The Treatment Of Liberal Treatment Essay

Spinal fusion is categorized into three different categories: cervical, thoracic, and lumbar, in conjunction with the different segments of the spine. Each type of spinal fusion has a different goal depending on the purpose of the surgery. Most surgeries involve fusing vertebrae together to limit its range of motion, thereby hopefully reducing the pain or correcting any physical deformities. Depending on the levels of fusion, spinal fusion surgeries tend to last a few hours. Complications may arise during surgery, and they greatly increase depending the location of the fusion, levels of fusion, and if the surgery crosses any important nerve sites. Levels of spinal fusion are known as the fusion between two different vertebrae. If there is a fusion between L1 and L2, that is known as one level of fusion. If there is another site of fusion at L3 and L4, than there will be two levels of spinal fusion. Lumbar fusion are further complicated when more then one level of performed. By limiting one segment’s range of motion, other segments of the spine will have to compensate and create greater range of motion. With lumbar fusion, most doctors will need to be able to identify why a patient needs lumbar fusion, and being able to identify if lumbar fusion will help alleviate the pain. Most cases of lumbar fusion involve spondylolisthesis, fractures, spinal stenosis, scoliosis, and possibly herniated disk if no other further treatment has proven successful. Most physicians will order an

Liberalism, in general, was an ideological movement that emerged out of the ideas of the Enlightenment and the Industrial Revolution in the early 19th century. It embraced the ideas of individualism which were established in the Renaissance and Reformation era. The Renaissance period sparked a belief in the importance of the individual in society. It helped promote the beliefs of classical liberalism which gradually formed into the liberal ideology of the 19th century. Individuals that were waiting to get their individual rights and freedoms were allowed to finally gain liberty and power through this period of time. Classical liberalism developed

A professional cervical disc neurosurgeon Plano TX will always exhaust non-surgical treatments for neck pain before resorting to an operation. While surgery is sometimes the best way to deal with herniated and degenerating discs, neck and shoulder pain can often be alleviated through less invasive means, including injecting corticosteroids into the affected area or participating in physical therapy. Only if severe pain persists after attempting these treatments will a neurosurgeon recommend a discectomy and replacement or a fusion procedure.

The Post Liberal Era begins with the presidency of Ronald Reagan. Although Ronald Reagan was one of the most popular president in United States history, the years he served were not beloved by many. One example of this was Reverend Jerry Falwell. Reverend Falwell believed that “our grand old flag from going down the drain.” according to the Reverend Jerry Falwell, Moral Majority Fundraising Letter. He was against homosexual people and the distribution of pornography and R/X rated movies. He seemed to believe that the sex and violence they contained were bad for America as a whole. Lastly, he brought up the controversial subject of abortion, believing it to be synonymous with murder.

DOI: 12/19/2012. Patient is a 52-year-old female laborer who sustained injury to her neck, back, and right shoulder due to motor vehicle accident. Per OMNI, she underwent an emergency neck surgery with 5 screws at C5-7 and back fusion and rod placement at T8-10.

Treatment plan includes saliva toxicology, lumbar MRI with and without contrast and lumbar back brace to provide symptomatic relief for chronic low back pain and to reduce pain by restricting mobility of the trunk and to support the weak spinal muscles. Goal is to facilitate healing of the lumbar spine.

On examination of the cervical spine, there is tenderness and tight muscle band is noted on both the sides of the paravertebral muscles. There is pain with extension and palpation of right facets.

Dr. Abiera had reviewed a September 3, 2010 MRI of the cervical spine that revealed central protrusion/herniation at C3/C4, left paracentral protrusion/herniation at C7/T1, Disc bulges C4/C5, C5/C6 and C6/C7, left paracentral extrusion/herniation at T3/T4 and straightening of cervical lordosis. In addition, Dr. Abiera noted an August 11, 2010 x-ray of the cervical spine which revealed blastic lesions, incidental Clay Shovelers Fractures of C7 and an August 11, 2110 x-ray of the thoracic spine which was

IW was diagnosed with sprain of the ligaments of the cervical spine. Patient has received chiropractic care. Response has been good and IW is encouraged with gains being made. Improved function and functional restoration are expected with additional treatments. Plan is for chiropractic treatment, 2 times a week for 3 weeks.

The patient was compliant to all aspects of treatment and the home exercise program. There are no known alternate explanations of the outcomes of this case report. However, in comparison to the case report by Caldwell et al25., the patient in this case report displayed a faster decrease in pain and return to normal function indicated by 0/10 VAS, 0% neck disability and ability to perform all tasks for work at the last day of treatment, 3 weeks from the first day of physical therapy. Possible explanations for the faster recovery could be due to the slight difference of impairments as well as the addition to grade IV and V manipulations to the cervical and thoracic spine as suggested to have high correlation with decrease in pain and normalization

MRI of the cervical spine dated 08/17/16 showed at C3-4 and C4-5, there is mild posterior disc bulging.

cervical discectomy and fusion performed on 04/14/15. The latest progress report noted that the patient has neck pain, upper back pain, and shooting pain down the arms. The exam revealed that the DTRs were mildly diminished in the left upper extremity. The strength and sensation were mildly diminished in the left upper extremity as well. Spurling sign was also weakly positive on the left. It is noted that the patient has tried and failed conservative treatment, including medications and PT. However, review of the records revealed that the postop PT was put on hold due to his increased pain. In addition, the MRI Report showed that the disc space was normal and there was no significant disc herniation at the requested level i.e. C7-T1. The spinal canal and neural foramen are patent. In addition, EMG Report revealed that there was no evidence of peripheral nerve entrapment or underlying peripheral neuropathy on nerve conduction studies. Considering the minimal/mild physical examination findings and normal imaging and EDS testing; the medical necessity of C7-T1 cervical ESI has not been established. Recommend

The patient has a history of discectomy to the left with temporary improvement of his lumbar pain and lower extremity symptoms. He has reherniation to the left correlating to the L4-L5. He has had transforaminal epidural steroid injections and facet injections with relief of his lumbar pain.

How a traumatic spondylolisthesis will affect the chiropractic care for the patient will depend on the severity of the fracture, and potential instability of the posterior elements. In the example of a traumatic spondylolisthesis of C2, also known as a Hangman’s fracture, there are C1 fractures involved in 25 % of the cases. So it’s not only about the instability of the fractured segment, but we do also have to consider other injuries that might have occurred. There may or may not be any neurological signs present with this type of injury, so a specific diagnosis will be inaccurate without the use of images. Again, in the case of a Hangman’s fracture, look for extension of the fracture into the transverse foramen. If this is present, care must be taken in regards of potential vertebral artery injuries, and a rotatory break manipulation may not be appropriate. Depending on the severity of the pars-fracture and the structures surrounding the functional spinal unit, there may be some degree of anteriolisthesis present. If so, care should be taken on adjusting that functional unit with a strong P-A vector, and it might be more appropriate to focus

within the confinements of liberalism and with respect to traditional human rights, however, the central governments have managed to bypass the creed of liberalism and human rights. 2) Redrawing the boundaries, or reducing the powers, of internal political subunits controlled by the national minority; decisions on the boundaries and powers of internal political subunits. Some liberal democratic states engaged in redrawing boundaries which are within the confinement of liberalism and the liberal state, but encroaches the rights of national minorities. The central states draw boundaries to disempower national minorities. For instance, a minority 's territory are divided into several units to make cohesive political action impossible. For example, the division of France into 83 ‘departments’ after the Revolution, which intentionally subdivided the historical regions of the Basques, Bretons, and other linguistic minorities; or the division of Catalonia region in Spain. 3) Language policies; decisions on official languages. In many liberal democratic states, the majority language is adopted as official or de facto official language where it is used in government, bureaucracy, courts, schools, and business. While there are exceptions to this – many liberal democratic states allow for multilingualism – yet the policies related to language should be more robustly clarified within the human rights creed of democratic liberalism. Because the human rights creed adopted by several