Dr Sunil Rama

09 Feb 0 Comment


The patient typically calls it "a sharp pain beneath my wings" or a pain that is centred to the thoracic spine (mid to upper back) often having pain with deep breathing. The essential diagnosis must be made as the cause may be multifactorial depending on age, activity and lifestyle of patient. History of trauma or a motor vehicle accident can typically make the symptoms persist even with the use of anti inflammatories (NSAIDs). Simple tests like palpation and getting the patient to move to assess where and when pain is felt can assist in making a diagnosis. Cardiovascular causes must be