Lumbar Spine Collapse: A Case Study

There is weakness in the big toe dorsiflexor and big toe plantar flexor noted, bilaterally. There is facet joint tenderness at L3, L4, and L5 levels, bilaterally. There is muscle weakness and deficit over anterior abdominal wall. There is tenderness over left inguinal area with positive cough impulse.

The cartilage can be damaged or worn by previous injury such as an elbow dislocation or fracture. Another reason for this injury to occur would be the deterioration of the joint cartilage due to aging. This injury typically affects the weight bearing joints. However osteoarthritis least affects the elbow joint because of its well matched joint surfaces, strong stabilizing ligaments and it can tolerate large forces without becoming unstable. Osteoarthritis is diagnosed based on the symptoms and x-rays of the elbow joints (which shows the arthritic changes).

The muscles in the butt (buttocks) are called gluteal muscles. A gluteal strain happens when the gluteal muscles are overstretched or torn. A tear can be partial or complete. A gluteal strain can cause pain and stiffness in your buttocks, legs, and lower back. A strain might be referred to as “pulling a muscle.”

DOI: 1/25/2008. Patient is a 55-year-old male service technician who sustained a work-related injury when he slipped and fell while installing a tub. Urine drug screen dated 2/1/16 (no official result) revealed that the patient is consistent with the prescribed regimen. In a supplemental report on a pain management progress dated 6/20/16, the patient still has mild swelling and pain to be expected status post total left knee replacement. Diagnoses include hemarthrosis of knee or lower leg; hemarthrosis of left knee, lumbar facet arthropathy, bursitis of left shoulder, derangement of medial meniscus due to old tearing/injection of the left knee; and complete rupture of rotator cuff.

Reason for Visit: s/p ESI X 5 visits; Right Wrist Strain S: TM reports his right wrist pain at 0/10 with movement 4/10. His right wrist pain is caused by extension of his right, causing ganglion cyst to put pressure on the dorsal portion of the right wrist. TM describes this pain as "throbbing," with movement.

It helps to protect the knee joint from inner side forces, and it controls the amount of movement knee makes. Since legs protects the inner side of the knees, LCL injury is not common. However, same as the MCL injury, an LCL injury occurs when patients have to tackle without any protection. - ACL is located inside the knee joint. It connects anterior tibia and posterior femur diagonally.

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.

DOI: 7/22/2015. Patient is a 43-year-old male flagger who sustained injury to his right shoulder while moving cones on a trailer. As per OMNI entry, he was initially diagnosed with shoulder strain. He is status post right shoulder arthroscopic partial acromionectomy, resection of distal clavicle, resection of partial-thickness supraspinatus tendon tear, and intraarticular and acromial steroid Marcaine cocktail injections per operative report dated 7/11/16.

Rotator Cuff Pain Health History: The patient is a middle age male with history of shoulder injuries. Specifically, he cites previous rotor cuff instability of the glenohumeral (G/H) joint. The patient is unfamiliar with the significance of the injury and the components of the rotator cuff requesting explanation of how the rotator cuff works.

ACL tears can affect lots of people but with surgery you can come back from an injury better than before. ACL tears are a serious injury because they do not heal themselves so no matter what they will require surgery or rehab to make the knee more stable. Usually it tear by doing athletic stuff such as sports. When the ACL tears people will usually feel a pop of the muscle tearing. Tackling can tear your ACL if you get hit on the side of the knee.

The third type of genu recurvatum is non-rotatory deformity recurvatum where the ankle and foot are normal just the knee is hyperextended. This type of genu recurvatum produces stress to the posterior soft tissue of the knee (Credi, 2014). There are people who train to become hyperextended because of the advantage it gives them in certain sports. All though the process is dangerous, the athletes that usually train to get genu recurvatum are children

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: 7/28/2014. Patient is a 33-year old male laborer who sustained injury when his left wrist twisted and snapped while using a drill. Per OMNI, he was initially diagnosed with dislocation of the left wrist. He underwent a tendon graft reconstruction on 08/07/14 and hardware removal on 09/11/14.

DOI: 8/15/2016. Patient is a 65-year-old male manager who sustained injury while he was lifting a tire that was lying flat on the ground when he slipped and felt a pull in his back. Per the procedure report dated 10/14/16, the patient had a lumbar trigger point injection. Based on the medical report dated 11/16/16, the patient complains of lower back pain which is sharp, dull and achy in nature. The lower back pain radiates to bilateral side, bilateral hips and bilateral legs.

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.