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…
or more of the bones in the spinal column (vertebrae) grow together (fuse). This procedure stops the vertebrae from moving and rubbing against each other. The goal of this procedure is to relieve pain and prevent deformity and weakening of the spine. During a spinal fusion procedure, bone material (graft) is put in between the two vertebrae to help them fuse. Hardware such as rods, screws, metal plates, or cages can be inserted to stabilize the vertebrae while they heal. This procedure is…
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 average height of 69.29 ± 2.76 inches. The tests…
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…
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…
1. Do you know that we have 26 vertebrae as adults, but this number is 33 when we are babies? So where do we lose the remaining 9 bones? Four of them end up making our tailbone and five are merged to make the back of the pelvis. 2. There are about 220 individual ligaments in the spinal column. There are responsible to keeping the spine and nerves protected and stable within the spinal cord by interconnecting the vertebrae. 3. 80% of people in this world suffer from back pain at least one during…
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…
Case study This case study is going to describe the details of a chest examination undertaken on a 36 year old man who was involved in a road traffic collision (RTC) from the emergency department. The request card for the examination had the following clinical details: 'Cyclist involved in RTC, query pneumothorax'. Pneumothorax is a condition whereby the pleural cavity holds an accumulation of air resulting in the collapse of the lungs due to the pressure exerted on the lungs by the air…
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…