## Overview Costovertebral joints are the articulations between the ribs and the thoracic vertebrae. Dysfunction (restriction or osteoarthritis) can produce localized back pain, reduced rib-cage mobility, and compensatory stiffness. It is identified clinically more often than radiographically. ## Causes Repetitive asymmetrical loading, trauma, or age-related change. ## Diagnosis Motion palpation reveals restricted rib movement and pain. Imaging is used when structural disease is suspected. ## Treatment Manual therapy, mobilization, anti-inflammatories, and correction of underlying gait or saddle issues. ## Recovery and Prognosis Good with appropriate manual therapy and management of contributing factors. ## Prevention Balanced work and regular mobility maintenance.
localized thoracic pain; reduced rib mobility; asymmetrical posture; sensitivity along the back
## Overview Costovertebral joints are the articulations between the ribs and the thoracic vertebrae. Dysfunction (restriction or osteoarthritis) can produce localized back pain, reduced rib-cage mobility, and compensatory stiffness. It is identified clinically more often than radiographically. ## Causes Repetitive asymmetrical loading, trauma, or age-related change. ## Diagnosis Motion palpation reveals restricted rib movement and pain. Imaging is used when structural disease is suspected. ## Treatment Manual therapy, mobilization, anti-inflammatories, and correction of underlying gait or saddle issues. ## Recovery and Prognosis Good with appropriate manual therapy and management of contributing factors. ## Prevention Balanced work and regular mobility maintenance.
localized thoracic pain; reduced rib mobility; asymmetrical posture; sensitivity along the back