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Low Back Pain Case Study

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1 INTRODUCTION Chronic low back pain is the pain in the lower back area for longer than 3 months created by injury, disease or stress. It may include the pain in bone, nerve and muscle. The quality of pain may be aching, burning, stabbing, or tingling, sharp or dull and well defined or vague (Akuthota, Baker, & Danisa, 2009). It is a most common problem all over the world and the age group 40 to 80 years (D. G. Hoy et al., 2012). A lot of research showed that the major reason for chronic low back pain is sedentary stressful and modern hurry and worry lifestyle. It is a serious effect on the psycho-social and physiological honesty of the person (Gautschi et al., 2009). It is also defined as pain and discomfort which is situated below the costal …show more content…

They are: (1) Clinicians should conduct a focused history and physical examination to help place patients with low back pain, nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis. (2) Clinicians should not routinely obtain imaging or others diagnostic tests in patients with nonspecific low back pain. (3) Clinicians should perform diagnostic imaging and test when sever or progressive neurologic deficits. (4) Clinicians should evaluate patients with persistent low back pain and sign and symptom of radiculopathy or spinal stenosis with magnetic resonance imaging (preferred). (5) Clinicians should provide patients with evidence based information on low back pain with regard to their expected course. (6) Clinicians should assess severity of baseline pain and functional deficits. (7) Clinicians should conceder the addition of nonpharmacologic therapy (Roger Chou et al., …show more content…

In this philosophy, there are five “Sheaths” to existence, of which the physical frame is only the first. The second is the vital body that is made up of präëä the life energy that flows through you in invisible channels knows as näòé. The third is the mind (your emotions and thoughts ), the fourth is the higher intellect (perfect thought and knowledge ), and the final sheath is the “abode of bliss” . The bliss sheath is though to consist of positives energy that is associated with the divine. It is form this sheath that the inner peace essentioal to true happiness emanates. The concept is the basis and ground for the yoga module. Disease is seen to arise through imbalance in any of the three lower sheaths of existence. In physical , präëä and mind sheaths , ego consciousness, which is centered around the self, predominates and therefore harmony in sheaths can be easily distrubed. So we need to understanad fourth and fifth sheaths to control over health and happiness physicaliy and mentally

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2. EMG/NCV studies consistent with peripheral motor and sensory neuropathies, from October 2008 12/15/15 Progress Report described that the patient has ongoing low back pain. He was last seen on 10/28/15. The patient stated that his current medication regimen has been helpful. He rated the pain 9/10-scale level, which is brought down to 6/10-scale level with the medications.

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Assessments include myositis, low back pain, thoracolumbar and lumbosacral intervertebral disc disorder, muscle spasm of the back and lumbar radiculopathy. He was given a prescription for Flexeril and Toradol. Toradol 60 mg injection was performed on this visit for low back pain. Current request is for 30 Tablets of Flexeril with 3 Refills between 3/28/2016 and

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QEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral

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Page’s patient, P, suffers from back pain and he is determined to find the cause of the pain. To rule of the most lethal causes of back pain, some of the questions Page asks include “Did the pain wake him up at night? Was it worse when he was lying down? Had he recently lost weight?” (Page).

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Long term goals include a return to his prior level of functioning including full duty work as well as safely perform all activities of daily living. Assessments include cervical spine strain/sprain, rule-out disc herniation and left shoulder strain/sprain. The patient will begin physical therapy three days per week where he will receive moist heat, cold packs, and ultrasound treatment to the cervical paraspinals and left shoulder, electrical stimulation treatment to the left shoulder, massage treatment for the cervical spine, range of motion and strengthening exercises for the cervical spine and left shoulder, with the goals of reducing pain, improving range of motion, and improving overall function.

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The Atlanta Back Clinic is a full-service physical therapy facility that is located in Tucker, Georgia. The Atlanta Back Clinic was established in 1975. Their treatment options include manipulation/mobilization, myofascial release, soft tissue mobilization, cupping, neuromuscular re-education, mobilization of the nervous system/neurodynamics, postural re-education, therapeutic exercise and individualized exercise plans, etc. Their other treatment options include functional performance evaluations and body mechanics training, gait training, ergonomic assessments, dry needling, craniosacral, Feldenkrais, and Hellerworks. The Atlanta Back Clinic offers its individual treatment, training and fitness center, patient education booklet, on-line patient

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He denied current and past use of illicit drugs or substances. He consumes 3 to 4, 500 ml bottles of caffeinated soft drinks per week. On admission, Mr. Fountain complained of low back pain, ranging in intensity between 7 and 10, on a pain scale where 0 is no pain and 10 is the worst possible pain. He subjectively described this pain as a constant ache that permeates down into both legs, anteriorly and posteriorly, but can be stabbing, sharp, and burning at times. Sitting, standing, walking or lying down for prolonged periods of time can aggravate his back pain, while treatment modalities such as medications,

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Providers may have limited time so they rely on the nurses to recognize the requirements for different pain medication and recommend what medications have worked for the patients in the past. Additionally, becoming comfortable with SBAR will help build confidence when communicating with other medical staff members. Communicating with other medical staff members is very important, but recognizing pain in a patient is of more importance. Early identification of pain in a post-surgical patient is important in overall pain management.

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I believe the chiropractic profession ought to be considered as mainstream because it has incredible guarantee regarding its potential commitment to society and the potential for its individuals to understand the advantages which originate from being included in a mainstream, regarded and very used proficient gathering. This calling of non-surgical spine authorities who not just offer one helpful methodology of treatment for spinal pain (management), however offer something much more prominent and more critical –mastery in the determination and administration of spinal pain patients. This incorporates understanding the incomprehensible systems of spinal pain and conclusion, treatment and coordination of the treatment of different individuals from the healthcare group. It additionally means mastering a variation of non-surgical routines other than just

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Low back pain is one of the most common reasons people go to the doctor and in which many people will face at least once in their life time. Low back pain can be experienced by many people at any age, but mostly in those of the aging population. There are many reasons people experience low back pain, but most begin to feel better after several weeks and only rarely do they experience chronic back pain problems. One such chronic low back pain condition that effects the younger population is lumbar spondylolysis. Lumbar spondylolysis is a chronic condition found mostly in young athletes who participate in sports that make the athlete have to repeatedly bend the spine backwards.

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In this crosspost, the author will elaborate on the original threaded discussion by Ellerbee Mburu, Vail, and Barlow and add additional information on pain assessment and management. Healthcare providers are the major group of healthcare professional who perform crucial functions in delivering and providing nursing care to inpatient and outpatients. As mentioned in the threaded discussion by Ellerbee, Mburu, Vail, and Barlow, undertreated pain causes unnecessary distress and negatively affects the quality of life. In additional to the original threaded discussion, pain is a factor that is thought of differently by many. It has been added as the fifth vital sign and is considered to be subjective.

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Undertreatment of pain is a widespread problem and every 1 of 2 elderly experienced pain and are poorly managed as mentioned by (9). Another reason that contributes to pain, could be the misconception of the aging process, the stigma of the patient admitted for pain, difficulty in communicating pain and believing pain is part of the normal aging process (10). Some older people have the fear of the effects of medication for pain such as addiction, constipation or sedation, as a result, this group of older people do not convey their pain and suffer in silence

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Also, include your reasoning for this evaluation. Obtain patient’s self-report of pain including, location, onset, duration, and rating on a pain scale of 0-10. This nursing intervention is necessary because the patient self-report " is the most reliable indicator of pain"(Treas & Wilkinson pg. 1096) along with a comprehensive pain assessment. The nurse needs to understand the patient perception of pain to treat the patient pain effectively.

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  INTRODUCTION Pain is primarily a psychological experience. It is the most pervasive and universal form of human distress and it often contributes to dramatic reductions in the quality of life. Episodes of pain can vary in magnitude from events that are mundane, but commonplace, to crises that are excruciating, sometimes intractable and not so common,

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When you are experiencing chronic pain,

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