Description Thoracic spondylosi...
Description
Thoracic spondylosis is the term used to indicate degenerative changes in the joints and discs between the vertebrae of the mid to upper spine. This arthritis usually occurs because of the age-related degenerative disease that develops in the joints and discs of the spine. Everyone experiences some wear and tear of the mid and upper back joints as we age. But some have more severe damage causing significant pain and stiffness. As the arthritis develops there can be the development of bone spurs, or osteophytes. The rough edges of these bone spurs can irritate the nearby nerves, ligaments and muscles causing different types of pain. Spondylosis of the spine is one of the most common causes of pain in the elderly.
Symptoms
The most common symptoms are mid to upper back pain and stiffness, which can get worse during and after activity. If nerves are pinched, there may be numbness and / or weakness.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. An X-ray, CT scan and/or MRI may be performed to identify the extent of the degeneration of the spine.
Tests:
CT Scan, Magnetic resonance imaging (MRI), X-ray
Specialists:
Neurosurgery, Pain Medicine, Spine Surgery, Physical Medicine and Rehabilitation (physiatry)
Workup:
A history and physical exam will be performed. An X-ray, CT scan and/or MRI may be performed to identify the extent of the degeneration of the spine.
Tests:
CT Scan, Magnetic resonance imaging (MRI), X-ray
Specialists:
Neurosurgery, Pain Medicine, Spine Surgery, Physical Medicine and Rehabilitation (physiatry)
Treatment
Therapy depends on the extent of the disease and symptoms. Treatment may include: pain medications, muscle relaxants, nonsteroidal anti-inflammatory medications (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), exercise and physical therapy. Surgery is considered for persistent pain, loss of sensation, or weakness.