Mechanical Lbp Case Studies

The most common symptom of this condition is pain that occurs during activity. Other symptoms include:

On Tuesday I was on Kelley, the hole identified behind Bldg. 3406 has been partially refilled. The located of the area was next to the pine trees, I have SGM Gonzalez (AFRICOM RSO SGM) emailing and phoning me about the hole identified behind Bldg. 3401. How much longer it going to take to get the hole on the playground back filled, due to the location of the hole in a playground area for small kids, ages ranging from 2 to 5 years of age is a high risk safety hazard that needs to be abated immediately.

On examination of the lumbar spine, there is tenderness and guarding of the paraspinal musculature. Range of motion is decreased secondary to pain.

Low back pain is multidimensional, involving structural, mechanical, psychological and social influences that ultimately results in a complex presentations. There are several clinical practice guidelines for LBP evaluation and management to include the Quebec Task Force on Spinal Disorders (1987), the U.S.

Allana saw Dr. Mullins six times during the month of March on 03/03/16, 03/07/16, 03/10/16, 03/14/16, 03/21/16 and on 03/28/16. On 03/07/16, Allana told him that her ultimate goal would be to run longer than 20 minutes without her back “buckling”. She also explained to him that high intensity workouts were her favorite. Throughout the month of March, she continued to have spasms and pain in her upper back, lower back, and in her neck. Her ribs also continued to be very sore. Her diagnoses on 03/21/16 was pain in the lower back, and muscle spasms in her back, neck and mid back. Her diagnosis also included segmental and somatic dysfunction of the head, cervical, thoracic and lumbar spine, her sacrum and sprain of her ribs.

The patient should stay active but avoid heavy lifting or physical work. Doctors will prescribe regular pain relievers to manage the disorder. Referral would be crucial to help in physical treatments, multidisciplinary and manipulation approaches, which should take place after every two weeks. The suitable multidisciplinary approaches include cognitive behavioral therapy, McKenzie exercises as well as chiropractic manipulative therapy and standard GP to decrease the pain and boost physical

On 11/6/2015, CM met with the client to complete Bi-Weekly ILP Review. In the meeting client report she was having neck and shoulder pain. She was cooperative and friendly.

no difficulties and showed no difficulty getting up from a chair. She did not use assistive devices or bracing materials. Full range of motion was recorded in the shoulder joints, elbows, wrists, hands, hips, knees, and ankles. Cervical spine rotation right and left was 80 degrees, with full flexion and extension. The straightaway walk was unremarkable as was the tandem step test, toe lift, heel walk, one-foot stand, and Romberg test. The claimant did not use any assistive devices. Dr. Keown diagnosed the claimant with chronic right shoulder pain, refractory bursitis, or a partial tear of the rotator cuff. She opined the claimant had the ability to sit six to eight hours, walk or stand six to eight hours, occasionally lift 35 to 40 pounds, frequently lift 10 to 15 pounds and would not require assistive devices (Ex. 7F).

Also, the right upper extremity was kept in protection with arm adducted and internally rotates, possibly subconsciously. All left upper extremity range of motion was within normal limits, no pain, no decreased range, some tightness of pectoralis muscles observed and some scapula dyskinesis. Right upper extremity was found limited to an active range of motion (AROM) performed in standing for flexion and abduction, the pain was present with instability, compensation and scapula dyskinesis. Following this step, the patient was supine position to measure passive range of motion (PROM), also pain was a limiting factor with muscle guarding end feel. Following, manual length test (MLT) of biceps was limited with replication of pain, mainly for the long head than for the short head. Additionally, manual muscle test was performed in sitting with a result of 3+/5 with pain present, and fear physiognomy was observed during testing. Additionally, special tests were performed to confirm diagnosis of the labrum tear; positive Speed test performed in a sitting position and Compression rotation test performed in supine position. Both special tests present with outstanding sensitivity and specificity. Limitations with activities like reaching up cabinets and washing his back were functionally addressed. Additionally, recreation activities like weight

S: TM presents to the clinic with a complaint of left side of her low back pain. She states that she is having exacerbation of LBP and requesting ice and has Back Pain Off to manage her LBP. TM reports those combinations been helping her to manage the condition greatly. TM denies any other issues at this time.

In the current study the most frequent FFB was the fourth IM bursa (IM4/5) (20.1%) while the most frequent SM bursa was the first (16.1%) with the least frequent one of all being the third SM bursa. The same finding was reported by Bowen CJ et al (18) and Hooper L et al (24). The SM bursae are considered mostly pathological or symptomatic so their hypertrophy might cause pain or cause activity limitation. (18) Ultrasound detectable synovial hypertrophy of the MTP joints was present in 60% of the studied patients. Similar results were detected by Bowen CJ where the US detectable MTP synovial changes were present in 67.5 % of his patients. (25)There was no statistically significant correlation between the total number of FFB and CDAI.

The straight leg raise (SLR) test was administered to confirm the diagnosis and symptoms.28-30 The SLR was performed in supine position as described by Cook et al.30 The patient was instructed to individually lift each straight leg up as high as she could. Once the patient reported her symptoms, a goniometric measurement at the hip was taken. This was completed bilaterally. Additionally, the standard SLR revealed a positive result for crossed SLR (XSLR) in which the patient experienced symptoms in the contralateral leg with the SLR

3. Hypothesis: Based on his age, the strenuous lifting that he does in his job, I suspect that he has herniated Nucleus Pulposus from either L2 to L4. The compression of the dorsal divisions of the ventral rami of his lumbar spine is causing his femoral nerve to not properly work on his right leg.

As per medical report dated 4/18/16, patient complains of discomfort without bulging. Patient had attended 2 physical therapy visits. Patient also states that he is avoiding any lifting but still having the same discomfort; however, he did find the physical therapy helpful. Objective findings revealed tenderness noted in the left inguinal area. Proximal quadriceps and Sartorius region with pain on hip flexion versus resistance. Treatment plan include continuing with physical therapy for 6 to 8 more

The main causes of LBP are benign musculoskeletal problems, and are referred to as non-specific low back pain; this type may be due to muscle or soft tissues sprain or strain. Over 99% of back pain instances fall within this category (Henschke, 2009).