Thoracic Stenosis Treatment

Thoracic Stenosis Treatment

Reduce Pain

Increase range of movement

Relieve pressure

About the condition

What is Thoracic Stenosis?

Thoracic vertebrae are attached to the ribs and separated by spinal discs.  They play a vital protective role of the lungs & heart, as well as being responsible for most dynamic spinal movement.

Thoracic stenosis is where the space within the spinal canal is reduced in your upper/mid-back. The reduced space can irritate or compress the spinal cord or exiting nerves. Symptoms can vary from none at all to pins and needles, numbness, pain or weakness in the upper and lower body – the limited flexibility of the thoracic spine makes pain relief difficult. The area affected also depends on the level of the stenosis in your back.

Causes

What are the causes?

Some people are born with narrow spinal canals, while for others something needs to happen to narrow the space. Co-morbid or differential diagnoses of arthritis,osteoarthritis,fractured vertebrae, andcervicalorlumbarspondylolisthesis may also be contributing factors.

Other causes may be:

  • Herniated Disc– As we age, the soft tissue between the vertebrae dry out.  They in turn can crack causing the soft inner material to escape (herniate) and press on the spinal cord.
  • Thickened Ligaments– The tough cords that help hold the bones of your spine together can become stiff and thickened over time. These thickened ligaments can bulge into the spinal canal.
  • Tumours– Abnormal growths can form inside the spinal canal. These are uncommon and are detected via MRI or CT Scans.
  • Spinal Injuries– Trauma or car accidents can cause fractures, dislocations orswellingof the spine, which may lead to pressure on the spinal cord.
Symptoms

What are the symptoms?

The symptoms of thoracic stenosis are similar to and can mimiclumbar stenosis.

  • Neck pain and/or stiffness
  • Numbness in arms/shoulders/hands (complete or just a decreased sensation)
  • Sudden pain – shooting, severe, burning and/or aching that may radiate down limbs (similar tosciaticpain)
  • Tingling (similar to pins and needles sensations)
  • Muscle/limb weakness/aches
  • Muscle spasm, tightness or cramping
  • Loss of or abnormal reflexes
  • Inability to stand up straight or maintain balance
  • Reduced range of movement, especially rotation
  • In severe cases, bowel or bladder dysfunction (urinary urgency and incontinence)
Treatment

Treatment for Spinal Stenosis

It is common for people with Thoracic Stenosis to reduce exercise to help with pain, however this is counter productive as you also lose strength and increase pain in the long run. Physiotherapy is an effective way to reduce pain and improve mobility with thoracic stenosis. Timely diagnosis and treatment can be vital to improve your long term out look on life.

At Vitalis Physiotherapy, treatment is aimed at stabilising the spinal column, addressing the underlying cause of stenosis and using exercise to unload the spine. This is done through:

Anti-inflammatory and/or analgesic medication, rest and heat packs may help some of the symptoms.

Rarely, untreated severe spinal stenosis may progress and cause permanent:

  • Soft tissue mobilisations (massage)
  • Joint mobilisation
  • Heat therapy
  • Taping
  • A tailored home exercise program
  • Graded Exposure to load program
  • Numbness
  • Weakness
  • Balance problems
  • Incontinence
  • Paralysis

Need Help?

Are you suffering from painful thoracic stenosis? Contact Vitalis Physiotherapy now to book in your treatment. Call our friendly team on 0410 559 856. We’d love to help.