THORACIC SPINE PAIN Condition Causes Symptoms Scoliosis- Side bending and Functional- leg length Curves greater rotational deformity of the spine. inequality and postural/ than 60° compress muscle imbalances. nerves and cause Structural- anatomical cardiopulmonary abnormalities, congenital complications. malformations, Muscle stiffness neuromuscular, trauma and back pain, unequal metabolic conditions. shoulder, head or Infantile (0-1yrs) pelvis levels. Juvenile (3-10 yrs) Scoliotic curve Adolescent (10yrs+) noted and evaluated with X- ray. Scheurmanns disease Genetic predisposition, trauma to Increased vertebra (fractures) which stunts curvature in the growth, malnutrition, osteoporosis, thoracic spine spondylolisthesis and scoliotic (kyphosis). Dull, curvatures. achy, intermittent mid back pain initiated with activity and relieved by rest. Costosternal syndrome Inflammatory process of Sharp, shooting (Costochondritis costochondral cartilages. Trauma, pain in front of strained joints and respiratory chest. Pain may infections. refer into stomach or back. Pain increased by coughing, sneezing or deep breaths. Thoracic Degenerative Joint Degeneration of joints due to poor Slow developing, Disease posture, abnormal biomechanics, dull, achy joint genetic or metabolic predisposition, pain. Morning trauma, fractures, repetitive forceful stiffness. Pain can joint motions be relieved by rest. Pain can refer up/ down the spine or around the chest wall. Facet syndrome Inflammation and degeneration of Intermittent, deep, the facet joints in the spine due to dull, aching pain, sprained joints, poor posture, tenderness over whiplash, osteoarthritis and inflamed joint or rheumatoid arthritis. during extension or rotation and pain can refer up/ down the spine or around the chest wall. .