CHIEF COMPLAINT
Scheduled to be seen for low back pain.
SUBJECTIVE
Mr. Lavell Amos is a 29-year-old patient who is seen at the medical clinic today in regard of his mid back pain. Patient reports that he has no current low back pain. He is not taking any medication for pain. He stated that he only take like one week of ibuprofen and then alternate with one week of naproxen. Patient stated that his sister is a nurse and advised him to take one week of ibuprofen and one week of naproxen for pain as needed to prevent developing tolerance with the medication. Patient stated he has no specific complaint today. He is not currently taking any medication. He does exercise, like do curls, stress and strengthening, like a push-up position to strengthen his back. Patient stated that he had an x-ray for his low back pain in 2015, but he stated that he has been
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He stated that the low back pain has resolved, but right now he admits he puts intensity to the stretching and strengthening of the spine. The mid back is a problem and he is wondering about arthritis based on his x-ray report in 2015. Patient also complained about staying in his cell. His cell is very cold even though he has an extra blanket, but he is still feeling cold. He stated that the cold caused the hand stiffness and the mid back is more amplified with the pain. He stated that he has a trauma injury from motor vehicle accident in 2006 and he stated he had an x-ray then, but there is no further plan of care for that. He is concerned about having arthritis and intolerant with the cold, but he think that it is more than likely that he stays in a cold room and that will amplify with his hand stiffness and muscle soreness or mid back pain. Patient requests for change into different cell and he also wants to have extended the warm pack authorization
DOI: 08/17/2010. The patient is a 55-year-old female assembly worker who incurred a work-related injury when she fell with her face forward after tripping on a curb.
The claimant is a 25-year-old female who was injured in an industrial-related incident on 01/23/16. She presented with a work-related low back pain associated with a right lower extremity radiculopathy. The current medications included Naproxen. According to the guidelines, NSAIDs are “recommended at the lowest dose for the shortest period of time. However, the exact date of prescription was not delineated.
Currently, she is a freshman in college and is going back to the hospital for this year’s x-ray examination and check to see if her spine curved more or remains stable. The receptionist was on the phone for quite a long time before she could reach out to Ms. Patient. The. In the end, the receptionist just took Ms. Patient’s insurance without any clarification and made her wait for a while.
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning on urination, and decreased urine output for three days.
Currently, I am involved in a prospective cohort study with other colleagues from King Fahad Medical City that aims to study the effect of a low back care educational program on low back pain prevalence among health-care professionals.
Sciatica is a term given to discomfort in the lower back that moves down the leg through the sciatic nerve, which causes pain, tingling, numbness or weakness on either side of your body. Although sciatica cannot be diagnosed as an actual medical condition, it is said to be a symptom of a previous injury or medical condition. The original cause is usually pressure on the sciatic nerve. The largest single nerve in the body is the sciatic nerve, which is composed of individual nerve roots that start by branching out from the spine in the lower back at lumbar 3 (Frymoyer 1992). The nerves that stem from each level of the lower spine intertwine to construct the sciatic nerve, which runs from the lower back down each leg. Down the leg, nerves branch out to innervate different parts of the leg. Depending on where the nerve is injured or pressured determines where the person will feel the symptoms and to what extent they will experience symptoms down the leg. A few alternative names include neuropathy of the sciatic nerve, sciatic nerve dysfunction, herniated disk, or lower back pain of the sciatic nerve (Frymoyer 1992).
Chronic lower back pain is a major health disorder in the world today (Mendelson, Selwood, Kranz, Loh, Kidson, Scott, 1983). It can cause many physical, mental, and emotional problems on the victim (Mendelson, Selwood, Kranz, Loh, Kidson, Scott, 1983). Many people find their work so unbearably painful that they often have to stay home. Others experience depression, inactivity, and social isolation (Kaplan, Sallis, Patterson). Treatments range from the conventional methods such as medication and surgery to the alternative or unconventional methods such as acupuncture. However, only a small percentage of low back pain patients have the type of condition for which surgery can be used so acupuncture is becoming more popular (Lehmann, Russell, Spratt, 1983).
Spinal fusion stabilizes the spinal vertebra by fusing the disk spaces between the vertebra. The purpose of Lumbar fusion surgery is designed to help create solid bone between the adjoining vertebra. Classically Autograft bone has been used for fusion. This case study demonstrates the successful use of a synthetic bone graft called Signafuse. Signafuse is a moldable bone graft comprising a proprietary combination of patented bioactive glass particles and biphasic mineral granules suspended in a patented resorbable polymer carrier.
The company provides innovative solutions to combat postoperative conditions such as hypothermia. Medical research indicates that 60 to 80 percent of all postoperative recovery room patients are clinically hypothermic. Hypothermia is caused by a patient’s exposure to cold operating room temperatures that are required by surgeons to control infection, and for the personal comfort of the surgeon. Hypothermia can also be a result of heat loss due to evaporation of the fluids used to scrub patients, evaporation from exposed bowel, and breathing of dry anesthetic gases. Dr. Augustine’s personal experience in the operating room convinced him that there was a need for a new system to warm patients after surgery.
The purpose of this case study is to investigate and bring new insight to situations and behaviors within an organization. Case studies are learning tools which utilize social science research to identify and resolve individual and organizational challenges (K. Mariama-Arthur Esq., 2015).
Jackson, M.A. & Simpson, K. H. (2006). Chronic Back Pain. Continuing Education in Anaethesia, Critical Care and Pain, 6(4), 152-155. http://dx.doi: 10.1093/bjaceaccp/mkl029
* Heat and Cold Therapy has been used for centuries to manage soft tissue and joint injuries while relieving pain.
Tim is a 50 year old hill farmer experiencing low back pain radiating into posterior aspect (R) thigh, sometimes accompanied by P&N. It has been present for about 6 months. This pain is intermittent aggravated by walking and standing. He is currently experiencing difficulties at work (W 6/10) pain is relieved by flexing the spine or lying down. He has no Red flags, but some concerns about his future.
Stroke and Spinal Cord Injury both have detrimental effects on the body function. Commonly, they result in some levels of muscle weakness and paralysis. The complications after a stroke or a spinal cord injury negatively impact not only the patients’ health, but their quality of life. Therefore, it is important that rehabilitation therapy starts at an early stage after the incidence to enable the patients to adapt to their new conditions and maximise their life. Physical activity and exercise program are one of the most important part of rehabilitation, which help the patients to achieve better health outcomes and lifestyle.
Back pain and back injuries often occur due to putting to much strain on our backs and neglecting to stretch them. The best back stretches involve a deep lengthening of the spinal muscles and ligaments. These type of stretches create more flexibility in our back and improve our chances of preventing injury when we exercise them.