Facet Arthropathy Case Studies
Review # 258114
Roseblanch Butler
DOI: 7/27/2006. The patient is a 36 -year-old female apprentice engineer who sustained a work-related injury to her neck and back from lifting demolition hall debris.
The patient was subsequently diagnosed with lumbar radiculopathy.
MRI of the lumbar spine without contrast dated 10/16/14 revealed degenerative disc disease and facet arthropathy with retrolisthesis L5-S1, canal stenosis, neural foraminal narrowing.
As per medical report dated 4/8/16, patient complains of having more pain lately. She notes that she had continued to maintain significant improvement to her low back and leg pain as a result of the bilateral L5-S1 transforaminal epidural injection on2/2/15. She also indicates that her low back and leg pain had continued to remain improved by more than 95%. She notes
…show more content…
There is also tenderness to palpation bilaterally at paraspinal L5-S1. Straight leg raise is positive bilaterally, localizing to low back pain with ipsilateral leg pain. Sensation decreased over the bilateral L5 dermatomes, left greater than right.
Assessment includes: lumbosacral disc disease with radiculopathy.
Treatment plan includes request for bilateral L5-S1 transforaminal epidural steroid injections continue follow-up as directed. Per procedural report dated 12/16/15, the patient had undergone and had tolerated the bilateral L5-S1 transforaminal epidural steroid injections under fluoroscopic guidance and bilateral L5-S1 epidurograms without complications and was discharged according to protocol.
As per provider 's recommendation, bilateral L5-S1 transforaminal epidural steroid injections would be beneficial for the patient and appropriate as the patient has obtained greater than 50% improvement in pain from the injections, with improvement in functional capacity, and injections are not repeated more than 4 times per year in the body region
Orleda Lee Harris Case Summary
302 Words | 2 PagesAn MRI was performed of the lumbar spine. The examination found no significant extra
Nursing Case Memo
647 Words | 3 PagesDOI: 4/16/2012. Patient is a 29-year-old male technician who sustained injury when he was 25-feet up on a ladder when the ladder slid and he fell onto the pavement. He had an open reduction internal fixation (ORIF x 2) for a compound tibia fibula fracture and had hardware removal in 4/25/2013. MRI of the lumbar spine performed on 3/24/2016 revealed L5-S1 small right paracentral disc protrusion without significant spinal canal stenosis or neuroforaminal narrowing.
Low Back Pain Case Studies
934 Words | 4 PagesThis 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.
Room 3b Case Study
859 Words | 4 PagesQEP 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
Percocet Case Summary
284 Words | 2 PagesDOI: 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.
Iw Case Studies
312 Words | 2 PagesThe 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.
Work Related Injury Case Summary
340 Words | 2 PagesPer progress report dated 10/23/14 medicatiosn include Atenolol, Norco and cyclobenzaprine. Based on progress report dated 07/06/15, the patient presents with chronic right knee pain, described as dull and achy. Pain is worsened by sittlng,standing, and walking, and relieved by walking/exercise. He has been weaning norco and flexeril.
Left Wrist Case Summary
247 Words | 1 PagesHe was diagnosed with wrist pain. Plan is for a left wrist scaphoid excision, 4 corner fusion. This will require use of the Stryker EasyClip staples. He is currently taking Ibuprofen 800 mg 1 tablet 3 times a day.
57-Year-Old Male Bookbinding Operator's Injury Of Di
261 Words | 2 PagesDOI: 08/29/2006. Patient is a 57-year-old male bookbinding operator/route salesman who sustained injury when he was startled by a cat while making a delivery and fell. Per OMNI, he was initially diagnosed with lumbar herniated disk. The patient is currently temporary totally disabled due to knee surgery in April 2013. Based on the progress report dated 03/21/16, the patient reports that his low back pain tweaked again, after making the bed.
L4-5 Nursing Case Studies
357 Words | 2 PagesDOI: 07/17/2013. This is a 25-year-old female cashier who incurred injury to her low back when she missed a step and fell off a ladder while stocking sleeping bags. MRI of the lumbar spine dated 10/03/2013 revealed broad based central disc protrusion at L4-L5; moderate discogenic edema along endplates at L4-5; and broad bulge with a central annual tear at L5-S1. CT scan of the lumbar spine dated 01/08/2014 revealed that at L3, bilateral pars interarticularis defects are seen with sclerotic margins. The vertebrae at L3-4 are normal in present on the prior MRI.
Iw Case Report
635 Words | 3 PagesDOI: 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.
Herpes Zoster Essay
528 Words | 3 PagesThe anticoagulants contraindicated a possible epidural or paravertebral block because of unwanted and potentialy catastrophic associated sideeffect. Thus, we determined the patient was a good candidate for US-guided SAP
Patient Profile
536 Words | 3 PagesDOI: 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.
Law 421 Week 1 Memo Sample
1383 Words | 6 PagesHis doctor recommended the applicant to have acupuncture and physical therapy. He said that there has not been any discussion of surgeries or injections. He takes Naprosyn three times a week. He claims that he began having radiating pain into his knee since he started treating at Southland Spine. He claims this pain occurs three times per month.
Essay On Low Back Pain
1001 Words | 5 PagesWhen these actions are not done properly, back pain can be experienced frequently by the nurses. Joey C. Bergeron et al. (2006) state that much literature indicates bad posture is the predominate cause of low back pain in otherwise healthy individuals. Proper alignment of the spine is crucial while walking, sitting, and sleeping to support ligaments, tehndon, and disks in the lumbar area. Any deviation in proper posture relating to these daily activities put the spine in a vulnerable position for
More about Facet Arthropathy Case Studies
Orleda Lee Harris Case Summary
302 Words | 2 PagesNursing Case Memo
647 Words | 3 PagesLow Back Pain Case Studies
934 Words | 4 PagesRoom 3b Case Study
859 Words | 4 PagesPercocet Case Summary
284 Words | 2 PagesIw Case Studies
312 Words | 2 PagesWork Related Injury Case Summary
340 Words | 2 PagesLeft Wrist Case Summary
247 Words | 1 Pages57-Year-Old Male Bookbinding Operator's Injury Of Di
261 Words | 2 PagesL4-5 Nursing Case Studies
357 Words | 2 PagesIw Case Report
635 Words | 3 PagesHerpes Zoster Essay
528 Words | 3 PagesPatient Profile
536 Words | 3 PagesLaw 421 Week 1 Memo Sample
1383 Words | 6 PagesEssay On Low Back Pain
1001 Words | 5 Pages