we found an apparent clinico
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radiological discrepancy between sciatica described by patients on one side and MRI finding on the other side without any other abnormality. The cases of foraminal herniated disc were excluded. In the event of any doubt regarding presence of differential diagnosis of sciatica other than disc herniation and when there was no in
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dication for emergency surgery, patients were referred to neurologists and rheumatologists to rule out any other differential diagnosis such as peripheral neuritis, diabetic polyneuropathy, sensory-motor mixed neuropathy, or other rheumatological and neurological diseases.
In this paper, we aimed to estimate
According to the World Health Organization, "Annually, worldwide, more than 3,600 million X-ray examinations are performed" ("Medical"). The life of radiologic technologist is not an easy job. These technologists are responsible for accurately positioning a patient to produce a well quality, diagnostic image. In other words, they help produce the best x-ray image possible. Although this career has its perks of diagnosing different conditions, working with physicians, and benefitting from the many specialty programs associated with radiology (Alan), there are also downfalls to the job. Professor in Radiologic Technology, Alan Schiska of MSSU stated, "Some disadvantages of this career would be the lifting of the patients, the stress of the job,
As per medical report dated 4/19/16, a lumbar MRI with and without contrast was requested to evaluate for a discogenic and/or facetogenic etiology for pain. MRI would also allow evaluation of conditions such as spinal stenosis.
DOI: 06/23/2011. This is a case of 41-year-old male maintenance worker who sustained injury to the low back while taking off a sliding door of a patio. As per OMNI notes, patient is diagnosed with lumbar disc disorder with myelopathy. MRI of the lumbar spine dated 6/28/15 revealed recurrent left paramedian L4-5 disc herniation with caudal extrusion of a 10 mm fragment into the left L5 lateral recess. As per office notes dated 7/25/16, the patient is status post redo left L5-S1 discectomy performed on 4/20/16. It was also noted that the patient had a prior L5 laminotomy several years ago. He subsequently did well. However, he had recurrence of his pain. Pain is radiating into his left leg worse on the right leg. This was unresponsive to conservative
Sciatic nerve pain is very challenging to treat as it's a warning sign of any cause. Thus it is significant to recognize what causes it in order that it
11/13/14 MRI of the lumbar spine showed 4mm left paracentral and foraminal disc protrusion at L4-5, which mildly impinges upon the thecal sac and the proximal left L5 nerve root. The disc protrusion also moderately narrows the left foramen and lateral recess. There was also a 2mm posterior central disc protrusion at L5-S1. A 2mm disc bulge at L2-3 was seen. There was a mild degenerative facet and ligament flava hypertrophy at L4-5 and
Sciatica typically occurs in the lower back and extremities. The most common cause is from a lumbar herniated discs pressuring the scatiac nerve, which causes pain and inflammation. In addition to this, pinched nerves and back injuries also result in sciatica. Since sciatica is a symptom of a larger health problem, chiropractic practitioners carefully diagnose through standard medical diagnostic imaging, such as CTs and MRIs. One of the benefits of using chiropracticare to treat sciatica is that surgery can be avoided. Keep in mind that microdiscectomy spine surgery is the most common treatment method for umbar herniated
Per the medical report dated 08/12/16 by Dr. Gunderson, the patient had neck pain, as well as headaches, dizziness and blurred vision. The neck pain radiated into both shoulders, but more so on the right, and occasionally she had tingling in her upper extremities. She described the neck pain as severe and intermittent, and not related to any specific activity, and relieved with massage. The pain in her lower back was in the beltline and radiated into both lower extremities, more so on the left. She described the pain as moderately severe and constant, and not related to any activity, and only relieved with nerve medicines. On examination, the patient had tenderness in the lower cervical region about C5 to C7. Range of motion of her neck was 75% of normal. Motor, sensory, and reflex examinations in the upper extremities were normal. On examination of the lumbar spine, the patient could dress and undress without difficulty. She had a bent forward posture and gait. She had reduced lumbar motion and with maximum forward flexion, her fingertips were 12 inches from the floor. Lateral flexion was 50% of normal, and she had no active extension in the lumbar spine. Motor, sensory, and reflex examinations in the lower extremities were normal. There was paravertebral tenderness about L4-5 bilaterally, as well as in both sacroiliac and sciatic notch regions. Straight leg caused hip and thigh pain at 50 degrees bilaterally. Of note, X-rays of the cervical spine demonstrated disc degeneration at C5-6. X-rays of the lumbar spine were normal. Patient sustained
After being away for my first year of college, I finally got to see what this world is full of and the plethora of opportunities that are out there. My academic goals consist of completing my requirements at Monterey Peninsula College and earning my Associates Degree, then attempt to get into Cabrillo College’s Radiology Certification program to get my life started. My vocational goals are to get certified as a Radiology Technician, then eventually go a step higher and become a Radiologist. During my college experience, I have experienced what it is like to “wear many hats.” I am a full time college student and athlete, as well as working to help pay off my education. It was a rough start trying to find the time to balance everything,
DOI: 6/26/2002. The patient is a 64 -year-old female patrol officer who sustained a work-related injury to her back, shoulder and legs due to constant driving at work. As per OMNI, the patient is status post lumbar surgery on 1/13/11 and epidural steroid injection on 9/24/12. MRI of lumbar spine with and without contrast dated 6/6/12 revealed congenitally shortened pedicales at the L1-L2 level but no impingement on the thecal sac or nerve roots at this level is identified; desiccated L2-L3 disc with bilateral facet joint arthropathy resulting in moderate bilateral neural foraminal stenosis but no impingement on the thecal sac or nerve roots at this level is identified; desiccated L3-L4 disc with bilateral facet joint arthropathy resulting in moderate bilateral neural foraminal stenosis but no impingement on the thecal sac or nerve roots at this level is identified;
Sciatica is not actually a diagnosis in its own right—it is only the manifestation of an underlying medical condition. These symptoms occur when the sciatic nerve—an extremely long nerve which originates in the lower back and continues down through the buttocks and the backs of the legs—is irritated or pinched. The pinch is
Sciatica is a problem that originates in the lower back and travels through the large sciatic nerves located in each leg. The pain caused by sciatica can include weakness, tingling, and numbness, and travels throughout the lower back, through the buttocks, and into the legs. Pain caused by sciatica can be consistent and even debilitating, and the pain can become greater when seated. If symptoms continue that can deteriorate further, even to the point of it becoming hard to stand and walk. Any leg pain that can be described as tingling, searing, or burning, can be attributed to sciatica. Pain may also be consistent throughout only one of the legs.
The role of epidural steroid injections in the treatment of sciatica due to lumber disc herniation has generated much discussion and debate over the last 50 years and highly variable results have produced.
A radiologist is a physician that specializes in using ionizing and nonionizing for diagnosis or for treatment. A radiologist goes to school just like any other physician. They go for at least 4 years. And graduate with medical or osteopathic education. To be certified they must pass a board exam. Once certified they are approved to practice in the field by the American Board of Radiology or American Osteopathic Board of Radiology.
The scope of diagnostic radiology can include a basic radiograph or X-ray to more advanced imaging technologies such as ultrasound and magnetic resonance imaging (MRI). These advancements in medical imaging have led to early detection and improvements in the diagnosis of many medical conditions across the life span. However, the film/screen radiograph is considered the gold standard against which all the newer imaging technologies are measured (McKinnis, 2014). Additionally, each imaging procedure will differ in tissue-specific sensitivity, pathology, structural clarity, radiation exposure, invasiveness, and the cost-risk benefit (Smith, n.d.).
Sciatica is a symptom of a medical condition. It is not a disease. The symptoms of sciatica are: