Thoracic disc herniations. They
are not very ordinary. They’re not mentioned
much. But thoracic disc herniations do exist. The C7/T1 disc herniations are
even more unusual and are presented in the spine literature
more due to their unusualness. Most Chiropractic Clinic embraces
unusual! Unusual merits care and attention.
Most Chiropractic Clinic tends to unusual presentations like thoracic
disc herniations, specifically those at the C7/T1 level of the spine aka the cervicothoracic
junction where the neck joins with the upper back.
Unusual Disc Herniation
C7/T1 disc herniations are unusual
from their adjacent segments, 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 reduce the risk of
herniation. They allow flexion and extension and restrain
the extent of lateral flexion in the neck. There is a report of a rare existence
of a central C7/T1 disc herniation that produced
lower extremity numbness and weakness as well as
gait disturbance though in a patient who had no or very little hand-related
symptoms that would
otherwise be expected. (1) Know that your
Murfreesboro chiropractor will do a careful examination and
uncover the root cause
of your pain with awareness 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 extend outward between the C7 and
T1 vertebrae. (4) They sit
above the C8 disc making it unusual for a disc herniation to compress
the C8 nerve. (5) But when it does, a C7/T1 disc
herniation usually shoots pain down the arm into the ring and
pinky fingers (which sometimes confuses the case as pain
here also suggests of ulnar neuropathy). (3,4)
It will not be confusing to your
Murfreesboro chiropractor though! Most Chiropractic Clinic knows
the tests to do and questions to ask to make the diagnosis.
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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."