Low back pain

DOI: 09/09/1993. Patient is a 60-year-old male supervisor who sustained a low back injury when he was rear-ended while driving to a job site. Patient is diagnosed with lumbar disc degeneration. He has a lumbar surgical history of fusion L5 to S1 and 3 back surgeries in 1994, 1997, and 2003. CT scan of the lumbar spine with contrast done on 07/07/2014 reveals post surgical changes. There is mild central canal stenosis at L2 to L3 and L3 to L4 secondary to 3.0 mm disc protrusions and short…

11/2/2014. Patient is a 43-year old male field technician who sustained injury to his back when he was moving an object. Per OMNI, he was initially diagnosed with lower back strain. Per medical report dated 11/12/14, the patient was referred to massage therapy and advised to use heat and to continue Flexeril. Based on progress report dated 06/04/15, the patient presents with constant and sharp low back pain, which radiates down the right leg posteriorly to his foot with numbness and tingling…

DOI: 9/1/2014. The patient is a 38 -year-old female licensed vocational nurse who sustained a work-related injury to her low back while working with patient. The patient is subsequently diagnosed with sprain of ligaments of lumbar spine, initial encounter; low back pain; and strain of muscle, fascia and tendon of lower back, initial encounter. As per office notes dated 7/14/16, the patient states that she has completed 5 sessions of physical therapy. It has helped her reduce her symptoms. She…

6.1 Primary Outcome Measures 6.1.1 The Pain Catastrophizing Scale (PCS) Pain Catastrophizing scale is a standardized comprehensive instrument for assessment of pain catastrophizing comprising of 13 items and was developed in 1995 by the University Centre for Research on Pain and Disability in order to facilitate research on the mechanisms by which catastrophizing impacts on pain experience. The scale provides a measure of an individual’s perception of pain catastrophizing for the four…

Chiropractic services are a means of mending misaligned body structures and postures. Your spines are a very fragile part of your body and are prone to any damages as you grow old and when undergo extensive activities. Impervious back aches and stiffness are not normal and should be examined and relieved immediately. Chiropractic Services works to heal the spine from any stress and irritation that causes the unpleasant feeling. As your spine develops, it is affected by the other systems in your…

DOI: 9/20/2015. Patient is a 33-year-old female certified nursing assistant who sustained a work-related injury when she felt pain in her left knee while transferring a patient. As per OMNI entry, she was initially diagnosed with mild left lateral disc protrusion. Electrodiagnostic study done on 03/31/16 showed no clear evidence of all acute lumbar radiculopathy. The patient was unable to provide active muscular contraction during the needle EMG evaluation of the left extensor hallucis…

Patient is a 70-year-old female registered nurse who sustained a work-related injury to her right knee, thoracic spine, and lumbar spine when she tripped over a computer cord and landed on her right knee. As per OMNI, the patient developed pain into her right low back and buttocks that travels down her right leg. Per OMNI entry, patient was diagnosed with L4-5 listhesis, L3-4 retrolisthesis with herniated nucleus pulposus (HNP) and lumbar strain. MRI of the lumbar spine dated 10/27/16 revealed …

work-related injury to her low back when she reached down to adjust wheelchair brakes and he felt low back pain. Patient is diagnosed with lumbar spine sprain with radiculopathy, right knee lateral meniscal tear, cervical spine sprain, right shoulder sprain, and right wrist and hand sprain. She is status post right knee arthroscopic sub-total lateral meniscectomy, chondroplasty of lateral femoral condyle, limited synovectomy, and diagnostic arthroscopy with placement of pain pump and application…

housekeeper who sustained a work-related injury to her knee and low back when she slipped and fell on furniture polish that was spilled by a co-worker. Per OMNI, she is diagnosed with lumbar sprain/strain. Per the medical report dated 1/20/16, it was noted that the patient has completed 6/6 PT sessions on 12/17/15, and has had 2/8 acupuncture sessions. Based on the progress report dated 08/15/16 by Dr. Fernandez, the patient rates her pain with medications as 3/10, and without medications as…

sustained injury to his low back while lifting wrestling mats. The patient was subsequently diagnosed with radiculopathy, lumbosacral region; myalgia; and long term (current) use of opiate analgesic. As per office notes dated 5/9/16, the patient complained of chronic pain in his lumbar spine. He states that the pain increases with activity. He needs Tramadol occasionally to control his pain and perform his work duties. He continues to work full duty. He has daily exacerbation of pain as the…