Thoracic disc herniations. They’re not very common. They’re not talked about
much. But thoracic disc herniations do exist. The C7/T1 disc herniations are
even more unusual and are shared in the spine literature
more because of their unusualness. Aaron Chiropractic Clinic welcomes
unusual! Unusual calls for care and attention.
Aaron Chiropractic Clinic tends to unusual presentations like thoracic
disc herniations, specifically those at the C7/T1 spinal
level which is also known as 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 have a habit of herniating 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 secure
the intervertebral discs in place and reduce the risk of
herniation. They allow flexion and extension and control
the amount of lateral flexion in the neck. One
medical report documents a rare episode
of a central C7/T1 disc herniation that triggered
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) Be confident that your
Fort Wayne chiropractor will do a careful examination and
discover the root cause
of your pain with familiarity of unusual occurrences
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 due to their unusual
neurological findings. C7/T1 disc herniations (aka herniations of the C8 disc) produce
weakness in hand muscles. The C8 nerve
roots extend outward between the C7 vertebra and the T1 vertebra. (4) These nerves sit
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 fires 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 won’t confuse your
Fort Wayne chiropractor though! Aaron Chiropractic Clinic is ready with
the tests to do and questions to ask to determine 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."