Thoracic disc herniations. They
are not very ordinary. They are not mentioned
much. But thoracic disc herniations do exist. The C7/T1 disc herniations are
even more unusual and are shared in the spine literature
more due to their unusualness. Layden Chiropractic embraces
unusual! Unusual deserves care and attention.
Layden Chiropractic cares for unusual presentations like thoracic
disc herniations, especially those at the C7/T1 spinal
level aka 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 tend to herniate laterally (out to the side) rather
than 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 decrease the risk of
herniation. They allow flexion and extension and control
the extent 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 along with
gait disturbance though in a patient who had no or very little hand-related
symptoms that would
otherwise be expected. (1) Know that your
Plainville chiropractor will do a careful examination and
discern the source
of your pain with knowledge 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 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) These nerves 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 sends pain down the arm into the ring and
pinky fingers (which sometimes confuses the case as pain
here is also indicative of ulnar neuropathy). (3,4)
It will not be confusing to your
Plainville chiropractor though! Layden Chiropractic 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."