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thoracic discogenic pain

So I think my doctors finally decided on what my actual issues are....thoracic discogenic pain from herniated thoracic discs.

how many of you have pain centrally located in the T-spine without the pain that wraps around?

I have done 2 treatments of prolotherapy without success so far. I am continuning with 2 more to see if it helps....after that I don't know what else to try...I may try again to inquire about surgery.

I don't know or what makes one decide on the surgical route outside of losing use of legs....for me the uncertainty of my outcome is what makes me stressed...the pain is just to constant anymore for me to be stressed out about lol.



  • Hi barca,
    I don't think you will find a surgeon prepared to perform traditional thoracic spine surgery until your symptoms indicate spinal cord impingement because the surgery is so long and so complex.
    A growing number of posters have undergone minimally invasive surgery and it may be, in time, the criteria for performing this type of surgery will change to include high level of pain.

    I'm not young enough to know everything - Oscar Wilde
  • Barca I have thoracic pain that does not wrap around but caused from trauma - crushed bone not disks. The only surgeon I trust , told me there is no way to operate on T5 and above through the back. That means for me going through the front - moving vital organs and no guarantee of less pain and he said maybe 80% chance of paralysis in my situation. He told me they do not have good outcomes with T5 and above for thoracic.

    But that's just my situation and there are people here who have had great outcomes and had complex thoracic surgery which has stopped their pain. but thoracic is incredibly complex, it is where your spinal cord is the narrowest - the more I research the more I believe the specialist, the one of many. I even had one renowned specialist scream, really raise his voice and yell really loudly at me when I said I am going to try and get surgery - he went off his brain to the stage of spitting with rage in my face,I thought he was being cruel - but he said that he sees so many failed back surgeries. Could have explained why thoracic is difficult, but he really lost the plot. His pain clinic made my pain worse as no-one realised it was crushed to the side - probably the exercises I was given were really dangerous - I used to sit every afternoon in tears with a heat pack but still gave it a go for two weeks every day, making my pain worse and costing a fortune. Everyone is different though and I can only speak for myself..

    They found out after 8 years my vertabrae is crushed to the side not to the front ( that is why none of their normal testing worked on me) and the one above (my T4) is slipping out causing the all the pain. A physio is the first one who worked it out. She has given me some pain free time - a miracle after 8 years where I could have gratefully jumped off a bridge - when the pain starts no amount of opiods touch it.

    Mick is right they normally won't operate unless there is serious spinal cord impingement. I don't know if they can get at disks from the back - I know the pain is excruciating - but no-one will operate on me just because of pain. I am lucky to still be walking. I just have to accept I will be like this for the rest of my life.

    I have had serious open surgery where the painkiller was not put in correctly and I woke up without any pain killer until they worked out the needle wasn't in my vein, they thought I was using heaps of morphine, I was, but it just wasn't going into my body, and that pain wasn't as bad as this thoracic spine pain but on a prone MRI did not show up. They didn't even pick up my T5 was crushed to the right not the front which I still don't understand.

    I have said this heaps of times but if lying down helps your pain I would opt for a weight bearing MRI. It makes common sense to me that on a prone MRI your spine goes back into a better position. I can send you the link if you PM me on the research - there is also a lot of research on You Tube where they show the difference. Everything, well not really everything, I do now is set up for lying flat on my back including working on the computer.

    With thoracic you need to research for yourself. Thank god I found a physio who looked outside the box and realised what had happened.
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  • I have pain in my thoracic area. It's about between my shoulder blades. I have a Schmorl's Node/Osteochondrosis there. The pain does not wrap around. Often I will just have lower back pain, but my doctor believes this is caused by the problem in the thoracic spine. Sometimes I will just feel pain where the problem actually is. Surgery hasn't been mentioned as an option for me. I cope with physical therapy/hydrotherapy, TENS, codeine, heat, a brace and massage. The doctor thinks I will improve as my back muscles strengthen.
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