Sunday, December 5, 2010

Schmorl's Node in the Throacic Spine


Schmorl's Node

Schmorl's node is described as a herniation of the spinal disc's soft tissue into the bony tissue of the adjoining vertebrae. Schmorl's node is a lesion considered to be linked with trauma, frequently located in the thoracic and lumbar vertebrae, however there is a chance that the node can be a congenital defect of the vertebral end-plate. Schmorl's nodes are usually the start of degenerative-disc disease. X-rays are used to diagnose this spinal defect.

A physical exam will show soreness directly over the concerned vertebrae. Schmorl's nodes typically cause no symptoms nevertheless an inflammatory response can take place producing severe pain. Generally the patient cannot remember what they did to cause the pain. Not requiring substantial medical care, rest and spinal manipulation are usually required to alleviate the pain. Oral supplements can assist elasticity and non-steroidal anti-inflammatory drugs can relieve pain and swelling. If the discs need repaired, advanced Arthroscopic surgery can be performed to relieve nerves that are crushed.

(Image shows Schmorl's node at T11 and T12)

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