Having ruled out spinal involvment by CT and MRI, what treatment options are there for variant pain in thoracic area medial of scapula? I've experienced mild to severe pain in region, enervated by standing and active hand and arm motions over time while working under stress.. Corftisone and short/long acting lidocaine facet and area injections (T4-6) have yielded a maximum of 8 days relief. Radio Frequency Ablation , repeated twice, yielded 4-5 days relief per treatment.
My occupation does not permit CNS active agents. NSAIDS provide some relief, indomethacin works best (though one doc emphasized it is NOT a maintenance med).
Duration 3 years, with previous interval 8 years ago which spontaneously resolved within 4 months.
Some boards refer to rhomboid and/or lattisimus involvment which to me seems to fit symptoms, being a sore spot by my judgement about 1.5-2 inches deep.