DOI: 4/6/2010. Patient is a 58-year-old female crew member who sustained injury to her neck, back, and right shoulder when she tripped over boxes and fell on the floor while carrying guacamole to line. As per OMNI notes, the patient is diagnosed with cervical spine joint disease, thoracic spine sprain, right shoulder impingement and chronic pain of the right upper extremity.
Electrodiagnostic studies done on 12/08/15 showed no electrophysiological evidence to support motor radiculopathy or brachial plexus injury and distal peripheral neuropathy in the upper extremities.
MRI of the cervical spine dated 12/08/15 showed a 3-mm broad-based anterior disc bulging, more to the right, indenting the right anterior thecal sac at C3-4 and C4-5 levels. …show more content…
Chambi-Venero, the patient presents with severe neck pain, rated as 9/10 that radiates into the right shoulder blade, down to the right hand that has been associated with profound weakens and numbness sensation of the right hand. Patient states that her neck pain will increase with any type of activity of daily living. She has been dropping objects whenever using her right dominant hand. She also complains of severe muscle stiffness of the neck muscles, causing occipital headaches. Of note, patient has allergy to penicillin. The patient takes Norco and Topamax. There is no history of smoking, alcohol or drug …show more content…
It was noted that in light of the progressive neurological deterioration of the strength of the right hand and the lack of response to intensive conservative treatment including PT, medication, pain management and 2 epidural injections, the IW has been recommended to undergo an anterior cervical discectomy and fusion at C3-4, C4-5, C5-65 and C6-7, using a minimal invasive technique and the operative microscope. Patient has agreed to
Electrodiagnostic studies done on 12/08/15 showed no electrophysiological evidence to support motor radiculopathy or brachial plexus injury and distal peripheral neuropathy in the upper extremities.
MRI of the cervical spine dated 12/08/15 showed a 3-mm broad-based anterior disc bulging, more to the right, indenting the right anterior thecal sac at C3-4 and C4-5 levels. …show more content…
Chambi-Venero, the patient presents with severe neck pain, rated as 9/10 that radiates into the right shoulder blade, down to the right hand that has been associated with profound weakens and numbness sensation of the right hand. Patient states that her neck pain will increase with any type of activity of daily living. She has been dropping objects whenever using her right dominant hand. She also complains of severe muscle stiffness of the neck muscles, causing occipital headaches. Of note, patient has allergy to penicillin. The patient takes Norco and Topamax. There is no history of smoking, alcohol or drug …show more content…
It was noted that in light of the progressive neurological deterioration of the strength of the right hand and the lack of response to intensive conservative treatment including PT, medication, pain management and 2 epidural injections, the IW has been recommended to undergo an anterior cervical discectomy and fusion at C3-4, C4-5, C5-65 and C6-7, using a minimal invasive technique and the operative microscope. Patient has agreed to