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This chapter discusses thoracic disc disease (TDD), an overlooked condition affecting many chronic pain patients. TDD is rare and often misdiagnosed as cervical or lumbar disc disease. Given the various causes for mid-back pain, a thorough understanding of TDD is vital for the appropriate management of this patient population. This section will discuss the pathophysiology, clinical presentation, diagnostic evaluation (including imaging techniques), and treatment options for this condition. The chapter emphasizes the importance of considering TDD in the differential diagnosis for patients suffering from chronic mid-back pain.

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