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Diagnosis And Treatment Of The Thoracic Spine

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The thoracic spine is considered the least vulnerable to a disc herniation due to anatomic stability. Although they are rare, physically demanding jobs, trauma, and extreme sports can lead to a thoracic disc herniation (TDH). In order to be effectively treated, a TDH needs to be successfully diagnosed. Successful diagnosis relies on a good differential diagnosis and magnetic resonance imaging (MRI), the gold standard for visualizing a disc herniation. Once diagnosed, there are many treatment options, which range from conservative care to invasive surgery. Rehabilitative therapy can be an effective and safe way to manage a TDH. Surgery can also be effective, but there are serious complications and risks associated. Considering patients with …show more content…

Over the course of 15 treatments, the patient’s symptoms improved and eventually disappeared. Five months later, an MRI study of the patient displayed significant regression of the TDH. This case is a good example regarding the positive impact of conservative care on the management of a TDH. Although a disc herniation may naturally regress overtime, rehabilitation can support the process and help restore function.
Rehabilitation can be an effective short-term therapy, but the long-term effects are questionable. As discussed earlier, the soccer player studied by Baranto et al. (2) was promptly diagnosed and treated conservatively for a TDH. This athlete went through a physical therapy trial and eventually was symptom free. When the symptoms resolved, the soccer player continued to train while gradually increasing the intensity. By the following soccer season, the player suffered a similar episode and was diagnosed with a recurrent TDH. Once again, the patient was symptom free after conservative treatment and playing soccer. About a year passed when he experienced another onset of symptoms during training, and was then advised to stop playing. This patient was prone to reoccurrence, which questions the long-term effects of treatment. Timely and compliant treatment got this athlete back on the field, but the intensity of the sport hindered the healing process.
Although not all TDH’s are promptly diagnosed, they can still be managed effectively once discovered. This

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