Thoracic disc herniations. They
are not very ordinary. They are not talked about
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. Minster Chiropractic Center welcomes
unusual! Unusual deserves care and attention.
Minster Chiropractic Center cares for unusual presentations like thoracic
disc herniations, specifically those at the C7/T1 spinal
level which is also known as the cervicothoracic
junction where the neck connects 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 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 secure
the intervertebral discs in place and decrease the risk of
herniation. They permit flexion and extension and limit
the amount of lateral flexion in the cervical spine. There is a report of a rare occurrence
of a central C7/T1 disc herniation that produced
lower extremity numbness and weakness along with
gait disturbance though in a patient who tells of no or very little hand pain or numbness that would
otherwise be expected. (1) Be confident that your
Minster chiropractor will perform a careful examination and
work out 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
inclined to be misdiagnosed due to their unusual
neurological findings. C7/T1 disc herniations (aka herniations of the C8 disc) instigate
weakness in hand muscles. The C8 nerve
roots exit between the C7 and
T1 vertebrae. (4) They are positioned
above the C8 disc making it unusual for a disc herniation to compress
the C8 nerve. (5) Nevertheless when it does, a C7/T1 disc
herniation usually fires 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
Minster chiropractor though! Minster Chiropractic Center 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."