The Cough That Breaks Your Back: Understanding the Impact of Deep Coughing on the Thoracic Spine

My son is touring Europe. He has a niggling cough. He says that lots of people in Europe have an annoying cough. Well, it is no different in the southern hemiphere. In South Africa, an intense flu virus is doing its rounds. The resulting cough is deep, exacerbated by a post nasal drip. I had the flu recently, and the deep cough too - and suddenly my lower back went into spasm. This was too co-incidental, so I began researching!

Turns out, that coughing does impact our back and that there is also a specific way to cough.

A broader theme of specialist doctors and health practitioners working in isolation emerges, which does not lead to the optimal outcome for the patient. I experienced it first hand.

The GP provides antibiotics and pain medicines - 7 years of studying just for that! Ridiculous. There is no attempt to explain the probable cause, the strains of virus doing their rounds, preventative steps in the future, to explain the way to cough, the diet to follow, the dangers of antibiotics, the rest required and the symptoms to lookout for, that requires hospitalisation.

Have you ever seen a GP (general practitioner) offer flu vaccines? I have not. You are of more value sick, than fit and healthy!

The radioligist report on my lower back came out with conflicting messages. I never got to see or speak to the radiologist - it was as if a faulty AI tool generated the report. 10+ years of studying for that kind of professional service is apalling (Wedderburn-Maxwell and partners in Umhlanga, if you are wondering). The physiotherapist (Ascend Physio) could not make sense the radiology report. Shocking!

So, I solved my problem by myself - using AI, Reiki and Yoga! AI directed me on what Yoga exercises to do and supplements to take: I took calcium and vitamin D, coupled with muscle relaxers.

I am better now. Thank you for following me and reading my work. It is much appreciated.

Now back to the topic as hand - The Cough That Breaks Your Back: Understanding the Impact of Deep Coughing on the Thoracic Spine. Enjoy!

I’ve processed, via machine learning and web scraping, a wide array of musculoskeletal complications resulting from various causes. One often overlooked factor is the impact of severe coughing on the thoracic spine, particularly following respiratory illnesses such as the flu, pneumonia, or other conditions that induce persistent, forceful coughing.

The Hidden Dangers of Deep Coughing

Coughing is a natural reflex to clear the airways of irritants and secretions. However, deep and forceful coughing can place significant strain on the musculoskeletal system. The thoracic spine, consisting of twelve vertebrae, is particularly susceptible to this strain due to its involvement in respiratory mechanics. When patients suffer from illnesses like pneumonia or severe flu, the intensity and frequency of coughing can lead to substantial stress on this region.

Mechanisms of Damage

Musculoskeletal Strain and Pain

During a severe coughing episode, the intercostal muscles (muscles between the ribs) and other supportive structures of the thoracic cage are repeatedly contracted. This repetitive stress can lead to musculoskeletal strain and pain. According to a study on postoperative pain management, forceful coughing is known to exacerbate chest pain and can lead to muscle fatigue and injury (RC Journal).

Impact on Spinal Alignment and Health

Persistent coughing can also affect spinal alignment. The repetitive force exerted on the thoracic spine can cause misalignment, leading to chronic pain and potentially more serious spinal conditions. Research indicates that patients with chronic respiratory conditions often present with secondary musculoskeletal complaints due to the continuous strain on their thoracic region (BMJ).

Fun Fact: We walk upright thanks to a major spine makeover during evolution! But even with a super cool S-shaped curve, our backs still feel the strain more than our four-legged friends.

Case Studies and Clinical Observations

In clinical practice, there have been numerous reports of patients experiencing thoracic spine issues following severe respiratory infections. These cases often involve significant chest pain, difficulty in breathing, and even limited mobility due to the pain radiating from the thoracic spine. A comprehensive approach to managing these patients includes not only addressing the respiratory condition but also providing musculoskeletal support and pain management strategies.

Preventive Measures and Management Strategies

Controlled Coughing Techniques

To mitigate the impact of coughing on the thoracic spine, respiratory therapists often recommend controlled coughing techniques. These methods involve using a pillow or cushion to support the chest during coughing, thereby reducing the stress on the thoracic muscles and spine (RC Journal).

Incentive Spirometry and Breathing Exercises

Incentive spirometry and directed breathing exercises are also essential in managing the risk of musculoskeletal complications. These exercises help maintain lung capacity and function while minimizing the need for forceful coughing. They are particularly beneficial in postoperative patients and those recovering from severe respiratory infections (BioMed Central).

Pain Management and Physical Therapy

Effective pain management, including the use of analgesics and muscle relaxants, can provide relief from the musculoskeletal pain caused by severe coughing. Physical therapy can also play a crucial role in restoring proper spinal alignment and relieving muscle strain through targeted exercises and manual therapy techniques (SpringerOpen).

Conclusion

While coughing is a necessary reflex for clearing the respiratory tract, its impact on the thoracic spine, especially after severe respiratory illnesses, should not be underestimated. Deep coughing can lead to significant musculoskeletal strain and pain, necessitating a comprehensive approach to prevention and management. Controlled coughing techniques, incentive spirometry, and effective pain management are essential strategies in mitigating these risks.

As we continue to advance our understanding of the interconnectedness of respiratory and musculoskeletal health, it is imperative to adopt holistic treatment protocols that address all aspects of a patient's well-being. By doing so, we can better manage the complexities of conditions that impact both the respiratory system and the thoracic spine, ultimately improving patient outcomes.

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