Thoracic back pain in the elderly

Thoracic back pain due to mechanical causes is not such a feature in the elderly although vertebral dysfunction still occurs quite regularly. However, when the elderly person presents with thoracic pain, a very careful search for organic disease is necessary. Special problems to consider are:

• malignant disease, e.g. multiple myeloma, lung, prostate


• vertebral pathological fractures

• polymyalgia rheumatica

• Paget's disease (may be asymptomatic)

herpes zoster

o ischaemic heart disease o penetrating peptic ulcer o oesophageal disorders o biliary disorders

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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