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Thoracic Disc Herniation - Please Help

Ok, here it goes:

in february, I had an accident where a woman ran a stop sign and I ran into her driver's side, which cause me to break 3 ribs and herniate/rupture 2 discs in my thoracic back at the t7-t8 and t8-t9 level. They have tried trigger point injections, intercostal blocks, chiropractic adjustments, pain medication (vicodin 10mg @ 2 every 4-6 hours), muscle relaxers (soma, zanaflex), lidoderm patches and epidural steroid injections (3 of them) with nothing working (some nights, the mixture of the pain meds, muscle relaxers and lidoderm patches, I can get a little bit of sleep). The pain meds help relieve some of the pain to get through the day. Sometimes I even hurt in my lower back around the waistline. The doctor says it could be because my muscles in my whole back are working overtime to compensate for the injury.

The doctor sent me to a neurosurgeon to see if I was a candidate for surgery. To make this visit worse, I fell asleep in the waiting room before I saw the surgeon (i go there way too early). By the time I got to see him, I was so groggy from falling asleep, that when I was trying to tell him where I hurt, I think he was misuderstanding what I was saying, or because I was so out of it, I was misunderstanding what he was asking. The pain radiates from the t8-t9 level around to the ribs. He asked if it hurts around to the nipple line. I thought he was asking if it hurts around as far as the nipple line straight down, but he was thinking I was hurting around to the nipple itself, which in reality it hurts lower. There was just a big misunderstanding between us, not his fault. He said he felt the pain was not coming from the herniated discs, but from soft tissue injury. He said if it was lower, it would indicate it was from the disc, and could operate, and relieve the pain. I was taking this information in, but not processing it, like I said I was a little groggy. I talked to my doctor who referred me, and they were going to send me for a second opinion. I tried to get a follow-up appointment with that same neurosurgeon to go back over my case to try and re-explain my pain because I was so groggy when I saw him, but the nurse said the diagnosis by the surgeon had been made and will not see me again (she said they go by what I say and my mri films, which of course show 2 distinct major herniations). Unfortunately, the other surgeon my doctor tried to get the second opinion from does not accept my insurance, which of course is the biggest crock of bull, considering that someone else caused the accident, and until a settlement is made, I have to cover all of my medical expenses. Anyway, the doctor recommended physical therapy. I have a real problem with this. This is because, when I am able to do anything physical, I regret it for the next couple of days because of the pain it puts me in. Example: I have about 2 acres of grass to cut, and I use a riding mower. After I finish cutting grass, I hurt so bad for the next 2 days. I am so pi**ed that they are wanting me to do this, but figured I have to do what the doctor says, so that the other insurance company's adjuster/attorney sees that I am not refusing any of the treatment alternatives. To top it off, if they are seeing it as a soft tissue injury, which I don't feel that it is, my disability claim will probably get denied. The doctor wrote me out of work because I am unable to function at my job. It hurts to sit/stand for more than about 15 minutes at a time.

I am so stressed out and depressed with the situation right now, that I do not know what to do. I am stressed so bad, because I am out of work, and had to withdraw what little in savings I had, and sell our second vehicle to pay bills. We are now almost out of money. My wife has just recovered from a surgery, and is going for an interview next week. But, she has fibromyalgia, and her condition can affect her at work sometimes too. She also feels that she will not be able to make the money I was bringing home, not like it was that much anyway.

I am hardly sleeping anymore. Sometimes the pain keeps me up at night, because I can't get comfortable in any postion I lay. I have gone from the bed to the recliner, to the couch, and back to the recliner. I sleep on a heating pad at night (it has a timer on it so that I don't fall asleep with it on all night long). I also think the pain medication keeps me awake. My wife says I get real talkative when it kicks in, and won't shut up. (lol)

anyway, I know this was a long post, but I am hurting so bad, and so stressed out from all of this, I needed someplace to vent and someone to talk to. I try talking to my wife, but she gets tired f hearinf it, plus it is easier to talk to someone who has been through this (she had a lower back injury from a wreck when she was about 16, but nowhere near as severe). I also wanted to see if anyone out there is/has gone through something similar, and could offer any help or advice.



Sorry if any of my spelling or grammar is off. It is about 2:15 in the morning (i am tired, but can't get comfortable enough to go to sleep).



Thanks to anyone for taking time to read this super long post, and thanks in advance to anyone who can offer any advice or help.



Rusty


Last edited by RustyBeach on August 19th, 2005 04:45 AM; edited 1 time in total
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First Helper greystar73
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replied August 19th, 2005
Anyone?
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replied August 27th, 2005
Thoracic Disc Herniation
Rusty,

i posted areply but it does not appear to have gone through. I have a similar situation. Same type of accident, three back surgeries later, multiple injections and lots of pain medication. I lost one job due to my judgement and decision making having been affected by one of those nasty meds. I have been on a new job for 6 months now and have a pain that has been sporadic until recently. One of my thoracic discs was herniated but not on the operation list because of all the others. This pain has been chronic now for several days and feels like my liver is going to explode. It is almost like I want to reach in through my ribs and take out what hurts. I have been waiting for this to subside but it hasn't yet. I do not look forward to another doctor visit and set of scans and injections or surgery. Does your pain radiate around through your rib area?
Sorry to hear there is another person up at this hour. Best wishes
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replied August 27th, 2005
Yeah. The pain starts at the spine and radiates around to the ribs to the front. I have tried explaining it to my friends, and they think I am crazy. They don't understand the pain. The doctor is still doing the injections, and I am still on all of the medications. He is trying to get a hold of a surgeon he knows, but he is about 3 hours away from me, but said he is one of the best. I really do not want surgery, but I am at the point that I don't know what to do anymore. I just want this pain to go away, and I want to go back to work.
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replied July 25th, 2010
T8 T9 spinal damage and muscles very tight Constant Pain.
I know I am responding to an old post but I have pain 24 hours a day. T8 and T9 and the pain hurts so bad at the rib line and all the way around the ribs. Someone kicked me and this is how it happened. Does it get better? I can't live like this. It does feel like the muscles straight down my back on either side are like rubber bands. They are very tight and I do feel burning in the muscles but I have pain going down my thigh also and I can't walk straight up and my head jets out and I look like I have a hunch back. I honestly cannot take the pain. It is awful and I too want to work. Does this get worse? Are there excersises that I could do to loosen my back muscles?
I had low back pain off and on for a long time prior to being kicked but this is totally different. It is like there is an indented groove running straight down the middle of my spine which was never there before. I feel like the muscles are pulling very tightly but even my hops hurt and burn. Thanks for any help.
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replied July 26th, 2010
Extremely eHealthy
have you had mri and tests done?
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replied September 8th, 2010
thoracic pain
Was in a car accident last year and fell on the winter ice this year and herniated two more disks that are in thoracic area, as yours are. Had MRI (three moderate areas of herniation in thoracic area and many others in the cervical and lumbar areas) and my ortho MD said that most people dont have pain in there thoracic area of herniation....I just wanted to cry or scream! The pain is real and it does wrap around my rib cage and as somebody else has put it, It feels like somebody kicked you in the ribs! The pain meds I am taking are sedating and I haven't been able to keep my full time job as a nurse. I get up and try to motivate around but find that I need to lay in a supine position for an hour or two before I can stand up again. THIS IS NOT THE QUALITY IF LIFE I ONCE LIVED! I keep tring to stay in control but understand that I don't have a lot of options. I had an epideral today and that may or may not assist with the pain...I will try and think positive, but no support in the medical and political world is just way wrong and may this never happen to them!Tryng to get disability is a joke! I have paid into this fund since age twelve and I am know 47 and have been denied only to find out that I needed to get an attorney to fight for my own fund that I contributed to that was set up to help me in a situation like this! Rusty Beach...how are you doing, as I see you have posted this in 2005?
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replied November 25th, 2010
Well I posted a longer reply only to be sent to log-in screen again. So I'll make this reply shorter.

I have a disk protrusion T8 and T9. Have tried every therapy. Nothing works. Have had the shots, that only made it worse. And like LEDTTF my disability was declined, and am in the process of a long appeal. Takes forever.

I would like to talk more with those that have a similar problem with their back. What meds work best? I'm on a heavy dose of Tramadol right now, and it works enough so I can do dishes in shifts, and other household chores, as long as I rest frequently. Even sitting here writing my back is flaring up.

I been struggling with this over 3 years now, and it only deteriorates. I think the only way we can get answers is if enough of us with this problem work together. Upper back pain group. We're an elite group thats had this misfortune of hurting something that is almost impossible to hurt.

Keep in touch all. I'm always around. Hopefully hear from some of you. Thanks.
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replied November 25th, 2010
Hi Rusty,

I hope you are still reading these posts because this is for you. My own history with my back is long and even I'm tired of talking about it. I have no advice medically, but I do have some that might help you deal with the emotional and depressing part of your situation.
I see a therapist. I know I am paying this person to have to listen to me and maybe deep down I know that the concern is paid for to...but what I get out of it is worth it. I too feel like I am surrounded by people that don't understand and are tired and frustrated with me and my "bad back". Being able to talk honestly with someone about my pain and frustration and a lot of time hopelessness without the fear of "not been heard" has helped me. Maybe it would help you too.
I feel for you and hope that your situation has changed for the better or will soon.
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Users who thank Sheps094 for this post: SuziQ7n2 

replied November 30th, 2010
That's a great point Sheps094. I just started seeing a therapist myself. My son is one that doesn't understand what I'm going through and it really makes life difficult. He doesn't understand why I dont just go out and get a job. Why money is tight. Why my back hurts all the time. And it's making both of our lives more difficult. I also have him seeing a counselor and hopefully together, the counselor will help us deal with it more appropriately.
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replied January 24th, 2012
wow its so good to see im not the only person sufferind this bad and have no one listen to you or call u lazy or u sure its not in your head, ive had a disk injury scine 98 said it was between t8-t9 i did flooring and construction ang my back gotten worse the pain is unbearable at time i was having a heart attack from the chest pains here i was told from another mri said its between t9-t10 with thecial sac obliviation and disk touched anterior aspect of chord n its been getting worse im at a loss what to do i too havs crew being screwed around by disability for over 2 yrs i was denied never appealed had to start all over. now today they sent me to their dr .no pain meds have been helping the psychotic pain get about 2 hrs sleep a night and cant get comfortable no matter what position i to have a hunch back...hate that term..and the pain travels down both sides of the spine and into kidneys as well. im to the point where i t cant take it no more
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replied March 22nd, 2012
Wow, I never figured a forum post that started in 2005 would still be going in 2012. But then again. I injured my T7-T8 in 1977 and here I am with the latest manifestation being that I feel like I was shot in the back where the disk protrusion is touching the dural sac and the bullet hole is coming out through my heart.. It feels pain on both sides - my back and my chest at the same time - and just like a heart attack like mentioned above. 6 months ago - it was under my left arm and felt like I had Lymph cancer or something but no bumps. 2 years ago - I thought I had liver failure - it was my whole right side of my back from my shoulders to my right hip - were on fire and I could hardly walk for about a month but the pain lingered and lasted for about 4 months - I didn't know if I was losing my liver or my kidney had failed. I also seem to have kidney insufficiency and steatosic liver - so fear built on fear. It wasn't until this year when the pain moved along a rib under my left breast to my heart - from under my left arm and I felt a slight pain in my back at the same time that I put 2 and 2 together and finally figured out the pain on the other side of my back 2 years before... Way back in 1998 - I had so much pain that I could only walk on my toes hunched over - and the movement going up and down in an elevator made me want to scream. In between there were periods when the pain of the weight of my arms hanging at my sides was excruciating.. and also when I bent over once and got stuck - and could not straighten up. So for me it has always changed. I also have peripheral neuropathy and lumbar stenosis, so I am on Fentanyl patches and oxycontin as well as Neurontin - the Neurontin is turning my memory into swiss cheese. I also think the Neurontin and the opiodes are responsible for what they call non-alcoholic fatty liver disease - or steatosis.. I always thought the pills were there to help and didn't figure they would destroy other parts of your body. The MRIs always explain some pain but never are serious enough to make the doctors stand up and take anything I have ever said seriously.. mostly they ignore me.. it's like they never even hear me when I talk about Thoracic pain - and the lumbar spinal stenosis is usually worse - and I have never figured out until recently why they never seem to think that is a big deal until I say I can't walk any more. I don't want to get too long but - the skinny is - surgeons - especially neurosurgeons don't really want to operate unless they can see clear winners and they don't really know how to do that with the spine. They do lumbar laminectomies with about 60% - 70% success if your MRI is clear cut.. and even there, they are afraid of infections, dural sac tears, and complications. I just found out that there are 2 sets of results.. that the statistics report what the Doctors think are successes and they get different figures if they ask the patients!! haha!! kind of sick huh? Also, where I am - they are matching up Pain doctors with psychologists because they recognize the anxiety and depression that goes with chronic and severe pain issues - (suicidal depression - bad thoughts - heavy frustrations) and it really helps... I talked to the shrink because when you first suffer the pain and loss of movement - until you get on anti-depressants or get some grace of acceptance - life is more hell than it needs to be. It's also true that the people closest to you wear out and get tired of listening to moaning and groaning all the time. It takes a good spouse or friend who can handle it.. Thoracic surgery is rare - as are the injuries - and the success rates are about 50/50 or worse - so if you want to feel better - read up on some of the things that can happen. Also, I found out after several years that exercise makes things worse. It was hard to accept that I had to give up trying to keep in shape. Also - your bed. If my bed isn't perfectly flat - It can make things worse. I have doors and planks under my mattress... even if the curve is very very slight - it makes a difference to me. I hope some of my experiences and insights help some of you. I wish I knew what was going to help me. I'm on one thing at a time.. try to get the stenosis micro-surgery and pray for success - and then there's a chance the spine will need re-alignment and another surgery after a year. I would even probably have to wait a year to find out if a 1st surgery would be a success or failure.. that means developing patience is not optional.. just absolutely have to do it. Lose weight if you can - walk if you can. these 2 things can save your life and might (with the help of a flat bed) make the back feel a lot better. Thanks for keeping this post going - it has helped me to read that others are out there with the same kind of pain I have. best wishes to you all.
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replied July 9th, 2012
Hello everybody, if your still out there. I also have 2 thoracic herniations that displace my thoracic cord and fill the dural sac. My pain is all through the chest wraps around to the breast bone where everything connects in the center. I also have weakness in left leg and all the stuff associated with lumbar herniation.
When I drive or chop a vegetable on the counter it almost takes my breath away from flexing that area. I fell on ice straight down on my rump from about 3 feet. I am not a small guy about 300# and had no problems before my fall. Anyway I have found that thoracic herniations make up 1-2 percent of of all herniations. They are rare. And the spinal cord through the thoracic area is very narrow so most herniations will press the cord or nerve root. These also can cause permanent nerve damage if they are serious enough and not fixed right away. Some web sites that may be of help orthogate.org on main page click low back pain under the common conditions list. This will go to a new page, at the top it says home, conditions, treatments etc. go to conditions drop down and click thoracic spine there is a lot of info there. And another good site is http://www.spine-health.com/conditions/upp er-back-pain/all-about-upper-back-pain just copy this into your browser and you go right there. I had to look this up after I had two surgeons call me crazy. When everything hurts in that area it is really hard to describe the symptoms.
OH now getting ready to battle the insurance company who sent me to a "Medical Evaluation to see if we can help you. What a joke. Orthopedic surg. basically called me a liar. If you ever hear the term Waddell Signs start worrying. Here is a site for that: http://www.doctorintexas.com/waddells-sign s.htm. It has been 18 months for me and no relief, so I feel for all my brothers and sisters in pain. Also does anybody have their kidneys hurt? I know that thoracic surgery is dangerous. I had one doc say off the record that "We don't like to do surgery on the thoracic area due to risk of paralysis so until you lose all feeling in the legs or all control of your kidneys or bowels try to live with the pain" WOW. I am not trying to scare anyone because some cases do require surgery before things get worse but how can we make any good decisions when most people think us nuts. Hope some of this helps. And one more thing, Epidural Steroid Injections do not seem to work as well in the thoracic area. I had 2 and my second one the doctor hit the nerve and I could not move or feel anything below my belly button for 6 hours plus had a spinal headache for 8 days. Thanks for your posts and keep us updated.
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replied November 6th, 2012
Hi! Thank you to everyone that has ever posted something on this subject! I have 3 hurniated discs in my Thoracic spine T6,T7 T8,T9 and T11,T12 Sad Since December 8th of 2010. I am so tired of being in such horific pain. It helped me to today to read your posts. I am at a loss of what to do after all the different things my Doctors and Chiropractor have tried already. I am starting to loss my strength within me that I once had. I am so tired. And as all of you have stated no one really understands and no on really wants to hear it anymore........ I wake up every morning in Horific pain now that they have taken me off the pain patch and Cymbalta which helped to releave some of the pain, because my liver levels are way to high. This is a work comp injury so I have medical for the rest of my life but I still have to fight for treatment..... The QME wants me to see a counciler and after reading these posts I think it is a good idea. I also have 2 hurniated disks in my Lumbar spine as well with Siatica going down both my legs. The Epiduals help for awhile and Nerve root injections as well. My Pain Mangement Dr also found that my SI Joint is what has been causing some of the pain as well. I have had injections in these joints as well and they have help and now I can walk with little pain as long as I ware the belt to help keep it strong and in place. My Pain mangement Dr thinks that alot of my pain in my mid back is caused by my low back.....I do think that some of it is, but not the knife in my back and vicegrip hold pain that I have !!! Trying to explain what is going on is very difficult and as far as I have read all of you are having the same problems.... I Hope that one day soon all of us will find some relief from this horrible pain !
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replied November 6th, 2012
Hi! Thank you to everyone that has ever posted something on this subject! I have 3 hurniated discs in my Thoracic spine T6,T7 T8,T9 and T11,T12 Sad Since December 8th of 2010. I am so tired of being in such horific pain. It helped me to today to read your posts. I am at a loss of what to do after all the different things my Doctors and Chiropractor have tried already. I am starting to loss my strength within me that I once had. I am so tired. And as all of you have stated no one really understands and no on really wants to hear it anymore........ I wake up every morning in Horific pain now that they have taken me off the pain patch and Cymbalta which helped to releave some of the pain, because my liver levels are way to high. This is a work comp injury so I have medical for the rest of my life but I still have to fight for treatment..... The QME wants me to see a counciler and after reading these posts I think it is a good idea. I also have 2 hurniated disks in my Lumbar spine as well with Siatica going down both my legs. The Epiduals help for awhile and Nerve root injections as well. My Pain Mangement Dr also found that my SI Joint is what has been causing some of the pain as well. I have had injections in these joints as well and they have help and now I can walk with little pain as long as I ware the belt to help keep it strong and in place. My Pain mangement Dr thinks that alot of my pain in my mid back is caused by my low back.....I do think that some of it is, but not the knife in my back and vicegrip hold pain that I have !!! Trying to explain what is going on is very difficult and as far as I have read all of you are having the same problems.... I Hope that one day soon all of us will find some relief from this horrible pain !
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replied December 9th, 2012
Thoracic Herniated Discs
Hello Everyone, It does help to read your posts and realize I'm not alone in the life changes since protruding discs T-2/3 and T-3/4 have wrecked havoc on a life that was once doctor-free, pain-free and drug-free. The burgeoning insanity from worker comp physicians repeatedly telling me my symptoms are unrelated. Yes, getting psych treatment as a result. Finding out on my own that the spear stuck in my back, and pain wrapping around ribs, in chest (had and EKG), and arm ARE symptoms of thoracic disc impinging on spinal cord (and as per the MRI). Very strange journey, especially because I rely on pain medication now, which depresses me. Though I'm on low dose narcotic now, I can tell tolerance is occuring - it wears off sooner. And the flexeril turns me into a zombie (and my memory seems bad), but it relieves some pain. I, too, began sleeping on the floor early on, before I rigged up a bed with a board (as someone else did) under four inches of latex foam - have to lay flat. But even then, thoracic outlet syndrome (I'm told) is what has developed from spasms affecting surrounding muscle systems, and that kicks in when I lay down. Like others have said - can't sit (!!!) unless I'm drugged. My whole life now revolves around trying to keep moving so I won't have to take a pill. But I still like to watch tv in evening - one day I'll learn to take the damn pill BEFORE tv time, because it flares so fast after I sit, I'm in agony until med kicks in. And it's getting worse, because I used to have five or so days between flares, but those days are long gone. I read that by building core muscles and changing one's posture with strengthening workout might cure. Today, I like believing that is the only long-term answer, not the drugs. I'm waiting for a letter from doctor stating a workout is required for my condition, and so the hospital-associated fitness center should let me go no charge. Like others here, I've been out of work, awaiting SSDI hearing. My sad storey is before my injury, I'd gone back to school and completed a master of arts degree in 2008, and then landed my dream job at the University - shortly after injuring my back (at previous job). Tragic, I was finally there at the University- in a professional position! But like someone else here said, my new job suffered from being in pain, and I was terminated after using all my FMLA. So, wish me luck with getting motivated to try to build core and achieve new posture at the fitness center! I'm not ready to live like this the rest of my life. I wish everybody here HOPE, too, for a better life! Connie
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replied December 9th, 2012
Active User, very eHealthy
Good luck connie wishing you a pain free day

Peter
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