Review # 258421 william Rose
DOI: 4/24/1991. DOI: 4/24/1991. The patient is a 72-year old male truck driver who sustained injury to his back as a result of driving the truck over a rut on the road.
The patient was subsequently diagnosed with lumbar spondylosis, lumbar degenerative disc disease, other specified postprocedural states, and lumbago. Lumbar spine 4 views X-rays, AP, lateral and flexion/extension views dated 4/4/16 demonstrates L4-5 degenerative disc disease.
As per medical report dated 4/8/16, patient returns for a follow up visit on his lumbar spine and to further discuss surgical options. He complains of low back pain with prolonged walking. He reports that he walks on his own. He has been going to aquatic exercise classes
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Patient complains of low back pain with prolonged walking. He reports that he walks on his own. He has been going to aquatic exercise classes and has been taking pain medication. He also returns for a follow up visit on his lumbar spine and to further discuss surgical options. On physical examination of the lumbar spine revealed tenderness to palpation on paraspinous muscles. Range of motion revealed flexion of 90 degrees, extension of 15 degrees; with forward bending the patient can reach mid shins. Straight leg raise is negative at 70 degrees. Per assessment and plan, patient is a status post left approach L2-3 and L3-4 Lateral lumbar interbody fusion on 7/22/14 and have a chronic mechanical low back pain status post multiple lumbar spine surgeries. Currently, patient has solid fusion at 2-3, 3-4, 5-1 and open L4-5 segment. L4-5 is suspected to be a significant pain generator. MRI from 10/2013 has been reviewed and it appears that he may be a candidate for an L4-5 Lateral lumbar interbody fusion. With regards to the surgical options, updated MRI with gadolinium would be needed. Spinal cord stimulator trial has also been discussed as a possible
An MRI was performed of the lumbar spine. The examination found no significant extra
Pain radiates from the lower back and aggravated by bending, getting in and out of the car, lifting, reciprocating stairs, sitting, standing, turning, twisting and walking which is mildly alleviated by over-the-counter drugs and
This is a 47-year-old male with a 2/1/2007 date of injury, who injured his low back from lifting a large bucket of cut grass. DIAGNOSIS: 1. Left SI radicular symptoms. Lumbar discogenic pain with high-intensity zone at L5-S1 per MRI April 2007. X-ray showed 4-mm retrolisthesis at L5-S 1.
QEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral
DOI: 5/19/2010. Patient is a 57-year-old male electrician who sustained injury when he was struck in the back by a car in a parking lot. He underwent a L5 laminectomy and decompression of the neutral elements 2011. Per the progress report dated 5/18/16, the patient complained of low back and left leg pain.
Dr. Kristen Radcliff - Spinal Surgeon with the Rothman Institute An experienced physician who holds certification through the American Board of Orthopaedic Surgery, Dr. Kristen Radcliff holds a cum laude BS in biology from Harvard University and an MD from the Duke University School of Medicine. She completed a residency through the Department of Orthopedic Surgery at the Baylor College of Medicine and a spinal cord injury and spine surgery fellowship through Thomas Jefferson University. In addition to her fellowship at Thomas Jefferson, Kristen Radcliff, MD, served appointments at the University as both an associate professor of orthopedic surgery and an associate professor of neurological surgery. Since 2020, Dr. Kristen Radcliff has treated
The patient has completed physical therapy, time, rest, medications, chiropractic care, and acupuncture with no alleviation of the pain. Significant pathology on the MRI is noted with degenerative disk disease, neural foraminal stenosis and a nerve root impingement in the cervical spine. Treatment plan includes epidural at the bilateral C5-C6 level, continuation with home exercise program and medications and follow up in 2 weeks.
DOI: 12/13/2012. This is a case of a 63-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14.
Page’s patient, P, suffers from back pain and he is determined to find the cause of the pain. To rule of the most lethal causes of back pain, some of the questions Page asks include “Did the pain wake him up at night? Was it worse when he was lying down? Had he recently lost weight?” (Page).
DOI: 5/22/2000. Patient is a 52-year-old female stitcher operator who sustained injury while she was pushing load onto a stitcher when she strained her right shoulder, wrist elbow, and neck. She underwent exploration of cervical fusion at C5-T7 with anterior cervical discectomy with fusion at C3-C5 on 12/13/11 and implantation of new implantable pulse generator (IPG) and spinal cord stimulator unit on 09/17/14. Based on the latest medical report dated 01/29/16, the IW presents for follow up of neck and shoulder pain.
Medical Records Information: Swollen lower extremities, tender to palpation lower back, right knee and left shoulder. Limited range of motion neck and lower back. Unable to squat, unable to walk on heels and toes. Asthma, sleep apnea, obesity (11/21/2014 weighed 304.4 pounds), diagnosed with rheumatoid arthritis. Was receiving mental health treatment for major depression and chronic pain in the lower back and legs, pain was “becoming intolerable.”
The symptoms are reduced by taking medications, applying ice /heat compresses, transcutaneous electrical nerve stimulation (TENS) unit and massaging. Physical examination is essentially unchanged. Spinal restrictions/subluxations are noted at T1-12 and L1-L5. Pain/Tenderness is noted over the upper to mid/mid to lower cervical, cervico-thoracic, upper/mid/lower thoracic, thoraco-lumbar, upper/lower lumbar and lumbo-sacral and left shoulder.
Client has pain when extending the neck towards the sternum, lateral extension of the right side, and reduced range of motion in rotation of the neck towards the left side of the body. Patient explains that prior to her injury she could touch her chin to her sternum area, easily rotate her head from right to left and look over her shoulder. She complains of lack of sleep due to pain, headaches, problems with driving and inability to bend neck to read, eat, and engage in office/school work. Client loves to take long drives, put together puzzles, and play video
Majority of people have to get physical therapy because something is causing them pain. Many things fall in the category of pain but one common reason patients come in is a back sprain. The symptoms of back sprain would be pain with moving or back spasms and muscle cramping. The most often back sprain is a sprain in the lumbar back muscle. The back is prone to the lumbar strain because it holds the weight of your body when bending, moving, or twisting A Lumbar muscle strain is caused when muscle fibers are stretched or torn.
Low back pain is neither a disease nor a diagnostic entity of any sort. The term refers to pain of variable duration in an area of the anatomy afflicted so often that it is has become a paradigm of responses to external and internal stimuli (Ehrlich GE 2003). Research study on low back pain has shown that it is a common problem in general population. As seen in Western industrialized countries, back pain is one of the major health problems (R Ayiesah and D Ismail 2007).