Perth chiropractor Adam Epskamp discusses "What causes mid back pain?" The thoracic spine has been described as the enigma within the vertebral column, with the diagnosis of pain originating from this region being historically problematic for the practitioner. The neural complexity of the thoracic spine, along with referred visceral pain leads to poor pain source localization. Research of thoracic spine pain referral patterns has been relatively sparse when compared to the cervical and lumbar spine regions, despite reports of equally disabling pain from this region.

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