Lumbar Fatigue: A Case Study

Words: 814

Pages: 4

Open Document

A visit note dated 10/10/2017 indicated that the claimant was driving an 18-wheeler and was caught in an accident with a car. He had an emergency room visit for this injury. He presented with a hand pain that increased to 7/10 when he tried to use it. He stated that his first metacarpal joint pain was at 7/10. He also had lower back pain rated as 6/10 with left leg numbness and tingling radiating to his left foot. Objective findings showed decreased edema on the right hand with tenderness over the extensor tendons. He had weak muscle testing grip and extension strength. There was muscle spasm along the lumbar paraspinal muscles with tenderness. There was a decreased sensation on the left L3, L4, L5, and S1 nerve root distribution. There was a positive straight leg raise test on the left. X-ray of the right hand dated 09/29/2017 was negative for fracture or dislocation. X-ray of the lumbar spine was negative for a mild degenerative joint …show more content…
He also had right hand pain with swelling, numbness, and tingling, which he reported had already decreased. He complained of lumbar spine pain rated at 8-10/10 radiating to his left leg and toes with increased numbness and tingling involving the left scrotum. He also had lower extremity weakness. Objective findings showed decreased edema on the right hand with tenderness over the extensor tendons. He had weak muscle testing grip and extension strength. There was muscle spasm along the lumbar paraspinal muscles with tenderness. There was a decreased sensation on the left L3, L4, L5, and S1 nerve root distribution. He was diagnosed with a sprain of the metacarpophalengeal joint of the right thumb, sprain of the right shoulder girdle, and sprain of the ligaments of the lumbar spine. Continued physical therapy and continued limited duty were

GP Long Case: Subacute Back Pain And Loss Of Libido In Young Women

GP Long case: Subacute lower back pain and loss of libido in young women History of presenting complaint EP is a 22-year-old female patient presenting to St. George’s Terrace Medical Centre with an 8-week history of back pain. This is the first incidence of prolonged back pain for EP. Around the same time she had been experiencing increased tiredness and fatigue. The back pain was described as a constant 4/10 “painful tightness”, localised to the right side of her lower back. She added that…

Words 2368 - Pages 10

Fibromyalgia Research Paper

reported in patients with fibromyalgia is musculoskeletal pain in the upper and lower sections of the body. Typically, pain will originate in one location, such as the shoulders, and then become widespread. Alongside pain, fatigue and cognitive impairments are commonly reported in cases of fibromyalgia. During certain times of the day, after being active, and following being slothful have been noted to cause flared feelings…

Words 2341 - Pages 10

Sports Massage- Case Study Essay

Massage Therapy: Prone lying; double hand stroking to lumbar spine, skin rolling to check for tethering, left and right, none found. Double elbow stroking, with distraction revealed some tenderness in the left quadratus lumborum, hence I continued for several minutes. MTrP was found in TFL and as he had restriction…

Words 3215 - Pages 13

Improve Performance By An Athlete In A Sport Of Your Choice

maximum heart rate. An average AFL game goes for a duration of 80 minutes, over 4 equal quarters with an approximate field area of 22km2. This therefore means that one player can run on average anywhere between 12-20km, per game. With this being the case, if an elite AFL players wants to improve their performance in this given sport they must incorporate a minimum of 80 minutes of continuous running on either a set course or on a treadmill. If an AFL player were to train for less than the required…

Words 3224 - Pages 13

1409 Final Review Essay

the brain; Heroin-travels rapidly to the brain where it is converted to morphine which brings a rush of euphoria. Marijuana- Person experiences mild euphoria along with alterations in vision and judgment; Meth-stimulant, it reverses the effects of fatigue, maintains wakefulness and temporarily elevates mood; Alcohol-depressant, increases the action of GABA, which inhibits motor neurons and increases the release of endorphins; Cocaine-stimulant, interferes with the re-uptake of dopamine at synapses;…

Words 2788 - Pages 12

Notes On Neuroprosthetics

Chapter 6 Neuroprosthetics Arthur Prochazka, PhD • Chapter Objectives Following this chapter the reader will be able to: 1. Understand the basic principles of operation of neuroprostheses (NPs). 2. Appreciate the historical development of NPs. 3. Assess the main benefits and limitations of existing NPs. 4. Recommend the type of NP that might benefit a particular person. 5. Evaluate new NP technologies as they evolve. • Chapter Outline I. INTRODUCTION A. Definition. B. History II MECHANISMS A…

Words 9451 - Pages 38

Module Quizzes Essay

cheeseburger and her food is metabolized to maintain her energy, this on-going process will cause a loss of hydrogen ions as well as a loss of electrons. Oxidation In metabolism, if oxygen accepts an electron, it is considered to be? Reduced In the case of someone who wants to lose weight,…

Words 14237 - Pages 57