12/09 auto accident. Mild wedging T3,T4,T5,T6, and edema of T2. Hypermobility and ligament damage. 15 months of therapy and pain getting worse. What kind of doctor handles both spinal and soft tissue damage?

Not sure about MDs, maybe physiatrist (rehab spec), but advanced PT or expert chiropractic, osteopathic should be of help.

Are having pain as the main problems or other symptoms also?

Does your therapy include all the things listed below?

Have you looked at T4 syndrome?

[Physiotherapy for T4 syndrome can hasten the healing process, ensure an optimal outcome, and reduce the likelihood of future recurrence. Treatment may involve:

* soft tissue massage
* mobilization
* manipulation
* electrotherapy (e.g. ultrasound)
* postural taping or bracing
* dry needling
* education
* activity modification advice
* ergonomic advice
* the use of a lumbar support for sitting
* Clinical Pilates
* hydrotherapy
* exercises to improve flexibility, strength, posture and core stability]

http://www.physioadvisor.com.au/1029...sioadvisor.htm

many more links-
http://www.google.com/#hl=en&sa=X&ei...fd2b5286cafcf7

If your neck & shoulders were involved with some injury or extreme motion during the accident you might find some helpful info on our Thoracic outlet syndrome forum (TOS for short)
be sure to check the sticky threads there also -
http://neurotalk.psychcentral.com/forum24.html

Thanks for trying. Not T4 syndrome, mild wedging at T3,T4,T5,T6 as per MRI. Most of the therapies recommended have been tried or are ongoing. I have the world's best P.T. and he is about at his wits end with my condition. Ligament damage not healing and exasperated by hypermobility.

I wasn't sure what kind of symptoms/pain the wedging would cause.
Do you/PT think the ligament damage might be the cause of pain more than the T spine wedging??

Is the pain at the location of the injuries or does it show up elsewhere on the body?


I have some amount of hypermobility also with some chronic RSI/myofascial stuff, so I understand how that messes us up.

Symptoms begin after getting out of bed at 3 and get worse throughout the day until I retire again. Predominately left side, mid thoracic area spreading up to neck, muscle tiredness becomes muscle ache. Muscle ache becomes small spasms. Small spasms beget bigger spasms until bed. Snapping begins unvoluntarily about three hours after I awake. I have to exercise in the a.m. while pain levels low. Daytime drugs keep me going if necessary. Evenings TENS unit then heat. Then TENS again if I stay up past 8.