Condition · Thoracic spine
Thoracic Disc Herniation
Disc herniations in the mid-back are uncommon, and because the thoracic canal holds the spinal cord, the direction and size of the herniation matter greatly.
Symptoms
Symptoms may include focal mid-back pain, a band of pain or numbness around the chest or abdomen, leg weakness, balance changes, or difficulty walking when the cord is involved.
Diagnosis
The evaluation first separates spinal symptoms from chest, abdominal, and other non-spinal causes. A neurologic examination and thoracic MRI define whether a disc finding matches the symptom level; CT can clarify calcification.
Treatment options
Stable pain without neurologic compromise often begins with medication, activity modification, and guided rehabilitation. Selected injections may be considered when the pain pattern and anatomy support them.
When surgery is considered
Surgery may be appropriate for spinal cord compression, progressive weakness or gait change, or persistent disabling symptoms tied to a clear thoracic disc target. Thoracic surgery is highly specialized, so a second opinion can be especially valuable.
When to seek care promptly
Leg weakness, balance changes, difficulty walking, or new bowel or bladder symptoms after a thoracic disc diagnosis should be evaluated urgently.
Initial consultation or second opinion?
Meet Dr. Jihoon Choi for an initial consultation — or bring your imaging for an independent second opinion before your next step. Call (972) 817-7450 or request a visit online.