Thoracic dysfunction

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  • CNB
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    Post count: 11
    #26568 |

    Can thoracic spine dysfunction cause nausea weakness tremor constipation bladder issues chest pain increased blood pressure?

    CNB
    Participant
    Post count: 11

    Can thoracic spine dysfunction cause nausea weakness tremor constipation bladder issues chest pain increased blood pressure?

    ….and excessive sweating.

    Dr. Corenman
    Moderator
    Post count: 5713

    Generally no. I can surmise a scenario where cord compression and pain can cause these symptoms but that would be a good stretch. Overactive sympathetic nervous symptom response can cause this but not related to the thoracic cord.]

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
    If this forum has helped you, please let Dr. Corenman know!

    CNB
    Participant
    Post count: 11

    Thank you for the open mind response. Zebras exist.

    What would be this ‘good stretch’ scenario you speak of?

    Could a ‘small’ thoracic protrusion become a large protrusion in the sit position, causing direct cord pressure with subsequent tremor and nausea NOT related to pain?

    Could an (abnormal) unstable thoracic vertebral segment cause pressure on the cord? Could it cause pressure on the surrounding nerves which could cause overactive sympathetic response?

    Trying to keep it simple for now even though it is a more “complex” case. Primary recently referred to consult with you at the Steadman Clinic. Are there any exceptions to ‘No Workmans Comp cases right now’? Previously been seen (2007) at the Steadman Clinic by Dr. Karli for Cervical disc injury issues and injections.

    I am normally a healthy active Outdoor Professional who was injured over 15 months ago and still experiencing such debillitating symptoms that I am not able to consistently work in any capacity or even do 10% of what I used to do. I think and feel there is a more serious injury sustained than what imaging has revealed. Primary believes there is some degree of abnormal thoracic instability causing nervous system irritation (and other symptoms). Involved onset, progression of symptoms, Tx and opinions that seem overwhelming to describe in forum. Intent to describe further if there are no exceptions to the referral made and there is investigative open mind interest. Thank you much for your time. I have learned much from your website and forum. Need help with application. Very informative and thought provoking. I realize you need more info to assist with diagnostic therapeutic and referral direction. Working on that. Was just hoping to consult with you in person through Pinnacol Work Comp Insurance.

    Dr. Corenman
    Moderator
    Post count: 5713

    The symptoms you note are activation of the sympathetic nervous system. This occurs with reaction to pain and anxiety. It is possible that these symptoms could be a reaction to CRPS (complex regional pain syndrome) where the sympathetic nervous system becomes activated by injury or illness.

    “Could an (abnormal) unstable thoracic vertebral segment cause pressure on the cord? Could it cause pressure on the surrounding nerves which could cause overactive sympathetic response”? Instability normally causes pain so local pain at the unstable segment would be a tipoff to this condition.

    Pressure on the spinal cord would cause long tract signs (hyperreflexia, clonus, imbalance) found on physical examination below the level of the compression.

    I generally don’t encourage workman’s compensation cases as I gave up my designation as a “level II examiner” just this year. Call the office to see availability.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
    If this forum has helped you, please let Dr. Corenman know!

    CNB
    Participant
    Post count: 11

    Thank you.

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