Unit 3. Thoracic Spine Bulletin Board In the past, studies have shown that patients with musculoskeletal shoulder pain tend to lack thoracic mobility when compared to patients without shoulder dysfunction. When I treat a shoulder pain patient, I always evaluate and treated cervical, cervico-thoracic junction, and thoracic segments. The relationship between thoracic spine posture, shoulder ROM, and scap¬ular kinematics is well described in the literature. Lewis et al. (1) found that altering…
Imagine being a 12 year old child, having a life changing surgery. When I was 4 years old my pediatrician diagnosed with idiopathic scoliosis. Scoliosis is when there is an abnormal curvature of the spine. Idiopathic just means there was an unknown cause. My doctor told me that when I was a child is probably when my spine started changing. When I was an infant I never crawled, I just went straight into walking. They believe that’s what caused it, because crawling puts your natural curve in…
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…
The most interesting outcome measure was Cranio-vertebral (CV) angle. Post treatment measurement demonstrated increased CV angle and this can be taken as a sign of structural improvement patient had after 4 weeks of thoracic mobilization. Moreover, almost all outcome measurements including pain reduction…
Latissimus Dorsi T7 - L5 vertebrae spinous process, the iliac crest of sacrum, the thoracolumbar fascia, the inferior angle of scapula, and lower 3-4 ribs. Intertubercular groove floor. Extends and medially rotates arm. Triceps Brachii Long head: infraglenoid tubercle of scapula; Lateral head: posterolateral humerus and lateral intermuscular septum; Medial head: posteromedial surface of the inferior half of humerus. Ulna olecranon process. Extension of the forearm and long head. Deltoids…
This is a 58-year-old male with a 3/26/2003 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Shoulder Pain 11/10/15 Progress Report described that the last urine toxicology was in July. A new UDS was done and the results are pending. 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…
Commonly, scoliosis is known for either being a C or S shape. A C shape is when there is only one curvature of the spine, whereas S shape is two curvatures of the spine. In your case, you only have one curvature (C shape). We have diagnosed you with scoliosis because your degree is over 11. This is considered mild scoliosis because it is under 20 degrees. If you were to have moderate scoliosis your curve would have to be between 25 and 70 degrees. Anything over 70 degrees would be considered…
Case Study 1 Figure two shows a thoracic vertebrae with a normal intervertebral disc and a herniated one. The normal one has the normal components of an intervertebral disc: the annulus fibrosus surrounding the nucleus pulposus and the spinal nerves safely exiting through the neural foramina. In the herniated disc it looks like the annulus fibrosus has been ruptured in its weak spot and the nucleus pulposus has escaped and compressed a spinal nerve. Several types of tissues were involved in…
Natalie Jara MED 2047 Scoliosis Mrs. Michelle Earixson-Lamonthe 2/6/2015 Scoliosis When a human is born, there are seven cervical, twelve thoracic and five lumbar vertebrae's. Viewing the spine posteriorly in a patient with a healthy spine you will see that there is no curvature from right to left but looking at the spine laterally you will find that there is a regular "s" shape. " This allows for an even distribution of weight. The "S" curve helps a healthy spine withstand all kinds…
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…