Mirror box therapy was developed specifically for patients with phantom limb syndrome. Treatment involves using an uncovered box with a mirror bisecting it. Two holes are cut out of the front on either side of the bisecting mirror. The patient places the intact limb into one hole of the box and the stump of the amputated limb into the other hole. A patient looking from the side of the intact limb will see that limb, along with a reflection of that limb in the mirror, giving the illusion of the presence of the amputated limb.
Medical Condition: GERD Patient History: KM is 29 year old patient diagnosed with GERD, who visited the pharmacy to pick up his prescription for Pantoloc 40mg. He is taking Maalox suspension 15ml as need basis for heartburn symptoms. For muscle pain he also takes Ibuprofen 300 mg four times a day as needed along with topical Rub A-535. He drinks 3 to 4 coffee per day and 2 cola per day. KM’s alcohol intake is 6 to 8 beer per week.
He was given a prescription for Voltaren gel 1% 3-100 mg with 3 refills, to be applied 2 grams to the area, 4 times daily. Treatment plan includes ice/heat application to areas of discomfort as needed, home exercise program (HEP), over-the-counter nonsteroidal anti-inflammatory and analgesics as neded, PT to the right elbow 2 time s a week for 6 weeks, platelet rich plasma injection for the right epicondyle with ultrasound guidance for needle placement, as the patient has failed bracing and 1st cortisone injection. Patient will follow-up in 4 weeks. Per verification from the provider’s office, they are only requesting for a platelet rich plasma kit, not an injection. Current request is for This is 1 out of 4
He had shortness of breath increasing for the last two weeks. On review of symptoms, he denied cough and chest pain, but in last two days he had high temperature up to 38C. His medical history was significant for left ventricular failure with an ejection fraction of 30-35% measured by echocardiography. He undergone a bypass surgery 7 years ago, using ASA, ramipril, furosemide, spironolactone.He was a lifelong nonsmoker, using tiotropium bromide, fixed combination of inhaler corticosteroid/beta agonist and short acting beta agonist on
The patient was seen twice a week over the 4 –week course of treatment, afterwards he was seen once a week for another 4 week course of treatment. Ultrasound treatment was applied for the right supraspinatus and long head of biceps tendons with a treatment dose of 3MHz; 0.8 W/cm2; Pulsed 1:1; 6 minutes (Sub-acute stage) to elevate tissue temperatures, increasing blood flow, and facilitating the process of healing. Manual Therapy Techniques: Myofascial trigger point therapy was applied by digital ischaemaic pressure over upper trapezius and right supraspinatus trigger points for at least 30 seconds to up to 1 minute at a time. Pressure was applied several times in the course of treatment. Different mobilization techniques (Maitland grade 2 and 3 were applied to address pain and stiffness) were initiated with good outcome.
Humectants can be used to soften the skin. If there is a history of psoriasis, the doctor can take the throat culture to determine the presence of streptococcal laryngitis. If the throat culture indicates the presence of streptococci, then the doctor may be out of antibiotics. Nail psoriasis Many patients with psoriasis have nail abnormalities. Psoriasis nails usually have a horizontal white or yellow edge at the tip of the nail, known as distal schizophrenia, since the nail is lifted from the skin.
While conservative treatment may offer benefit to patients with mild to moderate CTS, the majority of patients with severe median nerve compression require surgical decompression to achieve long-term curative results. Based on the severity of compression, as confirmed by nerve conduction studies, the potential of conservative interventions providing long term benefit was poor. The case is also useful as it highlights that distal neuropathy may manifest clinically with chief complaints upstream, and with minimal patient complaint of classic CTS hand symptoms. With conflicting research regarding the diagnosis and treatment efficacy of CTS, it would be very useful to have an evidence-based standardized group of tests for CTS; the results of which would provide a standardized measure of severity of the disease. Additional research may yet provide a gold standard test protocol for the clinical diagnosis of CTS, with an associated severity scale, and a standard guide for surgical and
Tramadol is prescribed by doctors for purposes of treating moderate to moderately severe pain. It belongs to a class of drugs called opiate agonists and works by altering how the body senses pain. When taken for up to three months, this medication has been found to help to reduce pain and stiffness, while improving function and overall well being of patients suffering from osteoarthritis. Although
(Human Risk) In adults, malathion has been found to have very low levels of toxicity when ingested, inhaled, or applied dermally. 2 In the cases of extremely high doses, malathion has been found to cause excessive perspiration, constructed pupils, salivation, abdominal cramping, vomiting, diarrhea, nausea, chest tightness and difficulty breathing. In children, the likelihood of the above symptoms from extremely high doses of malathion are lessened, but children are more likely to experience muscle weakness, lethargy,
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. He was advised to decrease Norco 7.5/325 mg from 4 times daily to twice daily as needed #60 (should last 45 days) and Cyclobenzaprine 10 mg 1 tablet twice a day as needed #90 for 6 weeks. Per Review # 197682, the IW was certified with a 30-day supply of Flexeril 10mg for weaning to discontinue. Current request is for 45 Tablets of Norco 7.5/325 mg; and 90 Tablets of Cyclobenzaprine 10 mg between 7/14/2015 and
Per progress report dated 11/07/12, the patient felt much better after the injection. The paresthesias have resolved and the pain has decreased. Level of pain is 1-2/10, which was 5-10/10 previously. Based on progress report dated 07/28/15, the patient was last seen on 2/11/2014. She has experienced a flare of left neck pain radiating down the left arm to the hand and third and fourth fingers.
Ten participants (5 females; mean age of 26.8 ± 8.6) with unilateral NSNP were recruited from two universities. A research assistant randomly allocated each individual to 1 of 2 groups. Both Group 1: AP and Group 2: LAT obtained posterior pressures and lateral glides respectively to the most tender and restricted segment. An assistant collected baseline numeric pain rating scale (NPRS), and Neck Disability Index (NDI) at the initial session. An OMRON automatic monitor measured the systolic blood pressure (SBP) and heart rate (HR) with recording time points: (1) 5 minutes, and (2) 7 minutes after lying supine; (3) during the 1st set, (4) 5th set of one of the glides, (5) 2 minutes after time point #4, and (6) 4 minutes after time point #4.
Other medicines that are used are migraine medications. Imitrex is the most popular migraine medication. Imitrex is usually used to ease the severe headaches that come along with pseudotumor cerebri. This does not help fix pseudotumor cerebri it just relieves the pain from the headaches. Both glaucoma drugs and migraine medications can stop working.
Traction could be used for stabilization of the neck and improve neck alignment. If a patient has herniated disc or protruding intervertebral disc, traction can reduce pressure over the nerve root. Studies show that this strategy is not effective for everyone. Heat, ice, or ultrasound is a good combination to use along with traction for herniated disc. Nerve root compression generally happens along with herniated disc.