The central canal is patent. Multi-level mild to moderate neural foraminal narrowing is noted. EMG and nerve conduction study performed on 12/31/09 revealed no evidence of a left or right sided cervical radiculopathy. Based on the visit note dated 12/21/15, the patient complains of severe neck pain and upper extremity…
This is a 45-year-old male with a 2-20-2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Sprain of joints and ligaments of unspecified parts of neck, initial encounter 01/11/16 Progress Report describes that 15 minutes were spent in review of the results from the urinary drug screen, which was administered at the previous visit and deciding whether any modifications are appropriate to the treatment regimen. The pain is better and down to a 3/10. The neck pain remained mild.…
Tender facet joints at C3 to C7 bilaterally with positive provocation test. There was decreased ROM at the cervical spine. Muscle strength was 4/5 and sensations to touch over the left medial and lateral aspect of the forearm were diminished. The exam of the back showed tenderness to palpation at L1 to S1. Tender facet joints at L1 to S1 bilaterally with positive provocation test.…
The painful condition of joint affliction happens when one or more joints are affected by an underlying purpose that makes everyday life fairly insufferable at times. In these days, a huge range of causes is connected to joint agony, where an array of cure choices can ease some or all the signs. When developed, the outcome of joint pain is rather hard to are living with, as easy tasks like strolling throughout the room or washing the dishes can create an unbearable moment. The symptoms of Joint affliction Joint ache is really visible when it strikes.…
Great post, you explained very well and I liked the concise and clear statement about the brain map. Unfortunately, the brain is the most complex part of the human body. For centuries, scientists have been fascinated by the brain, but until recently they viewed the brain as nearly incomprehensible. Scientists believe that the brain is the greatest mysteries.…
Although, the symptoms of phantom pain cause more physical distress, phantom sensation can equally cause emotional distress in the patient. It is evident that chances of experiencing pain in the phantom limb increase if the individual experienced pain prior to the amputation (Flor, 2002). For example, if an individual has a melanoma in their leg and after several operations, doctors have failed to completely cut it out, the patient may decide to amputate the leg before the cancer can spread. It is therefore, suggested that the patient’s chances of experiencing chronic phantom pain increases as they would have experienced continuous pain after a few prior operations. However, when people that are born without a limb report similar phantom sensation,…
Fibromyalgia is a disorder causes widespread musculoskeletal pain and is usually accompanied by memory, fatigue, mood and sleep issues. It is believed that fibromyalgia intensifies painful sensations that affect the way your brain receives pain signals. It is believed by some researchers that repeated nerve stimulation causes people's brains to change that have fibromyalgia. These changes involve abnormal levels of chemicals inside of the brain that signal pain to increase. It is also believed to cause, the brain's pain receptors to overreact to the pain which causes the person to become more sensitive, to the pain signals.…
Annotated Bibliography on Stress and Migraines Madison McClanahan The University of Tennessee Health Science Center Annotated Bibliography Sauro, K., & Becker, W. (2009). The stress and migraine interaction. Headache: The Journal Of Head & Face Pain, 49(9), 1378-1386. doi:10.111/j.1526-4610.2009.01486.x This article explains that over 50 percent of migraine patients examined were depressed or anxious.…
Annotated Bibliography Cagle, J. G., Zimmerman, S., Cohen, L. W., Porter, L. S., Hanson, L. C., & Reed, D. (2015). Empower: An intervention to address barriers to pain management in hospice. Journal of Pain and Symptom Management, 49(1), 1-12. doi: 10.1016/j.jpainsymman.2014.05.007.…
Orofacial pain is an individualistic live experience, no single pain assessment method can comprehensively represent such an experience. The experience varies in different individuals and within the same individual across different conditions at different times. ,, Consequently, inadequately managed chronic pain will negatively impact on patient’s biological and psychosocial well-beings. ,,,, The pain assessment assists clinician and researcher in defining differential diagnosis, in evaluating the effectiveness of interventions, and importantly, offering greater insights into patient's biological and psychosocial well-beings. Common orofacial pain assessment methods depend on patient’s ability to reflect the pain experience through questionnaires,…
Three years ago I was diagnosed with Fibromyalgia. I’ve done my best to keep it a secret, but the disease has progressed to a point to where I can no longer hide the changes to my health and behavior behind a facade of normalcy. It's time to come clean. Fibromyalgia is an autoimmune disease with no cure and few effective treatments. Although it manifests itself differently in everyone, I’m plagued with combination of fatigue, memory loss, and chronic pain across all the joints and muscles in my body.…
The way we go here is that pain management cannot be determined by doctors is it however the patients feel that we must go by. Drug companies drug representatives have convinced Doctors that opiates such as Vicodin, OxyContin are not addictive drugs. Back in the days according to Dreamland by Quinones, Doctors try to refrain from giving narcotics pain medications to patients because they know how addictive these drugs can be. It is better for patients to abstain from those medications because patients can become dependent on these drugs. Opiates, Vicodin, narco, hydrocodone, oxycodone, Percocet and heroin, morphine, hydromorphine, are all made from the opium plants.…
Muscle Pain, Adult Muscle pain (myalgia) may be caused by many things, including: • Overuse or muscle strain, especially if you are not in shape. This is the most common cause of muscle pain. • Injury. • Bruises. • Viruses, such as the flu.…
Chronic pain defined as pain that lasts longer than six months. Chronic pain can be mild or excruciating, episodic or continuous, merely inconvenient or totally incapacitating. Due to the trouble of categorizing a patient with chronic pain, I would complete comprehensive health history assessment. This will provide subjective and objective data from the patient along with the examination of the patient.…
Analyzing Chronic Pain as it Pertains to Affecting a Whole Person Chronic Pain is experienced by a large population of individuals and often affects every aspect of one's existence. Kirkham, Smith, and Havsteen-Franklin, in referencing an analysis from the Institute of Medicine, state, "about 100 million adults in the United States suffer from chronic pain" (2015, para. 2). Pain is often hard to describe, making the experience of chronic pain an isolating experience for some individuals. When pain is chronic and affects everyday functioning it can have major implications to one's psychological and social functioning. Chronic pain is a major issue in the United States and may be better handled if the emotional affects, affects to one's view…