Abstract A 51‐year‐old man experienced sudden abdominal pain from the umbilicus to the right flank 5 days before his hospital visit. His abdominal pain disappeared when the examiner lifted his upper body in the sitting position. MRI revealed posterior intervertebral disc protrusion in the right paramedian region at the 9th/10th thoracic vertebrae. With the treatment, it is reported that traction is the appropriate initial approach for spine radiculopathy. Improvement with upper body traction performed in this case, which is a previously unreported maneuver, appears to be useful for diagnosis because it eliminates the influence of gravity and reduces intradiscal pressure. Abdominal pain originating from the spine is often overlooked because most intervertebral disk herniation occurs at the lumber vertebra that produce buttock and/or leg pain. In thoracic disk herniation, the radicular pain is aggravated by posture, especially forward‐bending and sitting position, both of which increases the intradiscal pressure. Also, improvement with upper body traction, unreported maneuver, appears to be useful for diagnosis because it eliminates the influence of gravity and reduces intradiscal pressure.
Thoracic disk herniation diagnosed with an upper body traction procedure in the sitting position
[Category] 대상포진,
[Article Type] article
[Source] PMC
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