All 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
Since multiple sclerosis is one of the primary risk factors for trigeminal neuralgia, it is key for the nurse to get a thorough medical history assessment. When a patient first presents with neuropathic pain symptoms, the nurse should gather a thorough history and physical examination. To provide better patient care, nurses should be familiar with neuropathic pain clinical assessment tools.(Cite/nurse). The nurse should assess if and how often a patient experiences tingling, a burning sensation, electric shocks, numbness, or pain evoked by light touch or freezing pain. (Nurse).
Based on progress report dated 05/23/14, the patient reports of continued dull aching pain and burning sensation into the cervical spine. She received 2 cc of lidocaine with no epinephrine in the bilateral trapezius, cervical rhomboid, and cervical paraspinal muscles on this visit. Based on progress report dated 07/10/15, the patient complains of unchanged, sharp, dull and aching pain in the cervical spine, which radiates to the bilateral upper extremities. Baseline is 6-7/10 pain. Rest and medications help alleviate the pain.
QEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral
There is a 4.5mm generalized disc bulging and redundancy of the disc annulus with impingement of existing L5 nerve roots at neural foraminal level, right greater than left. Per the medical report dated 09/29/16, patient complains of back pain, rated as 8/10, radiating to both lower extremities, worse with standing and walking. Per the medical report dated 11/10/16, the
It radiates to the neck and upper back. Condition is associated with back pain and difficulty in ambulation. It is aggravated by bending over, lifting, prolonged sitting, prolonged standing and prolonged walking. Application of cold, application of heat, bending forward, medications and rest, relieve the pain. Medication side effects include nausea and vomiting.
Head and Neck Case Study Allison Quelch 1. What is the name of the foramen at the lower end of the canal, through which the nerve emerges from the skull? The name of the foramen at the lower end of the canal, through which the nerve emerges from the skull is the Stylomastoid foramen. a. Is this also the site of entrance of an artery that supplies the facial nerve within the canal?
Per 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
The vertebrae are numbered and divided into several regions; which correspond to the curves of the spinal column: cervical, thoracic, lumbar, sacrum, and coccyx as shown in figure (2.1). The cervical spine has 7 vertebrae and constructs the neck. The thoracic spine contains 12 vertebrae which the ribs attach to, and the lumbar spine has 5 bones which make the lower back. The sacrum consists of 5 bones which are fused or stuck