Thoracic disc herniations. They’re not very common. They’re not mentioned
much. But thoracic disc herniations do exist. The C7/T1 disc herniations are
even more unusual and are presented in the spine literature
more because of their unusualness. Hollstrom & Associates Inc welcomes
unusual! Unusual deserves care and attention.
Hollstrom & Associates Inc cares for unusual presentations like thoracic
disc herniations, specifically those at the C7/T1 level of the spine aka the cervicothoracic
junction where the neck links 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 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. There is a report of a rare existence
of a central C7/T1 disc herniation that instigated
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) Be confident that your
Largo chiropractor will do a careful examination and
discern the source
of your pain with awareness of unusual incidences
like this.
Symptoms of C8 Disc Herniation
C7/T1 disc herniations account
for 3.5% to 4% of all herniated cervical discs. (2,3) They are
inclined 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 extend outward between the C7 and
T1 vertebrae. (4) They lie
above the C8 disc making it unusual for a disc herniation to compress
the C8 nerve. (5) But 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 is telling of ulnar neuropathy). (3,4)
It will not confuse your
Largo chiropractor though! Hollstrom & Associates Inc 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."