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  • Title: Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher.
    Author: Kato K, Yabuki S, Otani K, Nikaido T, Otoshi K, Watanabe K, Kikuchi S, Konno S.
    Journal: Fukushima J Med Sci; 2016 Jun 08; 62(1):64-7. PubMed ID: 26983590.
    Abstract:
    Symptomatic thoracic disc herniation is clinically rare.　There are few cases of disc herniation of the thoracic spine in top athletes described in the literature.　We herein present a rare case of chest wall pain due to thoracic disc herniation in a professional baseball pitcher.　A 30-year-old, left-handed pitcher complained of left-sided chest wall pain in the region of his lower ribs during a game. Neurological examination revealed hypoesthesia of the left side of the chest at the level of the lower thoracic spine.　Magnetic resonance imaging (MRI) of the thoracic spine showed a left-sided paramedian disc herniation at the T9-T10 level.　The player was initially prescribed rest, administration of pregabalin (150 mg twice a day), and subsequent physical rehabilitation.　He was able to resume full training and pitching without medication 6 months after the onset.　A follow-up MRI of the thoracic spine showed a reduction in the size of the herniated disc compared to the initial findings.　Though relatively rare, thoracic disc herniation should be considered in cases of chest wall pain in athletes.
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