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 shared in the spine literature
more because of their unusualness. Satterwhite Chiropractic welcomes
unusual! Unusual merits care and attention.
Satterwhite Chiropractic tends to unusual presentations like thoracic
disc herniations, specifically those at the C7/T1 level of the spine aka the cervicothoracic
junction where the neck joins 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 are inclined
to herniate laterally (out to the side) instead of centrally. What makes that unusual? The C7/T1 disc level does
not normally have Luschka joints. These joints hold
the intervertebral discs in place and lessen the risk of
herniation. They allow flexion and extension and control
the amount of lateral flexion in the neck. One
medical report documents a rare existence
of a central C7/T1 disc herniation that caused
lower extremity numbness and weakness in addition to
gait disturbance though in a patient who had no or very little hand-related
symptoms that would
otherwise be anticipated. (1) Be confident that your
Oxford chiropractor will perform a careful examination and
uncover the source
of your pain with familiarity of unusual occurrences
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 owing to their unusual
neurological findings. C7/T1 disc herniations (aka herniations of the C8 disc) instigate
weakness in hand muscles. The C8 nerve
roots extend outward between the C7 and
T1 vertebrae. (4) They lie
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 may be confusing as pain
here also suggests of ulnar neuropathy). (3,4)
It won’t confuse your
Oxford chiropractor though! Satterwhite Chiropractic is ready with
the tests to do and questions to ask to make the diagnosis.
Make An Appointment
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."