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
There are also no randomized control studies on the effects of rule changes in sports on the incidence of TBI. The lack of relevant studies for all sports played by young athletes also poses a significant limitation, as the mechanisms effective for the prevention of one sport may not be useful in another. Further, each of the studies used different statistical methods to establish the significant or insignificance of their results, making it difficult to truly compare them.
Axel and skeleton frame injuries are something that are very common in the world of sports. The National Football Ledge(NFL) has a foundation of physical impact and is very strenuous on the axel and skeletal frame. Thoracic disc herniations in the one of the most common injuries the NFL and it requires the greatest amount of time to recover which is 189 days. Thou the injury is very high in football nearly 15 percent of American suffer from Thoracic Disc Herniation. Degeneration the most common cause of Thoracic disc herniation “As a disc's annulus ages, it tends to crack and tear. These injuries are repaired with scar tissue. Over time the annulus weakens, and the nucleus may squeeze (herniate) through the damaged annulus. Spine degeneration
Anecdotally we know that relieving pressure on the discs via traction, non-surgical spinal decompression or inversion tables etc relieves the pain, we also know that continued activity opposed to inactivity is beneficial and everyone knows that stabilizing the spine and allowing strained muscles to relax and heal are critical to the healing process.
More and more people experience back problems. Often, the real culprit is a herniated disc. Herniated (-- removed HTML --) disc (-- removed HTML --) treatment Venice FL specialist would like people suffering with undue pain in their back to consider seeking out a specialist for more information. A herniated disk is a warning that something is wrong with the rubbery disk that are between the vertebra in the back. The vertebra are the individual bones that join together to make your spine. The spine disks resembles little jelly donuts. For example, the disks have a soft center with a tough exterior. A Herniated disk is a result of the soft center squeezing through a rip to the exterior.
Herniated discs are particularly brutal, due to their position directly behind the spinal cord. When a disc ruptures, the ‘jelly’ inside can spill out into the nerves. This results in severe pain that radiates through the back and sometimes down the legs, as in my case. For more than two years, it felt like I had a knife embedded in my lower back.
It is also important to also look at the treatment options of post-operational physical therapy after a lumbar disc herniation surgery. The method of care that includes both options of surgery and physical therapy is starting to become more prevalent in healthcare within the professions of Physicians, Chiropractors, Physical Therapists and Athletic Trainers. More research needs to address the effects of post-opt physical therapy after a microdiscectomy surgery of a lumbar herniated disc.
Per the IME report by Dr. Sultan dated 11/10/15, the patient is to continue PT 2-3 times a week for the lower back, along with home exercises to his right shoulder. Attached is the addendum to the IME report dated 11/19/15.
My association with Dr. John C. Herzog and Saratoga Spine has spanned just short of 7 years. Over this time, I have found D. Herzog to be a mild-mannered, immensely skilled and consummate surgeon who has carefully surrounded himself with a friendly, highly competent and motivated staff that represent themselves as well as Dr. Herzog in the highest
Regarding Physical Therapy 3X6-Spine (Lumbar/Cervical/Thoracic); CA MTUS supports an initial course of physical therapy with objective functional deficits and functional goals. The claimant has basically whole body pain with limitations in range of motion and tenderness in most all body parts. Medical necessity has been established. However, initial 6 visits are given. Additional requests should include functional improvement, discussion of functional goals and patient’s progress in meeting these goals. Recommend modified certification of PT 2X3 Spine (Lumbar/Cervical/Thoracic).
DOI: 9/11/2001. Patient is a 47-year-old female correspondence reader who sustained a work-related injury while evacuating when she was pushed and fell in chaos due to an event. Per OMNI, she was diagnosed with herniated lumbar disc. It was noted that the patient has had
It has been observed that almost everyone older than 50 has some form of degenerative spine disease. The spine naturally wears down as the body ages as the spinal discs gradually deteriorate and the cartilage protecting the joints begins to show signs of wear and tear.
Reduced function in the body's joints and muscles for a long time can weaken the tissues and cause a herniated disc. This process can be reversed by the chiropractor, exercise and lifestyle changes. The chiropractic treatment is done in different ways depending on whether diskbåcket is manifested or if herniated disc is about to
MRI of the lumbar spine was obtained on 05/22/14 which revealed status post posterior surgical fusion of L4, L5 and S1 with no evidence of recurrent/residual disc herniation. There is a mild disc bulge at T11-12, L2-3 and L3-4 levels.
Ailments like the herniated disc in the vertebrae are treated with the help of disectomy. There is a disc present in between two vertebrae and if it herniates inwards, then it starts pressing on the spinal nerves which further results in pain. In this surgical procedure the whole disc or a part of it is
ODG Physical Therapy Guidelines recommend 10 visits over 8 weeks of physical therapy for medical treatment of intervertebral disc disorder with myelopathy and spinal stenosis. In this case, the claimant continued to have low back pain with lumbar radiculopathy. It was noted that the claimant had been doing physical therapy with improvement in left leg pain. However, there was no documentation of PT visits and the total number of sessions completed. There was insufficient objective evidence to support the subjectively reported benefit from prior PT visits. Therefore, the request for physical therapy reevaluation with traction/decompression, 16 visits, per 12/09/17 order is not medically necessary.