Upper thoracic pain

Dysfunction of the joints of the upper thoracic spine usually gives rise to localised pain and stiffness posteriorly but also can cause distal symptoms, probably via the autonomic nervous system. A specific syndrome called the T4 syndrome 2 has been shown to cause vague pain in the upper limbs and diffuse, vague head and posterior neck pain.

However, most of the pain, stiffness and discomfort arises from dysfunction of the upper and middle thoracic segments with patients presenting with the complaint of pain between 'my shoulder blades'.

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