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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Back Pain With Herniated Discs

can muscles around your heart get strained? Age : 46 Height: 5 8 Weight : 185lbs Has herniated discs in back T2-T3,T4-T5,T5-T6,T7-T8,T8-T9. Had stents placed in heart arteries 2-3 years ago. Had tests done a couple of weeks ago - ECG (?) and scans - everything is fine. Gets concerned with the back pains that is being caused by the herniated discs, because pain comes to the chest area as well.
Mon, 16 Mar 2015
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Orthopaedic Surgeon,  's  Response
Dear patient
You have got two problems that are not related but present with similar complaints. This is because heart and front chest wall is supplied by T1 to T6 dermatome. Disc prolapse at T1T2, T2T3 and T3T4 discs will lead to spinal cord compression at this levels and hence back pain and radiating pain in front chest wall. Now we have to look for severity of spinal cord compression by prolapsed discs. This can be assessed by looking at spinal canal diameter at discs prolapse level. If your mri is done and report is showing severe cord compression by discs then surgery may be option. If spinal cord compression is mild rest for few days and physiotherapy will be helpful. Take opinion from expert spine surgeon with mri report.
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Suggest Treatment For Back Pain With Herniated Discs

Dear patient You have got two problems that are not related but present with similar complaints. This is because heart and front chest wall is supplied by T1 to T6 dermatome. Disc prolapse at T1T2, T2T3 and T3T4 discs will lead to spinal cord compression at this levels and hence back pain and radiating pain in front chest wall. Now we have to look for severity of spinal cord compression by prolapsed discs. This can be assessed by looking at spinal canal diameter at discs prolapse level. If your mri is done and report is showing severe cord compression by discs then surgery may be option. If spinal cord compression is mild rest for few days and physiotherapy will be helpful. Take opinion from expert spine surgeon with mri report.