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Posterior Disc Protrusion Case Studies

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DOI: 2/6/2003. The patient is a 46-year old female aide who sustained a work-related injury to her low back while she was transferring a high school student from wheel chair to table.
MRI of the lumbar spine dated 2/19/16 revealed T12-L1, there is no focal posterolateral right disc protrusion; L1-2, no posterior disc protrusion/osteophyte complex; L2-3 , no posterior disc protrusion/osteophyte complex; L3-4, there is lateral left disc protrusion/osteophyte complex; L4-5, there is an approximately 3 mm posterior disc protrusion/osteophyte complex; and L5-S1, there is mild posterior disc/osteophyte complex.
As per office notes dated 3/30/16, the patient has gradually improved but is still not back to baseline pain. Prolonged standing exacerbates pain. Pain has been more localized recently, with less left lower extremity shooting pain, but has numb sensation in the left leg. Maximum pain is 8 over last month. With oxycodone has a >50% reduction in pain. There was no change in the medication list. …show more content…

She has had persistent pain since the industrial accident. The attempts to control her symptoms with spinal cord stimulation trial were unsuccessful, which led to infection and removal of abscess. Her left buttock and leg is worse than her back down to her posterior thigh and into the shin. Pain is 3 to 9 in the leg while 1 to 5 in the back. Pain is worse with laying on the left side, walking, or climbing the stairs. It is noted to be better with heat or laying on the right side. The patient is also limping due to pain with weakness and numbness on the left side. She has been treated with Neurontin in the

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