Raadiculopathy: A Case Study

There is pain with lumbar flexion and extension. There is no aberrant behavior. The patient feels that he can perform increased activities of daily living with his current medications.

Per the medical report dated 03/29/2016 by Dr. Waghmarae, the patient believes that her left buttock pain has increased over the last month. She describes her pain as aching, throbbing and stabbing. She rates her pain symptoms as 8/10. Pain is relieved by medication, heat, ice and use of a Transcutaneous Electrical Nerve Stimulator (TENS) unit, and is increased by movement and standing for long periods of time. She states that her bilateral legs have also increased in pain severity over the last month. She believes because she is doing a lot of standing and trying to clean up her house. She states that pain is increasing in her left buttock. She is not involved in physical therapy, chiropractic, massage therapy or acupuncture. Palpation of the lumbosacral spine reveals abnormalities along the bilateral facet joints. There is pain in her axial lower back in all planes of lumbar motion that is

This is a 52-year-old male with a 8/21/2014 date of injury. IW is a milker, who was pushing cows, when one backed

On the statement of medical necessity per MG-2 form dated 07/13/16, patient has been experiencing severe lumbar spine pain/spasms since the injury. She complains of lumbar spine pain with cramps in the lower extremity going down to the feet, associated with tingling sensation. There is left greater than right L3-S1 pain and spasms, left greater than the right L3-4, L4-5 and L5-S1 facet joint pain, upon posterolateral extension at 45 degrees. There is bilateral sacroiliac joint tenderness. There is tenderness over the right lateral quadriceps muscle. Range of motion (ROM) is limited secondary to

MRI of the lumbar spine dated 12/11/15 reveals disc desiccation with associated loss of disc height at L5-S1; posterior annular tear at L5-S1; hemangioma at L5; and L5-S1 focal right paracentral disc herniation which abuts the thecal sac. Disc measurement is 3.3 mm.

Stand and gait is normal, pain in dermatome L5 and S1 both side , local pain in the lower lumbar area , sensation intact ,no muscle weakness , reflex status normal .

Based on the progress report dated 03/28/16, the patient complains of pain to his lumbar

In addition to the complaint of low back, this patient may be exhibited signs and symptoms associated with L4-L5 disk herniation and to a lesser extent L5-S1 disk herniation. This area is the most common place for a disc to herniate, on the account of the amount of weight these vertebral segments carry and due to their range of motion. A disk herniation at the L4-L5 can cause nerve root impingent resulting in a L5 radiculopathy. The symptoms that arise from a radiculopathy can cause an array of symptoms. In addition to the low back pain, pain may radiate into the buttock and down the leg and into the foot. Neurological symptoms can include muscle weakness, parasthesia, and sensory loss in dermatomal distribution. For the L5 nerve root this

The patient is a fifty-six-year-old male who was admitted on 10/3/16. His reason for admission was his involvement in a motor vehicle accident where his car was t-boned by another vehicle. Upon arrival to the emergency department, his chief complaint was his inability to detect sensation from the nipple line down, and his inability to move his extremities. He was otherwise alert, oriented and able to breathe on his own. After an assessment confirmed his inability to feel anything from the chest down, a portable x-ray of his chest was ordered, but this did not show any acute findings. Multiple computed tomography scans were then ordered for his head, cervical spine, abdomen and pelvis, chest and thoracic spine; but all of these scans resulted in no acute findings. However, a computed tomography scan of the lumbar spine did show spinal stenosis secondary to disc protrusion, and magnetic resonance imaging scans were then ordered for the cervical, thoracic, and lumbar spine. The magnetic resonance scans showed multiple compression fractures from the C3 to C5 vertebrae, with ligament injuries from C5 to C7, bruising of the spinous process of C6, mass bone bruising and soft tissue injuries at C3 and C4 with edema, severe spinal stenosis with cord compression at C3 and C4, and cord contusion at T2. The patient was then

DOI: 12/19/2015. Patient is a 23-year-old male field technician who sustained injury while removing a ladder from a truck. Per OMNI, he was initially diagnosed with back sprain/strain.

Based on the progress report dated 12/16/15, the patient reports that the pain remains in the low back and bilateral shoulders. The low back pain radiates to the bilateral lower extremities and is associated with numbness and tingling. He has worsening leg symptoms. He has not yet been authorized for his lumbar ESI. Surgery is pending for the left shoulder.

This is a 38-year-old male with a 3/14/2014 date of injury. He sustained the injury while performing his regular job duties. He was backing up while carrying a bucket of fire-proofing material, when he tripped and fell over some stacked plywood.

Generally, when herniation occurs at the lower levels of the lumbar spine, as it is in the case of patient G.J., the nerves in the lower back become irritated causing a condition called lumbar radiculopathy. Lumbar radiculopathies characterize by excruciating pain that shoots down the buttocks along the legs. Low back ache often precedes pain in the lower limbs. Radicular pain worsens with movement at the level of the waist, sneezing, and coughing. Urinary and bowel incontinence may be present in severe cases (Degenerative Disc Disease & Sciatica Symptoms, Causes, Treatment,

The patient is a 72-year-old gentleman that has significant cervical spine arthritis he has been having extreme dizziness, numbness and pain in the left arm for the the past few months. He was a same-day surgical admission on the third for an elective vasectomy. He underwent a C3-4, C4-5, 8D, ACDF. The patient is also noted in the history to have a myopathy with great gait difficulty. The day after the surgery he is evaluated by physical therapy. He has great difficulty walking, Aspen collar is in place. His upper extremity strength is detail as 3+ over 5 both upper extremities,lower extremities are 4/5. His sitting balance was good. Standing was fair. This was all with a rolling walker. He also reported having some difficulty swallowing.

The patient is diagnosed with herniated lumbar disc, lumbar canal stenosis, lumbar disc degeneration, lumbar radiculopathy, postlaminectomy syndrome (lumbar), and lower back pain.