He notes tingling down the posterior legs with numbness along the left leg to the foot and more recently some numbness to the right lower leg and foot. He has continued with his home exercise program (HEP), and has noticed with back rowing exercises, he will experience a sharp shooting pain down the right leg. He continues to be limited in activity due to his symptoms, as any increase in activity leads to an increase in symptoms. He is frustrated with his ongoing complaints.…
The patient does report that most of her pain is in both of her knees, and also she has history of severe right heel pain. Since surgery, the patient has been using a wheelchair for most of her locomotion. However, lately the doctor has released her to put weight on her foot. She states that she has been walking about seven to 10 feet in her house, mainly just using countertops and furniture to get to and from the bathroom.…
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.…
The pain is aggravated by prolonged walking/standing, lifting and carrying items. The pain is relieved with resting, lying down, taking medication, and elevating the affected area. She has been using a cane for gait assistance. Pain level has remained unchanged since last visit.…
This precise condition is quite long-established in adults who're older than 45 years historic. When irritation strikes the bursae, the effect is a situation called bursitis, which is related to excessive joint ache and irritation. The bursae are sacs stuffed with fluid that provide cushioning for bony structures within the body. Without the bursae, the liberty to maneuver muscle tissues and tendons in terms of the bone is affected. Extra explanations of joint affliction include harm (akin to a fracture), overuse of joints, sprains and strains, septic arthritis (triggered with the aid of bacteria), tendonitis, gout (peculiarly when gift in the massive toe), infectious conditions (measles, flu, rheumatic fever), hepatitis, mumps, rubella (sometimes called German measles), Epstein-Barr viral syndrome, chickenpox, Lyme sickness, osteomyelitis (infection of bone or bone marrow), and autoimmune diseases (such as lupus).…
Right knee range of motion reveals flexion of 100 degrees. Muscle testing is 4/5. Sensation is decreased to light touch, pinprick and deep pressure on lower extremities dermatomes. Straight leg raise (SLR) testing showed…
She was previously sent to physical therapy and had 60-75% improvement of her symptoms. She has not had a pain management consult. She experiences a tingling sensation from the ankles that radiates upward into the calves. The symptoms are worse while at work. She further reports having leg weakness during transitions at times.…
Carpal Tunnel Syndrome(CTS) happens when your median nerve, which runs from your forearm into the palm of your hand, becomes pressed or squeezed at your wrist. Your median nerve provides feeling to your palm side of your thumb & to your index, middle, & part of your ring fingers. Meaning you won’t feel those fingers move or crack. It’s also not a disease which means you can’t catch it from someone else. Carpal Tunnel Syndrome is often the result of a combination of factors that reduce the available space for the median nerve within the carpal tunnel, rather than a problem with the nerve itself.…
Psoriasis is a autoimmune, chronic, inflammatory and proliferative skin disorder. The lesions consist of red, scaly, sharply demarcated, indurated plaques, present particularly over the extensor surfaces and scalp. Psoriasis can be of plaque, inverse, guttate, erythrodermic, pustular types. Plaque psoriasis is the most common form, affecting approximately 80% to 90% of patients. Plaque psoriasis manifests as well-defined, sharply demarcated, erythematous plaque varying in size from 1 cm to several centimeters.…
A patient may also be predisposed if they have an abnormal walking pattern or if they participate in any sporting activities that put this joint at high stress like: dancing, ice hockey, and…
Osteoarthritis (OA) is one of the most commonly encountered conditions that people over fifty are affected by. Age alone is only one of the primary factors behind OA. Others include genetic predispositions, gender, previous trauma or injuries, workplace environment, obesity and other medical conditions affecting the joint and it's cartilage. The symptoms vary from slight creaks in the joint, pain, swelling and the loss of cartilages between bones. Sitting for longer periods of time can also trigger severe stiffness in the joint.…
Spondylolysis is defined as a structural defect that involves the breaking down of the vertebra (Hockenberry & Wilson, 2015). Symptoms of this condition include lower back and lower limb pain. In fact, spondylolysis is one of the common causes of back pain in adolescents, particularly young athletes. This injury most often occurs on children and adolescents who are involved in sports that place repeated stress on the lower back. Furthermore, in some cases spondylolysis can lead to spondylolisthesis, when the vertebra begins to shift out of place (Hockenberry & Wilson, 2015).…
Most people do not know cystic fibrosis is sometimes called “sixty-five roses.” The nickname came from a young boy who heard his mom talking about the condition on the phone. Each time she said cystic fibrosis he thought she was talking about sixty-five roses. In reality, cystic fibrosis is a devastating disease caused by a hereditary disorder which affects the exocrine glands. Around one in twenty three people in the United States carry at least one defective gene causing it to be the most common genetic defect of its severity.…
Scleroderma is a rare disease that causes the skin to become thick and hard. It’s a rare disease that can be life threatening. More than 75% of people that get this chronic disease are women. There are usually two types of scleroderma, localized and systemic scleroderma. Localized scleroderma usually only affects the skin, and systemic scleroderma is more serious.…
At the age of two, my parents were woken up one night to the sound of crying and screaming. As they walked into my room they saw my knee was swollen five times its normal size. I was rushed to the hospital and later diagnosed with Juvenile Rheumatoid Arthritis in my knees and ankles. Growing up kids would always want to play tag or have little races. I could not always keep up with my friends’ antics.…