Skip to main content

Differential Diagnosis of the Spine - Thoracic and Thorax Region

Differential Diagnosis of the Spine - Thoracic and Thorax Region

Differential Diagnosis of the Spine - Thoracic and Thorax Region

This course includes
45:26 of Course Material (View)
Lifetime access after purchase
Certificate of completion
The instructors
This course was recorded in August 2022


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, and 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 are also outlined in this course.


Video Introduction:


Course Outline:

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

  2. Mandatory questions for the Thoracic Region

  3. Diseases that relate or refer to the Thoracic/Thorax
    1. Viscerogenic
    2. Cholecystitis
    3. Peptic Ulcer
    4. Esophagitis
    5. Pancreatic Cancer
    6.  Cardiac
    7. Aneurysm
    8. Pulmonary Conditions
    9. Pneumothorax
    10. Pleural Effusion
    11. Lung cancers

  4. Spondylogenic   
    1. Multiple Myeloma
    2. Acute Thoracic Disc Herniation
    3. Vertebral Fracture
    4. Rheumatoid Arthritis
    5. Spinal Tuberculosis
    6. DISH: Diffuse Idiopathic Skeletal Hyperostosis
    7. Seronegative Spondyloarthropathies

  5. Screening tools and Evidence
    1. Slump Test
    2. Kehr's Sign
    3. Murphy's Percussion

  6. Clinical Prediction Rules and Evidence
    1. Ankylosing Spondylitis  
    2. Vertebral Compression Fractures
    3. Vertebral Percussion and Supine Lie Test
    4. Chest Expansion Measurement
    5. Abdominal Palpation

  7. Summary


Learning Objectives:

  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.


Please note: Differential Diagnosis of the Spine is a course series for healthcare professionals that includes:


When you click 'Buy Course' in the top left-hand corner (note: you must be signed into Embodia to see this button), you will be presented with two options: you can purchase this individual course or you can choose to purchase the entire series at a 35% discount.

The instructors
Debra Dent
BPT Dip Manip PT OCS (Emeritus) FCAMPT (Retired)

Debra Dent is a Physical Therapist with over 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 in 1977 and her Bachelors of Physical Therapy in 1979. She was certified as a Part A manual Physical Therapist from the Canadian Physiotherapy Association in 1989 and received her Advanced Diploma of Manual and Manipulative Physiotherapy in 1994. United States APTA Orthopedic Certified Specialist (OCS) designation was completed in 1996 and recertified in 2006 and in 2016 she was recertified Emeritus.

Debra was a Fellow of the Canadian Academy of Manual Therapists (FCAMPT) from 1994 until retiring in 2019. She was an instructor for the Canadian Physiotherapy Association since 1989 to 1994. She has been a guest clinical instructor at the University of South Florida from 2003-05, teaching the Spinal Manual Therapy Program for the MscPT undergraduate program and has taught a large number of manual therapy courses in the US and Canada. She has numerous online seminars related to Differential Diagnosis, Breathing Essentials and Foundation Form Function of the core that are available for Physical Therapists, Occupational Therapists and Chiropractors.

She owns Cross Border Seminars and presently works as a consultant and contract PT in Clearwater, Florida.

Course Material included in this course
  • Introduction
  • Welcome
  • Introduction
  • Thoracic Spine Specifics and MQ
  • Thoracic Spine Specifics and MQ
  • Quiz
  • Feedback
  • Thoracic Viscerogenic and Vasculogenic
  • Thoracic Viscerogenic and Vasculogenic
  • Quiz
  • Feedback
  • Thoracic Spondylogenic
  • Thoracic Spondylogenic
  • Quiz
  • Feedback
  • Thoracic Screening Tools
  • Thoracic Screening Tools
  • Quiz
  • Feedback
  • What's Next
  • Continue learning with Debra Dent
© 2024 Embodia