Thoracic disc herniations. They’re 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 because of their unusualness. Wilson Family Chiropractic welcomes
unusual! Unusual deserves care and attention.
Wilson Family Chiropractic cares for 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 have a habit of herniating laterally (out to the side) instead of centrally. What makes that unusual? The C7/T1 disc level doesn’t 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 amount of lateral flexion in the cervical spine. There is a report of a rare episode
of a central C7/T1 disc herniation that triggered
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
Millville chiropractor will do a careful examination and
discover the root cause
of your pain with knowledge 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 likely to be misdiagnosed due 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) These nerves lie
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 shoots 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 will not be confusing to your
Millville chiropractor though! Wilson Family Chiropractic 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."