Neurological Examination Spinal Cord Part 3 - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 7 ก.ย. 2024
- Dr. Ebraheim’s educational animated video describes innervation of the thoracic nerve roots.
There are 12 vertebrae in the thoracic region. The spinal canal in the thoracic region is relatively small. The spinal cord could be easily injured in this area.
Pain in the thoracic region can occur due to thoracic disc herniation or different types of etiology such as:
•Cardiovascular
•Retroperotineal
•Neoplastic
•Thoracic spine pathology
Point of consideration is thoracic disc herniation. It occurs more in the lower thoracic region usually during the fifth decade of life. Pain radiates to the ribs and anteriorly at the same level . the incidence of disc herniation is up to 15%, but most are asymptomatic.
Clinical presentation
•Radicular pain anterior towards the ribs.
•Myelopathy could occur. Patient could have gait disturbance, leg weakness, as well as baldder and bowel dysfunction.
Diagnosis usually by MRI.
Conservative treatment includes:
•NSAIDs
•Physical therapy.
Surgery is indicated when the pain is severe and not responding to long periods of conservative treatment.
Thoracic disc herniation with myelopathy.
•Herniated disc T1-T2 bulge
•Sensory T1
•T1 interossei muscles
•No reflex
•Sensory T2
•Sensory T3 third intercostal space
•Sensory T4 nipple line
•Sensory T5 fifth intercostal space
•Sensory T6 sixth intercostal space
•Sensory T7 xiphoid process
•Sensory T8 eighth intercostal space
•Sensory T9 ninth intercostal space
•T10 umblicus
•Sensory T11 eleventh intercostal space
•Sensory T12 inguinal ligament
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i wish i can see you. I'm in California. no on here seems to know how to fix it that ive gone to.
This is a very detailed video about where the thoracic vertebrae are located and some of the different causes of spinal cord injuries.
Thanks for the surgery information
He is great doctor
Dr. Ebraheim I have been a T3-T4 Gunshot victim since 2011 and i feel the pain from NIPPLE LINE all through the sole of my two feet. I was operated by a Neuro Surgeon doctor and they just remove the foreign object which is the 9mm bullet in my back but they also remove some bone in the part of t3, t4 and t5. I am still alive having all this pain but I stopped using tramador becuase it just create to much uncurable bed sore since I am now bed ridden. My doctor declared that I may be permanently disable like this until death so I can not do anything but only put my hope in God alone.
Hebrews-12:26 Haggai-2:6 I have the same problem since 1989 been hit by a long empty pipe in an avoidable fight. Today like I been cut from mid body in pain always can not stay stright.
Amazing lecture 🧡🧡🧡🧡
@TheAnupshrestha see my spinal cord injury one posted today
thanks
Thanks ♥️♥️♥️♥️♥️
Very useful and clear
Nabilebraheim Sir !!!
I want you Hearty thank's for you. such a good 3 d Beautiful and Useful video..
Kindly Keep it on!!
Thank you,
sir....
Sir D2-3ossified flavum with moderate canal compromise on my MRI report my problem is numbness in feet and one side ribs buttock Dr says surgery is only treatment help me sir
thank you
@whatsup149 GREAT
Thank you for the video. I am just wondering, is T12 - L1 disc bulge affects T12 nerve root?
no
@whatsup149 THANKS
Sir apka clinic Kaha pe hai
I have a problem with T8 nearly 5years ago still i didn't get any answer how to cure if there is any one can help me please let me know ...
And i just want to heal without operation ...
Okay
Alezao loba
L4 L4 S1 Exercise
Thank you