Thoracic disc herniations. They
are not very common. They are not discussed
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. Vancouver Disc Centers welcomes
unusual! Unusual calls for care and attention.
Vancouver Disc Centers tends to unusual presentations like thoracic
disc herniations, specifically those at the C7/T1 level of the spine 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 does
not typically have Luschka joints. These joints secure
the intervertebral discs in place and lessen the risk of
herniation. They permit flexion and extension and control
the extent of lateral flexion in the neck. One
medical report documents a rare occurrence
of a central C7/T1 disc herniation that caused
lower extremity numbness and weakness in addition to
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
Vancouver chiropractor will do a careful examination and
discern the root cause
of your pain with awareness of unusual occurrences
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) cause
weakness in hand muscles. The C8 nerve
roots exit between the C7 vertebra and the T1 vertebra. (4) They are positioned
above the C8 disc making it unusual for a disc herniation to compress
the C8 nerve. (5) Nonetheless when it does, a C7/T1 disc
herniation usually fires 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
Vancouver chiropractor though! Vancouver Disc Centers 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."