31-2 Thoracic Spine

Welcome to the Summer 2019 issue of D.C. Tracts! In this issue, our contributors review the clinical consequences of thoracic spine pain. Although thoracic spine pain is a common clinical presentation, much of the scientific literature examining spinal conditions is focused on neck and low back pain, while the impact of thoracic spine pain on health and well-being seems generally overlooked.

This issue’s Feature Article provides an overview of thoracic spine pain, including the incidence/prevalence rates along with its health-burden and risk factors for thoracic impairments. In addition, it details the clinical significance of “red flags” and differential diagnoses for thoracic spinal conditions.

In his audio lecture, Dr. Patrick Battaglia delivers an in-depth analysis of the assessment of thoracic spine pain, including differentiating between specific and nonspecific causes of mid-back pain. He begins his lecture with a provocative quote from Dr. Nikolai Bogduk that explains that the understanding of thoracic spine pain, including its assessment and effective management, has scarcely advanced within the last century.

Dr. Adam Yoder’s lecture emphasizes evidence-informed management of thoracic spine pain, highlighting the role of exercise and manual therapy for managing thoracic conditions. More specifically, Dr. Yoder discusses the effectiveness of mobilization and manipulation as well as stabilization and strengthening exercises, along with the role of postural considerations.

In our abstracts and commentaries section, Dr. Yasmeen Khan highlights the role of chiropractic technique in the manual assessment of thoracic spine dysfunction, along with a case report emphasizing the importance of identifying warning signs and mindful diagnosis.

In addition, Dr. Gleberzon continues his Juris-Proofing discussion underscoring the role of patient communication, including the importance of complete disclosure of office policies and details related to patient management.

I trust that you will find this issue of D.C. Tracts both informative and interesting, and it will enrich both your clinical expertise and patient services.

Best Regards,
Bryan M. Bond, BSc, BS, DC, MS, PhD
Editor-in-Chief