Low back pain

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 some benefits, the use of a knee brace, walker, and medications. The patient underwent a spine injection (undated) with noted pain relief. The patient also underwent a transforaminal lumbar epidural injection (undated).…

presented for bilateral knee pain. Current medications include Lidoderm 5% patch; hydrocodone/acetaminophen 10/325mg; hydrochlorothiazide 25mg; omeprazole delayed release (DR) 20mg; Aleve 220mg; and Zanaflex 4mg. Based on the medical report dated 09/16/16, the patient presents with bilateral knee pain. Patient reports no significant change to her condition. She continues to report low back and bilateral knee pain between…

DOI: 05/02/2016. Patient is a 38-year-old female packer who sustained a low back injury after dumping a garbage bag full of foam. Per OMNI entry, she was initially diagnosed with low back strain. Per the medical report dated 07/12/16, the patient presented for her 6/6 chiropractic visit. She will continue her home exercises. Per the medical report dated 07/29/16, the patient presented for her 6/6 acupuncture visits. MRI of the lumbar spine dated 08/22/16 revealed L5-S1 annular bulge eccentric…

DOI: 12/12/2014. The patient is a 44-year-old male technician-supervisor who sustained a work-related injury to his low back after pushing/pulling boxes in back of truck. As per OMNI, he was diagnosed with low back strain, potential thigh/hip strain and unspecified arthropathy involving the pelvic region/thigh. Per operative report dated 12/07/15, the patient underwent right-sided L4-5 foraminal decompression with a right-sided L5-S1 microdiscectomy and the left-sided L4-5 decompression. MRI of…

analgesics are usually a part of pharmacologic treatment for patients living with chronic pain. What do you think are the long-term benefits of using this particular medication for these patients? An opioid is a kind of analgesic medicine that relieves moderate to severe pain. It is very prevalent due to its effectiveness, and it has been used to manage acute to a chronic type of pain. However, treating chronic pain with this drug is a challenged due to the subjective characteristics and…

Whiplash Every year, millions of Americans have whiplash injuries. Neck pain is common after an accident, but some people do not experience symptoms immediately after the injury. The symptoms may arise hours, days or weeks after the accident. Regardless of when the symptoms occur, you will need treatment for your injuries. This information will give you a deeper understanding of whiplash injuries. What is Whiplash? Your neck is flexible, but it does have limits. It is connected to your spine,…

male truck driver who sustained injury when he slipped and fell on the wet concrete near the truck wash pump. Per OMNI, the patient had a back and right knee contusion. He had a right L3-L4 laminectomy on 03/11/04. Per medical report dated 1/7/16 by Dr. Carl Shin, the patient was seen for periodic evaluation of lower back pain. He had a lumbar epidural injection back on 9/4/15. He says he is still having benefit with the injection. He says he will occasionally have numbness down the left leg,…

Radicular Pain Radicular pain is a type of pain that spreads from your back or neck along a spinal nerve. Spinal nerves are nerves that leave the spinal cord and go to the muscles. Radicular pain occurs when one of these nerves becomes irritated or compressed. Radicular pain is sometimes called radiculopathy, radiculitis, or a pinched nerve. When you have this type of pain, you may also have weakness, numbness, or tingling in the area of the body supplied by the nerve. The pain may feel sharp…

Patient is a 53-year-old male employee who sustained injury while he was walking and cleaning hand rails when he slipped and fell. He had a lumbar strain. The patient is subsequently diagnosed with lumbar Discogenic pain syndrome; lumbar radiculitis; numbness, chronic bilateral low back pain with sciatica, sciatica laterality unspecified; and myalgia. MRI of the cervical spine dated 1/28/16 (no official report) revealed that C3-4 and C4-5 mild broad-based posterior disc bulge. MRI of the…

hadn’t taken any pain medication since he was last in. Pt Wilcox documented improved tissue mobility in the UGT (upper gluteal tendon) today. On 10-13-14, Chiropractor, D.C. Bogan documented Mr. Durland had recurring low back pain that was better…