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Member
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Join Date: Jan 2009
Location: Paradise
Posts: 855
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Member
Join Date: Jan 2009
Location: Paradise
Posts: 855
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Quote:
Originally Posted by pabb
did they only image the thoracic spine?? those nerves wouldn't be involved in the lower ext issues, usually.
those thoracic vert might be your trap issue however. you show it is a trap issue and not referred pain from the hiatal hernia?
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No disrespect intended but actually a central thoracic herniation could very much host a whole slew of lower extremity problems as well as genitourinary issues (look up "long track symptoms"). That said, your MRI findings only mean something if they correlate with your clinical findings (your clinical exam tests that your doc did who ordered the MRI) so I guess what I am saying is you cannot solely perform an MRI, look at it and then say "what are my problems?"
As far as "trap issue" is concerned, middle traps are innervated by spinal accessory nerve (CN XI) mostly and not segmentally from the thoracic spine so a thoracic herniation would not affect the middle trapeziae. Thoracic paraspinal muscles are however innervated segmentally and could be affected should the exiting roots be entrapped (although this is not precisely stated). Your facial and trapezial (proper) pain as you state, would not be related. But enough shop talk, you really need to wait for your ordering physician to break it down for you and relate whether or not your MRI findings correlate with your subjective complaints and objective exam findings. Good luck!
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