Middle back pain

Middle back pain normally is easy to handle, two major causes are facet joint dysfunction and muscle strain.

1 facet joint dysfunction,

Signs and symptoms

• Acute onset middle back, sometimes related with deep breath and cough
• Pain with twisting, normally more severe with one direction
• Local muscle tightness

Treatments:

• Joint mobilisation and manipulation, is easy to position back to normal, but it is also easy “pop out” again
• STM, acupuncture and stretch
• Strengthen exercise

2 muscle strain:

Signs and symptoms:

• History of heavy lifting and twisting
• Sharp onset after injury
• Unilateral muscle tenderness
• Pain with resistance movement

Treatments: same as normal soft tissue injury, DTM, acupuncture, stretch and strengthen exercise.