L5 Nerve Conduction Report
DOI: 3/13/2014. The patient is a 52-year old right-hand dominant male service employee who sustained injury to his lower back while lifting a video server.
MRI of the lumbar spine without contrast dated 04/02/14 showed a posterior protrusion at L4-5 with a posterior annular fissure. There is also mild to moderate spinal stenosis at this level. In addition, there is a disc osteophyte complex and disc space narrowing at L5-S1 with mild spinal stenosis and left greater than right mild foraminal stenosis. Furthermore, there is impingement upon the left L5 nerve root.
EMG and nerve conduction report dated 05/06/14 revealed evidence of bilateral L5 lumbar radiculopathy and bilateral peripheral neuropathy.
Per operative reports, IW underwent left L4-5 and L5-S1 transforaminal ESI on 11/07/2014; 05/15/2015; and 07/24/2015, and left L4-5 and L5-S1 sacroiliac joint injection on 02/06/2015. …show more content…
He complains of low back pain on the left with stiffness and spasms and left leg pain, tingling, numbness and weakness. He is unable to walk and losses balance. His left leg gives out while walking. He increases Neurontin 800 mg twice daily. He is unable to do daily activities. He walks with a support of the cane. Trigger point injections helps for few days and could work around the house and go to doctor’s appointment with more comfort. Pain is rated as 7/10. IW is a waiting for his lumbar spine surgery. Patient has severe brittle diabetes, depression and mild kidney disease with
MRI of the lumbar spine without contrast dated 04/02/14 showed a posterior protrusion at L4-5 with a posterior annular fissure. There is also mild to moderate spinal stenosis at this level. In addition, there is a disc osteophyte complex and disc space narrowing at L5-S1 with mild spinal stenosis and left greater than right mild foraminal stenosis. Furthermore, there is impingement upon the left L5 nerve root.
EMG and nerve conduction report dated 05/06/14 revealed evidence of bilateral L5 lumbar radiculopathy and bilateral peripheral neuropathy.
Per operative reports, IW underwent left L4-5 and L5-S1 transforaminal ESI on 11/07/2014; 05/15/2015; and 07/24/2015, and left L4-5 and L5-S1 sacroiliac joint injection on 02/06/2015. …show more content…
He complains of low back pain on the left with stiffness and spasms and left leg pain, tingling, numbness and weakness. He is unable to walk and losses balance. His left leg gives out while walking. He increases Neurontin 800 mg twice daily. He is unable to do daily activities. He walks with a support of the cane. Trigger point injections helps for few days and could work around the house and go to doctor’s appointment with more comfort. Pain is rated as 7/10. IW is a waiting for his lumbar spine surgery. Patient has severe brittle diabetes, depression and mild kidney disease with