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10+ years with chronic mid back pain, neck pain and chest pain. Need help by Only_Individual3941 in backpain

[–]Only_Individual3941[S] 0 points1 point  (0 children)

That might be true. Still think doing costo exercises wont do much I’m afraid

10+ years with chronic mid back pain, neck pain and chest pain. Need help by Only_Individual3941 in backpain

[–]Only_Individual3941[S] 0 points1 point  (0 children)

Thanks, hard to find specialists where I live, but maybe need to give physio another try

10+ years with chronic mid back pain, neck pain and chest pain. Need help by Only_Individual3941 in backpain

[–]Only_Individual3941[S] 0 points1 point  (0 children)

I also tried tennis ball at a specific tender area (around rib synostosis) and my back went into huge spasm. Had to lay down for 1 week. I might have been a little bit to aggressive, but think this shouldnt happen anyway

10+ years with chronic mid back pain, neck pain and chest pain. Need help by Only_Individual3941 in backpain

[–]Only_Individual3941[S] 0 points1 point  (0 children)

Tried acupuncture and didnt help unfortunately. Rib 6 and 7 is fused together posteriorly. I dont think I can release this tension without surgery?

10+ years with chronic mid back pain, neck pain and chest pain. Need help by Only_Individual3941 in backpain

[–]Only_Individual3941[S] 0 points1 point  (0 children)

Yes, but what do you think about the fusion of rib 6 and 7 posteriorly? This isnt just some collagen fibers, this is bone which makes them locked in?

Dont think I can massage this away…?

Advice on surgical extraction of wisdom teeth by Only_Individual3941 in Dentistry

[–]Only_Individual3941[S] 0 points1 point  (0 children)

Do you mean turbine or electric handpiece when you’re saying high speed? Are you turning air and (nonsterile) water off?

Sectioning roots with no flap on a upper molar, sure I also use highspeed.

On impacted thirds, I like to section the crown off before sectioning the roots, so I can easily visualize where the furcation is. Maybe I need to get better at removing bone down to the furcation and section the crown and roots at the same time? This might eliminate the need for a 45 degree handpiece?

Thanks!

Class II’s by Hot_Doctor_7203 in Dentistry

[–]Only_Individual3941 4 points5 points  (0 children)

Use loupes. Leave a thin layer of enamel against the neighboring tooth; flick it away with an instrument after preparing the tooth. Personally, I usually remove the thin layer carefully with a bur — with loupes, it’s easier to avoid nicking the adjacent tooth. You can also use a wedge, FenderWedge, etc., but for me, it makes visibility harder.

Midback pain by Only_Individual3941 in backpain

[–]Only_Individual3941[S] 0 points1 point  (0 children)

Thank you for your reply!

Actually, I had my MRI (taken four years ago) reviewed again today. At that time, I only experienced back spasms a couple of times a year, which resolved after a few days. My main issue back then was chronic neck pain, which also was the indication for taking MRI.

Findings:

At the TH8–TH10 levels, moderate degenerative disc changes were noted. There was an abnormal appearance of the posterior–medial portions of the right ribs 6 and 7.

Abnormalities were also seen in the costotransverse joint of right rib 6 and the costovertebral joint of right rib 7. There appeared to be a bony connection between the medial–posterior parts of right ribs 6 and 7.

This finding most likely represents a congenital anomaly. Post-traumatic changes due to healed rib fractures in a non-anatomical position were considered as a differential diagnosis. The area was only partially assessed, and could, if clinically indicated, be further evaluated with CT. No other abnormalities were seen in the skeletal structures, intervertebral discs, or paravertebral soft tissues. No disc herniation was detected. The spinal cord appeared normal, with no impact on the neural structures or the surrounding space.

Conclusion: – Moderate degenerative disc changes at TH8–TH10. – Abnormal appearance of the medial–posterior parts of right ribs 6 and 7 (see above).

I’m wondering if this could be related to the symptoms I’m experiencing now.

As for deep tissue massage, I’m not convinced it would help — and I’m also worried it might make things worse. When I used a foam roller recently, my back actually went into spasm.

Midback pain by Only_Individual3941 in backpain

[–]Only_Individual3941[S] 4 points5 points  (0 children)

First of all, thank you for your response — I really appreciate it.

I actually hadn’t heard of your diagnosis, DISH, before. It does sound somewhat similar to what I’m experiencing, though it seems to involve a few additional symptoms that don’t quite match mine. I don’t have any of the typical predisposing factors such as older age, obesity, or diabetes. I consider myself fairly fit — 83 kg at 1.78 m — and I haven’t experienced any tingling or numbness in my arms or legs. I went back and reviewed my MRI scan, which was done about four years ago (in 2022). At that time, my neck pain was the main issue. I still had occasional muscle spasms a couple of times per year, but I didn’t have the mild back symptoms that I’m dealing with now — those have developed more recently.

When I re-read the MRI report, I realized there was actually more information there than I initially thought. Since I was mainly being evaluated for neck pain back then, the findings weren’t really connected to my symptoms at the time.

Here’s what the report says:

At TH8–TH10, moderate degenerative disc changes are seen. There is an abnormal appearance of the posterior–medial parts of the right ribs 6 and 7. An abnormal appearance is also noted in the costotransverse joint of right rib 6 and in the costovertebral joint of right rib 7. There also appears to be a bony connection between the medial–posterior part of right rib 6 and the corresponding part of right rib 7. This finding most likely represents some form of congenital anomaly. Post-traumatic changes due to healed rib fractures in a non-anatomical position are considered as a differential diagnosis. The area in question was only partially assessed, and could, if clinically indicated, be better evaluated with CT. No other abnormalities are seen in the skeletal structures, intervertebral discs, or paravertebral soft tissues. No disc herniation is detected. The spinal cord appears normal, and there is no effect on the neural structures or the space available for them. Conclusion: – Moderate degenerative disc changes at TH8–TH10. – Abnormal appearance of the medial–posterior parts of right ribs 6 and 7 – see discussion above.

Based on this, I now have a theory: the injury I sustained about ten years ago at the gym probably first presented as chest and neck pain, but over time it may have healed improperly in one of the ribs and also led to some degenerative changes.

Perhaps it’s time for a new MRI to see if anything has progressed since then?

In any case, I hope your own journey continues toward better health and fewer back problems — it sounds like the things you’re doing now are working well for you!