CHIEF COMPLAINT: Left elbow pain. HISTORY OF PRESENT ILLNESS: Makayla is a very pleasant 4-year-old right-hand dominant female who presented to the emergency department yesterday after sustaining a fall while playing with another young family member. She fell onto an outstretched left arm and had pain in and around the left elbow. She was seen in the emergency department, where clinical and radiographic evaluations demonstrated the presences of a fracture through the left proximal ulna. The nurse practitioner who saw the patient asked that I evaluate the x-rays at that time.…
Dr. Scott thought the pain was from the C5. Dr. Giancarlo indicated that his testing revealed mild carpal tunnel not related to the neck…
Introduction What is carpal tunnel syndrome? Well basically carpel tunnel syndrome is a disease where the patient feels a tingling sensation in their hands and arms. He might feel that his hand or arm has gone numb. This disease is mainly caused by the twisting of the nerve that goes to the wrist of the patient. This problem can be caused due to a number of reasons, including the nature of the work done by the hands, the forceful and sudden movements of the hands even sudden jerks done to the hand can cause carpet tunnel syndrome.…
She stated that she was being treated with a chiropractor for 4 years and responded favorably to chiropractic treatment but it seemed slower than expected. Electrical stimulation therapy was applied over the low back and neck as well as manual therapy over the right shoulder. Treatment plan included spinal adjustment 3-4 regions at the level of C2, C4, T3, T7, L5, and sacrum and chiropractic manipulation to both wrists and shoulders. She was diagnosed with low back pain, pain in thoracic spine, cervicalgia, myalgia, and pain in the right shoulder. She was advised to continue PT modalities and procedures, pain/anti-inflammatory medicine, and was referred to family doctor for pain management.…
The most interesting outcome measure was Cranio-vertebral (CV) angle. Post treatment measurement demonstrated increased CV angle and this can be taken as a sign of structural improvement patient had after 4 weeks of thoracic mobilization. Moreover, almost all outcome measurements including pain reduction, Northwick Park Neck Disability Questionnaire, neck range of motion, and quality of life status (SF36) questionnaire were improved with thoracic mobilization techniques. This article will serve as a source of encouragement for me as a physical therapist to seek more opportunities to practice hands-on approach in mastering the thoracic mobilization. Since my area of interest is in home health with more geriatric population, thoracic mobilization technique can be used to treat chronic neck ailments these patients are suffering.…
DOI: 10/28/2015. Patient is a 46-year-old male field technician who sustained a work-related injury to his right index finger while he was working with cables and doing a twisting motion with both hands. As per OMNI entry, he was initially diagnosed with right index finger sagittal band sprain. Based on the medical report dated 11/02/16 by Dr. Tabibian, the patient complains of right index finger pain of the hand. Patient is taking pain medications as prescribed, which has been helping the patient's functional mobility.…
DOI: 5/9/2011. The patient is a 63 -year-old female contract buyer who sustained a work-related injury due to computer/typing duties. The patient is status post left wrist endoscopic carpal tunnel release, first dorsal compartment release, second dorsal compartment release and tenosynovectomy and arthroscopy and excision of central triangular fibrocartilage complex tear on 08/25/14 and right wrist arthroscopy and excision of central triangular fibrocartilage complex tear, carpal tunnel syndrome, first and second dorsal compartment tenosynovitis and lunotriquetral ligament partial tear on 01/25/16. Based on the progress report dated 05/26/16, the patient presents for follow-up of her bilateral upper extremity complaints.…
Introduction Lateral epicondylitis also known as “Tennis Elbow”, is a chronic condition that presents pain in the lateral portion of the the elbow. Frequently seen in sports that require a repetitive motion of forearm flexion and extension, such as tennis, pitching, golf, javelin throwing, and fencing, the muscles that are typically involved, but are not limited to, include the extensor muscles.(1) This muscle group encompasses the extensor carpi radialis brevis and the extensor digitorum communis laterally. In addition,but not as prevalent with athletic injuries regarding the forearm complex, the pronator teres, flexor carpi radialis medially, and the posterior triceps are also involved in this tendinopathy.(5) Approximately 1 to 3 percent…
Though women are two times more likely to develop CTS due to occupation men can develop it just as easily. CTS can be readily treated, but when symptoms start to arise it’s best to seek medical attention before there is serious damage to the nerve. If the problem persists for more than six months then surgery might be the only option to relieve the…
Influencing the Outcome for Effective Treatment of Cubital Tunnel Syndrome Cubital tunnel syndrome is the second most common compression neuropathy of the upper extremity after carpal tunnel syndrome (Trehan et al, 2012). It represents a source of considerable discomfort and disability for the patient and in extreme cases may progress to loss of function of the hand (Cutts, S., 2007). Some specialists refer to this condition as ulnar nerve compression as it takes place within the cubital tunnel and most commonly occurs at the elbow (Trehan et al, 2012). Pressure is put on the ulnar nerve each time the elbow is bent which reduces the supply of blood to the nerves and causing damage over time (Trehan et al, 2012).…
DOI: 12/1/2014.Patient is a 52 year-old female sales advisor who sustained injury when she slipped on a wet floor landing on her right side. Per OMNI, patient was diagnosed with closed fracture of the right radius, back contusion, right hip contusion, right elbow contusion, right shoulder sprain, right elbow sprain, cervical strain, and right shoulder contusion. The patient was subsequently diagnosed with unspecified injury of muscles and tendon of the rotator cuff of right shoulder-sequela. Per Doctor’s First Report of Occupational Injury dated 4/9/2016, patient has been experiencing pain in the right wrist, arm, lower back and neck. She states she fractured her right wrist and was given a wrist splint.…
Complex regional pain syndrome (CRPS) is a chronic (lasting greater than six months) pain condition that most often affects one limb (arm, leg, hand, or foot). CRPS is believed to be caused by damage to, or malfunction of, the peripheral and central nervous systems. CRPS is divided into two types: CRPS-I and CRPS-II. Individuals without a confirmed nerve injury are classified as having CRPS-I (previously known as reflex sympathetic dystrophy syndrome). CRPS-II (previously known as causalgia) is when there is an associated, confirmed nerve injury.…
Introduction and Definition: The Brachial Plexus is a network of nerves that sends signals from your spine to your shoulder, arm and hand. It is a complex network with several divisions and branches to innervate the arm. These injuries can occur in various different ways and are known to cause muscle weakness or loss of motion within the affected arm. Falls, major trauma, and even birthing techniques can all cause this debilitating injury to occur in all ages of people.…
The studies of CTE have a huge limitation because they have a lack of operational criteria to confirm either a clinical or pathological diagnosis of CTE (Gardner). This horrible disease…
I agree that use of splint during night is going to be helpful by preventing the flexion and extension movements of the wrists (Burton et al., 2014). However, I should have included night splints on the affected wrists for 2 to 4 weeks. According to Zychowicz (2013) initial conservative treatment usually involves atleast night time splinting of the affected wrist for 2 to 4 weeks. I should have educated patient on resting of arms and wrists as much as possible. This can be done by switching hands during work, taking regular breaks from repetitive movements of hand and not sitting or standing in same position all day (National Library, 2015).…