Cervical vertebrae

Group I, Category 44 Insufficient Medical Documentation to Determine Impairment Severity ISSUE There is insufficient evidence regarding the claimant’s physical condition to complete the Sequential Evaluation of Disability. CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES) This 59- year old claimant is filing a concurrent claim alleging disability due to arthritis in the knees, a herniated disc, scoliosis, and arthritis in the back, tendonitis in left foot, urinary…

Low back pain (LBP) is cited as the second most common musculoskeletal problems for which treatment is sought by individuals. An estimated 90% of LBP reported in clinical practice is categorized as idiopathic or nonspecific, meaning that the underlying pathoanatomy is unclear (Walker, 2000). Spinal manipulation (SM) has been identified as efficacious treatment methods, especially for patients with nonspecific LBP (Slater, 2012). Early use of thrust manipulation among patients with LBP has been…

“The Effect of a Compressive Brace for the Treatment of Perons with Pectus Carinatum” 1. Lee SY, Lee SJ, Jeon CW, Lee CS, Lee KR. Effect of the compressive brace in pectus carinatum. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 2008;34(1):146-9. The purpose of this study was to observe, over a six year period, the effects and efficiency of compressive brace therapy as a nonsurgical treatment for pectus carinatum (PC).…

Synovial cysts arising from the intraspinal facet joint can directly cause thecal sac or nerve root compression. They are increasingly cited as a major source of spinal instability and mechanical back pain. In this case, we report a 51-year-old woman who has been treated conservatively for a unilateral synovial cyst for 15 months. She then presented with an acute exacerbation of lower back pain, neurogenic claudication and lower extremity weakness. Her magnetic resonance (MR) studies showed new…

SUMMARY OF CASE STUDY Bill, a 34 year old male, arrived at the doctor’s office experiencing pain in his right hip. Prior to this, Bill maintains an overall healthy lifestyle which includes exercising and activities such as; swimming, water skiing and scuba diving. Bill reports he has had no trauma to his hip. On this visit an analgesic and muscle relaxant were both prescribed to the patient and he was sent home. After three weeks of no improvement Bill has returned to the doctor’s office and has…

This is a 60-year-old male with a 10/01/2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSES: 1. Cervical discogenic pain/bilateral cervical facet pain C2-# and C5-C6/ cervical sprain/strain. 2. Bilateral cervical radicular pain C5-C6 L>R 3. Cervicogenic neck pain with cervicogenic headaches/bilateral occipital neuralgia. 4. Bilateral shoulder sprain/strain. 5. Bilateral wrist sprain/strain/bilateral carpal tunnel syndrome. 6. Bilateral hand/ first…

an IME doctor on 11/13/15. Constant use of Opioids since < 6 months. The average pain level is 6/10 with 5/10-scale level at it’s best and 10/10-scale level at it’s worst. Medication coverage: fair with breakthrough pain. The physical exam of the cervical spine and thoracic spine showed normal ROM and revealed no muscle tenderness. Lumbar spine: there were trigger points at the…

This is a 62-year-old male with a 11/30/2015 date of injury. IW's foot caught the curb of a step, and he fell approximately 10 feet down the concrete stairs. DIAGNOSIS: status post mechanical fall -rib fractures and knee contusion. 12/30/15 Progress Report documented that the patient reported stomach upset due to Norco. There are fractures of the right 6th, 7th and 8th ribs, where he still has pain with respiration. Since the injury, he has experienced significant pain in the left knee,…

On 3/26/18 I met Ms. Black at the office of Dr. Sardelli. She reports that her shoulder is still painful; she cannot fully extend her elbow or rotate from side to side. She reports pain to the inner aspect of the elbow. Her 4th and 5th fingers cannot open fully or close fully. There continues to be a pain in the inner elbow. She is still working with the hand therapist. Dr. Sardelli said that while she was in the hospital he did do a manipulation under sedation of the right shoulder. Today he…

This is an 80-year-old female with 01/14/2003 date of injury, who injured her low back and right hip when she fell out of a chair while reaching for a chart DIAGNOSIS: Chronic low back pain with bilateral radiculitis, degenerative disc, status post laminectomy 12/23/15 Progress Report documented that the patient continues to have pain in her lower back and bilateral hip, which radiates down to the foot. There is also radiating pain to the left side of the neck. The lower back and hip pain are…