Spasm Case Studies
DOI: 3/1/2005. Patient is a 64-year-old female service representative who sustained a work-related injury to her neck, back and bilateral shoulders due to repetitive work activities. She is subsequently diagnosed with degenerative disc disease and depression. As per progress report dated 1/14/2016, IW reports continued improvement. 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. Flexion and extension demonstrates 30 degrees, bilateral lateral bending is 15 degrees and 60 degrees on bilateral rotation. On assessment, the patient has cervical degenerative arthritis, cervical radiculitis and depression. Treatment plan includes Celexa as 10 milligrams. …show more content…
Diagnoses include the following: Axis I: major depressive disorder, recurrent, moderate, anxiety disorder; Axis II: mild histrionic traits; Axis II: bilateral carpal tunnel, endoscopic right carpal tunnel released surgery (1993), posterior cervical spinal fusion at C2-6 (2008), lumbar degenerative disc disease, diabetes, hypertension and cataract surgeries (2009); Axis IV: psychosocial stressors, chronic disability and pain, access to medical care and isolation; and Axis V: Global Assessment of functioning score of 60. Recommendation was made for additional 6 sessions, once every 3
Nursing Case Memo
647 Words | 3 PagesPer procedure reports, the patient is status post therapeutic bilateral sacroiliac intra-articular injection on 02/18/16, diagnostic bilateral sacroiliac intra-articular injection on 02/05/16, confirmatory bilateral L3-5 medial branch nerve block on 01/25/16, diagnostic bilateral L3-5 medial branch nerve block on 01/11/16, bilateral L5-S1 transforaminal epidural injection on 04/06/15, bilateral L5 dorsal ramus
Joan Buckalew's Death: A Case Study
177 Words | 1 PagesMrs. Joan Buckalew dtates that she is not on any blood thinners and that there is no change to her medications. SO EMT Perez checked for hip stabilization in which he noted no physical deformity and full range of motion without
Supraspinatus Case Summary Injury
536 Words | 3 PagesRequested for a complete copy of the office visit report dated 03/09/16 as the 6th page is missing; however, no medical records received at the time of submission of the review to PA. Current request is for 6 Acupuncture Therapy Sessions for the Right Shoulder and Jaw between 3/25/2016 and 5/24/2016. ort dated 03/09/16 as the 6th page is missing; however, no medical records received at the time of submission of the review to PA. Current request is for 6 Acupuncture Therapy Sessions for the Right Shoulder and Jaw between 3/25/2016 and
Investigative Tort
527 Words | 3 PagesAll health providers describe neck strain radiating down his shoulder. He had physical therapy three times a week for 6 months but still experienced pain at the end of 2012 to the beginning of 2013 when his physical therapy ended. DHD referred him to Dr. Katzman who discussed the need of surgery to his left shoulder which he didn’t have because no fault cut him off. He also had an MRI of his cervical spine and
Gonadal Dysics: A Case Study
706 Words | 3 PagesCalabrese, dated 05/05/2017, indicated that the claimant continued to have muscle weakness with her arms hanging down. She reported feeling down, depressed, hopeless, sleeping too much, and feeling tired on several days. Her PHQ-9 total score was 3. Her mood was very worried, and her affect was anxious and intensely expressed. Continued use of current medications was recommended.
Orthopedic Situation Speech
480 Words | 2 PagesAs the reports have indicated from Dr. Hogans, a neurologist and pain management doctor, I have experiencing neurological issues in my shoulder which have been noted by the PTs at National Rehab Hospital and now the Work Hardening PT, Michael
Essay On Whiplash
832 Words | 4 PagesRotating or bending the neck can be difficult. 3. You may also feel pain or stiffness in the shoulders and arms. 4. There may be pain and stiffness in the upper and lower back.
Patient Case Summary
244 Words | 1 PagesThere is tenderness to palpation of the cervical paravertebral muscles. There is muscle spasm of the cervical paravertebral muscles. Diagnoses are cervical myospasm, cervical sprain/strain, and depression/stress. Treatment plan includes a trial of acupuncture 1 x per week for 6 weeks, trial of chiropractic treatment 1 x per week for 6 weeks, functional capacity evaluation (FCE) to further evaluate patient’s functional capacity and limitations, transcutaneous electrical nerve stimulation (TENS) unit in the form of interferential (IF)/Electrical Muscle Stimulation (EMS) unit and supplies, referral to psychologist in order to assist with patient’s stress, anxiety and depression, and X-ray studies of the cervical
Musculoskeletal Disorder Research Paper
2264 Words | 10 PagesCHAPTER 1 INTRODUCTION A Work-Related Musculoskeletal Disorder (WMSD) is defined as any musculoskeletal damage resulting from activities related to work or occupation. It is termed as an injury which occurs because of incident that results in time loss, exacerbation, limitation of working hours or job alteration. It can also be defined as pain arising from muscles, ligaments, tendons, joint capsule, bursa and bone lasting more than three days as a result of over exertion. Musculoskeletal disorders (MSDs) affect the person’s bones, tendon, muscles, bursa, joints, capsules, ligaments, fascia and nerves. (1, 2 and 3)
Health Benefits Of Occupational Therapy
707 Words | 3 PagesThe occupational therapy is convenient, and though it takes a lot of time, it is very effective once the results begin to step out. Although occupational therapy is not a complete and definite method of curing pain and does not help a patient get over it, it is still important in helping a person learn and adapt to the normal ways of life and return to their former lifestyle. There are being made efforts on academic and practitioner levels to increase the availability of occupational therapists for people who are facing disorders and making occupational therapy more effective. In addition to that, there is a need for increased education in the public regarding chronic pains and their rehabilitation through occupational therapies. Doing this would generate interest of people to become professionals at providing this service (Web MD,
Chiropractic Treatment For Dislocations Essay
492 Words | 2 PagesTopic: Chiropractic Treatment for Dislocations Dislocated joints can be incredibly painful, and if not properly treated, can cause long-term issues. Dislocation can occur in any joint in the body – from the shoulder to the toe – with a range of pain levels and complications depending on location. When a joint is dislocated, it basically “pops” out of place, typically causing immobility in the area and a lot of pain. Old movies may show hardy heroes using a wall to pop dislocations back into place, but the reality is, if they are not addressed with proper medical treatment, dislocations can begin to reoccur in the injured area, and often contribute to joint problems later in life. Dislocations: A common problem
Endometriosis Research Paper Outline
1410 Words | 6 PagesHer PCP order radiographs and an MRI both which appeared unremarkable.2 Due to the negative radiographs, her PCP referred her to an orthopedic who linked her back pain to lifting boxes at work, prescribed analgesics, and referred the patient to physical
Advantages And Disadvantages Of L-Deval
511 Words | 3 PagesThe left upper extremity was found to be within functional limits, so no measurements were taken. She was also found to have decreased arthrokinematic joint mobility for her glenohumeral and talocrural joints. She
Cnlbp Case Studies
1841 Words | 8 Pages1. Introduction: Chronic nonspecific low back pain (CNSLBP) (i.e., low back pain of at least 12 weeks’ duration and without a specific cause)(1, 2) is one of the most common health conditions worldwide(3). Chronic low back pain (CLBP) is highly associated with disability (1), emotional changes (2), and work absenteeism (1). Given that chronic low back pain is very prevalent (4), the costs associated with this condition are very high (5).
Neck Pain Case Study
1083 Words | 5 PagesIntroduction: Neck pain is a common disorder. Poor posture might result in muscular imbalance that causes a faulty relationship among various body parts. Forward head posture is one of the most common cervical abnormalities that pre¬disposes individuals toward pathological conditions, such as headache, neck pain, temporomandibular disorders. Aim: The aim of the study was to find the relationship between CV angle and neck pain. Method: 50 patients were evaluated and included in the study.
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