Ankylosing Spondylitis DESCRIPTION Ankylosing Spondylitis (AS) is a type of arthritis that affects the spine. It is a chronic inflammatory autoimmune disease of the axial skeleton, with variable involvement of peripheral joints and non-articular structures. Spondylitis often starts around the sacroiliac joints, where the sacrum (the lowest major part of the spine) joins the ilium bone of the pelvis in the lower back region. The spine 's bones (vertebrae) may grow or fuse together, resulting in a rigid spine. This places the spine in a vulnerable state because it becomes one bone, which causes it to lose its range of motion as well as putting it at risk for spinal fractures. This not only limits mobility but reduces the affected person 's quality of life. These changes may be mild or severe, and may lead to a stooped-over posture. Early diagnosis and treatment helps control pain and stiffness and may reduce or prevent significant deformity. AS can range from mild to progressively debilitating and from medically controlled to refractory forms. Some cases may have times of active inflammation followed by times of remission resulting in minimal disability, while others never have times of remission and have acute inflammation and pain, leading to significant disability. …show more content…
SYMPTOM The most common early symptoms of ankylosing spondylitis include: 1. Constant pain and stiffness in the low back, buttocks, and hips that continue for more than three months. 2. Stiffness. 3. Bony fusion. 4. Pain in ligaments and tendons.
3. Partial thickness articular surface tear of the remaining portion of the supraspinatus tendon and infraspinatus tendon and subscapularis tendinopathy. 4. Severe osteoarthritis of the glenohumeral and acromioclavicular joint.
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
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
Range of motion is limited with flexion and extension of 20 degrees limited by pain. Spurling test is positive. Sensation is diminished C5-C6 bilaterally. Diagnoses are cervical strain, bilateral C5-C6 cervical radiculopathy, and diminished sensation, C6 reflex bilaterally.
She states that the pain is progressively getting worse. Objective findings revealed pain in the lumbosacral region, more in the sacroiliac joint. Positive findings on fortin finger flexion test. There is limited lumbar flexion. The patient is subsequently diagnosed with lumbar sacral spondylosis; sacroiliac joint arthritis; and low back pain.
The Shahs of Sunset star,Golnesa "GG" Gharachedaghi , revealed she 'd be undergoing treatments as she continues to battle crippling rheumatoid arthritis. Golnesa “GG” Gharachedaghi post on Instagram on Friday, writing, "Today is the day I begin the process of chemotherapy" next to a picture of the quote, "I want to inspire people. I want someone to look at me and say 'Because of you I didn 't give up." "Never have I ever been so scared yet so excited at the same time," Gharachedaghi continued. "I 'm scared because, well, the f---ing obvious, it 's chemo!
DOI: 01/31/2006. Patient is a 39-year-old male plumber who sustained a work-related injury to his back and elbow when he slipped and fell while going down the stairs. Per OMNI, he is status post lumbar fusion at L5-S1 on 7/19/10. The patient was declared permanent and stationary as of 8/15/11 with future medical care including physician visits, medications, possible surgery, bone growth stimulator, lumbar brace, and vocational retraining. On 12/18/12, he underwent removal of hardware and inspection of fusion.
Osgood-Schlatter Disease Osgood-Schlatter disease is an inflammation of the area below your kneecap called the tibial tubercle. There is pain and tenderness in this area because of the inflammation. It is most often seen in children and adolescents during the time of growth spurts. The muscles and cord-like structures that attach muscle to bone (tendons) tighten as the bones are becoming longer. This puts more strain on areas of tendon attachment.
DOI: 05/21/2015. Patient is a 52-year-old male control operator who sustained an injury to his low back after lifting 42-pound rolls. Patient is diagnosed with lumbar isthmic spondylolisthesis, lumbar degenerative disc disease, lumbar foraminal stenosis, and lumbar radiculopathy. MRI of the lumbar spine dated 09/01/15 showed L5 to S1 pars defects with mild spondylolisthesis.
Task 8.1b- disorders and dysfunctions of the musculoskeletal system Osteoarthritis Osteoarthritis is the most common arthritis. It is an incurable condition which affects your joints. The surface within the joints become joints become damaged which stops the joints moving smoothly. [1] The symptoms of this are: o Pain and stiffness o Swelling o Not being able to move the joint normally o A grating/grinding feeling
Introduction Patients with spine pain generally present with a clinical picture that could be created by many different conditions and therefore it is vital that clinicians identify these conditions that may delay a patient’s recovery and function or put them at risk for serious medical consequences. These conditions are known as red flags. Red flags are signs and symptoms that are found in the patient’s history and clinical examination that can link to a serious pathology. They may require further diagnostic assessment and possibly immediate treatment by a specialist. Red flags must be ruled in or out prior to treatment, the likelihood of which can be improved by thorough consideration of patient history, characteristics of the present complaint and physical examination and
Some examples are: (1) Generalized weakness. (2) Diminished reflexes. (3) Dynamic splints. (4) Pinch graft. (5) Proper alignment radical procedure.
DOI: 12/18/2014. The patient is a 56-year old male route sales representative who sustained a work-related injury to his lower back due to slip/fall on black ice while walking from his truck. As per OMNI entry, he was initially diagnosed with lumbosacral sprain. MRI of the Lumbar Spine without Contrast dated 01/23/2015 showed lumbar spondylosis at L1-2 though L5-S1 discs. At L4-5, there is a 4-mm posterior osteophyte-disc complex more prominent laterally and on the left side.
Rotating or bending the neck can be difficult. 3. You may also feel pain or stiffness in the shoulders and arms. 4. There may be pain and stiffness in the upper and lower back.
Introduction Kyphosis is a spinal disorder involving an excessive outward curve that causes an abnormal rounding of the upper back. It occurs when the spinal bones (vertebrae) in the upper back (thoracic spine) become wedge-shaped and cause deformity. Kyphosis is sometimes called dowager's hump, hunchback, or roundback. It is most common among elderly people, but can happen at any age. There are four main types of kyphosis: Postural kyphosis.