Major (Primary) Diagnosis:Thoracic Region

722.11 Thoracic IVD Displacement

353.3 Thoracic Root Lesions

739.2 Thoracic Segmental Dysfunction

Subjective complaints may be...

Thoracic Pain (724.1)Thoracic pain radiating into armBurning pain between shouldersPain running along course of ribs

(around ribs)Chest painPain in chest, near sternum

For the pain radiating into the arm

Objective exam may find Positive dermatomes, brachial findings, Hyndman’s Test, Allen’s Test, Wright’s test, hyperabduction, deep tendon reflexes.

723.4 Brachial Neuritis or Radiculitis, Radicular syndrome upper limbs

For burning pain between shoulders

Objective exam may reveal muscle contraction pain, positive vagus nerve & palpation of vertebral bodies

721.2 Thoracic spondylosis w/o myelopathy

720.9 Spondylitis

Objective findings for pain along course of ribs:

Positive pain on palpation, reduced chest expansion, pain on inspiration, change in dermatomes.

724.4 Thoracic neuritis or radiculitis, unspecified

847.1 Thoracic (spine) Sprain/Strain

Objective findings for chest pain:

Flattening of thoracic kyphosis, positive costovertebral palpation. Tenderness over spinous processes, pain on inspiration

786.50 Chest Pain, unspecified, discomfort

Difficulty in breathing

Objective examination may show Thoracic regidity and reduced chest expansion

786.00 Dyspnea, respiratory abnormal

Patient may complain of

Heart palpitation, arrhythmia or indigestion…

Objective exam and observation, positive vagus nerve, heart awareness

785.1 Palpitations536.8 Indigestion / Dyspepsia553.3 Hiatal Hernia

Radiographic Findings (Thoracic Region)

KyphoscoliosisHyperkyphosisAnterior wedgingAbnormal disc

spacingEburnationHypokyphosisVertebral body

deformation

Cervical rib (functional)

Marginal SclerosisSpondylosisDisplacement of

vertebral bodies, anatomically

Hypertrophic bone generation lipping & spurring

Osseous Pathology

721.2 Thoracic arthritis / Osteoarthritis737.10 Kyphosis acquired / postural737.2 Lordosis acquired / postural722.51 Degeneration of thoracic disc722.6 Narrowing of IVD737.3 Kyphoscoliosis, acquired or

idiopathic