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Thoracic Disc Herniation
WHAT YOU NEED TO KNOW:
What is thoracic disc herniation?
Thoracic disc herniation occurs when a thoracic disc bulges out from between your vertebrae. Discs are spongy cushions between the vertebrae in your spine. Thoracic discs are located between the base of your neck and your lower back. The herniated disc may press on your nerves or spinal cord.
What causes thoracic disc herniation?
- Cracked vertebrae or changes in the shape of your vertebrae may increase your risk for disc herniation. The gel-like material inside your disc may leak out of the cracks. The whole disc may also begin to bulge out of the cracks in your vertebrae.
- Weak discs may develop if the amount of gel-like material inside the disc decreases. This causes the disc to lose its cushion and may bulge out from between your vertebrae. Discs can weaken with age.
- A back injury may cause a disc to herniate.
- Scar tissue may build up between your disc and the covering of your spinal cord. The scar tissue may add pressure to your discs and cause a herniation.
What are the signs and symptoms of thoracic disc herniation?
Mild thoracic disc herniation may not cause any signs or symptoms. You may have any of the following if the herniated disc presses against your nerves or spinal cord:
- Pain in the upper or middle part of your back or your chest
- Pain radiating to the forearm
- Band-like pain travelling from the back to the abdomen/chest on one or both sides of the body
- Headaches when you sit or lie in certain positions
- Numbness, tingling, or a burning feeling in your legs
- Trouble walking or moving your legs
- Weakness in your arms or legs
- Trouble urinating or having a bowel movement
How is thoracic disc herniation diagnosed?
Your healthcare provider will ask about your symptoms and any health problems you have. Tell him or her if you have had any recent injuries. Your provider may look at your spine and feel for any abnormal areas. Tell him or her if any area on your spine is painful when touched. Your healthcare provider may do tests to check the movement and feeling in your legs. You may also need any of the following:
- An x-ray, MRI, or CT scan may show a bulging disc or abnormal areas of your spine. You may be given contrast liquid to help the bulging disc or spine show up better in the pictures. Tell the healthcare provider if you have ever had an allergic reaction to contrast liquid. Do not enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if you have any metal in or on your body.
- Myelography is an x-ray of your spinal cord. Dye will be injected into the area around your spinal cord before the pictures are taken.
- An electromyography (EMG) is a test that checks for damage to the nerves that control your muscles.
How is thoracic disc herniation treated?
Your healthcare provider may have you rest in bed for a few days. You may also need any of the following:
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask if NSAIDs are safe for you. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
- Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
- Muscle relaxers decrease pain and muscle spasms.
- A steroid injection may be given to reduce inflammation. Steroid medicine is injected into the epidural space. The epidural space is between your spinal cord and vertebrae. You may be given pain medicine along with the steroids.
- Physical therapy may be recommended by your healthcare provider. A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain. A physical therapist can teach you safe ways to bend, lift, sit, and stand to help relieve back pain.
- Surgery may be needed to fix your herniated disc if other treatments have failed. Surgery may be done to remove your herniated disc and make your spine stronger.
How can I manage pain from a thoracic disc herniation?
- Apply heat on your back for 20 to 30 minutes every 2 hours for as many days as directed. Heat helps decrease pain and muscle spasms.
- Apply ice on your back for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it to your skin. Ice helps prevent tissue damage and decreases swelling and pain.
When should I seek immediate care?
- You are not able to move one or both of your legs.
- You have severe headaches when you hold your head in certain positions.
- You have new and sudden chest pain.
When should I contact my healthcare provider?
- You begin leaking urine or bowel movement, and it is not normal for you.
- Your pain worsens even after you take medicine.
- You have questions or concerns about your condition or care.
Care AgreementYou have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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