Thoracic spine stenosis

About Thoracic spine stenosis

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

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 & Diagnostics

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.

Common tests: CT Scan, MRI, X-ray.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Therapy depends on the extent of the disease. Medication used include: 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 as well. Surgery is considered for persistent symptoms or if nerve compression is significant.

Medical specialties

Neurosurgery · Pain Medicine · Spine Surgery · Physical Medicine and Rehabilitation

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Thoracic spine stenosis.