Thoracic radiculopathy is due to spinal nerve insult, usually secondary to intervertebral disc pathology (herniation, discitis). Most patients present in the fourth to sixth decade, but TDH can affect all age groups with a 3:2 male-to-female ratio.5,6,7. Tennis ball massages are easy to perform and can help relieve tension and improve flexibility in your muscle and nervous tissues. As the majority of patients with thoracic radiculopathy can be treated conservatively, signs of myelopathy such as bowel or bladder incontinence, profound motor weakness or hyperreflexia prompt evaluation by surgical colleagues. Vocational and avocational rehabilitation help to maintain a productive life within the patient’s limitations. Social work assists in transitioning to the home. Why Surgery for Sciatica Is Not One-Size-Fits-All, Figuring Out the Right Treatment for Your Sciatica Symptoms, How to Use Tennis Balls for DIY Lower Back Pain Massage, Lumbar Epidural Steroid Injections for Low Back Pain and Sciatica, Lower Back Pain Symptoms, Diagnosis, and Treatment, Sciatica Exercises for Sciatica Pain Relief. The venous plexus of the thoracic spine can serve as a conduit for neoplastic metastasis or the seeding of infections to the spine. Thoracic myelopathy treatment should address skin integrity, pain, bowel and bladder management, mental health, sexual and reproductive issues, DVT, spasticity, heterotopic ossification, osteoporosis and the potential for development of autonomic dysreflexia. Home evaluations by Occupational Therapy can identify possible safety issues and provide recommendation for adaptive equipment. Radiation therapy can cause demyelination, focal necrosis and vasculitic changes of the thoracic spinal cord.1,3, Disc herniation is significantly less common in the thoracic spine compared with the cervical and lumbar spine, representing less than 5% of disc herniations.5 The most common location for disc herniation in the thoracic spine is at T11-T123A patient with Scheuermann’s disease has increased risk for TDH. Myelopathy may manifest only by gait abnormalities and increased tendency to fall. Ameet Nagpal. The high spinal cord-to-canal ratio and vulnerable blood supply makes the thoracic spinal cord more susceptible to injury from a TDH.3,9. An asymmetric band-like dermatome sensory anomaly in the chest or abdominal wall is suggestive of thoracic radiculopathy, usually associated with neuropathic pain symptoms exacerbated by trunk movements. Surgery may be advocated in the treatment of sciatica when nonsurgical treatments have failed to provide relief or the neurological symptoms continue to progress. In most cases, thoracic myelopathy is felt to be caused by degenerative changes with subsequent stenosis and cord compression.
Neural stem cell transplantation is currently being investigated in murine embryonic stem cells.25.
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