but sometimes abrupt onset in patients under age 40, (2) duration of symptoms more than 3 months, and (3) morning stiffness which improves with exercise. The joints characteristically affected are the sacroiliac joints, the lumber vertebrae, thoracic and cervical vertebrae, the hips and rarely the peripheral joints. A patient with bilateral sacroiliitis without the features of Reiter’s syndrome (see below), psoriasis, or inflammatory bowel disease, may be diagnosed with AS if there is also limitation
It is appreciated that the given case study contains other factors such as psychological trauma and the impact of blood loss. However this essay is going to explore the efficacy of pre hospital immobilisation utilising cervical collars and extrication/ orthopaedic stretchers, reflecting on an account from the paramedic’s practice. A modified framework of Gibbs Reflective cycle (1988) will be used. Including Description, Feelings, Evaluation, Conclusion and Action Plan. This essay is supported throughout
The use of pedicle screw instrumentation in the spine has evolved over the last two decades. The preliminary use of pedicle screws began in the lumbar spine. As surgeons became more comfortable with the complex anatomy required for accurate screw placement, the use of pedicle instrumentation has evolved to include their use in the thoracolumbar and thoracic spine. The impetus behind their increased use is a result of the many advantages that pedicle screw anchorage offers over traditional hook and
make something that keeps the body up right, allows movement, supports weight and protects the spinal cord. There are four different segments of the spinal cord. One of those segments is called the lumbar region. The lumbar region consists of 5 vertebrae that make up the lower back (Lippert, 2011). The lumbar region supports most of the body weight and allows movement. People often do not realize how important the vertebral column is until it is already injured. Injury to the lumbar region can be
remains to be demonstrated, the benefit of surgical site drains in the cervical spine remains an unanswered question. The study of surgical site drains in the posterior cervical spine is limited. Payhs et al. suggested surgical site drains in the posterior cervical spine in combination with alcohol foam or vancomycin powder are associated with reduced odds of surgical site infection among patients undergoing any posterior cervical spine surgery (Pahys et al., 2013). Our data regarding
Millions of Americans have experienced back pain at one point or another in their life. Back pain is one of the most common complaints that a doctor will hear from a patient on a visit. Understanding the source of your pain can be very overwhelming and frustrating, especially when a structural explanation cannot be provided. Could your back pain be triggered by stress? For many individuals, stress is not the first thing that comes to mind when trying to establish the cause of their back pain. However
On 4/19/18 I met Mr. McDonald at the office of Dr. Rampersaud. Mr. McDonald reports that he is about 50% better with the Lyrica; he rates his pain at a 7. He is tender to touch over the bilateral Si joints and has pain to the L1 spine area. He reports he has been taking one Norco at night to help with his sleep. We again discussed the Kyphoplasty. Mr. McDonald told Dr. Rampersaud that he is being sent to see Dr. Palavali for a 2nd opinion regarding the Kyphoplasty. He said he has had surgery in
CHIEF COMPLAINT: Left shoulder and left lower leg injury. HISTORY OF PRESENT ILLNESS: Ms. Branson is here today for followup evaluation of her left tibial shaft fracture for which she underwent operative stabilization with intramedullary nailing and small medial plate, three weeks ago. She also sustained a grade 3 AC joint separation on the left at the time of injury. She has been attending physical therapy and has shown excellent progress with her range of motion in the shoulder. She remains
This is a 22-year-old male with a 6/11/2015 date of injury. He reported injuring his lower back, June 11, 2015 while carrying a desk up the stairs to the second story. DIAGNOSIS: Lumbar disc protrusion Lumbar sprain / strain 11/25/15 Progress Report described that the patient has moderate to severe pain in his lumbar spine. The pain is 5-6/10-scale level. It is radiating, to his right leg; associated with stabbing; aching and sharp. There is limited ROM due to pain, with stooping, bending, lifting
Low back pain (LBP) is cited as the second most common musculoskeletal problems for which treatment is sought by individuals. An estimated 90% of LBP reported in clinical practice is categorized as idiopathic or nonspecific , meaning that the underlying pathoanatomy is unclear. Spinal manipulation (SM) has been identified as efficacious treatment methods, especially for patients with nonspecific LBP. Early use of thrust manipulation among patients with LBP has been claimed for better outcomes