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Spine Conditions

Dorsal Spine

Non Surgical Dorsal Disc Prolapse, Herniation, Thoracic Spondylosis, Shoulder Blade Pain, Dorsal Radiculopathy Treatment

The Thoracic spine/ Dorsal spine has 12 vertebrae stacked on top of each other, labelled from T1 down to T12. These vertebrae form the foundation of the Thoracic region’s sturdy spinal column that supports the neck above, the rib cage, soft tissues, flexible joints, blood vessels, and nerves. The joints of the Thoracic spine are important to arm movement, bending over, and other movements. Because the Thoracic spine is used so much in daily life, it is prone to strain and injury for many reasons, from improper posture to compression fracture. Some injuries can put pressure on the spinal nerves, creating even stronger pain and other symptoms.

Curvature of the Thoracic spine

Aging and certain disease processes can change the natural convex curvature of the Thoracic spine. If the curvature is severe enough, it can restrict lung expansion and compromise breathing.


The Thoracic spine can develop an exaggerated curvature called kyphosis, giving the back a hunched appearance. Kyphosis is usually caused by aging and associated loss of bone mass; however, kyphosis can also develop as a result of other diseases, such as Marfan syndrome and Scheuermann’s disease. Age-related kyphosis is often due to weakness in the spinal bones that causes them to compress or crack. It can be caused due to Fractures / Broken or crushed vertebrae, Osteoporosis, Disk degeneration, Scheuermann's disease etc.


When the Thoracic and lumbar spine curve 10 or more from side to side, the condition is called thoracolumbar scoliosis.Curves are classified by many different components such as their location in the spine. They can occur in the upper back (cervical spine scoliosis), in the middle back (Thoracic spine scoliosis) and in the lower back (lumbar spine scoliosis) in various combinations. A lumbar curve typically involves a left convex scoliosis in the lumbar spine that affects an average of 5 vertebrae. Thoracolumbar scoliosis is curvature that includes vertebrae in both the lower Thoracic and upper lumbar portion of the spine.

Conditions affecting Dorsal Spine

A Thoracic/Dorsal disc prolapse is another term for a herniated disc located in the region of the 12 Thoracic vertebrae T1(D1) to T12(D12), which form the central portion of the spine. A prolapsed disc is less likely to occur in the Thoracic spine than in other areas of the spine, like the neck (cervical spine) or lower back (lumbar spine). This is because the Thoracic spine offers a limited range of motion, especially when compared to the highly flexible cervical and lumbar spine. Thoracic intervertebral disc disease is a rare source of pain and neurologic dysfunction, and it is not as well known to most clinicians as lumbar or cervical disc disease. Thoracic disc disease has been described as causing many different symptoms like mid dorsal pain,pain radiating to till chest,rib cage pain,shoulder blade pain etc.Levels of disc prolapse mostly occurs in D1-D2,D2-D3,D10-D11 and D11-D12.

Causes For The Above Conditions.

  • Many Thoracic herniated discs occur from gradual wear and tear on the disc, which breaks down the walls of the disc.

  • Sudden fall or trauma such as a motor vehicle accident

  • Aging and general degeneration of the intervertebral discs

  • Improper or heavy lifting

  • Genetic factors may contribute to the likelihood of intervertebral disc disease.

  • Being an overweight individual puts pressure on the discs in your back

  • Degenerative disc disease: As you age, you may lose fluid in the discs located in your vertebrae, this reduces the support and flexibility of your spine.

  • Arthritis or osteoporosis

  • Pinched nerve: Narrowing of the space where spinal nerves leave the spinal cord to go to the rest of the body. This can be caused by herniated discs, degenerated disc disease, or trauma to this specific area.

  • Spinal stenosis: Rare, degenerative condition that is a result of the spinal canal being narrowed

Symptoms For The Above Conditions.

  • Pain in the upper back or radicular to the chest and stomach area.

  • Sensory changes such as numbness, tingling, or parasthesia if the nerve is compromised.

  • axial back or chest pain

  • Muscle spasms

  • Thoracic nerve pain symptoms like tingling, numbness, burning, a pins and needles sensation

  • Muscle weaknes

  • Sitting and bending can be difficult if the bulge is severe. Often the patient will present in a shifted posture and have difficulty finding a comfortable position.

  • A patient with a bulge may be symptom free if the disc does not press on a sensitive soft tissue structure.

  • If the disc bulges into the spinal cord area it can result in sensory loss and weakness below the effected level along with balance and possible bowel and bladder issues.

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