Why is thoracic back pain a red flag?

Red flags
However, many patients with thoracic back pain have a benign, mechanical cause. Red flags for possible serious spinal pathology include: Recent violent trauma (such as a vehicle accident or fall from a height). Minor trauma, or even just strenuous lifting, in people with osteoporosis.
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What can cause severe thoracic back pain?

Common Causes of Thoracic Spine Pain
  • Muscle Irritation or Tension (Myofascial Pain) Often caused by poor posture and occupations that require prolonged sitting, which results in tightened muscles and pain. ...
  • Sprains. ...
  • Overuse Injuries. ...
  • Arthritis. ...
  • Thoracic Herniated Disc. ...
  • Vertebral Fractures. ...
  • Nerve Compression. ...
  • Spinal Stenosis.
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When is thoracic back pain serious?

However, because persistent thoracic back pain is more likely to be serious if it occurs in the thoracic area rather than in your neck or lower back, your doctor is likely to suggest tests if the pain persists, is severe, or is accompanied by any of the 'red flag' features mentioned in the Symptoms section.
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Is pain in the thoracic spine serious?

Is it something to worry about? The short answer, in most cases, is no. Most people with thoracic spine pain get better without treatment in a couple of weeks. However, thoracic back pain is more likely to be due to a serious cause than pain in other areas of the spine.
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What are red flag symptoms for back pain?

Back Pain Red Flag Signs and Symptoms
  • Age (being younger than 18 or older than 50)
  • Fever or chills.
  • Recent illness or surgery.
  • Trauma.
  • History of cancer.
  • Unexplained weight loss.
  • Night pain or pain at rest.
  • Incontinence.
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Thoracic back pain RED FLAGS | Thoracic Spine Disease - Dr.Kodlady Surendra Shetty| Doctors' Circle



Which of the following is most likely to be a red flag for acute low back pain?

Pain that lasts longer than 6 weeks raises a red flag because 80% to 90% of all episodes of low back pain resolve within 6 weeks.
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What is a red flag diagnosis?

A red flag is defined as a constellation of symptoms, signs, clinical data or circumstances, conceptualized by an individual clinician, that should lead to heightened suspicion for a serious condition and trigger additional evaluation. Figure 1. A conceptual framework for a red flag within a diagnostic process.
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What are symptoms of thoracic spine problems?

Common Symptoms of Thoracic Spinal Pain
  1. Persistent Mid-Back Pain. ...
  2. Sudden Sharp Mid-Back Pain. ...
  3. Stiffness in the Mid-Back Area. ...
  4. Radiating Back Pain. ...
  5. Numbness, Tingling, and/or Weakness.
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What are the symptoms of thoracic spine nerve damage?

What Are the Symptoms of Thoracic Spine Nerve Damage?
  • Significant leg weakness or loss of sensation.
  • Loss of feeling in genitals or rectal region.
  • No control of urine or stool.
  • Fever and lower back pain.
  • A fall or injury that caused the pain.
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What is thoracic pain syndrome?

Thoracic outlet syndrome (TOS) is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause shoulder and neck pain and numbness in your fingers.
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What does thoracic pain feel like?

Thoracic back pain can feel like: Sharp pain localised to one spot either on the spine or to one side. General ache or throbbing pain affecting a wider area. A stiffness causing a loss of normal movement.
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What will an MRI of the thoracic spine show?

A thoracic spine MRI provides detailed images of the vertebrae, soft tissues, and surrounding organs to help detect a variety of conditions including fractures, improper spine curvature, inflammation, infection, herniated discs, tumors, and spinal cord damage.
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What organs are affected by thoracic spine?

The nerves that branch off from your spinal cord in your thoracic spine transmit signals between your brain and major organs, including your:
  • Lungs.
  • Heart.
  • Liver.
  • Small intestine.
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How do you fix thoracic back pain?

How To Treat Thoracic Back Pain
  1. Medication. Medications like painkillers, anti-inflammatory drugs, and topical creams can provide some measure of relief from thoracic back pain. ...
  2. Physical Therapy. ...
  3. Self-care home remedies. ...
  4. Adjusting your sleeping position. ...
  5. Stretching and exercise. ...
  6. Developing proper posture. ...
  7. Surgery.
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What can be done for thoracic back pain?

Because pain in the thoracic region is often caused by muscle tension and poor posture, initial treatment efforts focus on relieving the tension with stretching, massage, and over-the-counter medications such as acetaminophen or ibuprofen. Heat and/or ice therapy can help reduce muscle pain and stiffness as well.
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What is the most common injury to the thoracic spine?

Compression fractures (52%) were the most common injury in the thoracic spine, while transverse process fractures (48%) were the most common injuries in the lumbar spine.
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What does thoracic spinal stenosis feel like?

The most common symptoms of spinal stenosis include: Neck pain. Stiffness of the neck. Numbness in the shoulders, arms or hands.
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What does a pinched thoracic nerve feel like?

Individuals with a thoracic pinched nerve often experience some of the following symptoms: Pain in the middle of the back. Pain that radiates to the front of the chest or shoulder. Numbness or tingling that extends from the back into the upper chest.
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Is the thoracic spine most vulnerable?

While the thoracic spine is less prone to injury than other sections of the vertebral column, it is the most common location for vertebral fracture due to osteoporosis. Scoliosis and abnormal kyphosis are other thoracic spinal disorders.
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What does red flag mean at doctors?

Throughout the course of several investigations, certain consistencies have been observed and can serve as “red flags” for medical providers to alert them that the patient may not have a legitimate pain issue but are instead seeking narcotics for illegitimate reasons.
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What are musculoskeletal red flags?

Musculoskeletal Red flags

MUSCULOSKELETAL. Night pain. Systemic illness. Constitutional symptoms (fever, weight loss) Numbness and tingling.
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What is a red flag referral?

Red Flag referral, patients: ▪ of any age with a discrete, hard lump with. fixation, with or without skin tethering. ▪ of any age, with previous breast cancer, who. present with a further lump or suspicious.
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What does Covid back pain feel like?

This back pain has been described by some as intense period cramps, kidney stones or muscle spasms.
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What is a red flag in pathology?

Red flags are specific attributes derived from a patient's medical history and the clinical exam that are usually linked with a high risk of having a serious disorder like an infection, cancer, or a fracture.
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What are the red and yellow flags systems for spinal pain and why are they useful in clinical practice?

Any recent trauma, which may raise the possibility of a fracture. “Red flag” signs (see box), which may indicate serious spinal pathology. “Yellow flag” signs, which are factors recognised as having an influence on long term disease outcomes and which may cloud assessment and treatment.
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