Age-related wear also affects the soft tissue of the thoracic spine. Ligaments and tendons (the tough bands of tissue that hold the neuromuscular structure together) can dry out and shrink, pulling bones out of alignment. Spinal stenosis, a condition in which the spinal canal narrows and causes nerve root compression and pain, can result from thoracic spondylosis. Protective cartilage can also wear away from joints, allowing bones to grind together and damage each other. Bone spurs can then form, placing pressure on spinal nerves and causing pain.
The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.