1. Major (Primary) Diagnosis: Thoracic Region
Thoracic IVD Displacement
353.3 Thoracic Root Lesions
739.2 Thoracic Segmental Dysfunction

2. Subjective complaints may be...
Thoracic Pain (724.1)
Thoracic pain radiating into arm
Burning pain between shoulders
Pain running along course of ribs (around ribs)
Chest pain
Pain in chest, near sternum

3. 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.
Brachial Neuritis or Radiculitis, Radicular syndrome upper limbs

4. 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

5. 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

6. Objective findings for chest pain:
Flattening of thoracic kyphosis, positive costovertebral palpation. Tenderness over spinous processes, pain on inspiration
Chest Pain, unspecified, discomfort

7. Difficulty in breathing
Objective examination may show Thoracic regidity and reduced chest expansion
Dyspnea, respiratory abnormal

8. Patient may complain of
Heart palpitation, arrhythmia or indigestion…
Objective exam and observation, positive vagus nerve, heart awareness
785.1 Palpitations
536.8 Indigestion / Dyspepsia
553.3 Hiatal Hernia

9. Radiographic Findings (Thoracic Region)
Kyphoscoliosis
Hyperkyphosis
Anterior wedging
Abnormal disc spacing
Eburnation
Hypokyphosis
Vertebral body deformation
Cervical rib (functional)
Marginal Sclerosis
Spondylosis
Displacement of vertebral bodies, anatomically
Hypertrophic bone generation lipping & spurring

10. Osseous Pathology 721.2 Thoracic arthritis / Osteoarthritis
Kyphosis acquired / postural
737.2 Lordosis acquired / postural
Degeneration of thoracic disc
722.6 Narrowing of IVD
737.3 Kyphoscoliosis, acquired or idiopathic