Thoracic Disc Herniation. An emergent spinal condition found only in the lumbar spine is cauda equina syndrome. In some cases, fluid leaking from the disc causes irritation of the nerve. Two of these three patients had bilateral drop foot, and one patient had unilateral drop foot; sensory disturbance was noted in the sole or foot and around the circumference of the anus, and the patellar tendon reflex and It is also an ideal recipe for getting bulging disc l4/l5. Pain in the back of the thigh and the side of the calf. Figure 1: MRI showing large disc herniation at T8-T9 with loss of height and severe spinal cord compression with T2-signal changes inside the cord. Furthermore, part of the pelvic bone called the sacrum is below the lumber. Loss of sensation and/or "pins and needles" in the big toe. An L1/L2 herniation is an especially common type of disc herniation. If the nerves in the T11 vertebrae are damaged, common By gently stretching the muscles in the back, their flexibility is improved, helping them stabilize the disc herniation area. So symptoms of the problems due to slip disc in these regions give different signs and symptoms, because of the compressions on different nerve roots. Thoracic Disc Herniations are rare, causes of midline back pain and sensory changes around the rib cage. Affected levels were as follows: 2 patients with disc herniation at T10-T11 disc, 4 patients at T11-T12, 3 patients at T12-L1, 6 patients at L1-L2, and 11 patients at L2-L3. One of the best treatments for the symptoms of a herniated disc is stretching exercises. Weakness. This can cause you to stumble, or affect your ability to lift or hold items. L5-S1 Disc Problem in lower back. Because of the location and marked compression of the spinal cord by a partially calcified thoracic disc herniation, as well as the presentation of severe bilateral leg weakness, an anterior approach was chosen. The protrusion of a disc between any of the 12 vertebrae in the thoracic spine (T1 T12) can cause severe pain and other symptoms if nerve compression is present. Numbness or tingling in areas of one or both legs. This pain can be caused by the other herniated discs. A disc herniation may not cause any symptoms. Thoracic12 vertebrae, T1T12; Lumbarfive vertebrae, L1L5; Sacralfive pseudo vertebrae, S1S5; Herniated Disc Symptoms. Patients with a thoracic disc bulge may experience a sudden onset of back pain during the causative activity, however, it is also common for patients to experience pain and stiffness after the provocative activity, particularly the next morning.. In most cases, when a bulging disc has reached this stage it is near or at herniation. Overall endurance and circulation are also improved with herniated disc exercises, and symptoms improve. In most cases, when a bulging disc has reached this stage it is near or at herniation. However, they may be underdiagnosed due to subtle or unspecific symptoms such as chest pain. Mri in Jan. showed bulging disc in T10-11 compressing spinal cord. Some have minor symptoms that will go away after a short period. The thoracic level with the highest rate of disc degeneration and bulging is T8-T12. 24,243 satisfied customers. 1. The explanation lies in the fact not all people with this condition have pain. Two of these three patients had bilateral drop foot, and one patient had unilateral drop foot; sensory disturbance was noted in the sole or foot and around the circumference of the anus, and the patellar tendon to come back with the words normal study, said Dr. Christopher DiGiovann i , a professor of orthopedics and a sports medicine specialist at Brown University. This is the most common symptom and could indicate an issue in the lumbar region. The symptoms of a herniated disc in the thoracic area usually include: Pain that travels around the body and into one or both legs. The incidence of thoracic disc problems is far lower than in the lumbar and cervical area. Objective: To describe an unusual case of thoracic disc herniation mimicking acute lumbar disc disease. Sitting too long and smoking. Posted 6 years ago. Thoracic12 vertebrae, T1T12; Lumbarfive vertebrae, L1L5; Sacralfive pseudo vertebrae, S1S5; Herniated Disc Symptoms. The most commonly involved discs are the ones located between the T9 and T10 vertebrae, the T10 and T11 vertebrae, and the T11 and T12 vertebrae. Pain that radiates down the arms to the hands. drinxs karen92006. The most common location for thoracic disc disorders is at the thoracolumbar junction (T8-T12) in the mid back. In rare cases when symptoms do arise, the main concern is whether the herniated disc is affecting the spinal cord. with the most occurring on T11 or T12. Incidence. Lumbar herniation: Symptoms may include back spasms, sciatica, tingling, numbness, pain down the back of the legs, and possible muscle weakness and loss of lower-body motor function. There was some modest wedging of the T12 and L1 vertebral bodies on the CT examination of December 6, 2018, but loss of height at T12 on that study was roughly 24% and has increased since that time. Thoracic disc herniation. Workers injured as a result of significant trauma or lifting activities may present with symptoms of a thoracic disc herniation (TDH). This may be made worse by movement, coughing, sneezing, or standing for long periods of time. First shaky legs, then numb feet plus now burning thighs 24/7. L3-L4 Disc Problem in lower back. What Is Thoracic Disc Herniations. Some common symptomatic signs of T11 or T12 subluxations (misalignments) are things like blood sugar problems, kidney conditions, gas pains, chronic tiredness, constipation, diarrhea, lower rib pain or sciatica. This painful and debilitating disease occurs in about 2% of canine patients seen at teaching hospitals but is rarely seen in cats, horses, and food animals. Sitting too long and smoking. A recent MRI has found I have multilevel degenerative disc disease, L5-S1 facet arthropathy, mild right paracentral disc extrusion at T4-T5 and multilevel disc bulge (T7-T8,T6-T7,T8-T9, T11-T12) would read more. 21 Focal paresis, restricted trunk flexion, and increases in leg pain In the T12-L1 disc herniation group (n = 3), muscle weakness and atrophy below the leg were advanced, and bowel and bladder dysfunction were also noted. Symptoms of a herniated disc include pain, tingling, or numbness (any or all of these) in the area of the body served by the affected nerve root. With this type of injury, the disc itself is not the source of the pain. The protrusion of a disc between any of the 12 vertebrae in the thoracic spine (T1 T12) can cause severe pain and other symptoms if nerve compression is present. After a very long wait time I was finally approved for the MRI of my Lumbar Spine. Large partially calcified right-sided T10-T11 thoracic disc herniation with marked spinal cord compression. In the thoracic spine area, this can include total paralysis of the legs. This leads to In rare cases when symptoms do arise, the main concern is whether the herniated disc is affecting the spinal cord. Signs and symptoms of a thoracic disc bulge. Loss of height at that T12 level is approximately 32%. In between these twelve bones, there is a cushion or a disc material that serves as the shock absorber for the bones. Schmorls nodes are commonly seen in the upper lumbar spine and are often discovered incidentally on imaging studies. Some people learn they have thoracic disc herniation when they undergo imaging tests for an unrelated problem. The clinical features of 26 patients who had undergone operations for single disc herniations at T10-T11 through L2-L3 were investigated. Disc spaces are preserved. Pain in the feet, thighs, lower spine and buttocks. The ends of your ribs, although not attached to the spine, rest in indentations in the thoracic vertebrae that help support the ribs. Since both a herniated disc as well as sciatica present with lower back and leg pain, they are often confused with another even though sciatica can be a symptom of a herniated disc. The traveling pain from the lower back down the buttocks, hip and thighs is common in both ailments. 1 Hansen first classified intervertebral disc (IVD) disease as type I and type II in 1951. l1 nerve root impingement symptoms. Karen, tried twice to send you details and its not submitting. A herniated disk, which can occur in any part of the spine, most often occurs in the lower back. Your spine is made up of three levels; the cervical spine at the top, the thoracic spine in the middle, and your lumbar spine at the base. Others have extreme pain that is present all the time. l1 nerve root impingement symptomsinchkeith house mental health team Consultation Request a Free Consultation Now. The thoracic spine (i.e. There are obviously 12 of them. Thoracic disc herniation occurs when a thoracic disc bulges out from between your vertebrae. People who have a herniated disk often have radiating numbness or tingling in the body part served by the affected nerves. L1 is the top one attached to T12. Spinal cord dysfunction causes bowel and bladder dysfunction at this level along with sacral and coccyx symptoms. Three years now. Schmorls nodes are a common spinal disc herniation in which the soft tissue of the intervertebral disc bulges out into the adjacent vertebrae through an endplate defect. Mary. The symptoms depend on its location, how large the protrusion is, and the nerve root it compresses. Only 3 patients (0.23%) treated with endoscopic surgery for their herniated discs had T12L1 herniated discs; the rest were lumbar or lumbosacral herniations. There are basically three procedures to remove a disc herniation at T12-L1. In the middle, we have thoracic vertebrae labeled T1-T12. Spinal nerves that branch out of the lumbar spine control function in the lower extremities (buttocks, hips, legs, and feet). However, they may be underdiagnosed due to subtle or unspecific symptoms such as chest pain. Depending on how the nerve is affected, this can range from a minor irritation to excruciating discomfort. L1-L5 are the lumbar and they are located in the lower part of the spine. Other intervertebral disc displacement, thoracic region. Midline back pain and signs of spinal cord compression progressing over months or years are the A T11 injury will demonstrate itself by severe back and leg pain. Few people with a herniated thoracic disc feel any symptoms or have any problems as a result of this condition. The Lumbar Spine was normal but they managed to get a partial view of t11-t12 and they suspected that it was abnormal. The thorax is the region between your neck and your abdomen. It is also an ideal recipe for getting bulging disc l4/l5. Spasm of the back muscles. 1. Herniated discs in the thoracic region, which is the largest segment of the spinal column, account for less than 1 percent of all herniated discs. The main symptoms of lumbar disc herniation would radiate based on the location of the disc herniation. 2,3 A 75-yr-old male who had been successfully treated with intermittent split-table Pain is the most common problem related to herniated Disc L5/S1 and the biggest This is between your cervical (upper) and lumbar (lower) spine. Local MD says he is not fimilar with T1-2. In the middle of the disc lies a soft jelly-like substance which is capable of changing shape. Mild degenerative facet change L5-S1. Symptoms are usually slowly progressive, but may also have a more (sub)acute or even relapsingremitting course. Many people have no symptoms from a herniated disk. Thoracic disc herniations (TDHs) occur infrequently, accounting for fewer than 1% of all spinal disc prolapses. Causes and Symptoms of Thoracic Disc Herniations. Your thoracic spine is composed of twelve bones, labeled T1-T12. Epidemiology. Furthermore, part of the pelvic bone called the sacrum is below the lumber. Sitting for the entire day, every single day, and smoking may sound like an ideal life for gamers and web fanatics. A disc extrusion, also known as a disc herniation, usually occurs from degeneration due to a disease like osteoarthritis or the natural aging process. The symptoms of a herniated disc depend on the exact level of the spine where the disc herniation occurs and whether or not nerve tissue is being irritated. Disc desiccation is usually caused by wear and tear on your spine, which happens naturally as you age. Now, we all know there are a plethora of different causes for each of these symptoms! 75% of all thoracic disc herniations occur between T8 and T12. Muscles served by the affected nerves tend to weaken. I have numerous herniated disc and other health issues that have tortured me daily. Some people learn they have thoracic disc herniation when they undergo imaging tests for an unrelated problem. METHODS: The clinical features of 26 patients who had undergone operations for single disc herniations at T10-T11 through L2-L3 were investigated. Anyway, the most common symptoms are explained below. These vertebrae are under a lot of stress and they support most of your body and the rest of the spine. 20 The primary signs and symptoms of lumbar disc herniation include radicular pain, sensory abnormalities, and weakness in the distribution of one or more lumbosacral nerve roots. I was sent for an MRI of my Thoracic Spine and that revealed that I had a herniated disc at t11-t12. For people who do have symptoms, the symptoms tend to improve over time. Anyway, the most common symptoms are explained below. Symptoms are typically felt in the mid back, sometimes between or around Image courtesy of Larry T. Khoo, MD, and SpineUniverse.com. L2-L3 Disc Problem in lower back. Given the circumstances, disc extrusions are largely unpreventable and may heal on their own without surgery. Therefore, a herniated disc causing nerve compression in this region will produce symptoms in the lower extremities including a sharp, shooting, burning, or electrical pain and potentially numbness or changes in sensation. Symptoms of a cervical (neck) herniated disc: Pain between the shoulder blades that can be dull or sharp. Figure 2: Axial MRI showing right-sided T8-T9 paracentral acute disc herniation with significant right-sided cord compression. Sitting for the entire day, every single day, and smoking may sound like an ideal life for gamers and web fanatics. Diagnosis. Disc herniation is significantly less common in the thoracic spine compared with the cervical and lumbar spine, representing less than 5% of disc herniations. I have a severe pressure senstation in the area of the bulge and when I lay down I have the burning in my neck and also in my (L)arm. This could indicate a bulging disc in the cervical area. Surgical management is indicated in patients with persistent pain or progressive neurological symptoms. If the discs become displaced, or herniated, they can impinge on surrounding structures and cause uncomfortable symptoms. It is causing burning/tingling up my neck to my ear and jaw area. The 2022 edition of ICD-10-CM M51.24 became effective on October 1, 2021. If the disc is pressing on a nerve the certain way, this can cause pain, numbness, or tingling to this part of the body along with the other symptoms as stated above. The T10-T12 nerve pathways go completely across the whole lower abdomen. Few people with a thoracic disc herniation feel any symptoms or have any problems as a result of this condition. The symptoms of lumbar disk disease vary depending on where the disk has herniated, and what nerve root it is pushing on. Muscle spasms. Other causes may include injury, trauma, overexertion, illness or obesity. Cervical herniation: Symptoms may include neck spasms, pain/tingling/numbness down one arm, shoulder pain and/or weakness, and weakened reflex Lower Back, Neck, or Chest Pain. Muscle atrophy. Rather, the disc is putting pressure on a nerve (hence the term pinched nerve). It consists of an usually minor painful intervertebral dysfunction (most frequent in T11 to T12 or T12 to L1), although according to Maigne, disk herniation or another severe condition (e.g., myeloma, metastasis) may occasionally be involved. Lumbar disc herniation (LDH) is the most common cause of sciatica, affecting 1% to 5% of the population annually. I have been diagonised with a herniated T12/L1 disc. Depending on where the herniated disk is, it can result in pain, numbness, or weakness in an arm or leg. These are some general characteristics of lumbar herniated disc pain:Leg pain. The leg pain is typically worse than low back pain. Nerve pain. The most noticeable symptoms are usually described as nerve pain in the leg, with the pain being described as searing, sharp, electric, radiating, or piercing. Variable location of symptoms. Neurological symptoms. Foot drop. Symptoms of Herniated Disc A herniated disc causes symptoms if its protrusion compresses the spinal cord or a nerve root. A recent MRI has found I have multilevel degenerative disc. M51.24 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. These are the most common symptoms of lumbar disk disease: Intermittent or continuous back pain. If fact It is very rare for an MRI. This arrangement also makes the thoracic vertebrae more stable than other vertebrae. Difficulty in lifting the big toe off the ground. L1 is the top one attached to T12. The true incidence is unknown because many thoracic disc disorders do not cause thoracic back pain or other symptoms, and they comprise only a very small percent of all herniated disc treatment surgeries. Symptoms of Herniated Disc A herniated disc causes symptoms if its protrusion compresses the spinal cord or a nerve root. Pain, sensory disturbances, myelopathy, and lower extremity weakness are the most common presenting symptoms, but other atypical extraspinal complaints, such as gastrointestinal or cardiopulmonary discomfort, may be Herniated discs in the thoracic region, which is the largest segment of the spinal column, account for less than 1 percent of all herniated discs. Thus, the symptoms described by Maigne apply to thoracic disk herniation, which may result in pseudovisceral abdominal pain, and Ct scan 3 weeks ago showed area heavily calcified. Symptoms of a herniated disc include pain, tingling, or numbness (any or all of these) in the area of the body served by the affected nerve root. The symptoms depend on its location, how large the protrusion is, and the nerve root it compresses. These are the posterolateral approach, the direct lateral approach and the anterior approach. i have a t1-2 herniated disc pinching a nerve, possible thoracic outlet. Muscle weakness in certain muscles of one or both legs. The thoracic level with the highest rate of disc degeneration and bulging is T8-T12. Risk factors. Pain in the feet, thighs, lower spine and buttocks. Most people who have a herniated disc don't show any symptoms right away. Often, the problem doesn't require herniated disc surgery to resolve the pain. Usually herniated disc therapy will help Since the disc presses against a nearby nerve, one of the most common symptoms of a ruptured disc is pain. L4-L5 Disc Problem in lower back. This could indicate a bulging disc in the cervical area. Herniated Disc Stretches. Tingling or pain in the fingers, hands, arms, neck or shoulders. Wedge fractures are considered serious when the fracture affects adjacent vertebrae, anterior wedging is 50%, severe hyperkyphosis (bent forward) is present, or bone fragment (s) are suspect in the spinal canal. What is disc wedging?) is the angle between the upper endplate and lower endplate of the vertebra. You can have a herniated disk without symptoms. the mid and upper back) comprises of many bones known as vertebrae, each of which is separated by a disc (figure 1). However, disc herniation can cause local pain at the level of the spine affected. Treatment Selected . Several other things can also cause disc desiccation, such as: trauma from a Tingling or pain in the fingers, hands, arms, neck or shoulders. The majority of the thoracic disc herniation is asymptomatic, or the patient presents with nonspecific symptoms like chest wall pain, epigastric pain, upper extremity pain, and sometimes, a pain in the groin or the lower extremity. The incidence of thoracic disc problems is far lower than in the lumbar and cervical area. Affected levels were as follows: 2 patients with disc herniation at T10-T11 disc, 4 patients at T11-T12, 3 patients at T12-L1, 6 patients at L1-L2, and 11 patients at L2-L3. According to research 30% of 30 year old have disc herniations and have absolutely no symptoms in the lower back. Sometimes the pain subsides in a couple months. The symptoms of desiccation depend on the area of the spine that is affected. I have severe pain in mid region of my back, muscle wastage on each side of the lower part of my bottom, left leg goes numb at times, pins and needles, I don't sleep at night as the pain in the midregion wakes me. Modern imaging has revealed that thoracic disc herniation (TDH) has a prevalence of 11–37% in asymptomatic patients. Thoracic discs are very stable and thoracic disc herniation is quite rare comprising 0.15% of all disc herniation and a peak incidence is in the fourth decade of life 1).Herniation of the uppermost thoracic discs can mimic cervical disc herniations, while herniation of the other discs can mimic lumbar herniations 2).Arce and Dhormann 3) reported south bend fire department news. In the T12L1 disc herniation group (n = 3), muscle weakness and atrophy below the leg were advanced, and bowel and bladder dysfunction were also noted. Intervertebral disc herniation (IVDH) is the most common spinal disease in dogs. The disc comprises of many layers of strong connective tissue wrapping around the disc. t1-2 disc herniation. The thoracic spine consists of the 12 vertebrae between your neck and lower back. 20 The most common location for disc herniation in the thoracic spine is at T11-T12. I have numerous herniated disc and other health issues that have tortured me daily. 1 Although most TDHs present initially with radicular pain, others may demonstrate only myelopathic signs and/or, even less often, ipsilateral abdominal muscle weakness. Nerve Root L5 can be squeezed when the disc between lumbar vertebra L5 and the first sacral vertebra herniates. 3. Numbness , tingling, or weakness in the arms, hands, or fingers.