Physical Therapy : Spine ( Lumbar / Cervical Thoracic )

Our spine hardly gets as much daily care as our hair or face does, but we should realize that it plays a crucial role in the proper functioning of the body. Conversely, tending to the spine health must be a part of a comprehensive health routine. Older people often experience some stiffness in the back or in the spine.This is possible due to the deterioration of the bones and intervertebral disks with age. But pain or continuous stiffness should never be taken lightly. Common spinal conditions among the elderly can be detected by symptoms such as leg pain, postural problems, early morning back pain and more.

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.

King will be talking about how dangerous football is. There will be knee cartilagae tears. I will also be talking about spine injuries. The final thing is death. Thatnis all.

People struggling with back and neck pain can become used to the administration of narcotic pain medications (also referred to as opioids). All narcotic agents have a dissociative effect that helps patients manage pain. While they do not actually deaden the pain, they do work to dissociate patients from the discomfort. Commonly used narcotics include Codeine, Hydrocodone, and Oxycodone.

An MRI is short for magnetic resonance imaging and it uses a magnetic field and radio waves to create very detailed images of the tissues within the body. “Conventional MRI has demonstrated inconsistent diagnostic performance in detecting SLL, LTL, and TFCC tears. The low sensitivity for SLL (40–75 %) and LTL (50–75 %) tears is largely due to their small structure. The accuracy of MR imaging for TFCC tears is higher, at about 71–100 %.” (10) Although they would like to have less invasive techniques like the MRI, they need to get more accurate results like they do from the arthroscopy, before they rely on the MRI only. With such a small area that they want an image of for the TFCC injury, they must really refine the sections of images that they make so they can get a clearer picture. As for using a radiograph as another form of diagnosis, they are not useful in a TFCC injury and they will only help determine if there is osteoarthritis. This is usually a go to for any other injury to see if any big damage has happened, however, it will not be helpful in this

*insert article *attachedBesides being able to see the inside of a shoulder, doctors use different physical tests to evaluate the shoulder in order to determine what type of injury and how severe an injury may be. One such test was recently developed by Dr. Carl J. Basamania at the Womack Army Medical center in Fort Bragg, N.C. The test was developed to evaluate shoulder instability in a patient. During the test the Dr. or examiner stands next to the patient who is to lay flat on his/her back. The hand of the examined should is held firmly by the examiner. The examiner then pushes against the clavicle to stabilize th scapula, while they also gently hold the pectoral muscle with their thumb in order to be able to assess relaxation. The examiner then rotates the arm form neutral to full external rotation. If the patient has AIGHL incompetence there is a lack of tightening as the arm reaches full external rotation. The test has appeared to be highly accurate and may be of value to Dr.'s and surgeons alike. After doctors have determined what type and what degree of injury a patient has sustained using various tests it is on to the next step, rehabilitation.

Per PA Alford, your MRI of left knee shows a chondral defect, osteoarthritis at the patellofemoral compartment with a focal near full-thickness chondral defect at the trochlea. Osteochondral injury at the medial femoral condyle, with a 1 cm area of partial-thickness chondral defect and subchondral bone marrow edema. No meniscus or ligament tear.

Medical imaging can lead to the early and precise detection of shoulder lesions like rotator cuff tear (RCT). A timely and exact diagnosis can dictate a positive patient's outcome. Hence, clinicians must be capable of identifying the imaging technique that is appropriate for a patient's musculoskeletal condition.

Impingement syndrome: As indicated by Shahabpour, Kichouh, Laridon, Gielen, & De Mey (2008, p. 194), magnetic resonance imaging is the imaging tool of choice for evaluation of articular structure and soft tissue of the shoulder; it can aid in the detection of soft tissue anomalies linked to shoulder impingement. Similarly, Wise et al. (2011, p. 605) acknowledge the importance of MRI as an instrument in identifying osseous and soft tissue irregularities that may lead to or be the consequence of shoulder impingement.

The shoulder region has the greatest range of motion and the least stability (Degerlendirmesi, 2014). As I have mentioned in my initial post, due to the complex anatomy of the shoulder and biomechanics of the joints and soft tissues, it is crucial that proper imaging methods should be utilized (Degerlendirmesi, 2014). One purpose of imaging is to check for the presence of a fracture or dislocation in acute cases. (Degerlendirmesi, 2014). Obtaining the patient’s history and performing a physical examination in correlation with imaging findings is vital in avoiding errant treatment of lesions in the shoulder that are asymptomatic or neglecting other pathological

Togal A, Gulek B, Soker G, et al. ( 2014) : The evaluation of MRI findings in symptomatic knees by means of 0.2 T low field-strength open MR scanning; A research study comprising literature comparison with high field-strength scanners : Merit Research Journal of Medicine and Medical Sciences; 2(4) : 84-96.

Regarding MRI cervical spine, CA MTUS supports imaging studies with red flag conditions; physiologic evidence of tissue insult or neurologic dysfunction; failure to progress in a strengthening program intended to avoid surgery; clarification of the anatomy prior to an invasive procedure and definitive neurologic findings on physical examination, electrodiagnostic studies, laboratory tests, or bone scans.

Over the last several years there have been challenges in the various state legislatures against the physical therapy profession via legislation promoted by chiropractors attempting to prohibit the PT scope of practice since its inception. Manipulation techniques are manual (hands on) skilled passive movement treatment techniques used by Physical Therapists, Physicians, Osteopaths and Chiropractors. Chiropractors argue that physical therapists are not trained to practice TJM; Chiropractors also claim that manipulation provided by PTs place the public at risk for serious injury. Cervical spine manipulation techniques pose a risk of adverse effects that range from mild soreness to severe neurovascular injury. Adverse reactions to cervical spine manipulation may include a temporary increase in neck pain, radiating arm pain, headache, dizziness, impaired vision, or ringing in the ears.25 Although minor temporary adverse reactions to cervical spine manipulation are fairly common, catastrophic complications from cervical manipulation are extremely rare.

Lumbar spinal stenosis is what occurs when the nerves in the lumbar area of the spine (the lower back) are pinched. Sciatica, which is the common term for pain in the legs due to a compressed nerve, can be caused by lumbar stenosis. It is mostly caused by degeneration of the facet joints, or the joints between vertebrae, in the lumbar area, which expand and press against the spine and “choke” it, hence the term stenosis, which comes from the Greek word for choking.

Michael Perry, an expert on spinal health, asserted that an anti-inflammatory diet is important to tackle back pain. We propose cooking demonstrations to promote awareness and urgency on spinal health with the introduction of “BackFood”, food that are proven to reduce back pain (Figure 25). These cooking demonstrations will guide the students to the path of better spinal health and simultaneously promote the importance of spinal health. The students will be introduced via cooking demonstrations where dishes can be sampled, enhancing audience involvement thus effectively convey our message of an ideal diet. Cooking demonstrations are able to engage a wider demographic, from children to the elderly while also appealing to cooking enthusiasts