A 36-year-old white female was referred to a university pain clinic for evaluation of pain in her jaw and face. Her problem had started eight months earlier as a result of an automobile accident during which she sustained a “whiplash” injury and subsequent neck pain and stiffness. She also suffered from tension headaches. She had been evaluated by doctors with several different specialties, and had undergone neck traction, which produced pain in the teeth, jaws, and TM joints. She was evaluated by a neurologist who ordered CT scans of the head and neck, as well as an EEG. Occlusal splint treatment was started. She had not found any relief for her pain and was considering litigation at this point. As part of her evaluation at the university pain clinic, the patient was given a TMJ Scale, along with a physical examination. …show more content…
Pain and pain on pressing were elevated, as were limited jaw movement and the bite feeling off. No clicking and popping were found during the clinical exam, suggesting that jaw functioning was not impaired, and this was confirmed by the TMJ Scale. The Non-TMJ scale was also elevated, reflecting the tension headaches. X-rays found no evidence of bony abnormalities. The patient reported significant emotional problems, and borderline stress, probably reflecting the result of eight months of searching for a solution for her pain problems. A tendency for chronic problems was revealed, alerting the doctor to the possibility of chronic pain syndrome. It was noted that litigation issues can present problems in managing pain because they may reinforce “illness behaviors,” which may be quite unconscious on the part of the patient. The elevated stress scale suggested that stress may have been contributing to the tension
Although, there was some straightening of the curvature suggesting a muscle spasm. In September of 1985, the plaintiff was rear ended. She suffered a sore neck and soreness in the right shoulder. In April of 1992, the plaintiff was in a motor vehicle accident suffering right leg and groin pain.
2. EMG/NCV studies consistent with peripheral motor and sensory neuropathies, from October 2008 12/15/15 Progress Report described that the patient has ongoing low back pain. He was last seen on 10/28/15. The patient stated that his current medication regimen has been helpful. He rated the pain 9/10-scale level, which is brought down to 6/10-scale level with the medications.
Presented is Milton Larsen, a 84 year-old African American veteran who lives with his step-daughter Dina in a small home. Mr. Larsen’s bedroom is located in the basement, where he spends most of his time with his cat Snuggles. The objective data gathered from Milton Larsen’s case scenario is as followed: a medical diagnosis of hypertension and left knee osteoarthritis. He is prescribed metoprolol tartrate and spironolactone for his hypertension and he takes ibuprofen for aggravation of the left knee related to frequent trips to the upstairs bathroom. At a recent visit to his primary care physician Milton Larsen stated the following subjective data “Dina gets mad at my cat and takes it out on me.”
I attended a Board ordered deposition of Dr. Louis Noce on your behalf in the above-referenced matter on 07/24017. Catherine Coyne was present on behalf of the claimant and our hearing reporter was Linda Engel. As you know, this is a controverted claim involving either an occupational disease or an accident to the neck. Please see my 07/14/17 report for a detailed history of the this case.
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
I attended a hearing on your behalf in the above-referenced matter before Judge O’Connor in New Windsor, New York on 07/19/2017. The claimant was present and was represented by attorney Nancy Flaherty. As you know, this case has previously been established for an injury to the head. Prima facie medical evidence has been found for the neck and post-traumatic syndrome.
Brent Carey and Stacey Carey v. Indiana Physical Therapy Inc. and Stephens Connelly, P.T. Court of Appeals of Indiana, 2010 No. 02A03-0910-CV-473. FACTS Carey sustained injuries in an automobile accident for which he received monies from the original tortfeasor. The Plaintiff, due to his injuries, was referred by his doctor to Stephen Connelly, a physical therapist at Indiana Physical Therapy, Inc. Connelly preformed a manipulation technique, “compressions”” on the Plaintiff during his third session which caused a great deal of discomfort.
Page’s patient, P, suffers from back pain and he is determined to find the cause of the pain. To rule of the most lethal causes of back pain, some of the questions Page asks include “Did the pain wake him up at night? Was it worse when he was lying down? Had he recently lost weight?” (Page).
Aneurysm Introduction: The term aneurysm is derived from the Greek word aneurysma meaning “a widening”. An aneurysm is a localized, abnormal, weak spot on a blood vessel wall that causes an outward bulging likened to a bubble or balloon. Aneurysms are a result of a weakened blood vessel wall and may be a result of a hereditary condition or an acquired disease. Aneurysms can also be a nidus for thrombosis and embolization.
It It f It frustrates me what Dr. Anna Pou had to go through with the lawsuits of the Memorial Medical Center incident. As Healthcare professionals, being sued for making the rightful decision for the patient and the hospital is unjust. Healthcare professionals like Dr. Pou, have taken the Hippocratic oath, and one of the promises made within that oath is “first, do no harm”. Hospital’s should not be so quick to make such an important decision of pressing charges to their faculty; more trust should be placed in them. In addition, she made it clear her intentions were just to ‘‘help’’ patients ‘‘through their pain,’’ on national television.
According to the Mayo Clinic, one of the most common complaints people had was knee pain, but that minor aches responded well to exercise, physical therapy or knee braces. One of the best ways to keep your knees from becoming painful is to strengthen them. It also helps with existing pain since you 'll be working the muscles that impact the area around the knee. http://www.mayoclinic.org/diseases-conditions/knee-pain/home/ovc-20190111 Exercising with Knee Pain If you have existing pain, it might seem like the best course of action is to rest the knee.
Writing to Learn Assignment #4 Phantom Pain Phantom pain is the phenomenon of pain or discomfort derived from one’s amputated limb. This phantom pain illusion is a common sensation felt in about 50-80 percent of amputees. It is often described as being in a distorted position and exhibits a burning or similarly uncomfortable sensation. Even if the sensation isn’t described as painful, patients still report feeling an itch or a twitch where their limb would have been or that their “phantom limb” feels shorter.
CASE: Mrs Tan, 80 year old Chinese lady admitted to hospital post fall- was found on the bathroom floor and was unable to get up. Before falling, she attempted to get up from toilet bowl after passing motion but her knees buckles after one to two steps. There was no loss of consciousness. As she was unable to get up and did not have a pendent-alarm, she had to wait four hours before daughter come home from work. Ambulance was called and she was brought to accident and emergency unit.
Alleviating the Pain of Getting Inked with Exemplary Healing Products Tattoo are the form of self-expression that allows people to turn their physical body into an art gallery with an exceptional piece of design. Marking the body offers a new dimension to self-love as it makes a person feel unique. While getting inked, people need to take care of using good products that will heal the inked area quickly. The proper aftercare of the tattoo will avoid infection and prevent fading from the skin. The Tattoo aftercare pain relief will prevent the itching, scar tissue formation, clogging of pore, etc.
The membrane that lines the temporomandibular joint (synovitis) may be inflamed which can cause many issues in the jaws alignment that can and will cause TMJ/TMD in the long run if not corrected sooner than later. Any injuries to the jaw or facial area such as fractures, dislocations and misalignments from surgeries can result in contracting TMJ/TMD late on down the line. Minor arthritis pains also known as osteoarthritis, and inflamed arthritis known as rheumatoid arthritis are underlying issues that can and will cause temporomandibular joint disorder. Because there is some form of arthritis in the jaw or near the jaw it causes pains and aches to occur and if not treated it will cause the jaw to shift and create misalignment in the jaw or a misaligned bite that will later on affect the mandible; and how it