Work Related Injury Case Study

DOI: 10/1/2010. Patient is a 61-year-old male technician/specialist who sustained a work-related injury due to repetitive motion. Per OMNI, he sustained injuries to his bilateral elbows, shoulders, wrists, and neck. He underwent anterior cervical discectomy and fusion at C3-C6 on 9/25/12.
Per procedure reports, patient underwent cervical facet injection at levels C3, C4 and C5 on 10/09/15, 12/11/15, 04/29/16 and 07/01/16.

Based on the latest medical report dated 11/10/16, the patient has been under the care of Dr. Siddiqui and has had several different radiofrequency ablations and other modalities to help treat his pain. Over the last few months, overall he notices it is progressing and presents for evaluation. He is trying to stay as active as he can, however anything does significantly limit him. His pain is across his shoulder blades into his shoulders with numbness and tingling down his arms and varies based on activity. More often, his pain has been on the right, however lately he has been noticing it is worse on the left.
Of note, an MRI of the cervical spine done on 10/24/16 (no official report) showed postoperative changes, hardware intact, good alignment, no back out, fracture or lucency. It does show fusion across the disk