BRIEF HISTORY: This 40-year-old Latin female was admitted for low back and right lower extremity symptoms. She had been suffering from intermittent low back pain dating back to an MVA several years ago. In December of last year she started a job where she was doing a lot of heavy lifting. Shortly after that she began experiencing pain in her back and right leg. CT scan was done that showed questionable disk bulging. This was followed by a myelogram that showed no definite defect. However, repeat CT showed marked compression at the L4-5 level. Some ligamentum flavum prominence and low-grade disk bulging. On May 27, the patient underwent a lumbar diskectomy at L5-S1 on the right side and a disk herniation was identified at the time of surgery. Postoperatively the patient had resolution of her low back pain and right leg symptoms and was doing reasonably well at the time of discharge. She remained afebrile throughout her hospital course. Her incision was healing nicely and she was ambulating without difficulty.…
DOI: 7/28/2000. The patient is a 46 -year-old female professor who sustained a work-related injury after being rear-ended while waiting for a pedestrian to cross the street against a green light. As per OMNI, the patient is diagnosed with chronic low back strain and chronic occipitocervical dysfunction.…
DOI: 8/16/2015. Patient is a 34-year-old female cabin cleaning supervisor who sustained injury while she was going up jet bridge stairs when she tripped and landed on her left knee. Per OMNI, she was initially diagnosed with left knee sprain/strain.…
Based on the progress report dated 07/19/16, the patient complains of 8/10 lower back pain, described as sharp, achy and agonizing. Pain is worsened by prolonged standing, walking, bending, twisting, and lifting; and relieved by rest, lying down, medication, heat, acupuncture and chiropractic. He also reports bilateral leg pain, described as electrical and agonizing. Pain is worsened by prolonged standing, walking, bending, lifting and twisting; and relieved by rest, lying down, medication and…
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.…
As per medical report dated 4/12/16, patient has multiple pain complaints such as lumbosacral symptoms, thoracic symptoms, cervical symptoms, right shoulder symptoms, right wrists symptoms, and headache symptoms. The pain in the lumbar and thoracic area are aggravated by flexion at the waist, torso rotation, prolonged static positions of rest, lifting /carrying greater than 15 pounds, pushing/pulling greater than 15…
J.B., a 45-year-old woman, is an office manager for a busy law firm and single mother of two children. While cleaning a shower stall, she experienced a sharp pain in her lower back. Over the next few hours, her lower back became increasing more painful. By the time she picked up the children from their sporting event and drove to the nearest walk-in medical clinic, she had a sharp shooting pain into her right buttocks. Her spinal x-rays were not significant, and she was diagnosed with acute musculoskeletal strain, instructed to take a nonsteroidal anti-inflammatory medication, such as ibuprofen (Advil or Motrin) and given a prescription for hydrocodone 5 mg/acetaminophen 500 mg (Lortab) PO q6h pm for severe pain. She was instructed to rest her back for the next 24 hours. Monday morning she called in sick to work because she couldn’t think clearly because of the pain medication. She developed stomach pain, and her back pain was only slightly improved. She called a friend who had experienced a similar episode and related a favorable outcome after being treated with acupuncture. J.B. comes to your alternative medicine clinic for her acupuncture appointment.…
Low back pain or lumbar (low back) strain is a broad term used to indicate the existence of pain in the lower back Member of the structural support, movement, protection of certain body tissues.…
DOI: 1/11/2010. Patient is a 67-year-old male folder who sustained injury while he was pulling out towels out of a hopper. Per OMNI entry, he was initially diagnosed with neck and upper back strain. It was noted that the IW continues with chiropractic care.…
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.…
S: TM has completed ESI X 19 visits. ESI is helping him. Last 2 weeks heat has been applied and it seems to be helping him. AT rest his back pain is 0/10 with movement, at work 4/10. TM reports no difficulty of ROM, but prolonged bending or sitting causes pain in his lower back. TM has a history of motorcycle accident and injury to lower back. He has been taking naproxen and acetaminophen he as ordered, but at times the medications help and at times medications doesn’t help. TM denies any tingling, numbness, or loss of movement in his lower extremities.…
I inspected for any deformities, abnormalities whilst observing the patient’s behaviour. As part of my working diagnoses I was suspecting head injury along with cervical spine injury due to falling, as this was trauma related to back pain, I considered possible fractures or dislocations, soft tissue injury, also as the patient has a history of lower back pain and surgery. If there was not history of a trip I would be suspecting a possible medical cause, vascular, urinary, nervous or gastrointestinal systems possibly being to blame. Our patient complained of lower back pain, Bates (2013) suggests that 40% of adults have low back pain and is one of the most common reasons of visits to the doctors. She also stated she had numbness in her saddle region, there was no evidence of head injury or Cervical spine pain at that stage.…
The sciatic nerve is the most massive single nerve in the body that bridges the spine and the lower extremities. It is fed by a total of five nerves originating from the spinal cord, transcending the length of the lower spine to the buttocks, branching out, and continuing to the foot. It innervates the skin and muscles of the lower limbs via the tibial and peroneal nerves. It also provides strength to the legs and is responsible for the reflexes there.…
Life was going to dramatically change as the nurses rolled me into the operating room. Back surgery is an invasive operation as it is, but imagine it in the eyes of a thirteen-year-old girl. The surgeons explained the procedure as a spinal fusion, with titanium rods placed along both sides of my spine for stability. This procedure would correct my scoliosis. Afterward, the pain was more than anyone should endure. I was not allowed to twist or bend, and I was unable to dress myself, or leave the house alone. This was difficult to accept, as I didn’t want to become dependent upon others.…
To understand what is happening when lower back pain strikes, the patient needs to understand the structure of the spine at lower back level. Each of the parts of the spine represents important facets when trying to combat pain and an explanation will make that understanding easier. This area is called the lumbar spine.…