This 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.
DOI: 06/10/2004. Patient is a female store manager who sustained a work related injury while she was stocking and cashing at a thrift store over a period of time. Based on progress report dated 08/24/15, the patient was seen for re-assessment of chronic mechanical and myofascial pain in the lumbar region. She has undergone two lumbar surgeries, as well as a left abdominal hernia repair and a revision of the ventral hernia repair.
This is a 35-year-old female with a 1/21/2015 date of injury. He was standing on a ladder and cleaning. She began to tip over and she landed on he rknee. DIAGNOSES: Lumbar spondylosis; Lumbar degenerative disc disease; and Lumbar radiculopathy. 01/14/16 DWC Form RFA for left lumbar ESI L3-L4.
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.
The goal of periodontal therapy is to eliminate disease and restore the periodontium to a state of health, which includes comfort, function, and esthetics that can be maintained adequately by both the patient and dental professional. Nonsurgical therapy aims to control the bacterial challenge characteristic of gingivitis and periodontitis while addressing local risk factors and minimizing the potential impact of systemic factors. Alteration or elimination of putative periodontal pathogens and resolution of inflammation are paramount objectives of nonsurgical therapy, creating an environment conducive to periodontal health and decreasing the likelihood of disease progression. The term nonsurgical therapy includes the use of oral hygiene self-care,
Medicare will cover chiropractic manipulation of the spine to correct a spinal subluxation that is demonstrated by physical examination or by x-rays. The patient must have a neuro-musculoskeletal condition resulting directly form the subluxation that requires treatment. The services provided must have a direct relationship to the patient’s condition. There must be a reasonable expectation of recovery or improvement of function. Maintenance therapy is not covered by Medicare.
My Scandlon Sports Medicine Clinic observation took place on Tuesday, February 13th, from 1pm to 3pm, and my preceptors were Aaron Hand and Timothy Kulpa. I Observed three different treatments that day in the clinic. They were all interesting, and all very different. The first treatment I observed was an evaluation on a Track & Field Athlete, he was actually an athletic training student himself.
DOI: 4/24/2008. Patient is a 59-year old male chief manager who sustained a work-related injury while standing on a ladder and it collapsed on him causing him to fall backwards catching himself with his left arm. Per OMNI, he is status post left shoulder rotator cuff repair on 11/02/09 and manipulation under anesthesia on 06/14/10. Based on the medical report dated 10/14/16, the patient has continued to do quite well, since the last visit although recently because of the cold, damp weather, he has had a little bit of increase in the aching pain in the neck, but this seems to be well controlled with current conservative care.
DOI: 1/23/2016. Patient is a 21-year-old female housekeeper who sustained injuries to her head, neck and back when the elevator from the third floor dropped to the first floor. Per OMNI, she was initially diagnosed with neck and back sprain and headache. Based on the progress report dated 03/29/16, the patient presents for follow-up of her cervical and lumbar strain. She feels slightly better.
VICTORIA Immediately following the accident, Victoria was transported via ambulance to Presbyterian Hospital due to the immediate onset of head, neck, and back pain. Once there, she was carefully evaluated, treated, she underwent x-rays, and was subsequently released with instructions to follow up with her physician as needed if the pain continued. Hospital record to be provided upon my receipt of same. Subsequently, she presented to Dr. Joseph Wilson, D.C. of the ABQ Injury Clinic with continued complaints of headaches, pain in her neck, upper and lower back. Dr. Wilson notes that examinations revealed moderate to severe palpation tenderness noted in the cervico-thoracic and lumbosacral paraspinal musculature with muscle hypertonicity, taut tender fibers and associated active trigger points.