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  • Evgeniy
    Post count: 1

    I speak english a little:)I am 28.About 6 years i have problem with my thorac spine(nagging pain and periodical acute pain). My main problem was initially in t11-t12 segment.(was sequestered 6-7mm herniation, which is now a little bit withered to 4-5mm).First year were nocturnal urination during acute hernia, the pain was in the area of ​​the kidneys in the outbreak of hernia, a year later they stopped urinating. I was very happy that a myelopathy did not worried me.Back pain became less frequent, sometimes disturbed backache who were treated conservatively
    BUT! Last weak i felt a very sharp pain in the mid thoracic region, breathing killed, I fell down and felt a pain in his ribs on the right.Immediately i injected voltaren,vitamin PP and catadolon,became a little easier.The problem was that I could not bend over and sit, as in pain and spasm in the middle of the back, which gave the right to the ribs.after 10 days of conservative treatment has become easier, bend can, but I can not sit (only with a straight back), if I do thoracic kyphosis can not sit, pulling the ribs on the right and starts to hurt.
    Judging by the level of innervation and rib pain, I suggested that what is happening at the level of T8-10 and went to do an MRI and I was right in the conclusion of a hernia T9-10 with compression of the right side nerve. But on pictures I do not understand where I have a hernia T9-10 with right nerve compression.saggitaltnom to cut, I see that at the level of T9-10 herniation partially closes the intervertebral foramen, but maybe I’m wrong, because the hernia is very light, they are usually much darker, maybe it’s just an artifact.the axial slice, I also can not understand where the hernia at the T9-10,may be in the middle, but it is not a 4 mm and not pressing on a nerve on the right.Help me find this hernia, is also interested in your opinion on this hernia. Do you think there is a chance that I can freely sit as before, when the swelling goes down the nerve and herniated decline slightly? I think it’s fresh and so it is possible, because it has to go out excess water.Thanks in advance, here is a link to my MRI pictures wikisend(dot)com/download/433908/Th_MRI.7z If you have time, I’ll be glad if you in any way mark in the axial and sagittal image hernia 9-10 segment and place me somewhere, and I download.

    Donald Corenman, MD, DC
    Post count: 8455

    Your images are unfortunately not accessible to me. Thoracic disc hernations do cause significant pain but typically (with rare exceptions) do not cause cord compression. The most effective treatments I have found include epidural injections, an extension strengthening program and NSAID medications. Occasionally, membrane stabilizers in low doses (Lyrica, Neurontin) can be effective. Time is really the most important healer. These discs will shrink down over time as you have noted from you T11-12 HNP experience.

    Only rarely does a patient need a thoracic surgery for these and mainly due to cord compression.

    Dr. Corenman

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