feelings of helplessness, hopelessness and worthlessness. Current medications include Norco, Nucynta, alprazolam and duloxetine. IW was diagnosed with the following: intervertebral disc disorders with radiculopathy, lumbosacral region; osseous and subluxation stenosis of intervertebral foramina of lumbar region; other intervertebral disc degeneration, lumbosacral region; and pain in the bilateral knees. Plan is for psychiatric consult to manage patient's depression and anxiety secondary to…
medical necessity for further PT, orthopedic treatment or diagnostic testing from an orthopedic standpoint. MRI of the lumbar spine performed on 03/18/14 showed posterocentral disc herniation as noted at the L5-S1 level, which demonstrated ventral impingement on the thecal sac as well as impingement on the intervertebral foraminal bilaterally. There was mild narrowing of the anmteroposterior diameter of the spinal cal noted at L5-S1 level. Mild scoliosis is seen. Posterior…
ability of producing images by different contrast mechanisms giving it tremendous flexibility. Disadvantages of MRI: INFLAMMATORY PROCESS OF THE LUMBAR SPINE Spondylodiscitis: Introduction: Spondylodiscitis is a rare primary infection of the intervertebral disc with secondary infections of the vertebrae. It can lead to osteomyelitis of the spinal column. Predisposing factors include age, multi-morbidity, diabetes mellitus and cardiovascular disease. Incidence increases with age and men being…
Introduction Spinal stenosis is a condition which involves the narrowing of the vertebral column, either in the spinal canal, intervertebral foramina, or the intervertebral spaces. The condition is degenerative and widespread, affecting approximately five in every one thousand people (Hsiang, 2015). This report aims to describe the anatomy of the vertebral column and spinal cord, relating changes in anatomy to the development and presentation of spinal stenosis. Within this discussion, the…
L5/S1 broad right paramedian posterior disc herniation impressing and posteriorly displacing the right S1 nerve root after it exits the thecal sac flattening the contour of the ventral margin of the right S1 nerve root and impressing it against the right facet at this level. There is radial annular tear. The posterolateral component of the disc herniation encroaches also toward the foramen to a lesser degree. There is L1/2 right posterior subligamentous disc herniation impressing on the right…
Summary: The patient is a 62-year-old individual who sustained an injury on 05/01/11. The mechanism of injury was not documented in the reports reviewed. The patient was diagnosed with intervertebral disc disorders with radiculopathy in the lumbosacral region, intervertebral disc disorders with radiculopathy in the lumbar region, and pain disorder with related psychological factors. Prior treatments included physical therapy, home exercise program, chiropractic treatment, acupuncture with…
At L5-S1, there is a broad based disc bulge, with superimposed right paracentral disc extrusion extending below the level of the disc, impinging against the transverse right L5 nerve root to the lateral recess. Epidural lipomatosis is seen, causing severe central canal stenosis, with disc bulge causing mild bilateral neuroforaminal. IW was diagnosed with other lumbar region intervertebral disc disorders, right sided sciatica, other muscle spasms and spondylosis…
ball may cause injuries. Cervical spinal injuries are usually categorized as a head and neck injury and their incidence varies from 4 to 22% (Kartal, Yiliran, Senkoylu,& Korkusuz 2004). Severe muscle spasms, spinal cord injuries, herniation of the disc and fracture dislocation are listed as acute injuries to the cervical spine in soccer (Kartal et al., 2004). Kartal et al. (2004) hypothesized that recurrent trauma from head butting a soccer ball may case degeneration at the cervical spine.…
comparison of 2 manual therapy and exercise protocols for cervical radiculopathy. It begins by stating that cervical radiculopathy can often occur due to the overall reduction in size of the intervertebral foramen (IVF). This can arise from a degenerative lesion of the zygapophyseal joints, or from a herniated disc. Most common symptoms consist of periscapular, upper- limb, and neck radicular pain; neurological symptoms may also occur in forms of sensory disturbance, weakness, and reduced tendon…
low back pain represents 15% of low back pain problems. About 50% of specific back pain is due to prolapsed intervertebral disc (PID), in which the nucleus pulposus herniates through a tear in the annulus fibrosis, resulting in irritation of the adjacent nerve root and causing a typical radiculopathy pain. It is commonly seen in the age group of 15- 45 years of age.3 Majority of the spinal disc herniations occurs in the lumbar region (95% in the L4-L5 or L5-S1). The clinical phenomena in acute…