Thoracic discogenic syndrome is an uncommon source of back pain characterized by unique and nonspecific symptoms. Most thoracic disk herniations are without symptoms and are typically found incidentally during magnetic resonance imaging. Individuals experiencing symptoms related to thoracic discogenic syndrome may present with pain in the chest wall, epigastric region, and upper extremities, and sometimes in the groin or lower extremities. This can lead clinicians to explore alternative diagnoses such as lumbosacral radiculopathy, myocardial infarction, nephrolithiasis, and cholecystitis.The thoracic spine’s particular orientation, structure, and function within the vertebral column contribute to the low incidence of thoracic discogenic syndrome. The majority of cases are due to degeneration of the intervertebral disks. However, some may be due to trauma typically caused by twisting or torsional movements when participating in sports that require axial rotation of the spine. Management of thoracic discogenic syndrome is primarily conservative but becomes surgical if a patient presents with myelopathy or fails conservative measures. The anatomy of the thoracic spine makes surgical decompression technically challenging, posing a higher risk of spinal cord compromise. All patients with thoracic discogenic syndrome require a rehabilitative program focusing on proper body mechanics, posture, and strengthening of the back, abdominal, and gluteal muscles. This activity describes the pathophysiology, evaluation, and management of thoracic discogenic syndrome, providing healthcare professionals with the knowledge and tools to improve patient care for this complex condition while highlighting the role of the interprofessional team in the care of affected patients.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/30070
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABOS - 1.0 Point; Credit Type(s): Accredited CME (ABOS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.0 Point; Credit Type(s): Lifelong Learning (ABA)
ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: General Orthopaedics, General Surgery, Internal Medicine, Neuropathology (incl. Neuromuscular), Orthopaedic Sports Medicine, Pain Medicine, Pediatric Orthopaedic Surgery, Soft Tissue & Bone, Surgery of the Spine