Lumbar Spine: A Case Summary

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.

This is a 42-year-old male with a 7/14/2012 date of injury. The patient reported an injury to his mid back, low back and right shoulder that occurred when he repetitively ducked under a beam. Diagnosis: Other intervertebral disc displacement, lumbar region 11/26/15 note states an appeal to the denial of request for Valium. At his most recent visit on 11/25/15; psychological treatment had recently been authorized.

Within several hours the blister grow exponentially to 8cm. His calf had a pale appearance that had begun to turn a gray color. Upon examination there was a crackling sound from beneath the skin of his left leg, correlating side of his hip replacement.

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.

If the drugs stop working they can perform a surgery called Optic Nerve Sheath Fenestration. This surgery allows excess cerebrospinal fluid to escape. Most people who have this procedure done on one eye can notice a benefit for both eyes. This surgery isn 't always successful and can even increase vision problems. When performed on people with pseudotumor cerebri this surgery only provides a temporary solution because the body continues to overproduce spinal

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.

He is currently complaining of recurrence of the pain. In regards to his left knee, he states that pain is much better compared to prior to surgery. His main complaint is weakness and difficulties going up and down the stairs. He had his recent physical therapy approved and he has done 2 sessions and he has additional 10 sessions left. Physical examination revealed healed surgical scar left knee.

We have not done tests to ever look at that. Common symptoms that are also present in Elliot are his weight gain, which is primarily in the upper regions of his body and face and the purple stretch marks that are present across the lower abdomen. Also, patients can experience fatigue and sometimes even the extreme want for food. His wife stated that she has noticed irritability and erectile dysfunction in the past few weeks. These are both symptoms that occur in patients with

R/s Mr. Schubert is diagnosed with anemia, chronic knee pain, hypertension, gout, and chronic back pain. R/s it was reported that Mrs. Schubert had gallbladder surgery a couple a weeks ago. R/s it was reported that Mr. Schubert

The patient mostly comes with pain at the sacrum region and radiates to the extension sciatic nerve. More symptoms can occur as: pain aggravates with activity, abnormal gain (antalegic gate), numbness of the leg, and pain if rising from squatting. The Piriformis muscle spasm may appears as a palpable mass in the buttock area (Chaitow L, 1998). The Prifiormis syndrome can lead to some complications as the swelling and the DVT due to the entrapment of the nerves and blood vessels (Bustamante & Houlton, 2001).

DOI: 03/04/2014. This is a 61-year-old male liquid plant laborer who sustained an injury after he twisted his low back when a co-worker kicked the tool box he was installing. Patient is diagnosed with bilateral foraminal stenosis at L2 to L3, L3 to L4, L4 to L5, and L5 to S1 with radiculopathy, mild compression fracture at L1, right knee medial meniscus tear, right knee mild to moderate osteoarthropathy, left lateral epicondylitis, left shoulder calcific tendinitis, and left shoulder adhesive capsulitis. MRI of the right knee obtained on 05/23/14 revealed a complex tear of the posterior horn at the medial meniscus, cleavage tear of the anterior horn and myxoid change of the body.

Knee and ankle jerks are 1+, bilaterally. There is weakness of the quadriceps, hamstrings as well as the flexors and extensors of the hips. Assessments include cervical sprain, lumbar sprain, constipation, left carpal tunnel syndrome, lumbar degenerative disc disease, and retrolisthesis at L5-S1. Patient was given prescription for Norco 5/325 mg one tablet twice daily for severe pain #60, Motrin 800 mg 1 tablet twice daily as needed for inflammation and pain #60 and Flexeril 7.5 mg 1 tablet at bedtime for muscle relaxation #30. Requested from the provider’s office copies of recent urine d rug screen and Controlled Substance Utilization Review and Evaluation System (CURES) reports; however, no reports were received prior to the submission of this request to PA.

Economy c. Social status d. Age 4. How many scale items are used to measure neurologic impairment in the National Institutes of Health Stroke Scale? a. 9 items b. 12 items c. 15 items d. 18 items 5. Based on this article,

DOI: 6/25/2013. Patient is a 39-year old male commercial driver who sustained injury while he was parked when he got struck from behind by a tractor trailer. Per OMNI, he suffered injury to his neck, back, shoulders, elbows, and knees. He is out of work since the date of injury. He is status post cervical discectomy with fusion at C4-6 on 3/12/14 and a suboccipital craniotomy and decompression of a C1 lamina due to Chiari malformation on 12/29/14.

Medications such as Baclofen and gabapentin as well as home exercise program are proving effective in improving pain levels, function and range of motion and overall sense of comfort. Pain/spasm is more severe after decreasing Baclofen dose. She also complains of cervical and bilateral upper extremity pain/parasthesias. On physical examination, there is spasm and tenderness on cervical exam. Motion is guarded due to pain.