Plaintiff complained of low back pain on the left side for several months. A CT myelogram revealed a small ventral impression and a transitional segment at L5. Chiropractic treatment was recommended. Dr DellaPorta completed the IME. The Plaintiff is now back to work and doing fine.
In one of the cases, SLR was positive bilaterally for low back and leg pain. However, the SLR was negative for minor disc protrusion or internal derangement. The patient was also experiencing pain without a neurological deficit. Additionally, she reported upbeat results for SLR when superimposing leg movements in prone, side-lying, and supine positions.
The primary goal of diagnosis is to match the patient's clinical presentation to the best treatment approach. It also allows the clinician to determine whether the patient is appropriate for physical therapy management. Many low back pain patients attribute their symptoms to nonspecific mechanical factors.
CT myelogram revealed a small ventral impression without central canal stenosis.
A 50-year-old man presents with asymmetrical neck and shoulder pain. A lateral myelogram reveals double density at the C3-C4 level with a focal spur on the right side. A CT myelogram reveals attenuation of the central canal without central canal stenosis.
CT myelography is a valuable technique for patients who cannot undergo MRI since it enables the assessment of the integrity of the thecal sac and the contents of the spinal canal without exposing the spinal cord. CT myelograms do not provide the exact characterization of soft tissue as MRI, but they may help identify the metastatic disease as thickened nerve roots or subarachnoid masses.
CT myelogram revealed a transitional segment at L5.
A CT myelogram can be a valuable tool in low back pain diagnosis, and it can also reveal a transitional segment at L5. This diagnosis can help guide surgical planning and determine whether the patient requires intervention or nonsurgical treatment. In some instances, a CT myelogram can show abnormalities that an MRI cannot show.
Before undergoing the procedure, patients should disclose any medications, allergies, recent illnesses, or other medical conditions. The physician will also need to know if the patient has ever been sick or has developed a reaction to contrast material.
Low back pain is widespread, but what causes it can differ from patient to patient. For some people, chiropractic treatment may be the best option for reducing pain. It usually involves simple adjustments of the vertebrae in the lower lumbar region and the pelvis. Depending on the cause, the chiropractor may also use spinal mobilization.
Low back pain is caused by misalignment of the spine. This can be due to overworking or lifting heavy objects or caused by injury or trauma. When these causes are combined, the result can be sharp pain in the lower back area. Chiropractic treatment is the fastest way to relieve pain from this condition.
Exercises for unilateral back pain
One of the best ways to treat low back pain is to start an exercise program. Exercise is a very beneficial therapy, but it must be done correctly. One type of exercise is called Unilateral Training. It involves exercising on one side of the body and loading it only slightly. This helps your body adapt to the exercise.
Unilateral holds are a great way to engage small stabilizing muscles in your back. For example, a single-arm bench press requires one side to rely on the other to balance and support the body. In contrast, a bilateral hold requires one side to work harder on stability, which may not be a good idea for individuals intolerant to rotation.