Differential Diagnosis of the Spine: Thoracic and Thorax Region

About The Course:

The third course in the Differential Diagnosis of the Spine series deals with the Thoracic spine and the Diseases and conditions that can affect this region. Specific mandatory questions, red flags and specific charts on signs and symptoms of diseases and conditions of the Thoracic spine are presented.  The Viscerogenic, Vasculogenic, Spondylogenic issues for this region are outlined and discussed in detail.   CPRs for Ankylosing Spondylitis and Vertebral Fractures are discussed along with the evidence.  Abdominal palpation and chest expansion measurement is also outlined this one hour seminar.

Outline Of Content:

  1. Introduction and Objectives
  • Quick Review Signs and Symptom Charts
  • Red Flags and Yellow Flags Specific issues

2. Mandatory questions for the Thoracic Region     

3. Diseases that relate or refer to the Thoracic/Thorax

  • Viscerogenic
  • Cholecystitis
  • Peptic Ulcer
  • Esophagitis
  • Pancreatic Cancer
  •  Cardiac
  • Aneurysm
  • Pulmonary Conditions
  • Pneumothorax
  • Pleural Effusion
  • Lung cancers

4. Spondylogenic   

  • Multiple Myeloma
  • Acute Thoracic Disc Herniation
  • Vertebral Fracture
  • Rheumatoid Arthritis
  • Spinal Tuberculosis
  • DISH: Diffuse Idiopathic Skeletal Hyperostosis
  • Seronegative Spondyloarthropathies                                                                        

5. Screening tools and Evidence

  • Slump Test
  • Kehr's Sign
  • Murphy's Percussion

6. Clinical Prediction Rules and Evidence

  • Ankylosing Spondylitis  
  • Vertebral Compression Fractures
  • Vertebral Percussion and Supine Lie Test
  • Chest Expansion Measurement
  • Abdominal Palpation

7. Summary


  1. Identify and describe two musculoskeletal issues of the thoracic region.
  2. List one dural test that is used to evaluate the thoracic region which will assist in determining normal neuromeningeal pathway mobility.
  3. List two CPR of the spine in the thoracic region that have good reliability and are effective in use.
  4. List and describe two vascular diagnoses which may relate to Thoracic Spine referred pain

About The Instructor:

Debra Dent, BPT, Dip Manip PT, OCS, FCAMPT. 

Debra has nearly 40 years of experience specializing in manual therapy of the spine. She is a graduate of the University of Manitoba, Canada where she received her Diploma of Physiotherapy and her Bachelor of Physical Therapy. Ms. Dent also received her Advanced Diploma of Manual and Manipulative Physiotherapy and is a Fellow of the Canadian Academy of Manual Therapists (FCAMPT). She is certified as a Part B Manual Physical Therapist from the Canadian Physiotherapy Association and is an American Orthopedic Certified Specialist (OCS) through the APTA. 

Ms. Dent was an instructor for the Canadian Physiotherapy Association prior to moving to the U.S. She has been a guest clinical instructor at the University of South Florida, teaching the Spinal Manual Therapy Program for the MScPT undergraduate program and has taught a large number of manual therapy courses in the U.S. and Canada. 

Ms. Dent is the owner of Cross Border Seminars and presently works as a consultant and contract PT in Palm Harbor, Florida. Her primary case load is Rheumatology and Osteoarthritic patients and she works with a multitude of related dysfunctions, as well as aging and osteoporosis. 

Instructor Name Debra Dent
Cost CA$99.00
Run Time 45:26
Access Duration Indefinite access after purchase