Thoracic disc herniations. They
are not very common. They’re not mentioned
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. Manchester Chiropractic & Sports Injuries embraces
unusual! Unusual deserves care and attention.
Manchester Chiropractic & Sports Injuries tends to unusual presentations like thoracic
disc herniations, especially those at the C7/T1 spinal
level which is also known as the cervicothoracic
junction where the neck links 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 tend to herniate laterally (out to the side) rather
than centrally. What makes that unusual? The C7/T1 disc level does
not typically have Luschka joints. These joints hold
the intervertebral discs in place and lessen the risk of
herniation. They allow flexion and extension and limit
the extent of lateral flexion in the neck. One
medical report documents a rare existence
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 expected. (1) Be confident that your
Manchester 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 make up 3.5% to 4% of all herniated cervical discs. (2,3) They are likely to be misdiagnosed due to their unusual
neurological findings. C7/T1 disc herniations (aka herniations of the C8 disc) produce
weakness in hand muscles. The C8 nerve
roots exit between the C7 vertebra and the T1 vertebra. (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 also suggests of ulnar neuropathy). (3,4)
It will not be confusing to your
Manchester chiropractor though! Manchester Chiropractic & Sports Injuries knows
the tests to do and questions to ask to determine 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."