Disorders of the small joints of the thoracic spine are a common cause of back pain, which is mostly caused by poor posture, hunchback, uncoordinated force, and heavy lifting in daily life. In modern times, it is mostly seen in manual laborers and sedentary people in offices. The small joints of the thoracic spine are composed of the articular eminence joint and the cribriform joint, of which each cribriform joint includes two joints, namely the cribriform joint and the cribriform joint. First, what are the clinical symptoms of thoracic spine small joint disorder? 1, the acute stage, manifested as unilateral or bilateral posterior back pain. The pressure pain around the skewed vertebrae is obvious, and some of them feel more pain when lying down or climbing down. When the intercostal nerve or the posterior branch of the thoracic spinal nerve is compressed or stabbed, radiating pain along the intercostal space, anterior thoracic region or lateral abdomen will occur. 2. Chronic patients show mainly soreness and heaviness in the posterior back. The symptoms are triggered or aggravated when standing for a long time, sitting for a long time, bending over for a little while or when the weather becomes cold. 3.Most patients have normal activities, but a few have limited activities. When the body is examined, there is pressure pain or obvious pressure pain in the spinous process and paravertebral area of the affected vertebral body. Manual palpation of the soft tissue spasm around the deviated spinous process (anteversion, retroversion, cis-rotation, reversal), and the supraspinous ligament has swelling, dull thickness, and peeling sensation. Second, why is the small joint of the thoracic spine misaligned? The thoracic spine is relatively stable compared with the lumbar and cervical segments because of the support of the ribs on both sides and the reinforcement of the soft tissues around the thorax. Therefore, small joint disorders and misalignments are far less common than small joint disorders in the lumbar spine. However, with ageing, the intrinsic balance stability of the thoracic spine is weakened after the degeneration of the thoracic intervertebral discs, thoracic intervertebral ligaments and other tissues, and due to certain external factors, the internal and external balance of the thoracic spine is disrupted, causing slight displacement of single or multiple vertebrae of the thoracic spine, resulting in posterior joint dislocation. Clinically, the anatomical characteristics of the thoracic spine determine a more singular form of displacement. Third, what about the small joint disorder of the thoracic spine? 1, orthopedic manipulation to correct the displacement of the vertebral body is the main. Different techniques are applied according to the displacement of the spinous process. As the spinous process is set right, the displacement of the vertebral body is bound to be corrected, so not only the misalignment of the posterior joint can be corrected, but also the misalignment of the cribriform joint and the transverse cribriform joint can be corrected at the same time, so as to quickly relieve the symptoms. 2, the acute period, supplemented with Chinese medicine external application or closed, to eliminate inflammation around the posterior joint, to create favorable conditions for manual reset. After the symptoms of some chronic patients are eliminated, functional exercises can be performed to restore the internal and external balance of the thoracic spine. If you think it is useful, please forward it to more people with your fingers to pass on health and the right concept.