Lumbar

pain. The pain was previously well controlled with medications. The patient stated that she may not be able to drive to her appointments much longer given she also gets radiation. PE revealed normal gait. There was slight to moderate spasm over the lumbar spine R>L. AROM: flexion 70 %, extension 60 %, Right lateral flexion 70 % and Left lateral flexion 70 %. SLR is positive on the right. Slight spasm was noted over the cervical spine. AROM: flexion 80 %, extension 80 %, right lateral flexion 70 % and

admitted to Gateway Diagnostics on August 8, 2016. There, he was evaluated by Dr. Skiles. Mr. Williams complained of continued back pain, neck pain and headaches. At Gateway Diagnostic, Mr. Williams was performed a Lumbar Spine MRI, Thoracic Spine MRI, and a Cervical Spine MRI. The Lumbar Spine MIR diagnosed a multilevel degenerative anterior endplate spurring, disk desiccation, disk bulge, facet degeneration and a bilateral neural foraminal stenosis. The Thoracic Spine MRI, diagnosed a discogenic

based on the available records for which Dr. Swartz agreed. Assignment of Impairment Under Diagnosis Related Estimate Lumbar Category Once Dr. Swartz acknowledged the ROM method was improper in this case, I turned Dr. Swartz attention to the DRE method. After reviewing the table for the DRE Lumbar Category on page 384 of the AMA Guides, Dr. Swartz placed the applicant into a DRE Lumbar Category II and assigned an impairment of 5% WPI. Dr. Swartz supported her opinion based on the fact there is a subjective

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

exam revealed cervical spine tenderness. There is decreased ROM on flexion, extension, rotation and left lateral bending. Right & Left Shoulder: there was tenderness to palpation at the subacromial space and pain with restricted ROM on abduction. Lumbar: there was tenderness to palpation over the facet joint. The ROM was decreased on flexion, extension and lateral bending. Treatment Plan: continue Ibuprofen; recommend MRI; and Electro diagnostic studies of the right upper extremity. Follow-up is

Gymnastics is a very difficult sport that takes a lot of commitment. Many children take on gymnastics at a young age and strive to become Olympic gymnasts by competing their whole lives, but not a lot of people are able to pursue that dream due to the challenges that come with being a gymnast. Coaches are currently conditioning and training their gymnasts at very demanding and advanced levels. Although the sport has several positive health benefits on the body, it also puts gymnasts at a very high

Multiple Myeloma Presenting With Spinal Cord Compression: Case Report Liew Chiu Yee Abstract Multiple myeloma is a haematological malignancy characterized by clonal proliferation of malignant plasma cell in the bone marrow with diffuse bony involvement. The spine is the most common skeletal site being involved. This case report describes a multiple myeloma patient presented with spinal cord compression and illustrates the aspects of differential diagnosis, the use of laboratory and imaging for diagnosis

Spinal stenosis of the lumbar vertebral column is commonly found in patients with chronic lower back, in combination with lower extremity pain. Methods of treatment for the condition include: Interlaminar Epidural Injection, Transforaminal Epidural Injection and Caudal Epidural Injection. Although there is a lot of literature to be found on Caudal Epidural Injections for pain relief related to Lumbar Spinal Stenosis, Interlaminar Epidural Injections are fairly new to the world of research. Manchikanti

As the sun peeked over the grassy mountains, I sat patiently on the dining room table as the phlebotomist drew my blood, for the fourth time. For the past few weeks, my symptoms had fallen into an oscillating pattern, changing, with no indication. I’ve seen about every doctor in cardiology, neurology, endocrinology, and pediatrics, yet none of them could come to a comprehensive conclusion. As school rapidly approaches so does the need for an answer, along with my fears. I wonder how only a few weeks

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