Lumbar

DOI: 10/20/2014. Patient is a 46-year-old male delivery driver who sustained injury while he was unloading fittings and flanges to job site. Per OMNI, he was initially diagnosed with lower back strain/sprain. The patient received a lumbar ESI at L5-S1 per procedure reports dated 06/02/15 and 08/25/15. Based on the medical report dated 02/02/16, the patient complains of ongoing low back pain radiating into the right lower extremity with numbness, tingling and dysesthesias despite therapy

for follow-up. Lumbar discomfort is described as sharp, aching, burning, shooting, severe and continuous, comes and goes, discomfort, pain, random, varying with activity, increasing with movement, tightness, and throbbing. It is rated as 9/10 without medications and 6/10 with medications. The symptoms are aggravated by changing positions, lifting, pulling, pushing, carrying, sitting, twisting,

The impact of smoking in lumbar interval disc degeneration and sciatica was also reported several times. Battié et al. (1991) studied the impact of smoking in lumbar interval disc degeneration of identical twins using magnetic resonance imaging. Results showed that the risk of lumbar interval disc degeneration was 18% greater for smokers compared to non-smokers. Non-occupational lifting was also studied as a risk factor for herniated lumbar intervertebral disc (Mundt et al. 1993). For this study

work-related injury while he was on top of a load to loosen strap, when he lost his balance and suddenly jerked. As per OMNI entry, he underwent L4-L5 lumbar fusion with hardware on 3/28/2011, screw removal on 4/7/2011 and removal of hardware at L4-5, with inspection of fusion mass and revision of posterior spinal fusion on 04/22/13. CT of the lumbar spine without contrast dated 11/3/15 revealed post-surgical changes at L4-5 and L5-S1. Overall, there is very limited examination due to patient’s body

male truck driver who sustained injury to his back while unloading a truck by hand. Per OMNI, patient is diagnosed with failed back syndrome. MRI of the lumbar spine dated 6/9/16 revealed postsurgical changes of the lumbar spine with resection of the posterior elements from L1-L2 to L5-S1 and mild to moderate disc degenerative disease of the lumbar spine at T12-L1, L2-L3 and L3-L4. Per progress report dated 5/03/2016, patient presents for follow up evaluation. He reports that he decided not to proceed

03/16/2017, the claimant presented with a constant low back pain, worse on the right side than the left, radiating into the left leg and left foot. She had needle EMG and nerve conduction velocity studies of the bilateral lower extremities to evaluate her lumbar radiculopathy. The studies showed findings compatible with mild bilateral L5 radiculopathies and a left S1 radiculopathy. On 07/17/2017, the claimant presented with low

diagnosed with lumbosacral spine strain. Treatments rendered to date included medications, physical therapy, 3 sessions of acupuncture treatment, an e-stim unit, and lumbar back support. Past medical history was significant for hypertension. X-ray of the lumbosacral spine dated 01/30/17 revealed normal results. An MRI of the lumbar spine dated 03/23/17 revealed broad-based central 4 mm subligamentous disc protrusion and annular tear at L4-L5. There was a 2.7 mm subligamentous disc protrusion centrally

she was moving boxes. MRI of the lumbar spine dated 08/31/16 showed a large broad-based herniation at the L4-5 disc level which is predominantly right-sided, although extends to the left lateral canal as well. There is central canal stenosis. There is a left-sided herniation laterally at the canal and at the proximal left foramen at the L5-S1 level. There is likely a transitional segment. If surgery is considered, anteroposterior views of the thoracic and lumbar spine are recommended. Changes suggesting

supervisor who sustained a low back injury while lifting a platform scale with another employee. Per OMNI, he is status post lumbar surgery and right hip strain/pain. On the QME report by Dr. Raskin dated 2/3/2009, the IW was deemed to have reached P & S status with 16% partial disability. Future medical care includes: medications, physical therapy, MRI, and injection. MRI of the lumbar spine dated 10/16/2012 revealed possible partial left laminectomy at L4 and L5; L3-4. A 2.9 mm disc bulge which mildly

back and left foot due to walking incorrectly due to a previous work injury. The patient is subsequently diagnosed with postlaminectomy syndrome, not elsewhere classified; degenerative disc disease, lower back; arthropathy of lumbar facet; and low back pain. MRI of the lumbar spine without contrast dated 1/4/16 (no official report) revealed posterior fusion at L4-5 with right L5 laminotomy defect; and mild degenerative disc disease at L3-4, there is moderate narrowing of the L3 neural foramina bilaterally