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No herniation, chronic pain in thoracic. What are treatment options?

Can you translate this for me? No evidence of disc herniation or significant disc bulge in the thoracic spine . Central thoracic canal and neural foramina are bilaterally patent at each level. Incidental note is made of a posterior disc osteophyte complex at the C6-C7 level I have had chronic pain in my thoracic area for years. It has been much worse in the last few years and I m physically fit at 52 years.
Asked On : Sat, 2 Mar 2013
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General & Family Physician 's  Response
Hello and welcome to HCM.

Thank you for your query.

Let me help you with this.

"No evidence of disc herniation or significant disc bulge in the thoracic spine"- There are no hernias or disc prolapse (dislocation or slip), thus normal continuity of your spine is maintained.

"Central thoracic canal and neural foramina are bilaterally patent at each level"- Your thoracic canal/passage is normal along with the neural foramina. Normal reports again.

"Incidental note is made of a posterior disc osteophyte complex at the C6-C7 level" - An osteophyte (is a bony growth/projection that normally occurs along bony margins) has been seen at the level of the topmost part of your vertebra, which is the cervical spine. This part has 7 bones, this osteophyte is noted along the level of the 6th and 7th cervical spine.

Osteophytes are usually due to increasing age, degeneration of bones, instability that has initiated a stimulus to grow the bone further, etc.

These are considered completely normal, but in areas requiring increased mobility like the spine, they can cause pain and immobility. Treatment is usually initiated with medications (NSAID's) or surgery.

Please consult your doctor regarding the same. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
Answered: Sat, 2 Mar 2013
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