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In cases of persisting or worsening neurological symptoms (pins and needles, numbness and weakness), surgery may be indicated. Ageing is not about years, it is about how do we handle the body and take care of it. Anterior versus posterior approaches for thoracic disc herniation: Association The injured portion of the disc that is pressing against the spinal cord is removed (discectomy) with small instruments. These symptoms typically follow a pattern as noted above, based on the affected nerve root's location and functions. Columbia University Department of Neurological Surgery. Neurological Symptoms: Bulging discs are also known to cause tingling or "pins and needles" sensations in one or both legs. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. 6. Try our Symptom Checker Got any other symptoms? Your doctor will also want to know what positions or activities make your symptoms worse or better. Signs and symptoms of a thoracic disc bulge. Unlike the upper parts of the thoracic region- T4-T5 and T5-T6; T6-T7 region is more exposed to disc problems. Neural exit foramina and spinal canal adequate. The MRI is just one piece of the diagnostic puzzle. A Patient's Guide to Thoracic Spine Anatomy, A Patient's Guide to Scheuermann's Disease. Tell him or her if you have had any recent injuries. Do I just wait this out? Fusion surgery may be needed immediately afterward. Re: T5-T6 Herniated Disc Extrusion. About 75 percent of thoracic disc herniations occur from T8 to T12, with the majority affecting T11 and T12. A herniated thoracic disc can also affect one or both legs in a few different ways, including causing numbness or tingling, muscle weakness, and increased tightness or stiffness. And anxiety makes it worse for sure. Occasionally, thoracic disc bulges may occur following a trivial movement involving bending forward such as picking up a small object or sneezing. A slipped disc is also known as a 'herniated', 'ruptured' or 'prolapsed' disc. Though he only looked at my films and did not read my report. A cervical herniated disc may put pressure on a cervical spinal nerve and can cause symptoms like pain, pins and needles, numbness or weakness in the neck, shoulders, or arms. Sections T9 through T12 of the thoracic vertebrae are known as "transition vertebrae" because of their closeness and similarity to the lumbar vertebrae. A herniated disc occurs when the intervertebral disc's annulus (the outer fibers) is damaged and the soft inner material of the nucleus pulposus ruptures out of its normal space. Patients with a thoracic disc bulge may experience a sudden onset of back pain during the causative activity, however, it is also common for patients to experience pain and stiffness after the provocative activity, particularly the next morning. spinal disc herniation 3 herniated disc Disc Herniation treatment herniated disc thorasic spine mild cervical disc herniation and thecal sac C6-7 fusion vs artificial disk replacement Disc Herniation L5-S5 and Disc Protrusion L4-5, do you think it's serious (MRI images applied) broken spine recovery herniated disc C5-6, small bulges C3-4 C4-5 It's almost as if the pain just travels to random spotsit's the weirdest thing! A herniated disc in T6-T7 level can cause several conditions . 6 years ago, Blood vessels that run up and down the spine nourish the spinal cord. appropriate medical assistance immediately. Long-Distance Consults & Medical Legal: 888-888-5310, Request a Diagnostic or Surgical Second Opinion. Rather, the term herniation means that the material in the center of the disc has squeezed out of the normal space. video assisted thoracoscopy surgery (VATS). T12 is where the thoracic and lumbar spine meet. (Costo means rib.) The test does not require dye or a needle. Herniated disc causes include injuries that happen in an instant and degeneration over time. Autonomic function disruption refers to the function of structures such as the bowel or bladder, or sexual functions that are controlled by a part of the nervous system known as the autonomic system. Intervertebral discs are spongy cushions located between the vertebrae (bones) of the spine. You have severe headaches when you hold your head in certain positions. They see a therapist for one to three months, depending on the type of surgery. Ideally, patients are able to go back to their previous activities. Saad Mohammad, M.D., is currently in the process of applying to residency anesthesiology. Therapy treatments focus on relieving pain, improving back movement, and fostering healthy posture. As mentioned before, compression of the nerve root due to central disc protrusion produces symptoms such as: Radiating pain along the nerve path. 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. This website is the stand out source for me. In Panchankarma for treatment of T5-T6 disc herniation. When there are signs that the herniated disc is affecting the spinal cord, surgery may be required, sometimes right away. Iron Neck for chronic pain caused by foraminal stenosis? Since I've never dealt with this before, I obviously don't know. It gives a clear picture of the discs and whether one has herniated. 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. I went to physical therapy and I am done now since insurance won't cover any more visits, and it absolutely helped me. A disc extrusion, also known as a disc herniation, usually occurs from degeneration due to a disease like osteoarthritis or the natural aging process. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON. However, only one vessel, the anterior spinal artery, goes to the front of the spinal cord in the area between T4 and T9. Is Minimally Invasive Spine Surgery Right for You? Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. If your herniated disk is pinching a nerve in . As soon as he touched the bulge it exploded like a 'pimple'. But there might be some cases where problem is severe and condition needs to attend immediately. PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. Before MRI, doctors relied mainly on myelography to diagnose thoracic disc herniations. This may include further investigations such as an X-ray, CT scan or MRI, pharmaceutical intervention, assessment from a specialist or sometimes surgery. It found a herniated disc between T5-T6..specifically from the report "Central, r para central disc protrusion, at T5/T6, cord contact, but no abnormality of the cordcanal at 1.05 CM.". Pain that travels to your shoulder, arm and sometimes your hand and fingers. The thoracic spine (i.e. Viewing 2 posts - 1 through 2 (of 2 total). Are my symptoms typical of a disc issue at this level? Wood II GW. I highly recommend Dr. Corenman and the Steadman Clinic. This usually results from a combination of bending forward . I found this out about 2 weeks ago, and I get pretty bad anxiety as it is so I'm wondering if these side effects are similiar to anyone else's or if anyone can relate to how I'm feeling? Well that's not reality. The thoracic spine starts at the base of the neck. It isn't clear why a problem thoracic disc sometimes hardens from calcification, though past injury of the disc is one possibility. Over the past 4 weeks I have only been doing an elipitcal maching with PT to strengthen the back muscles. This bony hole is formed by two adjacent vertebrae, and its size and shape can slightly shift as the vertebrae move. To relieve pain and pressure from a herniated disk near the neck, people can try the following exercise: Sit upright in a chair and move the chin toward the chest, then back . American Academy of Orthopaedic Surgeons. Just my opinion. Location: West Michigan. After removing part or all of the disc, the spine may be loose and unstable. Patient does not provide medical advice, diagnosis or treatment. A special dye is injected into the space around the spinal canal. 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. Thoracic disc injury, first described in 1838, is an uncommon site of injury owing to the stabilizing effect of the rib cage. Third is the Yoga asanas. When it comes to T5-T6 disc herniations, the symptoms are not aggressive. The brain exchanges electrical signals with the rest of the body via the spinal cord. The pain may be centered over the injured disc but may spread to one or both sides of the mid-back. T3, T4, and T5 feed into the chest wall and aid in breathing. All rights reserved. Pain in the upper or middle part of your back or your chest, Band-like pain travelling from the back to the abdomen/chest on one or both sides of the body, Headaches when you sit or lie in certain positions, Numbness, tingling, or a burning feeling in your legs, Trouble urinating or having a bowel movement. 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. Sitting or standing in a slouched position over time. Increased reflexes in one or both legs that can cause spasticity in the legs. Pain that increases when bending or turning your neck. It surrounds the spinal cord as it passes through the spine. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. Less commonly, a thoracic disc may herniate suddenly (an acute injury). Pain that spreads into the arms or legs is sometimes relieved with oral steroids taken in tapering dosages. 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. T4, T5, T6, T7, & T8 vertebrae: the remaining muscles in the chest and trunk of the body. These feelings are so bizarre to me. The lowest vertebra of the thoracic spine, T12, connects below the bottom of the rib cage to the first vertebra of the lumbar spine, called L1. 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. These symptoms may vary from individual to individual. This website is the stand out source for me. The main aim is to restore the natural functioning of the body as well as the local muscles. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. Perhaps there is some reason other than what is found on the MRI that causes your surgeon to say the cervical issues are inoperable. DeLee and Drezs Orthopaedic Sports Medicine, 3rd Edition; DeLee; 2009, Campbells Operative Orthopaedics, 11th Edition; Canale & Beaty; 2007.