What treatments are associated with an incompetent cervix and are there any precautions? (medical, surgical, pharmacological)…
DOI: 12/29/2005. The patient is a 35-year-old male carpenter who sustained injury to his lower back after falling from a ladder while nailing some plywood. Per OMNI, he was diagnosed with status post lumbar fusion at L5-S1 on 09/01/09, spondylolisthesis at L5-S1, and L5-S1 spinal fusion on 09/27/12. Patient is status post spinal cord stimulator trial on 01/04/13 with poor response. Per Ortho AME dated 03/28/13 by Dr. Fernandez, the patient has permanent impairment with 26% whole person impairment rating. Future medical care includes occasional doctor visits 6-8x/year with prescription medicines, 12 PT sessions for flare-up, which could be exchanged with acupuncture or chiropractic treatments on a one-on-one basis, 2 epidural injections per year, permanent electrical stimulator, further surgery with…
Per medical report dated 02/19/16 by Dr. West, the patient is status post a work related 7 to 8 years ago. He states that he has had consistent and constant pain in his low back, buttock and posterior thigh since that time. He has been in Afghanistan working light duty which he tolerated reasonably well, but now that he has returned home with increased activity, he has had significant increase in his pain. He has had no recurrent injury. MD opined that this is a preexisting Grade 2 spondylolisthesis, exacerbated by his work related injury. On physical examination, he has lumbar spasm, tenderness, pain on forward flexion and positive straight leg raise. Plan is to proceed with an MRI of the lumbar spine.…
I. What structure passes through the transverse foramina of cervical vertebrae that would cause death if damaged as in the child’s skeleton?…
I) what structure passes through the transverse foramina of cervical vertebrae that would cause death if damaged as in the child’s skeleton?…
A repeat film was required. Improvement includes insuring all twelve vertebral bodies are noted. The lateral thoracic spine included all twelve vertebral bodies. It presents the intervertebral joint spaces and intervertebral foramina.…
This is a 35-year-old white female with cervical pains. She was involved in a car accident 8 years prior to this, with no history of neck pain, and has developed progressive neck pain since the end of the last year. She was initially treated with physical therapy support and medication, with only minor relief. More recently, the pain has been increasing, radiates from the base of the occiput, down to the neck, and into both arms. The pain was originally intermittent but has been increasing with time. She originally had intermittent paresthesia which has been increasing to the point where she now claims that she has a large amount of paresthesias in the entire right arm and of the left index and long fingers. She claims to have some weakness in the right arm as compared to the left. She has no bowel or bladder symptomatology. MRI scan has reportedly shown central herniation at C4-5 and C5-6.…
DOI: 11/28/2012. The patient is a 38-year-old male stacker who sustained a lower back injury when he was stacking tin plates and felt lower back pain. The patient was subsequently diagnosed with lumbar pain. As per office visit dated 5/23/16, the patient complains of lumbar spine. It was also noted that the patient was last seen a few years ago. Since that time, he has tried physician directed anti-inflammatories, regular use of muscle relaxers, physical therapy, and modified activities. The patient is still working through his back pain. Given the lack of improvement with nonsurgical treatment, he presents to see if there are any other options for treatment. The patient also had an epidural injection for the back, which provided no significant…
DOI: 8/15/2013. Patient is a 58-year-old female cleaner who sustained injury while she was cleaning and mopping the bathroom when she fell and hit her head/back. Per OMNI, she was diagnosed with cervical and lumbar radiculopathy, cervical herniations at C5-7, and lumbar herniation at L3-4. She underwent an anterior cervical diskectomy and fusion at C5-6 and C6-7 on 04/03/14 and lumbar laminectomy at L4-5 on 09/10/15.…
A vertebral compression fracture is a fracture that can happen when the bones of the spine break due to trauma, but it can also be caused by osteoporosis, cancer, and other conditions. Symptoms include pain, weakness, tingling, incontinence, and more. Many tests can diagnose a vertebral compression fracture. Treatment involves back braces, rest, exercise, and sometimes medications, surgery, and hospital care. (Web MD, 2013)…
Injuries to the vertebral, muscular, ligamentous and neurological structures of the spine are common following collisions and work related accidents. Injuries will typically present with symptoms such as pain and can vary quite substantially from one individual to another.…
Cited: Hoppenfeld, Stanley. Physical Examination of the Spine and Extremities. East Norwalk, CT: Appleton-Century-Crofts, 1976.…
Vaccaro, Alexander R., Michael Fehlings, and Marcel F. Dvorak. Spine and Spinal Cord Trauma: Evidence-based Management. New York: Thieme, 2011. Print.…
The spine is composed of bones called the vertebrae. The vertebrae purpose is to work with fibers to sort the spinal cord. The vertebrae are classified by main regions called the cervical, thoracic, lumbar, sacrum and coccyx. When there is an unusual disease affecting the spine by making an arch it is called scoliosis. Scoliosis is mainly now for its shaped S or C in the spinal column. Its twist and rotation,have cause deformation in different parts of the section of the spine. Scoliosis can be cause by different ways such as congenital ,idiopathic, neuromuscular,and degenerative.Therefore, treatment varies from using braces to surgery depending its progression.…
Labs to monitor according to Medscape: amniocentesis, urinalysis, urine culture, serum urea nitrogen creatinine test, MRI…