The numerous surgeries and spinal epidurals were arduous, physically and mentally. Each painful procedure required bed rest for a prolong period of time, with many follow up appointments. However, partnered with several hundreds of hours of physical therapy the surgeries have
DOI: 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.
Per procedure reports, the patient is status post therapeutic bilateral sacroiliac intra-articular injection on 02/18/16, diagnostic bilateral sacroiliac intra-articular injection on 02/05/16, confirmatory bilateral L3-5 medial branch nerve block on 01/25/16, diagnostic bilateral L3-5 medial branch nerve block on 01/11/16, bilateral L5-S1 transforaminal epidural injection on 04/06/15, bilateral L5 dorsal ramus
I attended a hearing on your behalf in the above-referenced matter before Judge O’Connor in New Windsor, New York on 07/19/2017. The claimant was present and was represented by attorney Nancy Flaherty. As you know, this case has previously been established for an injury to the head. Prima facie medical evidence has been found for the neck and post-traumatic syndrome.
3, 4, 6b, 8, 10 Clinical signs include muscle weakness and atrophy, exercise intolerance and a paddling gait. Dysphagia and regurgitation are frequently seen with degeneration of the esophageal and pharyngeal muscles. Creatine kinase levels are elevated and there are bizarre discharges on EMG.
Jimmie Bowman was seen in followup for CIDP, causing previous weakness and numbness of his distal lower extremities. He states that the strength of his distal lower extremities [____] continues improved and is staying normal. He has occasional mild feeling of numbness of his feet, but states this is staying down to what he can tolerate. He is not having pain of his feet. He is no longer on Imuran.
Based on progress report dated 05/23/14, the patient reports of continued dull aching pain and burning sensation into the cervical spine. She received 2 cc of lidocaine with no epinephrine in the bilateral trapezius, cervical rhomboid, and cervical paraspinal muscles on this visit. Based on progress report dated 07/10/15, the patient complains of unchanged, sharp, dull and aching pain in the cervical spine, which radiates to the bilateral upper extremities. Baseline is 6-7/10 pain. Rest and medications help alleviate the pain.
Strength is 4/5 with knee extension on the right compared to the left. Patient is able to raise from a seated position with mild difficulty. Gait is antalgic. Current medications include Atenolol, Norco 10-325 mg 1 tablet every 6 hours as needed and Cyclobenzaprine 10 mg 1 tablet 3 times daily. IW was diagnosed with knee pain.
Review of Symptoms General: denies fever, night sweats, significant weight gain or loss, exercise intolerance, depression, sleep disturbances, or fatigue HEENT: denies dry eyes, irritation, vision changes, difficulty hearing, ear pain, sore throat, runny nose, or sinus pressure Neck: denies swollen glands or stiff neck Pulmonary: denies cough, wheezing, or shortness of breath Cardiovascular: denies chest pain or palpitations Gastrointestinal: denies abdominal pain, nausea, vomiting, diarrhea, constipation, acid reflux, or melena Genitourinary: reports dysuria and vaginal itching, denies incontinence, hematuria, increased frequency, abnormal bleeding, or vaginal odor Musculoskeletal: denies muscle aches, weakness, joint pain, back pain, or edema Integumentary: denies any rashes, lesions, or change in hair Neurological: denies numbness, headache, seizures, tingling or sensation changes Endocrine: denies bruising, excessive sweating, thirst, hunger, heat or cold intolerance Objective Data Physical Exam Vitals: blood pressure - 130/77, heart rate - 97, respiratory rate - 17, temperature – 97.9 , oxygen saturation –97% on room air, weight – 183 pounds, height – 5 feet 4 inches, body mass index –
This is a 42-year-old female with a 2/7/2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: low back pain; Lumbago with sciatica right side; Myalgia 12/01/15 follow-up visit identified lower back pain. Patient rates the pain as 7/10. The pain is characterized as burning.
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.
She said since then she has noticed this "weird, numb feeling" in the lower half of her body, she notes that from the lower buttocks down her legs. The only area that she feels pins and needles sensation is in her feet intermittently. She says that both legs are affected equally, but she feels it more to the medial side of the legs than to the lateral sides of the legs. Since it has started, it has remained stable.
EFFICACY OF MANUAL THERAPY IN TREATMENT OF MECHANICAL NECK PAIN Introduction Everybody once in their life feel some kind of neck pain. Neck pain is one the potential disabling condition which has a high chance of relapsing. Recent research found that neck pain is one of the top five leading causes for disability (Cohen, 2015).