LS Spine

This usually happens at the joints where two bones meet that create movement of body parts. This disorder is systemic and usually if it happens one side, it happens on the other side as well. A joint is where two bones meet, in between those two bones there is

e. Tibia: If the Malleolus points to the right it is a right side bone

In this phase the athlete is standing in a neutral position holding the ball. The metatarsophalangeal and interphalangeal (great and lesser toes) are held at slight flexion pressed against the ground by an isometric contraction of the flexor halluces longus, flexor digitorum longus, flexor digitorum longus. The ankle is plantar flexed using an isometric contraction of the gastrocnemius and the soleus. The tibiofermoral (knee) joints are slightly flexed by a isomectric contraction of the quadriceps muscles (rectus femoris, vastus lateralis, vastus medialis, vastus intermedius). The acetabularfemoral (hip) joint is held at a postion of slight flexion through an isometric contraction of the biceps femoris, pectineus, iliacus, and the psoas. The intervertebral (lumbar) joint is extended by an isometric contraction using the erector spinae. The atlantooccipital (cervical spine) joint is flexed by an isometric contraction erector spinae. Both scapulothroracic (shoulder girdle) joint is protracted by an isometric contraction of the serratus anterior and pectoralis minor. The glenohumeral (shoulder) joint is at internal rotation by an isometric contraction using the pectoralis major, latissimus dorsi, teres major, and the subscapularius. The humeroulnar (elbow) joint is at 90 degrees of flexion by an isometric contraction using the biceps brachii, brachioradialis, and brachialis. The radiocarpal (wrist left and right)

His dressings are removed along with the brace and his incision is a curvilinear laceration through the medial retinacular region. Extensor mechanism of the knee is intact and a straight leg raise is painful but normal. Range of motion is grossly limited in flexion secondary to pain but full extension is easily achieved. He is stable with varus and valgus stress testing at 0 and 30 degrees. Gentle Lachman's test does not demonstrate any gross instability. The ankle shows some dependent edema but no acute injury. Range of motion, dorsiflexion, plantar flexion, inversion, and eversion are all intact with adequate strength. Extensor hallucis longus, dorsiflexion, plantar flexion function of the ankle are all intact with 5/5 strength, L3-S1 sensory dermatomes are intact to light touch, though the patient does describe some mild periwound numbness. There is no streaking erythema. Wound is benign and shows no signs or symptoms of infection. Vascular tone is full and compartments are

Per medical report dated 01/23/15, the patient reported of middle and lower back pain and bilateral leg pain with tingling. He was diagnosed with thoracic compression fracture and lumbar spondylolisthesis.

The symptoms are described as dull and sharp. Weight bearing and putting pressure aggravate the pain. Current pain level is 6/10. The exam of the left lower extremity showed that the pin sites were completely healed. Skin was intact. Pulses were palpable. He was able to range his ankle comfortably. He virtually had no motion of the subtalar joint. His pain was over the lateral part if the subtalar joint. The foot was warm. Pulses were palpable. He was intact neurovasculay. There was no calf pain. Reported CT scan demonstrated that the calcaceus fracture was healed. The patient has post-traumatic subtalar joint arthritis and calcaneal cubital joint arthritis. Plan: steroid injection, shoe wear and activity modification. If conservative treatment fails, he will benefit from a subtalar joint

The second half of this is outline too brief and superficial to be very helpful. See these web sites that do a better job describing Ankle Fractures:

•Use manipulation or surgery to unite the bones into the correct position; which can depend on where and how serious the injury is and, the patient's age

The patient is a 50 year old male construction worker who sustained a work-related injury while lifting heavy boxes of metals. In an office visit dated 12/14/13, patient complaints of intermittent severe low back pain which radiates to bilateral lower extremities. The claimant had an epidural injection, which significantly alleviated right leg pain for a short period of time. Unfortunately pain has returned. It is in the right leg as well as severe pain in the lower back. The claimant wishes to consider surgical intervention due to severity of pain. Objective examination reveals weakness in the right extensor halucis longus and anterior tibialis which are 4+/5. The claimant has diminished sensation along the dorsum of right foot. The claimant has a positive straight leg raise.

Based on the progress report dated 09/12/16, the patient reports more frequent pain with activity since the last

Based on the medical report dated 03/29/16 by Dr. Riley, the patient complains of increased pain to both heels, left greater than the right. She states that the pain is most severe with the 1st step in the morning or after periods of rest. She is requesting new custom orthotics, as her existing pair have become very worn. They are more than 2 years old. Additionally, she sustained a trip and fall Injury on 2/2 with her knee "giving out." Two days prior to this visit, patient is with pain and swelling to the left great toe joint. She is unclear if the injury occurred with the fall, or in the process of

On examination, he has moderate pain to palpation to the lumbar spine and paravertebral muscles over the bilateral facet joints at L4-L5-S1. He has a positive straight leg raise test to the right.

Health History: A 25-year-old male injured his left knee in a recent skiing accident. The patient stated that he lost his balance because the inner edge of his right ski got caught while skiing. This resulted in the right leg being externally rotated followed by and audible “pop” as he lost footing. By evening, the right knee joint had become swollen, causing intense pain. The primary care physician referred the case to an orthopedist.

The x-rays of Plaintiff’s spine showed normal alignment, no swelling, no fracture or dislocation and normal lordosis of the cervical and lumbar spine. Plaintiff’s left knee x-ray also showed no fracture or dislocation, but moderate decrease in the meduial articular joint space. Plaintiff was given a general diagnosis of neck pain, back pain, low back pain and left knee pain. Plaintiff was prescribed 3 sessions per week for 6 weeks of physical therapy.

B. Jane Doe’s X-ray shows a side view of the kneecap, shinbone and of the lower thighbone.