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There was a significant reduction in the ODI at T4, T5, and T6 compared to T2 (p < 0.05). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in You may also need any of the following: Your healthcare provider may have you rest in bed for a few days. Just as the skull protects the brain, the bones of the spinal column protect the spinal cord. Spine degeneration is common in T11 and T12. Muscle weakness. Patient is a UK registered trade mark. Risk factors for developing disc changes include older age, obesity, lack of exercise and lifting heavy loads. This procedure locks the vertebrae in place and stops movement between the vertebrae. I'm glad you're now doing OK, coming off of methadone is no joke! Diseases of the thoracic spine may lead to thoracic disc herniation. Veterinary neurologists classify ruptured discs into five stages. Hold for 5 seconds and repeat 10 times provided there is no increase in symptoms. This takes pressure off the spinal cord (decompression). The intervertebral disc is a specialized connective tissue structure that separates the vertebral bodies. Until unless the compression is not severe in this region. Kerezoudis P , Rajjoub KR, Goncalves S, et al. With my T6 the bulge pushed the nerve into the T5 space the only thing the MRI reported was a medium bulge. As a result the custard is no longer supported as effectively at the back of the vanilla slice and therefore bulges out at this location. In the thoracic spine, this condition mostly affects people between 40 and 60 years old. im attaching a image which will show you how each disc can affect certain parts of the body anxiety is normal with disc problems .. however i came off methadone ( after taking it for 8 years ) while having undiagnosed thorasic disc herniations,so as you can imagine i was pretty anxious and also had to put up with having to come off one of the strongest painkillers around and then the associated anxiety that comes with it, i am now on 600mg of gapapentin daily and 750mg of naproxen daily which seem to be doing the job i also take 30mg to 40mg of buscopan which relaxes the stomach ( you can buy these over the counter however your gp should be able to prescribe these if you ask ), does the pain move when you have a meal or snack this would be interesting to know, anyway i wish you well sara and have a wonderful xmas, Thank you so much for this!!!!! Central disc protrusion is a type of herniated bulging disc affects the spinal cord and could possibly result in nervous system disorders, such as radiating pain and muscle weakness as well as other symptoms stemming from nerve irritation. Stage 4 and 5 ruptures are so severe that surgical therapy is necessary. This process surely appears in everybody because of the process of age. I am glad you feel good! After about 3 weeks, the levels between T5-T8 were sensitive to the touch so I sought consultation from an orthopod where he ordered an MRI. This procedure is done with a thoracoscope, a tiny television camera that can be inserted into the side of the thorax through a small incision. T4, T5, T6, T7, & T8 vertebrae: the remaining muscles in the chest and trunk of the body. I have been getting burning neck pain, headaches (I get chronic migraines so that's actually somewhat normal for me), some rib pain on the left side where the herniation is, chest pain and sometimes it feels difficult to breathe inlike shallow breathing, muscle pain in the arms and just weird feelings like heat almost, and shocks, weakness. The foramen are important passageways that are normally open, allowing nerve roots to exit . Surgeons use costotransversectomy to open a window through the bones that cover the injured disc. The thoracic spine is made up of the middle 12 vertebrae. I am seeing a physical therapist and really concentrating on my posture and have been getting help from my cousin who's a PT, so I feel I am doing the best I can at this moment. The explanation and descriptions are easy to follow and so helpful in understanding the a variety of conditions covered.Thank you Dr Corenmen for providing such a valuable directory of information. It has been a month since the MRI and there is no sensitivity on the spine, but I still get the pulling sensation when I bend into flexion. Increased reflexes in one or both legs that can cause spasticity in the legs. These are comparatively more prominent in the lower extremities. Here is my MRI results: At T6-7 moderate sized left paracentral disc herniation which moderately idenents the left ventral hemicord causing mile to moderate focal cord compression but without significant central spinal canal stenosis. Intervertebral discs are spongy cushions located between the vertebrae (bones) of the spine. Neurosurg Clin N Am. Trans means across or through. video assisted thoracoscopy surgery (VATS). American Academy of Orthopaedic Surgeons. Expect at least six months before the symptoms are significantly better. The displaced disc material becomes situated in such a way that it blocks part or all of a foramina. The spinal canal is a hollow tube inside the spinal column. Patients may work with the therapist in a pool. Bending forward closes down the front of the disc, pushing the jelly-like substance within the disc towards the back. Use of the forums is subject to our Terms of Use Seeing a herniated thoracic disc on MRI is often incidental, meaning it shows up when the person has MRI testing for another problem. Depending on where the herniated disk is, it can result in pain, numbness, or weakness in an arm or leg. A disc is hard on outer side and soft like jelly inside. They should be cautious about overdoing activities in the first few weeks after surgery. Much like cervical spine injuries, damage to the thoracic spine may be characterized as complete or incomplete, and . When it comes to T5-T6 disc herniations, the symptoms are not aggressive. The following exercises are commonly prescribed to patients with this condition. This may include further investigations such as an X-ray, CT scan or MRI, pharmaceutical intervention, assessment from a specialist or sometimes surgery. Scoliosis convex to left centered at T5/T6. As the rehabilitation program evolves, patients do more challenging exercises. This steadies the bones and can ease pain. You may also need any of the following: Copyright Merative 2022 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Get Veritas Health Newsletters delivered to your inbox. The thoracic spine is made up of 12 segments total between the cervical and lumbar levels. . The upper half of the thoracic spine is much less mobile than the lower section, making disc herniations in the upper thoracic spine rare. These symptoms typically follow a pattern as noted above, based on the affected nerve roots location and functions. the bulge at T5-6 creates a tightness around the chest ( just under the nipple ) and in some cases can feel like indigestion or even a heart attack,but the difficulty breathing is due to the intercostal muscles being pulled due to the disc herniation. At T1 through T12, the dorsal ramus goes into the back muscles and also provides sensation to the skin. Have you been getting stabbing pains in the chest area? However, if a vertebra is fractured by trauma, such as a motor vehicle accident or gunshot wound, it is possible for the spinal cord to sustain a lesion that leads to a permanent injury. Transthoracic describes the approach used by the surgeon. Causes. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. i was so confused and lost about which procedure i should treat my back pain with.Dr.Corenman is just so kind to make time from his schedule to help me :')! Have something you want to discuss, tips to share or a question to ask? If you were now to pinch the front of that vanilla slice, you could imagine, the custard would squeeze towards the back of the vanilla slice and may tear two or three layers of sandwich wrap at the back of the vanilla slice. The MRI machine uses magnetic waves rather than X-rays to show the soft tissues of the body. The pain is usually located in the upper back, corresponding to the location of the thoracic spine, or can be felt along the ribs if a nerve exiting the spinal cord is compressed by the disc. . TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON. There are 12 thoracic spinal nerve root pairs (two at each thoracic vertebral level), starting at vertebral level T1-T2 and going down to T12-L1. Diagnosis begins with a complete history and physical examination. Over the past 4 weeks I have only been doing an elipitcal maching with PT to strengthen the back muscles. For people who do have symptoms, the symptoms tend to improve over time. Thank you for choosing Dr. Corenman as your healthcare provider. Sensation of heat or tingling sensation, which feels like pins and needles. As a result, the disc material is often pushed directly toward the spinal cord. To understand the mechanism of a thoracic disc bulge, it is useful to liken the disc to a vanilla slice. However, unless your condition is affecting the spinal cord or is rapidly getting worse, most doctors will begin with nonsurgical treatment. A lower thoracic disc herniation can cause pain in the groin or lower limbs and can mimic kidney pain. Your disorder as described and symptoms are not serious and you can use common treatment methods. Viewing 2 posts - 1 through 2 (of 2 total). I really never realized how much it could affect, & thank you for sending me that image! The patient underwent a mini-open thoracotomy with right T7 rib head resection, T6-T7 partial corpectomy, T6-T7 microdiscectomy, and T6-T7 instrumented fusion using rib autograft with lateral plate and screws. However, some surgeries require patients to stay in the hospital for a few days. Patients who stay in the hospital may be visited by a physical therapist soon after surgery. They normally don't show the discs, unless one or more of the discs have calcified. Doctors often refer to these vertebrae as T1 to T12. . washing dishes, driving etc.) I had mild burning in area for 2 weeks. Improving orthopaedic care, education and research using Internet technologies. Is there any advice that you would give me on how to live with this? Symptoms are typically felt in the mid back, sometimes between or around the shoulder blades and may be located centrally, on one side or on both sides of the spine. For example, the T3 nerve root runs between the T3 vertebra and T4 vertebra. The diagnosis of thoracic disc syndrome requires a high index . Thoracic disc injury, first described in 1838, is an uncommon site of injury owing to the stabilizing effect of the rib cage. Thoracic disc herniation occurs when a thoracic disc bulges out from between your vertebrae. Most people with a herniated thoracic disc get better without surgery. Pain is one of the primary symptoms of degenerative thoracic spine disease. The discs lose their elasticity and thickness, and while the thoracic spine is the least likely segment of the spine to suffer such changes, it does occur. Trouble bending or twisting your . Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books. Operating from the back of the spine, the surgeon takes out a small section on the end of two or more ribs where they connect to the spine. Ligaments are strong connective tissues that attach bones to other bones. He is the founder of the Sukhayu Ayurved and working with patients clinically since last 15 years.