Thoracic spine stenosis

Description Spinal stenosis of ...

Description

Spinal stenosis of the thoracic spine is narrowing of the spinal canal of the upper back. The narrowing can cause compression of the spinal cord and nerves exiting the spine. The canal becomes narrowed by arthritis and degeneration of the bones and ligaments, by a herniated disc, or from a tumor. It is more common in patients older than 60, but may occur at any age. Thoracic spine stenosis is less common than lumbar or cervical spinal stenosis.

Symptoms

Symptoms include upper back pain that may radiate around the chest and legs, numbness, weakness, and pain that worsens with upper back movement. More severe stenosis may cause problems with balance and coordination. Individuals who loose bowel or bladder function should seek immediate medical attention.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. An x-ray and CT scan can be performed to reveal bone alignment and degenerative changes. An MRI may reveal the narrowing of the spinal canal and damage to the nerves.

Tests:
CT Scan, Magnetic resonance imaging (MRI), X-ray

Specialists:
Neurosurgery, Pain Medicine, Spine Surgery, Physical Medicine and Rehabilitation (physiatry)

Treatment

Therapy depends on the extent of the disease. Medication used includes: non-steroidal anti-inflammatory drugs (ibuprofen/Motrin or naproxen/Naprosyn), acetaminophen/Tylenol, a short trial of oral corticosteroids (prednisone), and/or narcotic pain relievers. Epidural steroid injections and physical therapy are also used to control the symptoms. Surgery is considered for persistent symptoms or if nerve compression is significant.