Lumbar vertebrae

pain with weakness and numbness. Despite previous surgery, the claimant continued to be symptomatic with low back pain. Considering this, an MRI of the lumbar spine is medically necessary and appropriate to further evaluate the claimant's condition. A visit note dated 04/21/2017 indicated that the claimant presented for a follow-up for a lumbar disc herniation and radiculopathy affecting his left leg. He reported occasional left ankle swelling when he is on his feet most of the day.He…

The claimant works as a truck driver. He had an injury on 08/28/2017 while he was tying down loads, he suddenly felt low back pain. He was unable to perform his work the following morning. MRI of the lumbar spine dated 09/13/2017 showed desiccation of disc at the L4-L5 level with circumferential disc bulge and mild degenerative change facets. There was a mild bilateral bony neural foraminal narrowing at the L4-L5 level with possible but not definite L4 nerve root impingement. The tip of the…

The patient has right shoulder, right wrist, right thigh and lumbar spine pain. He is going to see 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…

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…

In the past, studies have shown that the sit and reach along with altered versions show validity for evaluating hamstring flexibility. However, they do not show a correlation to the assessment of lumbar flexibility. Nevertheless, within this article, they discussed how the hip joint, lumbar and thoracic spine contribute to the overall performance of Sit and Reach. This test was performed on 195 Brazilian boys ages 18 to 19. All individuals volunteered, weighed 152.02 ± 22.46 lbs. and had an…

This is a 32-year-old male with a 7/3/2014 date of injury, due to a MVA. DIAGNOSIS; Cervical spin e S/S, Lumbar spine S/S, Left shoulder S/S 12/08/15 progress note describes that the patient complains of neck pain at a 6/10-scale level; low back pain at a 6-7/10-scale level, which radiates to the right leg; left shoulder pain at a 4/10-scale level, which radiates to the left arm; and sleep problems. PE revealed slight to moderate spasticity and tenderness over the para-cervical muscles. ROM of…

patient’s progress, and make any necessary modifications to the treatment plan. The patient has neck pain with right upper extremity numbness, tingling and weakness. On exam, there was positive cervical and lumbar tenderness. There were muscle spasms noted in the paraspinal muscles. The cervical and lumbar ROM is reduced. The patient is currently on medications and has been performing home exercise program. There are clear functional deficits and the treatment regimen needs to be monitored and…

This is a 59-year-old female with a 7/29/2009 date of injury, due to a slip and fall. DIAGNOSIS: Cervicalgia; C4-7 anterior cervical decompression and fusion 2014; Lumbar/cervical disc degeneration. 12/15/15 Progress Report described that the patient has significant neck pain radiating to he right upper extremity with weakness and increased elbow pain. She still continues to have severe back pain. She still has lower back pain and occasional lower extremity pain. She gets some pain relief…

Cervical spondylotic myelopathy is a degenerative disease of cervical spinal. The onset is usually insidious, with long periods of fixed disability and episode of worsening of events are taking place. Concerning to the pathophysiology of cervical spondylotic myelopathy, the injuries which are frequently repeated to the spinal cord are caused by static mechanical factor, dynamic mechanical factor and spinal cord ischemia. These factors are responsible for affecting the spinal cord through…

Method. This works in our favor, because the vertebrae method is less likely to be accurate with a deceased individual. This is due to the lack of cartilage between the vertebrae. These assessments use the length of the long bones and the leg bones and inserts them into specific formulae based on sex and ancestry. Due to the ambiguous nature of skeleton number…