniques.