Deep Upper Back Pain

Deep Upper Back Pain may emanate from many tissues.

The pain started about a month after I had an auto-accident in 2009, x-rays were ran(everything was fine) &internal bleeding was ruled out. But prior to the accident I had a distal subluxation in 2006 that was treated.

The pain (EXCRUCIATING) originates from my upper back right side, around the area of the rhomboid muscle. Sometimes it throbs, pulsates and radiates to my shoulder; no tingling in my arms and fingers can't raise my arm for more than 5mins without pain, used cold/heat compress, trigger injections, Ibuprofen(temporary relief), physiotherapy, still no improvement.

An orthopedist says it could be an injury to my posterior ribs.

Please help cause I have been dealing with the pain for 7yrs and I really don't know the cause.

The encouraging thing, if you can see it in that light, is that having started immediately after trauma, we need not be concerned about pathology. Cancer in the spine or ribs would have been one of the differentials.

There are three things I look for;

1. A posterior rib as the orthopaedist says; usually simple to treat but not after 7 years.

2. A C5 problem in the lower neck that radiates to via the dorsal scapular nerve to the rhomboids.

3. A first rib subluxation causing a wide variety of strange symptoms but characterised by difficulty working with your hands above your head. It's diagnosed by a simple test that is very difficult to interpret unless one uses it regularly. Adson's test.

I hope this contributes.

Dr B



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