Condition · Thoracic spine
Thoracic Stenosis
Narrowing of the thoracic canal can crowd the spinal cord in the mid-back, affecting the legs and walking before back pain is even prominent.
Symptoms
Thoracic stenosis may cause mid-back pain, altered trunk sensation, leg heaviness or weakness, balance difficulty, and changes in walking. Bowel or bladder changes require prompt evaluation.
Diagnosis
A detailed neurologic examination helps localize the level. MRI evaluates the cord and surrounding soft tissues; CT can define bony narrowing or ossified ligament, and standing films assess alignment.
Treatment options
Symptom control and observation may be used when neurologic function is intact and findings are stable. Rehabilitation can support mobility, but it cannot reverse fixed pressure on the spinal cord.
When surgery is considered
Decompression is considered when stenosis produces myelopathy, neurologic decline, or substantial functional loss. Stabilization may be added when alignment or the required decompression makes it necessary.
When to seek care promptly
Worsening leg weakness, balance loss, or bowel or bladder changes warrant prompt evaluation.
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.