Treatment of herniated discs in the thoracic spine

Herniated disc in the thoracic spine

Herniated discs in the thoracic spine are very rare, as the rib skeleton provides additional support to the thoracic spine and thus reduces the load on the intervertebral discs.

In the case of a herniated disc, the outer shell of the disc tears.

The gelatinous core protrudes from the tear and presses against the nerves of the adjacent spinal cord nerves and the spinal cord itself. This pressure causes various painful symptoms.

Unfortunately, herniated discs in the thoracic spine tend to be discovered very late because the symptoms are not as specific as with other herniated discs. Those affected therefore often have to struggle with pain for a very long time before the diagnosis is made.

Symptoms
Causes
Diagnosis
Treatment
Aftercare
FAQs

Symptoms

A herniated disc in the thoracic spine has lot of different symptoms. Typical symptoms include sensitivity to pressure on the thoracic spine or the shoulder blades. The pain radiates from there into the chest. Patients also report dizziness and nausea. In some cases, the patient may even have heart palpitations and difficulty lifting the foot. These are often mistaken for symptoms of lung, stomach or heart problems. The symptoms also depend on the location of the herniated disc.

If the herniated disc is pressing on the spinal cord, there may also be sensory disturbances, pain in the legs, and problems with urination and bowel function.

Causes

A typical cause of a herniated disc in the thoracic spine is age-related wear and tear of the discs. A herniated disc can also be the result of severe exertion, for example due to heavy lifting or permanently poor posture. Additional risk factors include weak abdominal and back muscles, as well as lack of exercise.

Diagnosis

As the herniated disc in the thoracic spine causes specific postural errors, examining the patient’s posture enables the doctor to form a diagnosis. The diagnosis is supported with the help of magnetic resonance imaging (MRI) scans, which provide clarity about the origin of the pain.

Treatment

Conservative therapy

The first step in therapy is to relieve the pain. This is achieved by using pain relievers in combination with drugs to reduce inflammation and relax the muscles. Physiotherapy is used to build specific muscles and strengthen the skeleton, which provides relief to the affected areas of the spine.

Surgical treatment

The herniated disc in the thoracic spine is rarely operated on because it is a risky and complicated procedure. Surgery is only performed if the disc is pressing extremely hard on the spinal cord or there is a risk of paraplegia.

Aftercare

As surgery is not necessary in most cases, there is no typical aftercare. The patient receives a plan with various measures build muscle and stabilise the skeletal system. These include, for example:

  • physiotherapy
  • relaxation therapy
  • ultrasonic applications
  • back exercises

FAQs

How long does a herniated disc in the thoracic spine take to heal?

The acute phase usually lasts three to four weeks. This is followed by several weeks of exercises to strengthen the muscles.

Does a herniated disc in the thoracic spine have to be operated on?

Usually, no surgery is required. However, if the diagnosis indicates a high risk of damage to the nerves or spinal cord, surgery will be considered.

Doctors with this specialisation

Privatklinik Bethanien

Dr. med. Bertrand Actor

Specialisation
Neurosurgery, Spinal surgery, Pain therapy, Scoliosis and kyphosis (curvature of the spine), Osteoporosis – fractures in the spine, Spinal tumours and metastases on the spinal column, Spinal stenosis – narrowing of the spinal canal, Cervical spondylotic myelopathy, Herniated disc in the thoracic spine, Slipped disc in the cervical spine – cervical disc herniation, Herniated disc in the lumbar spine, Intervertebral disc prosthesis | Artificial intervertebral disc View more
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Privatklinik Bethanien

PD Dr med Carl Izumi Muroi

Specialisation
Neurosurgery, Spinal surgery, Scoliosis and kyphosis (curvature of the spine), Osteoporosis – fractures in the spine, Spinal tumours and metastases on the spinal column, Spinal stenosis – narrowing of the spinal canal, Cervical spondylotic myelopathy, Herniated disc in the thoracic spine, Slipped disc in the cervical spine – cervical disc herniation, Herniated disc in the lumbar spine, Intervertebral disc prosthesis | Artificial intervertebral disc View more
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Privatklinik Bethanien

Prof. Dr. med. Guido Wanner

Specialisation
Orthopaedic surgery, Spinal surgery, Scoliosis and kyphosis (curvature of the spine), Osteoporosis – fractures in the spine, Spinal tumours and metastases on the spinal column, Spinal stenosis – narrowing of the spinal canal, Cervical spondylotic myelopathy, Slipped disc in the cervical spine – cervical disc herniation, Herniated disc in the thoracic spine, Herniated disc in the lumbar spine, Intervertebral disc prosthesis | Artificial intervertebral disc, General surgery View more
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Privatklinik Bethanien

Dr. med. Hans-Jürgen Becker

Specialisation
Neurosurgery, Pain therapy, Spinal surgery, Scoliosis and kyphosis (curvature of the spine), Osteoporosis – fractures in the spine, Spinal tumours and metastases on the spinal column, Spinal stenosis – narrowing of the spinal canal, Cervical spondylotic myelopathy, Herniated disc in the thoracic spine, Slipped disc in the cervical spine – cervical disc herniation, Herniated disc in the lumbar spine, Intervertebral disc prosthesis | Artificial intervertebral disc View more
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Privatklinik Bethanien

Cav. Dr. med. (I) Alessandro Rustia

Specialisation
Neurosurgery, Spinal surgery, Pain therapy, Scoliosis and kyphosis (curvature of the spine), Osteoporosis – fractures in the spine, Spinal tumours and metastases on the spinal column, Spinal stenosis – narrowing of the spinal canal, Cervical spondylotic myelopathy, Herniated disc in the thoracic spine, Herniated disc in the lumbar spine, Slipped disc in the cervical spine – cervical disc herniation, Intervertebral disc prosthesis | Artificial intervertebral disc View more
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Privatklinik Bethanien

Dr. med. Michel Schneider

Specialisation
Spinal surgery, Spinal tumours and metastases on the spinal column, Spinal stenosis – narrowing of the spinal canal, Herniated disc, Herniated disc in the thoracic spine, Slipped disc in the cervical spine – cervical disc herniation, Herniated disc in the lumbar spine View more
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