Thoracic spondylosis is a condition where the middle part of the spine slowly changes and wears out over time. This is usually due to aging, and it doesn't involve any injury to the nerves that often leads to other severe symptoms.

The spine is made up of bones called vertebrae, and between these bones are discs and joints that help with movement and weight support. In thoracic spondylosis, these discs and joints start to deteriorate, which can cause pain and stiffness in the mid-back area.

This condition can cause some discomfort like back pain and trouble moving around, especially after activities or sitting for too long. It's mostly seen in older people because it's part of the natural wear and tear of the body.

This condition is diagnosed through a physical exam and imaging tests, like X-rays or MRIs, to see the changes in the spine. Medial branch nerve diagnostic injections can help pinpoint the exact source of pain, often requiring two injections for confirmation.

If these blocks successfully identify the pain generator, radiofrequency ablation may provide relief for approximately six months or longer. Additional treatment options include regenerative therapies, such as platelet-rich plasma (PRP) or cells derived from bone marrow or fat.

Treatment usually involves a combination of physical therapy to improve strength and mobility, medications to manage pain, and lifestyle changes like regular exercise or adjusting your posture. Surgery is rare but might be necessary in more severe cases. Keeping active and maintaining good posture can help manage the symptoms and prevent further issues.