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Old 10-12-2011, 07:35 AM   #1
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T6-T7 Thoracic cause burning pain in Upper back?

Here is my MRI results:

At T6-7 moderate sized left paracentral disc herniation which moderately idenents the left ventral hemicord causing mile to moderate focal cord compression but without significant central spinal canal stenosis. There is no abnormal sinal with cord

At T7-8 a small left paracentral disc herniation contacting and only slightly impinging the left ventral cord without central spinal canal stenosis.

This started about 12 months ago. I started to have burning pain right in the middle of my chest ranging from my sternum to the middle of my nipples when I drank water. It started to get worse asa couple of months past where I was just constant Over the last 9 months I went for every GI test (24 ph test, Endoscope, Manometry), blood test, vitamin tests, allergy tests, heart work up in the book and while I have minimal reflux it would not cause this constant burning. I am on PPIís anyway. The only thing that helped the burning was rubbing my chest or a hot bath but as soon as I stopped rubbing it or got out of bath burning came back.
Then about 3 months ago the burning pain began in my back as well, but just so slightly. I began between my shoulder blades and could radiate to the back base of my neck where it connects to my back and also at times to my triceps. I donít have any weakness, difficulty breathing, or pins and needles. As weeks went by it got gradually worse. So now I had both chest and back burning.

We thought it was hypersensitivity in my esophagus. There are people out there that can become sensitive to changes in PH or pressure in there esophagus. So I tried a few different SSRIís as they seem to help this condition. Lexapro seems to make the burning in my chest go away but the burning in my back got worse.

I went for MRIís in my cervical, thoracic, and lumbar back and got an EMG. The lumbar and cervical was pretty much normal and the EMG. The thoracic was abnormal. I am going for e EPI to see if it helps with the pain. Since its in the T6-7 area the pain management doctor doing the EPI says that the pain is not coming from there as its too low for the pain to radiate that high on my back based off the ASIA Pain sensory point chart.. My neurologist says itís possible it could radiate and wants me to get shot.

When the burning was in my chest I could at least rub a biofreeze type cream on it which would help block the burning feeling but now that itís on my back I canít relieve it as my back feels so sensitive like its sunburned, so putting any cream, ice or heat only makes it feel worse. If I sit down too long it burns more. The only thing the helps are going for walks. I can sleep at night but as soon as I wake up my back is burning. I sleep on my back and I tried to sleep on my side but burning is either the same or worse.

Can anyone with this type of herniation confirm if they experienced this type of burning pain in the area is described? I am at a loss if this shot doesnít work. My fear is that my back could still be causing it but not sure what else to do. It seems like too much of a coincidence but the weird thing is the pain didnít start in my back, it started it my chest then moved to my back.

Last edited by gpinzone; 10-12-2011 at 07:37 AM. Reason: spelling

 
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Old 10-12-2011, 11:12 AM   #2
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Re: T6-T7 Thoracic cause burning pain in Upper back?

It's kind of odd: we don't usually have people posting who have thoracic problems -- but we've had 3 in the last 24 hours. I hope you see each others' threads and can compare symptoms!

Are you familiar with a dermatome map? You can find one online. It is based on the fact that each spinal nerve innervates a particular area of the body. If you had pain in your big toe, a doctor would know to begin looking for problems at the L4 nerve. You can see what area of the body is innervated by the T6-T7 segment. You will notice that in the thoracic area the dermatomes run in a circle around the rib cage. It is not unusual to have a pain in the side or chest that is originating in the thoracic spine.

 
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Old 10-12-2011, 12:20 PM   #3
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Re: T6-T7 Thoracic cause burning pain in Upper back?

Well thats just it. I looked at the dermtone chart and pains supposed to be more mid back but again I am trying to understand if anyone is getting it towards the upper. I nerve is pinched so wondering if its possible its causing it further up.

 
Old 11-01-2011, 05:56 PM   #4
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Re: T6-T7 Thoracic cause burning pain in Upper back?

I have T6,7 herniation and I injured it at work. I can relate to the burning sensation. My is pinching my spinal cord and is affecting bladder and other issues. The burning I feel and sensitivity in that area of my back is like you explained. Warm bath, heating pad.. really helps some. I live in Iowa and I seen a neurological Surgeon but he said the surgery to fix it is to risky and the injury to this area is rare. I didn't just except it, so, I found a doctor at the Spine Center in MPLS, MN. He performs surgery to this area frequently and says it is an aggressive surgery. Requires a hosp. stay of about a week. He is going to put a metal plate in the front and back to stabilize it. The longer you wait, the worse it will become and the more permanent the symptoms will become. Till it causes paralysis. I feel, it isn't that the Surgery is so risky as Iowa Doctors don't feel comfortable operating in this area. My new Doctor in MPLS is so wonderful and they do operated and feel confidant that they can and will help me. They validate you. Making you feel like... Wow, this isn't all in my head. This is real and also the doctors here in Iowa treat me like I have the plague. Some times traveling to some other State is well worth it. I can feel the pain through my chest daily. The burning in my back and it does radiate. Also I have leg weakness and bladder issues because the cord is deformed and pinched. I see my Doctor about the surgery on the 4th. I will post what I find out. Good luck to you and to all you out there with Thoracic issues. Hope this helps.

 
Old 11-02-2011, 05:43 AM   #5
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Re: T6-T7 Thoracic cause burning pain in Upper back?

CAn you please be more specific when you talk about location of your burning pain?

How far does it radiate and what parts of your back, chest, neck, arms?

 
Old 11-02-2011, 08:03 PM   #6
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Re: T6-T7 Thoracic cause burning pain in Upper back?

I have burning between my shoulder blades and inside my chest. I can feel it inside my chest, like it is my stomach area or my heart. Also it goes towards my neck and down my back. Also it radiates around my ribs. It isnt always in the same place. I also feel it in my lower stomach, feeling like it is my organs inside. The area of the thoracic injury, those nerves affect your organs. I have a feeling of my stomach being extended to the max. Like bloating. That is also from my injury. The burning is because of my T6,7 spinal cord compression. The spinal cord being compressed, affect signals to your organs and can be felt in other areas. I haven't felt it in my arms or hands or if I have, I don't really associate it with my back. I have felt it in my lower extremities, including my peri area. Hope this helps. I have pain though that becomes so severe in my back also that I feel go towards the front of my chest. Also hurts when I breathe in at times. There is also a feeling as a vice is around my rib cage. This all drives me crazy. I see my Doctor on Friday to find out about when or if I for sure am having the surgery. I will keep you posted if you would like? Sorry you are sad. If you ever want to talk, I am here.

 
Old 11-03-2011, 08:59 PM   #7
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Re: T6-T7 Thoracic cause burning pain in Upper back?

[QUOTE=gpinzone;4860029]Here is my MRI results:

At T6-7 moderate sized left paracentral disc herniation which moderately idenents the left ventral hemicord causing mile to moderate focal cord compression but without significant central spinal canal stenosis. There is no abnormal sinal with cord

At T7-8 a small left paracentral disc herniation contacting and only slightly impinging the left ventral cord without central spinal canal stenosis.

This started about 12 months ago. I started to have burning pain right in the middle of my chest ranging from my sternum to the middle of my nipples when I drank water. It started to get worse asa couple of months past where I was just constant Over the last 9 months I went for every GI test (24 ph test, Endoscope, Manometry), blood test, vitamin tests, allergy tests, heart work up in the book and while I have minimal reflux it would not cause this constant burning. I am on PPIís anyway. The only thing that helped the burning was rubbing my chest or a hot bath but as soon as I stopped rubbing it or got out of bath burning came back.
Then about 3 months ago the burning pain began in my back as well, but just so slightly. I began between my shoulder blades and could radiate to the back base of my neck where it connects to my back and also at times to my triceps. I donít have any weakness, difficulty breathing, or pins and needles. As weeks went by it got gradually worse. So now I had both chest and back burning.

We thought it was hypersensitivity in my esophagus. There are people out there that can become sensitive to changes in PH or pressure in there esophagus. So I tried a few different SSRIís as they seem to help this condition. Lexapro seems to make the burning in my chest go away but the burning in my back got worse.

I went for MRIís in my cervical, thoracic, and lumbar back and got an EMG. The lumbar and cervical was pretty much normal and the EMG. The thoracic was abnormal. I am going for e EPI to see if it helps with the pain. Since its in the T6-7 area the pain management doctor doing the EPI says that the pain is not coming from there as its too low for the pain to radiate that high on my back based off the ASIA Pain sensory point chart.. My neurologist says itís possible it could radiate and wants me to get shot.

When the burning was in my chest I could at least rub a biofreeze type cream on it which would help block the burning feeling but now that itís on my back I canít relieve it as my back feels so sensitive like its sunburned, so putting any cream, ice or heat only makes it feel worse. If I sit down too long it burns more. The only thing the helps are going for walks. I can sleep at night but as soon as I wake up my back is burning. I sleep on my back and I tried to sleep on my side but burning is either the same or worse.

Can anyone with this type of herniation confirm if they experienced this type of burning pain in the area is described? I am at a loss if this shot doesnít work. My fear is that my back could still be causing it but not sure what else to do. It seems like too much of a coincidence but the weird thing is the pain didnít start in my back, it started it my chest then moved to my back.[/QUOTE]

gpinezone, You say, If I sit down too long it burns more. Also you intimate that you can sleep at night but immediately get pain, presumably on rising.
I am no Doc but on that information alone I would zero in on an a vertebral thoracic articulation. All the diseases you were tested for would not disapear on lying in bed, and would not worsen on sitting. It is unfortunate that thoracic problems cause symptoms that mimic visceral conditions. The anatomy of the thoracic spine lends itself to the confusion.
Now a small protrusion interferes with the joint but not to the nerve root and gives pain at that local area and so no neurological signs. But if there is a protrusion which goes back and outwards it does not interfere with the joint but it presses on the nerve so neurological signs, this is perhaps what is happening to you. You could be diagnosed with gastric conditions, pleurisy of the lungs or a cardiac condition until tests for these are done and ruled out.
It seems unfortunately this condition can last for a long time. Speak to your Doc and see if he knows a Osteopathic physician or a Physical therapist who can give either gentle traction to start with or oscillitary mobilizations. It is possible you may be one of the luckier ones who gets relief.
James

 
Old 11-04-2011, 05:29 AM   #8
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Re: T6-T7 Thoracic cause burning pain in Upper back?

let me update eveyone on the thread.

I got 2 Epidurals in my thoracic area. First one I really coudlnt tell if it did anything. If it did it helps 10%. Second one two days after shot my burning pain seem to be 30% less for about 2.5 days It's pain we are talking about that some days are better then others so I have no clue if i was just having a few better days.

Sitting or stand or lying down I have the burninh. Sometimes walking helps some times it doesnt. Ill wake up in the middle of the night and sometimes pain is there sometimes its minimal. Its all so confusing.

I just got an epidural in my C6 and I am on my second day no change in pain yet. Since I was getting burning pains in my triceps, lower back of neck back of sholders and uppder middle Doctor wanted to give C6 a shot since I have a small herniation there.

I am so depressed and at a lose. I dont know what to do.

How can this be thoracic pain if its so high up on my back and neck?

 
Old 11-04-2011, 07:39 AM   #9
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Re: T6-T7 Thoracic cause burning pain in Upper back?

You do not usually get immediate results from an ESI. It can take up to a week for it to have some effect. That's why I don't understand why you would be given a second injection two days after the first one.

If you aren't satisfied with your current doctors, have a consultation with someone else. Take some time to do your research and find someone who is experienced in dealing with thoracic issues. You may have to go to a major metro area or a major teaching hospital to locate this specialist.

Obviously, all spine surgeons are trained to work on the thoracic area, but very few actually have experience with it. There is a BIG difference.

 
Old 11-04-2011, 08:28 AM   #10
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Re: T6-T7 Thoracic cause burning pain in Upper back?

I am sorry if I wasn’t clear. I had first Thoracic 3.5 weeks ago. Got a second inject in thoracic 2 weeks after that. Since it really didnt help we decided to try the neck since I have a small herniation in C5-C6 and the burning back symptoms are my upper back, shoulders, and triceps which correlate better with the dermatome chart.

The pain management doctor is the best in Long island. The Back doctor is supposed to one of the best in NY. HE operates on the JETS, Islanders, and Hofstra players. How to find a Thoracic Back doctor, I have no idea since no one is going to specialize in thoracic area only. If anyone can recommend one in NY please let me know.

No one can give me answer. It’s all guess work at this point. I have researched so much over the last year and a half I am getting real depressed. My symptoms manifest themselves. Its just crazy. My life is such a nightmare. I know for sure it’s a nerve issue. Drugs seem to make the symptoms change.

I can’t tell for sure if this pain is from my cervical, thoracic, or some idiopathic sensory neuropathy. Problem is, aside from EMG and shots MRI’s and blood test there’s no other tests to take.

It’s very suspicious that I recently found out about this thoracic herniation that I have no idea how it happened but the area at which I am being effected supposedly doesn’t correlate with my burning pain. I am trying to find out someone with t6-7 herniation with symptoms like mine. Everyone I talk to has wrap around pain, ribs, balder issues, leg pain, numbness, bladder control issues, trouble with balance, burning at the areas or below the herniation, none of which I have. I am not going to have surgery but it would be nice to rule it out as the cause. Right now I have nothing else to go on.

Last edited by gpinzone; 11-04-2011 at 08:38 AM.

 
Old 11-04-2011, 09:19 AM   #11
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Re: T6-T7 Thoracic cause burning pain in Upper back?

Is your doctor a fellowship-trained spine surgeon or is he an orthopedic surgeon who operates on the spine? Generally surgeons associated with sports teams are sports medicine docs or surgeons.

Have you tried going to a neurosurgeon or looked into someone at HSS?

 
Old 11-04-2011, 10:12 AM   #12
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Re: T6-T7 Thoracic cause burning pain in Upper back?

Andrew Hecht is his name.

Last edited by moderator2; 11-04-2011 at 04:07 PM.

 
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