In 2010 I was diagnosed with a compression fracture in my t4 vertebrae. I have since suffered from episodes of extreme pain in my back and ribs from what I suspect is nerve pain. this I understand to be relatively normal for back injuries (maybe my mum was right when she said mosh pits were a bad idea). Although I have just noticed that the vertebrae I injured is quite severely out of line compared with the rest of my spine. It is just the one vertebrae the rest seem to Be quite straight. My question is, will this hurt (badly - I'm getting used to pain...) if I was to visit a chiropractor, with possible nerve damage in the area, and what I suspect will be a case of not being able to relax the muscles during the appointment. Also, is a chiropractor a good idea or should I be more concerned with damage this could be doing to my spinal cord.
And yes I am aware that I could take muscle relaxants for the chiropractic appointment, however, unfortunately at the same time I injured my back I also discovered I am allergic to them, most pain killers and treatments (eg; steroids) for allergic reactions. As you can imagine I had a fun few months when I fractured it!
Most thoracic vertebral body compression fractures, due to a traumatic event (not due to osteoporosis), will consolidate, and be held pretty much out to length by the rib cage. Those, most patients do not have too much problem with pain in the region, no any nerve problems.
However, it seems that you are in the small percentage that does have problems.
Unfortunately, you seem not be able to manage this with pharmaceuticals.
As to whether or not a chiropractor could realign your spine, without causing any nerve damage? That would be unlikely. You do not have a normal vertebral architecture. It sounds like the disc complexes are involved. Trying to manually shift a damaged vertebra, with damaged disc complexes, would probably be asking for the nerves to be compressed by the damaged disc material.
For that vertebra to be realigned, it would probably take a spinal surgery, to fuse the T3, T4, T5 vertebrae. However, this is something that you should discuss with your spine surgeon. He/she is the best person to obtain information from.
Sorry that you are allergic to all of the medications that could help you.
Has your pain management physician considered a spinal stimulator for your pain? That would be another option for you to discuss with your physician.
Sorry about your problems.
As to the safety of a spinal manipulation, you might want to contact your spine surgeon, who has access to your imaging studies, and knows your case.
Hope you find something to take care of your discomfort.