Thoracic disc herniations. They’re not very ordinary. They are not discussed
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. Novelli Wellness Center welcomes
unusual! Unusual warrants care and attention.
Novelli Wellness Center 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 neighbors, cervical disc herniations (neck) and
thoracic disc herniations (mid-back). Why? They have a habit of herniating laterally (out to the side) rather
than centrally. What makes that unusual? The C7/T1 disc level doesn’t 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 amount of lateral flexion in the cervical spine. One
medical report documents 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 tells of no or very little hand pain or numbness that would
otherwise be anticipated. (1) Know that your
Orchard Park, NY chiropractor will perform a careful examination and
uncover the source
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 tend to be misdiagnosed owing 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) These nerves 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 fires pain down the arm into the ring and
pinky fingers (which may be confusing as pain
here is also indicative of ulnar neuropathy). (3,4)
It won’t confuse your
Orchard Park, NY chiropractor though! Novelli Wellness Center is ready with
the tests to do and questions to ask to determine 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."