[Gahugo]

#29216

Good evening, I have been experiencing tingling in both of my feet and legs and occasional upper back and chest pain, had a thoracic MRI done and showed a small disc herniation centrally and to the left at T6-T6 with partial effacement of the anterior thecal sac as well as some slight deformity of the anterior left aspect of the cord. My questions are:
1 do the symptoms correlate with the henia, saw a neurologist and neurosurgeon and they think they don’t.?
2 what is the likelihood of this lesion to progress to the point where I would require surgery?

Thank you in advance

[Gahugo]

#29217

Gahugo wrote:

Good evening, I have been experiencing tingling in both of my feet and legs and occasional upper back and chest pain, had a thoracic MRI done and showed a small disc herniation centrally and to the left at T5-T6 with partial effacement of the anterior thecal sac as well as some slight deformity of the anterior left aspect of the cord. My questions are:
1 do the symptoms correlate with the henia, saw a neurologist and neurosurgeon and they think they don’t.?
2 what is the likelihood of this lesion to progress to the point where I would require surgery?

Thank you in advance

[Donald Corenman, MD, DC]

#29218

It is possible but unlikely that this herniation is causing your leg tingling. If the herniation is more left sided but your leg symptomatology is bilaterally symmetrical (similar on both sides), then the symptoms don’t fit with the “more left sided” herniation. Also, if this herniation is causing the paresthesias in your legs, you should have some physical examination finding of long tract signs (hyperreflexia and clonus in your legs but not in your arms).

You can test if this supposition is correct by getting an epidural at the level of the herniation. This injection should not give you temporary relief if this herniation is not involved in symptoms generation.

It is highly unlikely that this herniation will enlarge or cause you much more problems.

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.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

[Gahugo]

#29222

Thanks Dr Corenman, physical exam and EMG/NVC were normal.

[Donald Corenman, MD, DC]

#29226

EMG/NCV will always be normal in a mild cord injury situation. Physical examination however without long tract signs is a good sign.

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.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

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