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 reported in the spine literature
more because of their unusualness. Shoreline Medical Services/ Hutter Chiropractic Office welcomes
unusual! Unusual deserves care and attention.
Shoreline Medical Services/ Hutter Chiropractic Office cares for unusual presentations like thoracic
disc herniations, specifically those at the C7/T1 spinal
level 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 typically have Luschka joints. These joints hold
the intervertebral discs in place and reduce the risk of
herniation. They permit flexion and extension and control
the amount 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 had no or very little hand-related
symptoms that would
otherwise be expected. (1) Know that your
Groton chiropractor will perform a careful examination and
discern the source
of your pain with familiarity 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) instigate
weakness in hand muscles. The C8 nerve
roots exit between the C7 vertebra and the T1 vertebra. (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 shoots 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
Groton chiropractor though! Shoreline Medical Services/ Hutter Chiropractic Office 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."