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Spasm Case Studies

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Recommended: Literature review on depression in the workplace

DOI: 3/1/2005. Patient is a 64-year-old female service representative who sustained a work-related injury to her neck, back and bilateral shoulders due to repetitive work activities. She is subsequently diagnosed with degenerative disc disease and depression. As per progress report dated 1/14/2016, IW reports continued improvement. Medications such as Baclofen and gabapentin as well as home exercise program are proving effective in improving pain levels, function and range of motion and overall sense of comfort. Pain/spasm is more severe after decreasing Baclofen dose. She also complains of cervical and bilateral upper extremity pain/parasthesias. On physical examination, there is spasm and tenderness on cervical exam. Motion is guarded due to pain. Flexion and extension demonstrates 30 degrees, bilateral lateral bending is 15 degrees and 60 degrees on bilateral rotation. On assessment, the patient has cervical degenerative arthritis, cervical radiculitis and depression. Treatment plan includes Celexa as 10 milligrams. …show more content…

Diagnoses include the following: Axis I: major depressive disorder, recurrent, moderate, anxiety disorder; Axis II: mild histrionic traits; Axis II: bilateral carpal tunnel, endoscopic right carpal tunnel released surgery (1993), posterior cervical spinal fusion at C2-6 (2008), lumbar degenerative disc disease, diabetes, hypertension and cataract surgeries (2009); Axis IV: psychosocial stressors, chronic disability and pain, access to medical care and isolation; and Axis V: Global Assessment of functioning score of 60. Recommendation was made for additional 6 sessions, once every 3

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Nursing Case Memo

647 Words | 3 Pages

Pain radiates from the lower back and aggravated by bending, getting in and out of the car, lifting, reciprocating stairs, sitting, standing, turning, twisting and walking which is mildly alleviated by over-the-counter drugs and

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Joan Buckalew's Death: A Case Study

177 Words | 1 Pages

Mrs. Joan Buckalew dtates that she is not on any blood thinners and that there is no change to her medications. SO EMT Perez checked for hip stabilization in which he noted no physical deformity and full range of motion without

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Supraspinatus Case Summary Injury

536 Words | 3 Pages

Requested for a complete copy of the office visit report dated 03/09/16 as the 6th page is missing; however, no medical records received at the time of submission of the review to PA. Current request is for 6 Acupuncture Therapy Sessions for the Right Shoulder and Jaw between 3/25/2016 and 5/24/2016. ort dated 03/09/16 as the 6th page is missing; however, no medical records received at the time of submission of the review to PA. Current request is for 6 Acupuncture Therapy Sessions for the Right Shoulder and Jaw between 3/25/2016 and

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Lumbar Spine Case Summary

592 Words | 3 Pages

Range of motion revealed flexion of 90 degrees, extension of 15 degrees; with forward bending the patient can reach mid shins. Straight leg raise is negative at 70 degrees. Per assessment and plan, patient is a status post left approach L2-3 and L3-4 Lateral lumbar interbody fusion on 7/22/14 and have a chronic mechanical low back pain status post multiple lumbar spine surgeries. Currently, patient has solid fusion at 2-3, 3-4, 5-1 and open L4-5 segment. L4-5 is suspected to be a significant pain generator.

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Muscle Spam Case Study

533 Words | 3 Pages

10/28/15 progress report described that the patient has pain with positive bilateral lumbar facet loading. The patient also complained of unprovoked occasional back spasms. There was little or no improvement in sleep and pain from Trazodone and Tramadol, so the patient had been prescribed Valium 5 mg, Mortin 600 mg, and Cyclobenzaprine. 10/28/15 progress report noted that the Valium was prescribed for insomnia. However, 11/26/15 note states an appeal to the denial of Valium and noted that it was being prescribed to address the muscle spams.

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Gonadal Dysics: A Case Study

706 Words | 3 Pages

Calabrese, dated 05/05/2017, indicated that the claimant continued to have muscle weakness with her arms hanging down. She reported feeling down, depressed, hopeless, sleeping too much, and feeling tired on several days. Her PHQ-9 total score was 3. Her mood was very worried, and her affect was anxious and intensely expressed. Continued use of current medications was recommended.

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Patient Case Summary

244 Words | 1 Pages

There is tenderness to palpation of the cervical paravertebral muscles. There is muscle spasm of the cervical paravertebral muscles. Diagnoses are cervical myospasm, cervical sprain/strain, and depression/stress. Treatment plan includes a trial of acupuncture 1 x per week for 6 weeks, trial of chiropractic treatment 1 x per week for 6 weeks, functional capacity evaluation (FCE) to further evaluate patient’s functional capacity and limitations, transcutaneous electrical nerve stimulation (TENS) unit in the form of interferential (IF)/Electrical Muscle Stimulation (EMS) unit and supplies, referral to psychologist in order to assist with patient’s stress, anxiety and depression, and X-ray studies of the cervical

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Endometriosis Research Paper Outline

1410 Words | 6 Pages

Her PCP order radiographs and an MRI both which appeared unremarkable.2 Due to the negative radiographs, her PCP referred her to an orthopedic who linked her back pain to lifting boxes at work, prescribed analgesics, and referred the patient to physical

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Musculoskeletal Disorder Research Paper

2264 Words | 10 Pages

CHAPTER 1 INTRODUCTION A Work-Related Musculoskeletal Disorder (WMSD) is defined as any musculoskeletal damage resulting from activities related to work or occupation. It is termed as an injury which occurs because of incident that results in time loss, exacerbation, limitation of working hours or job alteration. It can also be defined as pain arising from muscles, ligaments, tendons, joint capsule, bursa and bone lasting more than three days as a result of over exertion. Musculoskeletal disorders (MSDs) affect the person’s bones, tendon, muscles, bursa, joints, capsules, ligaments, fascia and nerves. (1, 2 and 3)

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Advantages And Disadvantages Of L-Deval

511 Words | 3 Pages

The left upper extremity was found to be within functional limits, so no measurements were taken. She was also found to have decreased arthrokinematic joint mobility for her glenohumeral and talocrural joints. She

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Cnlbp Case Studies

1841 Words | 8 Pages

1. Introduction: Chronic nonspecific low back pain (CNSLBP) (i.e., low back pain of at least 12 weeks’ duration and without a specific cause)(1, 2) is one of the most common health conditions worldwide(3). Chronic low back pain (CLBP) is highly associated with disability (1), emotional changes (2), and work absenteeism (1). Given that chronic low back pain is very prevalent (4), the costs associated with this condition are very high (5).

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Essay On Whiplash

832 Words | 4 Pages

Rotating or bending the neck can be difficult. 3. You may also feel pain or stiffness in the shoulders and arms. 4. There may be pain and stiffness in the upper and lower back.

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Chiropractic Treatment For Dislocations Essay

492 Words | 2 Pages

Topic: Chiropractic Treatment for Dislocations Dislocated joints can be incredibly painful, and if not properly treated, can cause long-term issues. Dislocation can occur in any joint in the body – from the shoulder to the toe – with a range of pain levels and complications depending on location. When a joint is dislocated, it basically “pops” out of place, typically causing immobility in the area and a lot of pain. Old movies may show hardy heroes using a wall to pop dislocations back into place, but the reality is, if they are not addressed with proper medical treatment, dislocations can begin to reoccur in the injured area, and often contribute to joint problems later in life. Dislocations: A common problem

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Health Benefits Of Occupational Therapy

707 Words | 3 Pages

The occupational therapy is convenient, and though it takes a lot of time, it is very effective once the results begin to step out. Although occupational therapy is not a complete and definite method of curing pain and does not help a patient get over it, it is still important in helping a person learn and adapt to the normal ways of life and return to their former lifestyle. There are being made efforts on academic and practitioner levels to increase the availability of occupational therapists for people who are facing disorders and making occupational therapy more effective. In addition to that, there is a need for increased education in the public regarding chronic pains and their rehabilitation through occupational therapies. Doing this would generate interest of people to become professionals at providing this service (Web MD,

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Neck Pain Case Study

1083 Words | 5 Pages

Introduction: Neck pain is a common disorder. Poor posture might result in muscular imbalance that causes a faulty relationship among various body parts. Forward head posture is one of the most common cervical abnormalities that pre¬disposes individuals toward pathological conditions, such as headache, neck pain, temporomandibular disorders. Aim: The aim of the study was to find the relationship between CV angle and neck pain. Method: 50 patients were evaluated and included in the study.

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