Brachial plexus injuries: The brachial plexus is a somatic network of nerve fibers that provides motor and sensory innevation to the upper limb as well as the shoulder girdle. Brachial plexus injuries are an uncommon complication in gynecologic laparoscopy surgeries, but it is one of the most serious and unfortunate complications due to improper positioning of anesthetized patient (13, 25). Extensive arm abduction, external rotation and posterior shoulder displacement can result in brachial plexus stretch and ischemia (11). Romanowski et al.
The Cause One of the most important aspects in the treatment options for elbow bursitis is the cause. Seeking an accurate diagnosis will help to determine if bursitis is the actual cause of the pain in the elbow. • An impact on the elbow may create excess fluid causing the area around the bursa sac to swell. • Pressure on the bursa sac over a long period of time • Repetitive motion of the elbow • Infection after an injury • A degenerative disease, including arthritics or gout • Age, elbow bursitis is common in adults who are over the age of 40 Non-Surgical Treatment Options for Elbow Bursitis
MRI of the lumbar spine dated 06/06/16 showed degenerative changes in the caudal lumbar spine with chronic disc degeneration and small right L5-S1 intra-foraminal disc herniation. In addition, there is focal L5-S1 epidural lipomatosis. Based on the medical report dated 11/13/16 by Dr. Zheng, the patient received a lumbar medial branch block at L3 on the last visit, through which improved his back pain for some; however, the he continued to have low back pain and right leg numbness and tingling.
Even though it is a life-saving procedure, it involves heavy blows and may lead to serious injuries at times. Once this procedure is successfully done, the victim should always be seen by a doctor to assess any internal damage due to the thrusts. Choking victims also need medical attention if coughing persists or they have a feeling that something is still inside their throats. References • https://www.nlm.nih.gov/medlineplus/ency/article/000047.htm • http://www.nhs.uk/chq/Pages/2301.aspx •
The middle nerve can do lots of works that can supplies the sensation to an index finger, thumb, and half part of a ring finger and the middle finger and also for the control of the motor thick muscle in the thumb base. Some of the other kinds of the carpel tunnel syndrome symptoms includes the pain or feeling at the thumb, middle finger, index finger and some of the times in the small finger and the ring finger are the lack of circulation, cold, numb, asleep and also ahs the needles and the pins. The irritation of the carpel tunnel syndrome was normally because the severe pain in the morning times and also for the night time due to we are shaken our and fold our hands in the night time. The pain will be spread for the hand such as fingers, elbow, wrist as well as some of the other kinds of the places. This can cause the irritation and the pressure for your
Kasim Al-Mutar has a heart rate that is slightly elevated and that he is running a slight fever, as well as that he is hypotensive. In relation to his blood pressure, he needs to have his treatment plan revised. They also know that his upper right quadrant pain becomes severely painful after an episode of vomiting. The nurse knows from the indication of vomiting and requesting a drink that he must be dehydrated, this is also indicated by his dry mucous membranes. His report of having shoulder tip pain indicates to the nurse that there may be a possibility of gallstones.
In 1980 O.J Gilmore recognized this and undertook to surgically repair groin disruption in a group most who were soccer players. According to this article disorder of the hip joint, in particular acetabular labral tears, impingement, and injuries to the adductors can be difficult to distinguish from sports hernia they can even coexist. In the light of this, testicular tumors, epididymitis, prostatitis can be factors of chronic groin pain in men. Likewise 80% women affected by groin pain could be affected by endometriosis, ovarian cystic disease, PID, crohn disease. Also to determined whether a patients is suffering from sports hernia imaging testing such as MRI’s has being
Slap tear is a pathology becoming more and more common. The slap tear is an injury in the labrum of the shoulder which is the ring of the cartilage that surround the socket of the shoulder joint. It was first detected of the Superior labrum to posterior labrum surrounding the edge of the glenoid is a rim of strong, but the relative is that when the labrum is the first cause of the patient to have pain in the shoulder. (Snider, 2012). This injury is usually caused by overhead the shoulder with pain and disability for a long time after you realized that you a torn labrum.
Shoulder burisits is a common shoulder condition caused by repetitive motions and excessive use of the shoulder, but it can also occur as a result of a sudden and serious injury or trauma to the shoulder. This shoulder injury is inflammation or irritation of the bursa, a fluid-filled sac that creates a cushion between the acromion and the head of the humerus. The first symptom of the shoulder bursitis is localized pain or swelling that creates a great amount of discomfort in the shoulder resulting in shoulder immobility.
Chiropractic treatment This is an exparte case requested Chiropractic, CA MTUS states that it is recommended for chronic pain if caused by musculoskeletal conditions, and only when manipulation is specifically recommended by the provider in the plan of care. ODG states that it is not recommended. Manipulation has not been proven effective in high quality studies for patients with pain in the hand, wrist, or forearm, but smaller studies have shown comparable effectiveness to other conservative therapies. Review of medical records indicates that the patient is s/p left thumb surgery He had neuropathic pain distally. He was unable to hold onto any objects.
DOI: 4/16/2012. Patient is a 29-year-old male technician who sustained injury when he was 25-feet up on a ladder when the ladder slid and he fell onto the pavement. He had an open reduction internal fixation (ORIF x 2) for a compound tibia fibula fracture and had hardware removal in 4/25/2013. MRI of the lumbar spine performed on 3/24/2016 revealed L5-S1 small right paracentral disc protrusion without significant spinal canal stenosis or neuroforaminal narrowing.
DOI: 6/2/2011. Patient is a 49-year-old female phlebotomy technician who sustained a work-related injury to her left shoulder when she was struck by a fellow worker. Patient is status post left shoulder superior labrum anterior and posterior repair, decompression, and resection of the left distal end of the clavicle on 1/31/2011. Urine drug screen obtained on 03/25/16 showed positive for tramadol, desmethyltramadol and acetaminophen.
DOI: 5/23/2016. Patient is a 48-year-old male sales employee who sustained injury due to a car accident. Per OMNI, he was initially diagnosed with cervical and left shoulder sprain/strain. Based on the latest medical report dated 07/15/16, the patient notes his neck pain radiating to his left upper extremity is now described as 5/10 in intensity and notes the associated tingling on his left arm is now worse.