What are the causes of back pain in the thoracic spine?

Pain in the thoracic spine area of the back can be caused by poor posture, overexertion, lumbar disc herniation, osteoporosis, myocardial infarction, and other conditions. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analysis is as follows:

1. Poor posture: Maintaining incorrect sitting or standing positions for prolonged periods—such as looking down at a mobile phone or working with a bent waist—may excessively strain the muscles and ligaments in the thoracic spine region, leading to pain. It is advisable to correct sitting and standing postures, take regular breaks, and perform appropriate stretching exercises to help relax the muscles and ligaments.

2. Overexertion: Engaging in heavy physical labor or excessive exercise over a long period may lead to muscle and ligament fatigue in the thoracic spine area, resulting in pain. It is recommended to appropriately reduce workload or exercise intensity and allow sufficient rest and recovery time to alleviate discomfort.

3. Lumbar disc herniation: This condition may be associated with aging and degenerative changes. When present, it may compress nerve roots, causing lower back pain that radiates to the back muscles, resulting in pain in the upper back. Patients are advised to take medications such as Gentongping Granules, Yaotongning Capsules, or Duhuo Jisheng Pills as prescribed by a doctor.

4. Osteoporosis: A common bone disorder, often related to decreased bone mass and deterioration of bone microstructure. The disease can weaken the bones in the thoracic spine region, making them prone to fractures or pain. Symptoms may also include height loss and kyphosis (hunchback). Patients should follow medical advice and use medications such as elcatonin injection, calcium citrate tablets, or zoledronic acid for injection as directed.

5. Myocardial infarction: Usually triggered by factors such as cold weather or intense physical activity. Due to myocardial ischemia and hypoxia, patients may experience radiating pain in the thoracic spine area. This pain is typically severe and accompanied by symptoms such as chest tightness and shortness of breath. Patients should take medications such as amlodipine and atorvastatin calcium tablets, dicoumarol tablets, or metoprolol tartrate tablets under medical supervision to manage symptoms.

In daily life, patients are encouraged to drink plenty of warm water, engage in moderate physical activities such as running or walking, and avoid staying up late and overexertion, all of which are beneficial for recovery.