– Tips of spinous processes
– Interspinous ligament
– Paraspinal muscles
– Pain in chest wall (also local needling)
Pain in the thoracic spine is sometimes harder to help than pain in other parts of the back. Some patients have Type B pain localized to the spines of the thoracic vertebrae and in such cases periosteal needling of these works well. Remote needling of the dorsum of the hand or the ulnar border of the palm (SI 3) can also help thoracic spinal pain.
Pain in the chest wall generally does well; local needling over the painful area itself is effective.