Thoracic disc herniation
A relatively uncommon disc bulge in the mid-back that can cause band-like pain.
Overview
Thoracic disc herniation is less common than in the neck or low back. It can cause mid-back pain and sometimes band-like symptoms around the chest. Most cases are managed conservatively, with referral if neurological signs appear.
Symptoms
- Mid-back pain, sometimes radiating around the chest
- Band-like discomfort following a rib line
- Stiffness of the thoracic spine
- Rarely, leg symptoms or balance changes
Causes
- Age-related disc changes
- Trauma or heavy loading
- Repetitive thoracic strain
Treatment
- Education and pain management
- Graded thoracic mobility and strengthening
- Activity modification
- Specialist referral for neurological signs