48: 128-30, 8. Bookshelf If the disc herniates into the spinal cord area, the thoracic herniated disk may also present with myelopathy . The main concept ofAyurvedic treatment of T1-T2 slip disc problem is based on the cause of the problem. Carr DA, Volkov AA, Rhoiney DL, Setty P, Barrett RJ, Claybrooks R, Bono PL, Tong D, Soo TM. Dont Miss: Group B Strep Pregnancy Symptoms. (a) T2-weighted sagittal magnetic resonance imaging (MRI) shows T1T2 disc herniation. [ 1 , 2 , 4 , 5 , 7 , 8 , 10 - 17 , 21 , 24 - 26 , 29 , 31 - 33 , 35 - 37 ] There were 24 males and 12 females averaging 49.1 years of age (range 2372 years of age) [ Table 2 ]. If the C8 nerve is compressed or irritated, additional symptoms may occur, such as: If the spinal cord is injured, the upper and/or lower limbs and the torso may be completely or partially paralyzed.2 There may also be changes in bowel and/or bladder functions. Experiencing pain in your thoracic region could be due to many conditions that can affect these tissues, including: More common causes of thoracic spine pain that directly involve your spinal column include: Conditions that specifically affect your vertebrae, spinal cord and/or nerve roots in your thoracic spine, include: Other conditions that can affect any region of your spine, including your thoracic region, include: You may have had a medical exam that revealed an underlying health problem. Br J Neurosurg. So when we provideAyurvedic treatment of T1-T2 slip disc we are careful about providing a proper solution. Medications, traction, dry needling, and epidural spinal injections can be used with physical therapy to help manage pain and allow the body to heal on its own, says Dr. Good. In cases where instability of the CTJ occurs or when nonsurgical treatments do not provide relief, surgery may be considered. Dont Miss: Hsv-2 Low Positive No Symptoms, A 65-year-old female patient underwent a transthoracicendoscopic approach to remove a calcified thoracic disc herniation that caused spinal cord compression. The latter two cases had posterolateral discs contributing to a Brown-Sequard syndrome and radiculopathy, respectively; one patient required a transfacet pedicle-sparing procedure, while the second case was managed conservatively. Disc herniation can occur in the cervical, thoracic, or lumbar spine. (c) Manubrium line and cervicothoracic (CT) angle on T2-weight magnetic resonance imaging (MRI): manubrium line intersects T2 vertebral body near to T2T3 disc, CT angle is about 38. There will be pain in the front side of Arm Pit. Wolters Kluwer Health Follow-up magnetic resonance studies documented full resolution for the patient with radiculopathy and a posterolateral disc. Symptoms such as these are primarily determined by the location of the cervical herniated disc. Sometimes, there may be difficulty in breathing if the first rib or rib muscles are injured. Gokcen HB, Erdogan S, Gumussuyu G, Ozturk S, Ozturk C. A rare case of T1-2 thoracic disc herniation mimicking cervical radiculopathy. Anto M, Manuel A, Jayachandran A, Thomas SG, Joseph A, Thankachan A, Bahuleyan B. Surg Neurol Int. Proc Staff Meet Mayo Clin. 24-Apr-2019;10:56, How to cite this URL: Abolfazl Rahimizadeh, Amir Hossein Zohrevand, Nima Mohseni Kabir, Naser Asgari. T1 and T2 - These lead into nerves that go into the top of your chest and into the arms and hands. J Neurosurg. The site is secure. The fibers ascend and synapse at the superior cervical ganglia at the level of the bifurcation of the common carotid artery (C3-C4). Pain just below the spine of the scapula. Natalie Evenson MSN, BSN, RN is a health content writer. Thoracic Herniated Disc Symptoms. 2. It is causing burning/tingling up my neck to my ear and jaw area. The symptoms of T1-T2 slip disc are-. Approximately 90% of herniated discs occur at L4-L5 and L5-S1, causing pain in the L5 or S1 nerve that radiates down the sciatic nerve. Epub 2013 Aug 16. eCollection 2022. Disc herniation; T1T2 disc space; spontaneous resolution; sternal splitting approach; thoracic disc; upper thoracic disc herniation. Radiation of pain in the upper arm on the front side. Some error has occurred while processing your request. Introduction Surgical intervention is the treatment of choice in patients with thoracic disc herniation with refractory symptoms and progressive myelopathy. Clipboard, Search History, and several other advanced features are temporarily unavailable. The one interesting aspect about a bulge is that it is an MRI finding that can correlate with an annular tear that causes deep midline low back pain. 6: s-0036, 28. Epub 2017 Apr 6. Carousel with three slides shown at a time. (d) Three-dimensional cervical computed tomography (CT) scan shows T1T2 and T3 screw rod fixation on the left side. Please enable it to take advantage of the complete set of features! Disc herniation at T1-2. An MRI showing a herniated thoracic disc compressing the spinal cord.An MRI from the same patient shown above after minimally invasive lateral thoracic discectomy and fusion. 2023 ICD-10-CM Diagnosis Code M51.24: Other intervertebral disc (b) Axial view shows the posterolaterally located disc is on the left side. (d) Chest X-ray shows that T1T2 disc is a few mm above the manubrium. MRI diagnosis is C7/T1 and C6-C7 severe foraminal narrowing and stenosis. Thoracic Radiculopathy - Physiopedia Thoracic Disc Herniation - Orthogate Upper thoracic spine arthroplasty via the anterior approach. 1998. Barrow Neurological Institute. 1952. 2010. Maloney WF, Younge BR, Moyer NJ: Evaluation of the causes and accuracy of pharmacologic localization in Horner's syndrome. This impingement typically produces neck and radiating arm pain or. Your spine is made up of 33 vertebrae divided into five different segments, which are listed below in order from your head to your legs: Thoracic herniated discs occur in the thoracic spine, which is made up of the 12 vertebrae that extend from the base of your neck to the bottom of your rib cage. Signs and Symptoms of a T1-T2 Herniated Nucleus Pulposis in the Literature (n = 21). Spine (Phila Pa 1976) 1991;16(10 suppl):S542-S547. 7: 189-92, 30. Patients demographic data and common clinical features of the corresponding location at which they generate. By specifically examining these five muscles, one can differentiate between cubital tunnel syndrome, which leaves their motor strength intact, and C8-T1 radiculopathy. Br J Neurosurg 1993;7:189-192. J Athl Train. Tokuhashi Y, Matsuzaki H, Uematsu Y, Oda H. Spine (Phila Pa 1976). The same decay can be age related too. 28: 322-30, 14. (c) Axial T2-weighted MRI shows a hyperintense disc on the left side. Hoffman's sign was negative. Summary of background data: Thoracolumbar junction disc herniations show a variety of signs and symptoms because of . Herniated discs happen when the soft, jellylike inner layer of a shock-absorbing intervertebral disc bulges into or breaks through the discs tough outer layer. There is no medicine or procedure to reverse the process of ageing. Please try again soon. and transmitted securely. Report of four cases and literature review. J Bone Joint Surg Am 1983;65:992-997. Transthoracic excision and fusion, case report with 4-year follow-up. Due to high occurrence of complications from open surgery, minimally invasive approaches are desirable. Rev Chir Orthop Reparatrice Appar Mot. Pain is the most common symptom of a thoracic herniated disc and may be isolated to the upper back or radiate in a dermatomal (single nerve root) pattern. Postfixed brachial plexus radiculopathy due to thoracic disc herniation Sitting in chairs with a firm back to support the spine will help alleviate back pain. GUIDE: Physical Therapy Guide to Herniated Disk. Choose PT, August 26, 2021. eCollection 2019. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). -. 2002. If the disc is severely degenerated, bone spurs can form and limit the mobility of the thoracic spine. 1986;19:44951. This fact is most likely explained by the restricted mobility and facet orientation of the thoracic spine. The number one prevention is not smoking. may email you for journal alerts and information, but is committed HHS Vulnerability Disclosure, Help (a) T2-weighted sagittal magnetic resonance imaging (MRI) shows T1T2 disc herniation. Spine (Phila Pa 1976). T1-T2 disc herniation:Two cases. While the anterior approach tends to be a more familiar approach to most spine surgeons, certain anatomic restrictions may limit its use for T1-T2. The thoracic spine is surrounded by the rib cage and it is much harder to damage the spinal cord in this area. T1T2 thoracic disc herniations are an extremely rare, and optimal results depend on the central and centrolateral location of the discs and the operative/nonoperative choices were made based on the clinical presentation. Thoracic Disc Herniation Symptoms Watch: Thoracic Herniated Disc Video Radiating pain may be perceived to be in the chest or belly, and this leads to a quite different diagnosis that will need to include an assessment of heart, lung, kidney and gastrointestinal disorders as well as other non-spine musculoskeletal causes. routine T1 and T2 sequences were used to study the status of the endplate (1.5-T Optima GEM MRI, GE Healthcare, Buck- . The rest of the postganglionic fibers travel along the internal carotid artery and enter the cavernous sinus. doi: 10.1097/00007632-200111150-00021. Lloyd TV, Johnson JC, Paul DJ, Hunt W. Horner's syndrome secondary to herniated disc at T1--T2. Evaluation of the degeneration of the multifidus and erector spinae 8600 Rockville Pike Carson J, Gumpert J, Jefferson A. Most studies report improvement in pain and neurologic dysfunction, but Horner syndrome can be refractory to surgical decompression.12,18 Similarly, our patient at 6 weeks postoperative had resolution of his pain, motor, and sensory deficits but persistent Horner syndrome at nine months postoperatively. Federal government websites often end in .gov or .mil. Rahimizadeh A. Thoracic disc herniation:20 years experience in 82 cases. Thoracic disc herniation:Operative approaches and results. Treating thoracic-disc herniations: Do we always have to go anteriorly? . We present a patient with thoracic disk herniation and Horner syndrome who was treated surgically. Recommended Reading: Heart Disease Symptoms In Dogs. Bookshelf A case of the patient with severe neurological deficits, caused by intradural thoracic disc herniation at T1-T2 interspace, which required surgical treatment and the symptoms were relieved immediately after surgery. 1980. Two of the most common causes of thoracic radiculopathy are from compression caused by a herniated disc or from a narrowing of the spinal foramen, an opening through which these nerves pass. Horner's syndrome secondary to T1-T2 intervertebral disc prolapse. The exception to this is for a giant herniated thoracic disc, which almost always requires surgery. An accurate diagnosis and timely surgical intervention may provide the patient the best chance for regression of symptoms and a satisfactory outcome. . Hann EC. sharing sensitive information, make sure youre on a federal 30: 152-4, 6. Protrusion of the first thoracic disk. Case Description: A 56-year-old man presented with the left C8 T1 radiculopathy, left hand grip weakness, and ipsilateral Horner's syndrome.Magnetic resonance imaging of the spine showed a contrast-enhancing lesion in the left T1 . 48: 768-72, 27. At 9 months postoperatively, the patient continued to be pain free with full strength and intact sensation. 1971. Herniated Disc Symptoms & More - FREE MRI Review J Neurosurg. Cervical radiculopathy is a disease process marked by nerve compression from herniated disk material or arthritic bone spurs. J Neurol Neurosurg Psychiatry. Symptoms characteristic of T1 disk herniation can often overlap with other maladies. Back, Lower Limb, and Upper Limb Pain among U.S. 48: 710-5, 18. A 29-year-old surgical resident presented to the emergency department complaining of acute onset left periscapular back pain, along with progressive left medial forearm and fourth and fifth digit numbness with grip weakness of the left hand. Delineating the location of nerve compression begins with assessing sites of peripheral compression with physical examination. Spine (Phila Pa 1976). We reviewed 4 cervical T1-T2 disc herniations; two central/anterolateral lesions warranting anterior surgical approaches/cages, and 2 lateral discs treated with a posterolateral transfacet, pedicle-sparing procedure and no surgery respectively. The tough outer layer (annulus fibrosus) loses elasticity with age, increasing the risk of tears that can result in herniation. Degenerative changes of the spine is the same condition as spinal osteoarthritis, spondylosis and degenerative disk disease. Myelopathy is rare. Nishimura Y, Thani NB, Tochigi S, Ahn H, Ginsberg HJ. Hammon WM. This is the condition, which is more common than other conditions in the T1-T2 disc. (e) Showing removal of the sequestrated disc fragment. To report a rare thoracic intervertebral disc herniation followed by acutely progressing paraplegia. 17: 418-30, 4. Experience in the surgical management of 82 symptomatic herniated thoracic discs and review of the literature. If any of the thoracic nerves become inflamed, such as from a thoracic herniated disc or a narrowing of the foramen, thoracic radiculopathy can develop with symptoms of pain, tingling, numbness, and/or weakness radiating along the nerve root. Pain is usually the first symptom. Keachie K, Shahlaie K, Muizelaar JP. Results: The patient's symptoms resolved completely. The surgically treated patients all markedly recovered over an average of 3.87 years follow-up (range: 6 months7 years). Outcomes were based on the modified JOA scores for the three patients with thoracic myelopathy and their scores were 10, 11, and 11, respectively, while the visual analog scale for the fourth patient was 0. 2012. (a) T2-weighted sagittal magnetic resonance imaging shows a T1T2 extruded disc migrated up. (d) Axial T2-weighted axial view also confirms disappearance of the disc. The location of the pain depends on the location of the herniated disc. Because in this case, a patient might get back all those symptoms of T1-T2 slip disc come back again. (a) T2-weighted sagittal image demonstrating a disc herniation at T1T2 level with considerable cord compression. The T1-T2 interspace is not fully visualized on a cervical MRI; therefore, a thoracic MRI scan can be helpful. 49: 599-606, 23. Specifically, T1 nerve root compression presents with specific signs and symptoms. Copyright Surgical Neurology International. Full-endoscopic discectomy for thoracic disc herniations: a single-arm Physical examination revealed pain in the left upper paraspinal and scapular region radiating to the left shoulder with mild improvement of the pain with abduction of the left shoulder above the head. A comparative cohort of mini-transthoracic versus transpedicular discectomies. Arbit E. A surgical approach through the pedicle to protruded thoracic discs. Successful Smith-Robinson approaches to T1-T2 have been achieved, whereas partial sternotomy has been used in others.9,14 Thoracic disk herniations can be approached posteriorly when little to no retraction of the spinal cord is necessary for disk access. Kanno H, Aizawa T, Tanaka Y, et al. Early experience treating thoracic disc herniations using a modified transfacet pedicle-sparing decompression and fusion. (a) T2-weighted sagittal image demonstrating, (a) T2-weighted sagittal image demonstrating a disc herniation at T1T2 level with considerable, (a) T2-weighted sagittal magnetic resonance, (a) T2-weighted sagittal magnetic resonance imaging (MRI) of the second case showing a, (a) T2-weighted sagittal magnetic resonance imaging (MRI) shows T1T2 disc herniation. Abbott KH, Retter RH. Thoracic Disc Herniation: Surgical Treatment.. Specially in case of T1-T2 disc problem, age plays an important role. Croat Med J. Horner syndrome with associated T1 weakness and paresthesias is representative of many etiologies (Table 2). BecauseAyurvedic treatment of T1-T2 slip disc problem is not about suppression of signs and symptoms alone. A spine surgeon or spinal neurosurgeon can assess your herniated thoracic disc and help you decide if it would be best to have surgery or to try conservative treatment. 2014: 34. The arc begins in the hypothalamus and synapses in the intermediolateral gray substance at C8-T2 levels (ciliospinal center of budge). If youre between the ages of 30 and 50, youre more likely to be affected. Int J Spine Surg. Your message has been successfully sent to your colleague. Objective: To present the unique case of a collegiate wrestler with C7 neurologic symptoms due to T1-T2 disc herniation. Pain is often described as sharp or burning. 1. Clipboard, Search History, and several other advanced features are temporarily unavailable. Stillerman CB, Chen TC, Couldwell WT, Zhang W, Weiss MH: Experience in the surgical management of 82 symptomatic herniated thoracic discs and review of the literature. [ 3 , 6 , 19 , 28 , 30 , 34 ] Most thoracic disc herniations occur below the T8 level, and the majority are found at T11T12. Court, C., E. Mansour, and C. Bouthors. J Indiana State Med Assoc. SignificanceofVertebral EndplateFailurein The Author(s) 2017 A magnetic resonance imaging scan revealed a large focal paracentral herniated disc at the T2-3 level. Before The site is secure. Love JG, Kiefer EJ: Root pain and paraplegia due to protrusions of thoracic intervertebral disks. The details of 36 cases with T1T2 disc herniation. Thoracic spinal cord injuries are typically less severe than injuries to the cervical spinal cord. She underwent T1-T2 anterior discectomy and fusion. (a) T2-weighted sagittal magnetic resonance imaging shows a T1T2 extruded disc migrated up. Because thoracic disc herniation can be caused by an injury, it can affect anyone. We report two cases of exceptional first thoracic disc herniation in a 60-year-old man and a 55-year-old woman. 2022 Sep 9;13:412. doi: 10.25259/SNI_580_2022. Claude-Bernard-Horner syndrome is not constant but highly suggestive. Hamlyn PJ, Zeital T, King TT. 1986. Epub 2021 Nov 26. What are the symptoms of a t2-t3 disc problem? - Answers 2003;30:1524. Careful radiographic analysis is needed preoperatively to identify the upper limit of the sternum. (e) Axial CT scan shows a pedicle screw in an upper thoracic vertebra. Cervical radiographs are not usually clinically useful because of the difficulty in visualizing through the shoulders. Takagi H, Kawaguchi Y, Kanamori M, Abe Y, Kimura T. T1-2 disc herniation following an en bloc cervical laminoplasty. Background: T1-T2 intervertebral disc prolapse (IVDP) is a rare clinical condition.Horner's syndrome is an extremely rare clinical finding in these patients. Med Ann Dist Columbia. (g) Post-operative CT AP X-ray: shows the cage in T1T2 disc space. These symptoms typically follow a pattern as noted above, based on the affected nerve roots location and functions. Methods: The visual analogue scale (VAS), Oswestry disability index (ODI), and MacNab scale were used to analyze the results collected during the . Well tell you how, why, and what you can do to treat a thoracic herniated disc if you have one and prevent them in the future. Love JG, Schorn VG: Thoracic-disk protrusions. Therefore an MRI scan is important to find our the proper cause behind the problem. Introduction. (c) T2-weighted sagittal image shows complete resolution of the disc at 5-month follow-up. (b) Axial view showing the central location of the disc. A large herniated disc can compress the spinal cord within the spinal canala condition called myelopathyresulting in numbness, tingling, and or weakness in one or both lower extremities, and sometimes bowel and bladder dysfunction, and in extreme cases, paralysis. Asian Spine J 2012;6:199-202. Disc herniation at T1-2. However, it is most common in men between the ages of 40 and 60. Correlating history, examination, and imaging will guide toward a successful diagnosis. Morgan H, Abood C: Disc herniation at T1-2: Report of four cases and literature review. Increased reflexes in one or both legs that can cause spasticity in the legs. by the American Academy of Orthopaedic Surgeons. Conclusions: We reviewed 4 cervical T1-T2 disc herniations; two central/anterolateral lesions warranting anterior surgical approaches/cages, and 2 lateral discs treated with a posterolateral transfacet, pedicle-sparing procedure and no surgery respectively. BMJ Case Rep. 2014. J Glob Spine J. According to Dr. Good, here are some healthy habits you can build that will help keep your discs healthy. -, Bransford R, Zhang F, Bellabarba C, Konodi M, Chapman JR. Mulier S, Debois V. Thoracic disc herniations:Transthoracic, lateral, or posterolateral approach?A review. So there is no difference in T1-T2 and D1-D2 discs. Recommended Reading: Chronic Bronchitis Signs And Symptoms, A limited description of the specific lumbar spinal nerves includes: L1 innervates the abdominal internal obliques via the ilioinguinal nerve L2-4 innervates iliopsoas, a hip flexor, and other muscles via the femoral nerve L2-4 innervates adductor longus, a hip adductor, and other muscles via the obturator nerve L5. Also Check: Symptoms Of Heartworm In Dogs. The most common areas to have a herniated disc are the cervical and lumbar areas of the spine. Neurosurgical Developments on the Horizon, Leksell Gamma Knife Society Meeting Series, Dubai, 2018, Mayo Clinic Neuroscience Neurosurgery Lecture Series, http://surgicalneurologyint.com/surgicalint-articles/9301/, Pars Advanced and Minimally Invasive Medical Manners Research Center, Iran University of Medical Sciences, Tehran, Iran. 34: 68-77, 7. Diagnosis and treatment of thoracic intervertebral disc protrusions. Evid Based Spine Care J 2010;1:21-28. Follow-up magnetic resonance studies documented full resolution for the patient with . Thoracic discectomy by posterior pedicle-sparing, transfacet approach with real-time intraoperative ultrasonography: Clinical article. Epub 2016 Jan 28. If any of the thoracic nerves become inflamed, such as from a thoracic herniated disc or a narrowing of the foramen, thoracic radiculopathy can develop with symptoms of pain, tingling, numbness, and/or weakness radiating along the nerve root. We focused on the clinical presentation, e.g. Postoperative MR imaging (MRI) studies in the first two patients showed adequate cord decompression following placement of T1T2 anterior interbody cages [Figures 1 and 2 ]. Preganglionic sympathetic neurons exit the spinal cord and ascend up the carotid sheath to the superior cervical ganglion at the level of the bifurcation of the common carotid artery. A disc herniation is a significant cause or contributor of neck pain. Background: The authors conducted a 2-year retrospective follow-up to investigate the efficiency of an extraforaminal full-endoscopic approach with foraminoplasty used to treat lateral compressive diseases of the lumbar spine in 247 patients. Under his, Cost effective alternative for spinal surgery. Posterior approach surgery has most commonly been used for laminectomy and/or foraminotomy.1,5,11-13 Adequate disk access of more central disk herniations may not be accomplished without excessive facet resection leading to hypermobility. When we discuss about D1-D2 disc problem or T1-T2 disc problem, symptoms are more like- cervical disc herniation. 88: 623-33, 35. 24-Apr-2019;10:56. The man was treated surgically and the woman medically. Would you like email updates of new search results? An accurate diagnosis and timely surgical intervention may provide the patient the best chance for regression of symptoms and a satisfactory outcome. Conclusions: There will be pain in the front side of Arm Pit. The discussion about a disc herniation is much more comprehensive and complicated since there are so many ways and places that a disc can herniate. Some research has shown that herniated discs run in families, suggesting that your genes can make it more likely that you will develop a herniated thoracic disc. This narrows the space between your vertebrae, causing certain issues. Thus if there are some brachial plexus injuries on lower side there will be impact on the same nerve root and its supply too. There are many different condition with T1-T2 disc and these are as follows-. J Neurosurg 1998;88:148-150. your express consent. They occur when a vertebra in your spine collapses, which can lead to severe pain, deformity and loss of height. Gelch MM: Herniated thoracic disc at T1-2 level associated with Horner's syndrome: Case report. Anterior surgery can be achieved without sternotomy. J Orthop Sci 2009;14:103-106. 92: 715-8, 9. To complicate matters, sometimes fragments from the annulus may break away from the parent disc and drift into the spinal canal. Symptoms depend on where and how big the disc herniation is, where it is pressing, and whether the spinal cord has been damaged. An orthopedic or neurologic physical therapist can customize a treatment plan of safe herniated disc exercises to help decrease pain, improve strength and posture, and increase mobility. Fortschr Neurol Psychiatr 2001;69:236-241. (b) The disc space is a little bit above the manubrium line and cervicothoracic (CT) angle is 27. On postoperative day 1, the patient reported improvement in his left-sided radiating back pains, partial return of sensation along the left medial forearm, and hand with some mild persistent paresthesias. C8 root pathology will result in weakness in all three of these muscles with manual muscle testing. (f) After placement of a large cage. Unlike the usual calcification in the medioposterior position for middle or lower thoracic spine herniations, a soft posterolateral herniation was observed here. Rahimizadeh A, Sami SH, Rahimizadeh S, Williamson WL, Amirzadeh M. Surg Neurol Int. Surgical Treatment of T1-2 Disc Herniation with T1 Radiculopathy: A Case Report with Review . The four cases of T1T2 discs included two females and two males who ranged in the age group from 36 to 67 years (average: 47 years). Surgery for T1T2 posterolateral herniated discs may require transfacet pedicle-sparing decompression with pedicle screw fixation. (a) T2-weighted sagittal image demonstrating a disc herniation at T1T2 level with considerable cord compression. (c) Reconstructed sagittal computed tomography (CT) scan of the CT region showing T1T2 hard disc, indicating that the compression, also note that CT angle is 10. Thoracic Disc Herniation - What You Need to Know - Drugs.com 73: 598-9, 13. J Neurosurg. [ 1 , 2 , 4 , 5 , 7 - 9 , 11 - 15 , 17 , 18 , 21 , 24 - 26 , 29 , 31 - 33 , 35 - 37 ]. 15. 1983. Thoracic herniated discs are less common than herniated discs in the neck or low back, but they do happen. Although anhydrosis was not explicitly tested, Horner syndrome was strongly suspected. 2002. Modified anterior approach to the cervicothoracic junction. Had a cervical epidural injection last Thursday and so far no relief. This pain might shoot into your arm or leg when you cough, sneeze or move into certain positions. Bransford RJ, Zhang F, Bellabarba C, Lee MJ. As people age, their thoracic intervertebral discs may lose their cushioning ability and become more likely to rupture. Excruciating pain from cervical (C7/T1) radiculopathy
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