TM denies tingling or numbness in his lower extremities, loose of movement, weakness, or loss of bowel and bladder control. TM reports chronic LBP, previous injury to the lower back, doesn’t recall when or how. O: On inspection of Lumbar Spine: No discoloration, no muscle atrophy, no edema noted at the Lumbar Spine area.…
At approximately 8:45 a.m., Mr. Rossignol and the plaintiff were driving their respective vehicles in the northbound lanes of I-294/94/80 and just west of the Illinois/Indiana state line. At that location, traffic in the northbound lanes of the highway is actually traveling west. The interstate at that location has four lanes in each direction and the northbound and southbound are divided by a median with a vertical concrete barrier. Mr. Rossignol was driving in the second lane from the median barrier.…
He is not using the spinal cord stimulator (SCS) due to the battery heating up. He has tried to use ice as directed by Boston Scientific. They think that since he has lost so much weight that it may need to be tacked down. His tailbone is very painful and he changes positions frequently, he has had an epidural or trigger point injection before to the area which only lasted maybe 2 months. Dr. Rampersaud will do another injection on 9/11/17.…
Chiropractic Kinesiology Owner Dr. Timothy D Francis Attending the University of Nevada, Reno on a Charles F Cutts Scholarship, Timothy D Francis served as the vice president of the Phi Kappa Phi National Honor Society and graduated as scholar of the year. After obtaining his undergraduate degree in biology, he matriculated at the LA College of Chiropractic where he gained admittance to the Delta Sigma National Honor Society and ultimately earned his doctor of chiropractic with magna cum laude distinction. Dr. Timothy D Francis subsequently obtained board certification in applied kinesiology at the International College of Applied Kinesiology and became a fellow in acupuncture with the International Academy of Clinical Acupuncture.…
Straight leg raising test is positive on the left. Current medications include Vimovo and Ultram. IW was diagnosed with lumbar intervertebral disc displacement and radiculopathy. It was noted that the IW’s response to treatment are the following: reduce pain to 60%; improve functional outcome, active range of motion, manual muscle testing and flexibility to 60%; activities of daily living to 25%; and overall functional assessment/PT goal achievement to 60%. Short term goal is to reduce pain to 2/10.…
Dr. Watson documented the applicant has expressed pain with the extension movement of the applicant’s lumbar spine. As for the applicant’s activity of daily living, Dr. Watson did not explicitly indicate what has caused the effect on the applicant’s activities of daily living. In conclusion, Dr. Watson did not believe the applicant is considered permanent and stationary and recommended additional treatment, including physical therapy, acupuncture, chiropractic treatment, and other medications. Also, Dr. Watson believed the applicant should undergo and X-ray of the lumbar spine/thoracic spine, and cervical…
The role of a nurse in providing professional, compassionate care. Introduction This assignment will discuss the role of the nurse in providing care in relation to the 6C’s of nursing practice which include care, compassion, competence, communication, courage and commitment. (NHS England, 2012). These principles form the benchmark of the NHS culture of compassionate care and underpins everything it does.…
Permanency rating is Class 3 Severity B in regards to the lumbar spine. Based on the latest medical report dated 06/09/16, the patient presents complaining of progressive worsening chronic refractory pain in the right shoulder, right hand, right knee and lower back, left greater than the right side for the last two weeks and over the counter pain medications offered temporary/incomplete relief./ She has remaining morning stiffness,…
Per the AME report dated 03/17/16, it was noted that should all conservative measures fail to relieve symptoms, further surgical consideration would be appropriate and would consist of a lumbar fusion. Consideration of an…
Research In 1903, Robert Osgood, a US orthopedic surgeon, and Carl Schlatter, a Swiss surgeon, concurrently described the disease that now bears their names. They found a pattern in which teenagers who are still growing often experience knee pain and inflammation in the area just below the knee and they called it Osgood-Schlatter disease. Teens experience symptoms of this while doing athletic activities or doing some regular exercise like climbing stairs. They feel pain in their knee, sometimes in both but with one more painful.…
On 10/31/2016, the claimant complained of neck and upper back discomfort. She also presented with a low back pain. According to the provider, to restore a normal function and increased the range of motion, continued exercise was suggested. On 11/14/2016, the claimant presented with a low back pain and neck soreness.…
How would you validate the diagnosis of fibromyalgia? In diagnosing fibromyalgia, the patient should report a widespread (pain on both sides of the body) chronic pain for 3 or more months. During assessment, the patient should report moderate pain on palpation in no less than 11 of the 18 tender points, including the cervical, thoracic, or lumbar spine. These tender points include the sub-occipital muscle; the anterior lower cervical inter-transverse spaces at C5–7; the second rib costochondral junctions; the supraspinatus beginning above the medial border of the scapular spine; the upper trapezius; the elbow lateral epicondyle; the gluteal ; the greater trochanter; and the medial fat pad of the knee, proximal to the joint line (Schub & March,…
On the other hand, Vaso and his colleagues interpreted the results not only based on their study, but also referred to a thorough comparison between these two alternative hypotheses, which enhanced the reliability of their conclusion3. Nevertheless, in this study, the observations for blacebo controlled trials did not meet the accepted criteria due to practical reasons, which left the effect duration of spinal and intraforaminal blocks an open question awaiting further…
Saving the Sciatic Nerve: Why the Ventrogluteal Site is the Better Choice Destiny White Lewis and Clark Community College Nursing 171 Mrs. Johnson Page Break Saving the Sciatic Nerve: Why the Ventrogluteal Site is the Better Choice Patient safety is the top priority in any healthcare setting. This ranges from making sure the patient has their call light to assisting them with ambulation. Choosing an injection site is just as important.…
This may be done to rule out any other causes for the pain like a spinal infection or a tumor. If your pain does not lessen after two months of treatment, your doctor may order additional tests to rule out any possible causes. Do I Need Medication or…