Question

Case Study #5: A 50 year old male presents to the clinic with an antalgic pait. In the exam room, his wife helps him onto the examination table because he is in so much pain. Hes h pain. He states that he was working in his garden over the weekend liftine baes of mulch. He bent over to grab another bap and felt a "on" in his low hack followed by stiffness later that day. This morning he woke up with a severe burning sensation shooting down the back of his left leg and numbness in his left foot. You order an MRI of the lumber spine. os he woke up ss in his 1. What is your diagnosis? Be specific. 2. How does this type of injury occur? 3. The burning sensation shooting down the patient's leg is a condition called 4. What are some different forms of treatment for this condition? 5. What is the prognosis?

Answer 1

patient is diagnosed with lumbar spondylosis. lumbar 14) Here the pondylosis is the degenerative condition affecting the disen vertebral bodies and often assonated with joints of the lumbar vertebrae. Aging, trauma that leads to wear and tear of inter vertebral dises leads to spondylosis. Mainly the Mechanical stress is major cause. Here the patient was so year and undergone mechanical stress like weekened lifting of bags while working in gardens. So the patient was likely to diagnose lumbar spondylosis even MRI sean it showing dise herniation in Intebar region LA) lumbar spondylosis which means degeneration of lumbar spine generally initiates from the intervertebral dises. At this level progressive biochemical and structural changes takes place majorly due to aging process and mechanical stress leading to a modification in elaitinty and mechanical resistance. Disc lesions cause pathological changes in vertebral bodies where Osteophyter occur more in anterior and lateral in the

34) Swatica is a shooting pain that begins in lower back, radiates into buttock and down back of one leg. The pain is often caused by pressure on suatic herre from a herniated disc , bone spur. Majorly improves with rest, physical therapy, self-care, pain medications. cepans for suatica: 4A) & self care : - Rest ice cor) heat massage gentle stretches. uring ice packs 20 min several times a day he duces out muscle inflammation. There after a warm shower, heating pad en low setting may relan the pt. s Pain medications :- NSAID! such as aspirin, ibuprofen cor) napromen. A muscle relanant may be prescribed for spasms- steroids can reduce swelling and inflammation of nerves. They can be taken oraly or by injection into painful area (epidural steroid injections and facet infections). > Physical therapy: Proper lifting and walking techniques, exereises to strengthen your lower back, legs helps to return full activity.

surgery & surgery: ery: surgery like dissectomy means removal of ution of dire compressing the spinal nerve will be rarely preferred. For lombar spondylosis: s Paarmacological therapy. NSAIDs opioid medication, antidepresa -ut, muscle aclamante, epidural steroids s surgery: lombar bosion, artificial dise replacement CADR), Puyrica therapy: Emerase therapy, traction, massage attas I lumbar back supportetc. 3) If proper care is taken spondylosis can be managed from Progression if not may lead to chronic pain and may lead to spinal stenosis means narrowing of spinal canal that Carries spinal vernes, cervical, lombar hadiculopathy, ceove pain. Complete of bowel corl bla Μα δειων. Spondylotic myelopathy, scoliosis may occur, increased ". Complete lor of feeling corl weakhen of lege, loss owel corl bladder function, permannent nerve damage