Intercostal scapular pain

The disc herniation can squeeze the spinal nerve root at the root canal nerve exit, causing pain in the intercostal scapula. Intercostal scapular pain is a clinical manifestation of thoracic disc herniation. The statistical data of previous thoracic disc lesions rely on the diagnostic method of iodophenyl myelography. With the emergence of safer and more non-invasive diagnostic techniques MRI and CT, everyone's understanding of thoracic disc herniation has changed. Awwad and colleagues observed 68 patients with asymptomatic thoracic disc herniation after a CT scan (CTM) after myelography in 433 patients. Wood and colleagues reported that MRI imaging examinations of adults under 40 years of age with no chest pain found that 55% of patients had thoracic disc degeneration; 37% of asymptomatic patients had acute thoracic disc herniation, of which 40% had disc herniation. Multiple intervertebral discs over one segment are protruding. In addition, an autopsy of 368 unselected corpses revealed that 15.2% had thoracic disc herniations. It can be seen that many people have thoracic disc herniation but have no clinical manifestations. This is mainly because the sagittal diameter of the thoracic spinal canal of these patients is so large that the prominent nucleus pulposus tissue is not enough to compress the spinal cord. In addition, from the anatomical point of view, the unique anatomical characteristics of the thoracic vertebra and the particularity of its upper body weight determine that the thoracic intervertebral mobility is different from that of the cervical and lumbar vertebrae. . The direction of the facet joint is the main factor determining the feasible movement. The main movement of the thoracic spine is a little twisting. As it happens in the lumbar spine, when the fibrous ring is acutely injured, the combined force of flexion and torsional load can cause the nucleus pulposus in the back Prominence Based on this observation, coupled with the splint-like effect of the thorax and the fact that the height of the thoracic disc is lower than that of the lumbar disc, it can explain why the incidence of thoracic disc herniation is lower than that of lumbar disc herniation.

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