Thoracic disc herniations. They’re not very ordinary. They’re not discussed
much. But thoracic disc herniations do exist. The C7/T1 disc herniations are
even more unusual and are reported in the spine literature
more due to their unusualness. Amelia Chiropractic Clinic embraces
unusual! Unusual deserves care and attention.
Amelia Chiropractic Clinic tends to unusual presentations like thoracic
disc herniations, specifically those at the C7/T1 spinal
level aka the cervicothoracic
junction where the neck joins with the upper back.
Unusual Disc Herniation
C7/T1 disc herniations are unusual
from their neighbors, cervical disc herniations (neck) and
thoracic disc herniations (mid-back). Why? They are inclined
to herniate laterally (out to the side) rather
than centrally. What makes that unusual? The C7/T1 disc level does
not normally have Luschka joints. These joints hold
the intervertebral discs in place and decrease the risk of
herniation. They permit flexion and extension and restrain
the extent of lateral flexion in the neck. There is a report of a rare episode
of a central C7/T1 disc herniation that produced
lower extremity numbness and weakness along with
gait disturbance though in a patient who had no or very little hand-related
symptoms that would
otherwise be anticipated. (1) Know that your
Fernandina Beach chiropractor will perform a careful examination and
discover the root cause
of your pain with familiarity of unusual incidences
like this.
Symptoms of C8 Disc Herniation
C7/T1 disc herniations account
for 3.5% to 4% of all herniated cervical discs. (2,3) They are
inclined to be misdiagnosed owing to their unusual
neurological findings. C7/T1 disc herniations (aka herniations of the C8 disc) cause
weakness in hand muscles. The C8 nerve
roots exit between the C7 and
T1 vertebrae. (4) They sit
above the C8 disc making it unusual for a disc herniation to press on
the C8 nerve. (5) But when it does, a C7/T1 disc
herniation usually sends pain down the arm into the ring and
pinky fingers (which may be confusing as pain
here is telling of ulnar neuropathy). (3,4)
It won’t confuse your
Fernandina Beach chiropractor though! Amelia Chiropractic Clinic is ready with
the tests to do and questions to ask to make the diagnosis.
Make An Appointment
Listen to a podcast about neck pain helped with Cox Technic.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."