Thoracic Radiculopathy

Abstract

Spinal pathology (disc herniation, degenerative changes, stenosis, and osteophytes), in addition to diabetes and trauma, is the most frequent cause of thoracic radiculopathy. Pain is a common symptom and is usually reported in the upper back, chest, or abdomen, while sensory deficits such as paresthesias may also be present. Serious cardiac, abdominal, and spinal cord conditions, such as ischemic disease or myelopathy, need to be ruled out before starting treatment. Electrodiagnostic studies and magnetic resonance imaging help to confirm the diagnosis when radiculopathy is suspected. If conservative treatment with pain medication and physical therapy fails, procedures such as steroid injections and spinal surgery should be considered.