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 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., 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
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…
Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with William Russell and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 9/9/16 I met Mr. Russell at the Covenant Occupational Medicine clinic. He arrived alone. He is alert and oriented. Mr. Russell is cooperative and open to working with a nurse case manager. MEDICAL FACTORS Mr. Russell said he was working…
ARTICLE IN PRESS Manual Therapy 10 (2005) 207–218 www.elsevier.com/locate/math Original article Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests Mark Lasletta,Ã, Charles N. Aprillb, Barry McDonaldc, Sharon B. Youngd a Department of Health and Society, Linko¨pings Universitet, Linko¨ping, Sweden b Magnolia Diagnostics, New Orleans, LA, USA c Massey University, Institute of Information and Mathematical Sciences, Albany, New Zealand d Mobile Spine…
Introduction: Piriformis syndrome (PS) is a neuromuscular condition with a special combination of several characteristic manifestations mainly highlighted by gluteal pain(1). Others may involve pain in the lower back area down to buttocks, paraesthesia, numbness and limitations to some weight-bearing activities like walking for long periods, standing and sitting to some degrees(1-5). Other symptoms may also include: the sciatic notch tenderness, swelling, sexual dysfunctions and splayfoot with a…
Name: Date: Case study 76: Endocrine INSTRUCTIONS: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Do notassume information that is not provided. Please print or write clearly. If your response is not legible, it will be marked as is and you will need to rewrite it. Scenario Y.L., a 34-year-old Asian woman, comes to the clinic with complaints of chronic fatigue…
PART ONE Medical-Surgical Cases 1 1 Cardiovascular Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department, hospital Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life X Scenario M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I…
Treatment of Shoulder Pain: A Case Study Center for Health and Optimum Performance 1269 Barclay Circle Marietta, GA 30060 Christi Osborne, B.S. Student Clinician, Life University College of Chiropractic 2039 Powers Ferry Rd. Apt H Symrna, GA 30067 423-331-4670 Osborne0788@yahoo.com Advisor: Dr. Rectenwald Abstract Objective: The purpose of this case study is to provide a detailed report on the symptomatic improvement of a patient with shoulder pain with accompanying toe pain following adjustments…
big and the mother usually feels comfortable doing almost everything (“Yoga for Moms-To-Be). During this trimester there is a lot of pressure placed on the lower back because of the added weight from the torso (“Tools for Teaching Prenatal Yoga”). As explained in the Yoga Journal article, “Yoga for Moms-To-Be” pregnancy is a natural low sugar state. “You’re using up your body’s sugar faster; important reserces are being used to support the placenta and fetus” (“Yoga for Moms-To-Be”). In another Yoga…
More now than ever athletes are being watched out for when there is trauma to the brain. After multiple cases of poor treatment to concussions parents and doctors are cracking down on letting concussions not be a big deal. As more studies advance, it is discovered that every case is different. The range is created by severity, past experience with trauma, and how the patient heals. Concussions in sports can range in severity, and how they affect each individual over time depending on times of impact…
and although that may be a large fraction of the country, the numbers of those actually executed are fairly low. Take for instance, in 2012, only forty-two people were executed, one thousand and twenty people since 1976. When compared to the people sentenced to life in prison without parole, the alternative to the death penalty, the numbers of those executed are overshadowed. Because of how low the numbers are and how the death penalty brings up so many problems, such as being morally and constitutionally…