Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of localized mid-thoracic back pain following [trauma/minor strain/spontaneous]. Pain is sharp, non-radiating, exacerbated by movement, deep inspiration, and spinal loading. No associated neurological deficits, bowel/bladder incontinence, or saddle anesthesia reported.
Clinical Examination Findings
Physical exam reveals localized tenderness to palpation over the T10 spinous process. Paraspinal muscle spasm noted in the thoracic region. Range of motion is significantly restricted due to pain. Neurological exam: intact sensation to light touch in all dermatomes, 5/5 motor strength in bilateral lower extremities, deep tendon reflexes 2+ and symmetric, negative Babinski sign.
Treatment Protocol
Conservative management initiated: activity modification, strict avoidance of heavy lifting/twisting, and bracing as indicated. Analgesia provided via NSAIDs and/or acetaminophen. Referral for bone density scan (DEXA) to evaluate for underlying osteoporosis. Follow-up imaging in 2-4 weeks to assess fracture stability.