presentation of spinal stenosis. Within this discussion, the report includes a comparison of the types of spinal stenosis and their respective signs, symptoms and complications. 1. Spinal anatomy 1.1 Vertebral column The human vertebral column consists of 33 vertebrae, classified into five different regions: cervical, thoracic, lumbar, sacral and coccygeal, with 7, 12, 5, 5, and 3-4 vertebrae in each region respectively (see Fig.1). While they are counted as separate bones, it should be noted that the sacral vertebrae are fused into a single bone (the sacrum) to maximise spinal stability and strength for weight-bearing. It is also not uncommon for the coccygeal vertebrae to fuse into a single coccyx bone (Gray, Drake, Vogl & Mitchell, 2014). While the features of each…
were excluded if they had a history of serious trauma, had received any surgical interventions relating to the lumbar spine, had been diagnoses with another spine related injury in the past 6 months, have been treated for an injury using steroids, and had any skin irritations or diseases around or on the lumbar spine. Ages ranged from 13 years-18 years old with a mean of 16.5years of age. The parents or legal guardians were required completed an informed consent form and attended a…
Group I, Category 44 Insufficient Medical Documentation to Determine Impairment Severity ISSUE There is insufficient evidence regarding the claimant’s physical condition to complete the Sequential Evaluation of Disability. CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES) This 59- year old claimant is filing a concurrent claim alleging disability due to arthritis in the knees, a herniated disc, scoliosis, and arthritis in the back, tendonitis in left foot, urinary…
They herniate from the degenerative intervertebral facet joint capsule, most commonly in the lower lumbar spine at L4-L5 level (2). A synovial cyst that extends to the spinal canal can result in intractable back pain, radiculopathy and cauda equina. These symptoms largely depend on the size and location of the cyst (3). Although non-operative therapy and spontaneous regression of synovial cysts have been reported in the literature (4, 5), complete cyst excision remains the mainstay treatment in…
CPR. This implies it can be confidently used in different clinical settings, on a wide range of patients by clinicians with different experiences, provided of course that it is used accurately. The predictors are as follows: 1) duration of symptoms less than 16 days; 2) no symptoms distal to the knee; 3) Fear Avoidance Beliefs Questionnaire Work subscale score more 19; 4) hip internal rotation greater than 35 degrees and 5)more than one lumbar segments stiffness with manual assessment. Patients…
This is a 60-year-old male with a 10/01/2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSES: 1. Cervical discogenic pain/bilateral cervical facet pain C2-# and C5-C6/ cervical sprain/strain. 2. Bilateral cervical radicular pain C5-C6 L>R 3. Cervicogenic neck pain with cervicogenic headaches/bilateral occipital neuralgia. 4. Bilateral shoulder sprain/strain. 5. Bilateral wrist sprain/strain/bilateral carpal tunnel syndrome. 6. Bilateral hand/ first…
The disease of the skeletal system I chose was plasmacytoma (with some mentions of myeloma). My article includes a case study with a 44yr old male named Mr.J. He had a complaint of lower back pain during his four-week follow-up. He is a very active and healthy male based on his diet and exercise. During the physical examination, he showed no signs of distress. Mr.J did have tenderness in the lumbar region, but no lesions were noted here. Everything else about him appeared normal with normal…
instrumented exoskeleton which monitors 3D motion of the lumbar spine at different lumbar levels. However the device is use when the person is standing position only Digital inclinometers are comparatively cheap and monitored…
The vertebral bone that I think was fractured occurred at C5. The C5-C6 spinal segment is located just beneath the middle of the cervical spine and helps provide the neck with structural support and flexibility. The cervical spine consists of seven vertebrae and is located at the base of the skull. Its function is to support the skull, enabling head movements back and forth, and from side to side, as well as protecting the spinal cord. Each cervical has its own functions. Say if the injury…
A little background information on Gary who came to the clinic with right shoulder pain. Gary is a 40 year old self-employed painter. He has had a cortisone injection that proved to be helpful for about five months. However, the pain returned and is a 5/10. Gary has been taking ibuprofen which hasn’t helped and using ice for some relief. There are several possible causes for Gary’s shoulder pain. For example, Gary could have Adhesive Capsulitis, Glenohumeral Osteoarthritis, Bicep Tendonitis,…