Lumbar Discectomy

IAT is reporting they received an adverse verdict in the amount of $2,305,376 on 10/13/16, with likelihood the plaintiff will be awarded additional monetary damages based on jurisdictional laws.

Today I came into the operating room and saw a sleeping patient being put onto their stomach. The patient is an obese female. The surgeon for the operation was Dr. Arias and the anesthesiologist was Dr. Speck. The procedure was a right L4-5 microscopic lumbar discectomy. The patient claimed to have pain on their right, which was a result of part of the spinal cord pinching a nerve. The radiologist in the O.R. took some X-rays, and shortly afterwards, Dr. Arias marked the area where he made the incision. Iodine was applied to the lower back of the patient. Dr. Arias scrubbed in and began making an incision. A microscope was given to Dr. Arias so he could zoom in or out of the wound and see a better view for the operation. Dr. Arias told me he

Anecdotally we know that relieving pressure on the discs via traction, non-surgical spinal decompression or inversion tables etc relieves the pain, we also know that continued activity opposed to inactivity is beneficial and everyone knows that stabilizing the spine and allowing strained muscles to relax and heal are critical to the healing process.

The results of this study show that both treatment interventions are just as effective in pain reduction and increased spinal mobility following a single treatment. A post boc correlation (relationship between variables) analysis was performed in order to explore the relationship between changes in pain and lumbar extension motion. Researchers analyzed the relationship between an increase in motion and decrease in pain for this study.

Non-occupational lifting was also studied as a risk factor for herniated lumbar intervertebral disc (Mundt et al. 1993). For this study, 287 patients with symptoms of herniated lumbar disc were involved and compared with control subjects without back pain taking in consideration the age, sex, source of care and geographic area. Based on their data, they showed that the risk of herniated

The conventional surgical process executed on slipped disc patient is discectomy or laminectomy. In contradiction of the common belief, operation is not a cure and maximum will struggle with similar issues again. Recurring conditions, as per surgeons might necessitate supplementary surgical interventions. Recurring disc herniation is not uncommon at all and can occur straight after back surgery or some years later, although they are most common in the first three months after surgery. Furthermore, after surgery, the patient is at higher risk of further relapses (15% to 20% chance). Some patients ended up having 2 or more surgeries on the same or a neighboring segment. The first few years after the operation, one might feel very comfy and calmed. The ill-starred realism is that the efficiency of the spinal surgery does not last. Pain, paresthesia, stiffness and numbness are most likely to come back haunting

MRI of the lumbar spine obtained on 07/15/08 showed post-surgical changes at L4-5 and L5-S1, multilevel degenerative changes, most prominent at L4-5 and L5-S1, and foraminal narrowing at L4-5 and L5-S1.

DOI: 1/29/2012. Patient is a 34-year-old female clinical assistant who sustained a work-related injury to her back when she was transferring a patient and felt pain in her low back and left side. She has prior history of lumbar laminectomy. She was treated conservatively with non-steroidal anti-inflammatory drugs, physical therapy and work restrictions. Per the PT progress notes dated 10/29/14, patient has attended 21 sessions for the back. She is status post left sacroiliac joint and left piriformis trigger point injection on 08/27/15.

DOI: 11/13/2014. Patient is a 32-year old male technician who sustained injury at the time he was breaking loose a pulser component, he felt a sharp pain to his right side, low back buttocks and right leg. The patient was subsequently diagnosed with lumbar degenerative disc disease, radiculopathy and, lumbar spinal stenosis. Per MRI of lumbar spine without contrast dated 12/23/14 revealed at L4-5 there is disc space height loss, disc bulging and facet degenerative change; at L5-S1 there is posterior disc bulging resulting in mild narrowing of the central canal, and; at T11 to T12 there is posterior disc bulging resulting in mild narrowing of the central canal. As per focused history and physical dated 3/17/15, patient is presented to the office

DOI: 12/09/2000. This is a 58-year-old male sanitary engineer who sustained an injury to the low back when he fell while stepping down a ladder. Patient is diagnosed with other intervertebral disc degeneration, lumbar region. He is status post lumbar spine surgery on 05/19/2006. Per medical report dated 5/26/16, the patient complains of lower back pain which has increased since his last visit, rated as 9/10 without medication. His quality of sleep is poor and activity level remains the same. As per office notes dated 6/26/16, the patient rates his pain as 9 with medications and 10 if without medication. He states that the medication is working well and no side effects noted. CURES (Controlled Substance Utilization Review and Evaluation System)

It is also important to also look at the treatment options of post-operational physical therapy after a lumbar disc herniation surgery. The method of care that includes both options of surgery and physical therapy is starting to become more prevalent in healthcare within the professions of Physicians, Chiropractors, Physical Therapists and Athletic Trainers. More research needs to address the effects of post-opt physical therapy after a microdiscectomy surgery of a lumbar herniated disc.

DOI: 7/16/2002. The patient is a 61-year old male assistant store manager who sustained a work-related injury to his low back when he lifted a bucket of pain. As per OMNI entry, the patient was diagnosed with multi-level degenerative disc disease of the lumbar spine. As per medical report dated 6/13/16, the patient rates his pain with medications as 5 and 8 if without medications. Quality of sleep is fair. Activity level has remained the same. The patient is diagnosed with postlaminectomy syndrome, not elsewhere classified; spondylosis without myelopathy or radiculopathy lumbosacral region; other spondylosis with myelopathy, cervical region; other spondylosis with myelopathy, cervicothoracic region; and other spondylosis with myelopathy, site

The lower back is the bottom part of the back, below the lumbar (lower back). Lumbar connects the spine to the pelvis and hips through the pelvic joints (sacroiliac joints). Read more here about chiropractic treatment of lumbar and symptoms of the problems that can be treated with chiropractic in the lower part of the back.

Lumbar Spinal Stenosis (LSS) affects a significant proportion of people in the population and can cause discomfort, limit activities of daily living, and can lead to significant disability. Even though numerous technological advancements have been made in the treatment of LSS, its management continues to be a challenge for both patients and healthcare professionals. Spinal Stenosis is a condition characterized by either narrowing of the spinal canal, also known as the Central Stenosis, or narrowing of the vertebral foramina (Delitto et al., 466). The combination effect of the loss of disc space, osteophytes, and hypertrophic lingamentum culminate to LSS (Genevay and Atlas 253). LSS is referred to as degenerative arthritis and the foraminal narrowing leads to a condition referred to as neurogenic claudication. Because of this narrowing, the spinal cord, and the spinal nerves are compressed thereby causing painful symptoms in the organs served by the affected nerves (Fishman 1141). Patients with this condition present with symptoms ranging from low back pain, general weakness decreased sensation to numbness of the limbs (Delitto et al., 467). Walking becomes a problem for people with this

Single center, retrospective and comparative study. Patients with indication to elective lumbar spine surgery were evaluated in a presurgical psychological assessment. Patients received a favorable recommendation (green group) or a favorable recommendation with reservation (yellow group). The groups were compared using the following psychosocial parameters and clinical outcomes: demographic and clinical history,