Williamson Chiropractic Care for Thoracic Disc Herniation

The thoracic spine, the middle part of your spine, gets ignored. “Mid back pain” does not simply roll off your tongue in quite the same way as “neck pain” and “back pain” or “arm pain” and “leg pain”. But the thoracic spine can have pain of its own. A thoracic disc herniation may be associated with seemingly unrelated conditions like irritable bowel syndrome, constipation, painful or frequent urination. Apple Country Chiropractic does talk about the thoracic spine and its mid-back pain. Apple Country Chiropractic gently treats the thoracic spine’s mid-back pain to effectively relieve it.

THORACIC DISC HERNIATION

The incidence of thoracic disc herniation in people who have no pain is 11-37%. It’s not as infrequent as we think. Two studies described abdominal wall bulges: A patient later found to have a thoracic disc herniation at T11-12 on MRI imaging came to the doctor with a lateral abdominal wall bulge that reduced 8 months later as the disc herniation healed. (1) An additional two similar cases with herniations at T12-L1 and T10-11 and T11-12 had paresis of the abdominis muscle. After conservative treatment, muscle strength returned to normal in 3 to 6 months. (2) Symptoms of thoracic disc herniation can vary from abdominal pain, constipation, urinary incontinence, anesthesia or lack of anal reflex, bowel dysfunction, nausea, to irritable bowel among other issues. (3) A couple other reports describe the occurrence of gastrointestinal and gastrourinary problems with thoracic disc herniations. In a study of 100 patients with thoracic disc herniation, 95% had one or more digestive-urologic symptoms, but only 3% had the diagnosis of thoracic disc protrusion. 70.76% of thoracic disc herniations occurred below the T7 level. Most were central herniations (65.25%). 85% of thoracic disc herniation patients with abdominal pain tested positive in the DN4 test for neuropathic pain in contrast with just 8% in the control group. 77% of the patients experienced abdominal pain (and 16.88% of them had gone through a surgery to relieve the pain to discover that they still have the same pain after surgery). 90% of thoracic disc pain patients have back pain, 43% have pubic pain, 35% report genital area pain, 66% report lower limb pain. (4) Thoracic disc herniation sufferers often have these issues – chronic abdominal pain, digestive issues, and urological symptoms. Another researcher reported on two patients with T10-11 herniations who showed moderate lower extremity weakness, amplified patellar tendon reflex, and sensory disturbance of the whole lower extremities. (5) Apple Country Chiropractic does a complete examination to figure out just how a thoracic disc herniation is affecting our Williamson chiropractic mid-back pain patients. 

EXAMINATION

Gastrointestinal surgeons are very likely to see patients with thoracic disc herniation because their symptoms are gastrointestinal and/or gastrourinary in nature but without any organic reason for them. A reliable test to see if the abdominal pain is due to problems with the abdomen or a visceral issue is Carnett’s Sign. It’s highly documented for its sensitivity of 78 to 85% and specificity of 88 to 97%. (6) It leads the examining physician to the source of pain! For Williamson patients with unexplained abdominal pain or odd abdominal wall bulges, consult Apple Country Chiropractic who understands the connection of these issues to the thoracic disc herniation. Gentle, chiropractic spinal manipulation with Cox® Technic to the thoracic spine may help relieve pain and symptomatology of the thoracic disc herniation.

CONTACT Apple Country Chiropractic

Listen to this PODCAST with Dr. Kurt Olding on The Back Doctors Podcast with Dr. Michael Johnson who really knows and understands the rare but important thoracic disc herniation. Dr. Olding describes the thoracic disc herniation and its symptomatology as well as its alleviating treatment with Cox® Technic.

Schedule a Williamson chiropractic appointment at Apple Country Chiropractic for your thoracic spine and its mid-back concerns. Apple Country Chiropractic doesn’t ignore the thoracic spine, and you shouldn’t either! 

Apple Country Chiropractic diagnoses and treats thoracic disc herniation pain and relieves its symptoms like unexplained abdominal pain or other gastrointestinal issues.  
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