The proposed classification is an attempt at a new simple classification
The proposed classification is an attempt at a new simple classification
The neurosurgeon recommended “a course of physical and aquatic therapy for post-op rehabilitation concurrent with a course of three trigger point injections.” On the dates of service the beneficiary had history and physical examinations; the treatment plan was “Proceed with TPI” (trigger point injections). He received injections for pain control in 3 or more muscles of the lower back. The diagnosis documented was lumbar muscle spasm, which was not a diagnosis covered by the…
Michael Marshall's primary care physician is Dr. Ryan Dominguz and consulting Orthopedic Surgeon is Dr. William P Hitchcock. Mr. Michael Marshall served in combat in Iraq for 3 years before returning to San Diego, California, with sustained cervical cord Injuries. He survived a long fall that induced hyperextension injuries to his neck. Upon a comprehensive neurological examination by the doctor, three-dimensional MRI reports explicitly confirmed hematoma-mediated spinal cord impingement. Since then, Mr. Michael has received physical therapy at the outpatient clinic to preserve his Range of Motion (ROM) and for improvement of mobility skills pertaining to trunk balance and stabilization.…
DOI: 3/5/1998. The patient is a 62-year old male material handler/breaker who sustained a work-related injury to his low back from lifting heavy objects. As per OMNI entry, the patient is status post L4-5 discectomy. His future medical care includes office visits, non-steroidal anti-inflammatory drugs, analgesics, physical therapy up to 12 times a year, and epidural steroid injection, with the possibility of surgery.…
Response to Dr Foreman’s questions a. Discuss the nociceptive mechanisms, including the postsynaptic receptors of the spinal neurons, transmitters, pathways and nuclei that are activated when the injury occurs. Also include in your answer the explanation for the sharp pain and the long lasting pain that you experience with this injury. Nociceptors are specialized peripheral sensory neurons that are activated by noxious stimuli. These nociceptors are the free nerve endings of primary sensory neurons. Upon tissue injury, in this case the stomping on the big toe, the noxious stimuli causes tissue damage.…
The status of this claim is that the applicant is set to be evaluated by the urology Panel Qualified Medical Evaluator, Dr. Abdo Faddoul on June 14, 2017 and by the neurology Panel Qualified Medical Evaluator, Dr. Steven McIntire on July 13, 2017. If you have not done so already, I recommend you forward the appropriate mileage to the injured worker. Our office will forward all the medical records in our possession to the both PQME’s. I will also prepare a persuasive cover letter separately to each PQME. Please recall, originally this was a simple back injury claim.…
Why is spinal cord injury considered an orphan disease? It affects a relatively small amount of people How do functional abilities differ in quadriplegia and paraplegia? Quadriplegia occurs when there is a spinal cord injury in the neck.…
Injuries can range to brain and spinal cord injuries, many players have broken their legs or hands when playing football and some can never recover again. A lot of force on a player's body when they get hit can cause a player's brain to get injured or damage. The impact of player's head can cause them to have a concussion for example a strong impact of 14…
Working Toward a Solution By Shane Barry Many doctors and medical researchers have spent years on their exploration into spinal cord injuries. The encounters in which they have made have been used toward finding a new and innovative solution to these injuries in the hope of helping these patients walk or even move or feel again. Most of the injuries included are quite tragic such as partial or complete paralysis. Varying spinal cord injuries can come from the slightest impact or fall. They can occur from a failed attempt at a backflip on a trampoline, or even falling when you were jumping up and down on top of the bed.…
A spinal cord injury within C1-C8 is called Quadriplegia or Tetraplegia. Paralysis affects the cervical spinal nerves, in different degrees in all four limbs. The body will still try to send messages from the injury to the brain through the spinal cord, via sensory pathways. The brain will also attempt to send messages from the brain to muscles via motor pathways. However these signals will be blocked by the damage in the spinal cord where the injury is located.…
EAPs frequently reflect the ideals from the NATA Position Statement as they are seen as the “Gold Standard” in the profession. In the case of an acute cervical spine injury “selective immobilization” is conducted. This essentially clears the…
Injury Scenario: Wednesday, February 15, 2018: John, a 20-year-old male collegiate swimmer, was preparing for an upcoming sweet meet at his local university. While John was warming up, jumping up and down and gently swinging his arms, he noticed mild pain in the area of his right lower rib cage. John ignored the pain and decided to still compete in the swim meet. Despite the mild discomfort, John was able to complete three races during the swim meet.…
The image that is hard to get out of my head is how tired, unhealthy, and curved my back was. Life seemed like it was constantly about Doctors’ appointments or Specialists, and because of all the appointments I missed a lot of school, I confess I was always tired and I spent a lot of time in bed. My story really begins in February 2012 when I had spinal cord surgery at Children’s Hospital in Seattle. When I was young it was scoliosis was detected, but in February the curve in my spine was at 47 degrees, they sent me for an MRI. The results were not good, it showed I had a tethered cord, surgery was scheduled in a rush and performed within a few days.…
The study conducted by Benson et al., (1992) focused on patients after their whiplash injury and whether their symptoms were aggravated or alleviated over time. The authors hypothesized that they would be successful in finding a connection between cerebral dysfunction and the symptoms of whiplash trauma. Twenty-six patients were accommodated in the study for a span of seven months, specifically from November 1988 to June 1989. Within the case, there were eighteen females between the ages of eighteen and forty-six years old, as well as three males between the ages of twenty-four and thirty-five years old. Fifteen of the patients were victims of rear end contact, three experienced a head-on collision, and three were involved in a side hit (Benson…
Spinal fusion is a serious surgery to think about. There are many things to think about like after having surgery you won’t be able to eat or drink for at least two to three days and you’ll be sleeping all the time. There’s going to be a lot of pain. You’ll be doing your normal activities differently. I was in middle school when I had spinal fusion.…
Image "Spinal support, London, England, 1822-1869" by Science Museum, London. Credit: Science Museum, London. Web. 21 March 2018. Introduction…