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Lumbar spine
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DOI: 11/14/2013. Patient is a 34-year-old male digital sales lead who sustained injury on while he was lifting a heavy box. MRI of the lumbar spine without contrast dated 1/2/14 revealed degenerative disc disease and facet arthropathy with grade 1 anterolisthesis L5-S1; canal stenosis include L4-5 mild to moderate canal stenosis; and neural foraminal narrowing includes L3-5 mild to moderate left, mild right neural foraminal narrowing. As per office notes dated 6/17/16, the patient pain level has decreased since the last visit He rates his pain with medications as 2.5 and 5 without medications. The patient is taking the medications as prescribed with no side effects reported. Current medications include ibuprofen and Skelaxin. Objective findings
warm) in the left upper and lower extremities; decreased strength and movement of the right upper and lower extremities and of the left abdominal muscles; lack of triceps and biceps reflexes in the right upper extremity; atypical response of patellar, Achilles (hyper) reflexes in the right lower extremity; abnormal cremasteric reflex in the right groin; fracture in cervical vertebrae #7; and significant swelling in the C7-T12 region of the spinal canal (Signs and symptoms, n.d.). The objective complaint of a severe headache could also be consistent with a spinal cord injury (Headache, nausea, and vomiting,
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play sports such as football, basketball, skiing or soccer experience this injury.
Based on the initial pain medicine evaluation report dated 06/22/15, the patient complains of constant neck pain which radiates down to the bilateral upper extremity, fingers and hands. Pain is accompanied by intermittent tingling and numbness in the bilateral upper extremities to the level of the fingers and muscle weakness. The neck pain is associated with occipital, temporal and frontal headaches and muscle spasms in the neck area. The patient describes the pain as aching, burning, pins and needles, sharp, and stabbing. The pain is aggravated by activity, flexion/extension, prolonged sitting, pulling, pushing, repetitive head motions and standing. She also reports severe difficulty in sleep.
The lumbar region of the human spine is a location that is very susceptible to injury and trauma. A majority of the population experience back pain at some time during their life, and although in most cases the pain subsides after a time of rest, there is an enormous need for treatment of this malady. The various types of treatment for lumbar disc herniations include a more conservative method of rest, physical therapy, and anti-inflammatory or non-steroidal drugs. A more extreme condition would require surgery to try to alleviate the symptoms. The older, more traditional surgery is a posterior laminotomy, however, newer less invasive microscopic and endoscopic surgeries been implemented to increase success and recovery time as well. Although most of these operations are performed on the posterior, anterior surgeries are also performed, depending upon the nature of the injury. While these surgeries partially remove disc material affecting the spinal cord, another type of surgery is used to remove the disc entirely and replace it with prosthetics. Still, there are alternative treatments including chiropractic care, acupuncture, and physical therapy that are increasing in popularity. Due to the sensitivity and vulnerability of the spinal cord, the diagnosis and treatments have a moderate risk of failure, and force a patient to explore numerous options to relieve pain.
Kids just want to have fun. In a bygone era, parents wanted kids to play sports for fun and camaraderie. However, a new attitude is developing among coaches and parents, which is mopping-up fun from youth sports. Now it's all about the team and the game. The team must win the game at any cost.
Ben Roethlisberger, commonly known as Big Ben is a quarterback player of Pittsburgh Steelers who suffered a Lisfranc injury in a game. He was carted off because of his serious foot injury that will compromise his mobility and scramble ability.
Sports Medicine is a medical field that specializes with physical fitness, treatment and prevention of injuries related to sports and exercise. It was introduced around the early Greek and Roman era when the first modern Olympic Games took place. The Greek felt they could do something to help heal and prevent injuries that the athletes were receiving. Now in sports medicine, certain injuries can only be assessed and treated by specific physicians. These physicians can include physical therapists, athletic trainers, and strength and conditioning coaches. Although sports physicians are most commonly seen by athletes after they are hurt so they can be treated, there are some physicians that are seen before an injury occurs so that they can learn how to prevent injuries.
Tests after tests including MRI’s, X-rays, and experimental procedures were performed to show I had five ruptured disks in the lower lumbar section of my back. Tedious Examination done by a group of doctors concluded I had a crippling disease of the spinal column called spinal stenosis. Spinal stenosis is a narrowing of the spinal canal that causes compression of the spinal cord. (Lohr,1) If this disease was ignored any longer, it would lead to many other problems affecting other areas of my back to help support this weakness. It was an extremely rare case for an athlete my age.
The word patella comes from the great latin language meaning shallow pan or shallow dish. The description of that word could not be more correct, it was meant in reference to balance of food but in anatomy’s case a balance of the body. The patella is a small bone located in front of the knee joint where the thigh bone (femur) and shinbone (tibia) meet. It protects the knee and connects the muscles in the front of the thigh to the tibia. The patella is one of two sesamoid bones found in the body, roughly triangular shaped in size. It’s thick consistency allows for the articulation of the femur, which in turn allows for body support and balance. The patella has multiple body functions with the primary being knee extension. The patella is essential for basic body functions including locomotion;
The meniscus is one of the most commonly injured structures in the knee. Meniscal injuries can occur in any age group, but causes are somewhat different for each age group. In younger people, the meniscus is fairly tough and rubbery, and tears usually occur as a result of a fairly forceful twisting injury. In the younger age group, meniscal tears are more likely to be caused by athletic activity (Sutton, 1999).
There are multiple methods for recovery, such as: Stimulation also known as estim, Ultrasound, Ice Buckets, Massage, Stretching, Foam Roller. The most powerful recovery method is stimulation of the muscle or ligament. eStim is an intense stimulation that is applied to the injured area, regulation time can vary upon the injury. Another useful method for recovery is Ultrasound, which is an intense use of sound waves to treat musculoskeletal problems, especially inflammation for example tendinitis & bursitis. Ice buckets are another great way to improve recovery. It is an intense freezing session of the injured area, regulation time can vary upon injury. A Massage gives the athlete rubbing out knots and edema (swelling)
In the world of athletics there are numerous injuries an athlete may face in their participation in athletic activities. Injuries can hinder an athlete’s participation in practices or games. For example, there are sprained ankles, pulled hamstrings, broken backs, concussions, and foot injuries can prevent an athlete from competing. While all of these injuries and the areas they are located in can greatly affect an athlete’s ability to participate in athletic activity, there is one area of the body that stand out greater than the rest. This area is an injury to the knee. Knee injuries are devastating to an athlete’s participation. Some knee injuries depending on the severity of the injury, can keep an athlete out of participation from their
The concept that pain means injury or damage is deeply embedded in the American consciousness. “I have never seen a patient with pain in the neck, shoulders, back or buttocks who didn’t believe that the pain was due to an injury, a “hurt” brought on by some physical activity.” Says Dr. John E. Sarno, M.D. “The pain started after I lifted my little girl” or “Ten years ago I was involved in a hit- from- behind auto accident and I have had recurrent back pain ever since.” Of course, if the pain starts while one is engaged in a physical activity it’s difficult not to attribute the pain to the activity. “But this pervasive concept of the vulnerability of the back, of ease of injury, is nothing less than a medical catastrophe for the American public, which now has an army of semidisabled men and women whose lives are significantly restricted by the fear of doing further damage or bringing on the dreaded pain again” (qtd. in “Healing Back Pain”). With good intentions, this idea has been encouraged by the medical profession and other healers for years. It has been assumed that neck, shoulder, back and buttock pain is due to injury or disease of the spine and associated structures and ligaments surrounding these structures- without scientific validation of these diagnostic concepts. “On the other hand,” States Dr. Sarno, “I have had gratifying success in the treatment of these disorders for seventeen years based on a very different diagnosis. It has been my observation that the majority of these pain syndromes are the result of a condition in the muscles, nerves, tendons and ligaments brought on by tension.”
DOI: 5/26/2011. This a case of a 71 year-old male forklift driver who sustained a work-related injury to the lower back when he was stuck by another co-worker in the forklift. The patient was subsequently diagnosed with lumbar disc syndrome, spondylosis protrusion, multilevel, lumbar; annular phisher at the lumbar level, chronic lumbar pain, and chronic pain syndrome. MRI of the lumbar spine dated 03/26/2015 revealed mild to moderate multilevel degenerative changes of the lumbar spine most severe at the L4-L5 and L5-S1 levels. X-ray of the Lumbar spine dated 03/29/15 revealed mild to moderate multilevel degenerative disc disease but no fracture. As per physical therapy note dated 03/30/15, the patient completed 12 physical therapy visits. He
The sheer energy of a gymnast alone can be felt by audiences of all ages, but what the spectators lack the ability to feel is the pounding of the bodies that bear the impact of the athletes in action. Gymnastics consists of a mixture of acrobatic performances of four different events for females, and six different events for males (Gianoulis 1). Gymnastics is demanding in a multitude of ways, including: physically, emotionally and mentally. It requires countless hours of dedication. The concerns of most gymnasts are moving up to the next level, or getting a more advanced skill, while the concerns of the doctors, coaches, and parents revolve mostly around the athlete’s health, which is put at stake for the adored yet dangerous sport. Injuries are common among both male and female gymnast alike, but due to the fact a female gymnast’s career peaks at the same time of major growth and development, a female gymnast’s body as a whole is more likely to undergo lifelong changes or affects (Gianoulis 2). Among the injuries of the mind blowing athletes, the most common ones affect the ankles, feet, lower back, wrist, and hands of individuals (Prevention and Treatment 1). From sprains, to the breaks, the intriguing sport of gymnastics is physically demanding on a gymnast’s body.