Sitting at a desk or performing repetitive tasks for 40 or more hours a week is common in most workplaces. Compared to standing, “sitting decreases lumbar lordosis, and increases low back muscle activity, disc pressure, and pressure on ischium.” (p1) These musculoskeletal changes are all associated with occupational low back pain. It was reported that at some point in their life about 80 percent of adults experienced low back pain.2 Low back pain is the most common job-related disability and is…
1. I diagnosis Eleanor with pelvic floor dysfunction (PFD) based on her history and examination. Pelvic floor dysfunction is the inability to control the pelvic floor muscles and failure to function properly is due to old age, obesity, pregnancy, menopause, and a vaginal delivery (Bartling, 2016). Its symptoms include urinary problems, constipation, a heavy feeling or bulge in the pelvis, and pain. Eleanor presents a majority of the risks factors and symptoms. She is more likely to have PFD…
Each year, 50% of Americans over the age of 18 develop a musculoskeletal injury that lasts longer than 3 months. Most of these injuries can be healed naturally through physical therapy even though some people don’t know that. In some cases surgery can even make the condition worse and often hinder the patient’s mobility even more than before the surgery causing the recovery time from the accident to increase, even more surgeries as a cause of the first, or leaving them with physical impairments…
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 continued to have…
the discs in the spine. • Another exercise to avoid is the double leg lift. Lifting both legs while you’re lying flat on your back places a lot of stress on the lower spine. If your muscles are already weak in that area, you could actually add to your pain instead of relieving it. Also make it a habit to avoid full-length toe touches. You run the risk of overstretching your hamstrings, as well as the muscles in your lower back. This is another exercise that wears heavily on the spinal discs.…
Introduction Orebro Musculoskeletal Pain Questionnaire (OMPQ) was developed to assist in the identification of clients that are experiencing musculoskeletal pain and are at risk of a delayed recovery leading to longer absence from work, restriction in function and pain. (Hocking, McAuley & Maher 2008; Sattelmayer, Lorenz, Roder & Hilfiger, 2011). OMPQ is used by occupational therapist’s with clients who are effected by pain problems that are resulting in decreased performance at work and/or…
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…
This is a 45-year-old male with a 2-20-2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Sprain of joints and ligaments of unspecified parts of neck, initial encounter 01/11/16 Progress Report describes that 15 minutes were spent in review of the results from the urinary drug screen, which was administered at the previous visit and deciding whether any modifications are appropriate to the treatment regimen. The pain is better and down to a 3/10. The neck…
The applicant testified there were no witnesses to this incident. He claimed he believed he informed the companies supervisor, Mr. Greg Whitaker, the next day. However, as you know, there was a delay in medical treatment. I questioned the applicant regarding this delay. The applicant claimed it was the carrier’s responsibility to make an appointment and claimed he initially requested medical treatment the day after the date of injury. I confirmed with the applicant on numerous occasions and the…
A lower back brace works to support and ease painful lower back muscles to provide pain relief and speed healing for damaged, torn or pulled back muscles. Lower back pain can be a significant reason for physical and mental disability, causing lack of productivity, reduced working days and increased demand on medical resources. Importantly, if you are experiencing back pain, finding a back brace that offers real support by relieving lumbar back pain can make a real and effective difference in…