Many years after Captain Jack Sparrow retired from his years of pillaging villages and ruling the sea, he settled down into an office selling compasses. One day, Captain Jack was moving a barrel of rum, twisted his back in a strange way, and has been hurting for the past 5 weeks. He decided to visit his old “friend” Tia Dalma. “Well, well if it isn’t Jack Sparrow. What brings you back to me?” says Tia. Jack explains to Tia how he has been experiencing pain in his lower back after the 2 surgeries he recently had. “They called the first surgery a laminectomy and the second a partial discectomy. I don’t know what they did to me but the pain has not gone away” grimaces Jack. Tia smiles, “Jack, your first surgery was done to remove a part of the bone in your lower back, and then another surgery was performed to remove a part the cushion between my bones”. She proceeds, “you herniated a disc which put pressure against a nerve and…”. Jack interrupts, “I have absolutely no idea what you are talking about”. Tia nods, “think of a cream filled pastry. When you squeeze it too hard, all the cream in the inside comes out. The insides of that cushion, or disc, between your back bone is touching a nerve.” Jack goes to speak but Tia interrupts, “nerves are found everywhere in the body and help us sense things and perform movements”. Jack smiles half-heartedly. “When a nerve has any pressure on it, it can cause pain in the body. Those surgeries relieved that pressure, freeing up
During Dr. Wallace’s clinic, one of the golf girls came into the Athletic Training Room complaining of right shoulder pain. Dr.Wallace first began the evaluation by asking if she remembered how she hurt her shoulder. The golfer said she had been at home during winter break and was wearing socks in the house. She said she was running and fell and when she was falling, she attempted to catch herself by using a nearby wall. Dr. Wallace then checked her strength by asking her to abduct her shoulders as far as she could. He then added resistance and noticed weakness in her right shoulder. He tested the ligaments and told her they were all intact. He also asked her if she had been experiencing any numbness, tingling, etc. since she fell and she
(3) spondylolishesis is the lumbar slippage of the vertebra between L4-L5 and L5 and S1 which causes the compression of the spinal nerves 4) degenerative joint disease related to aging is also responsible for the cause of sciatica, there is a malformation involvement in the spine and dehydration resulting to disc herniation and severe inflammation in the vertebral bodies causing the compression and irritation of the spinal nerve roots 4) degenerative joint disease related to aging is also responsible for the cause of sciatica . Sciatica evolves between the age of forty to sixty years old and commonly occurs more in male as compared to female (Fuller & Goodman, 2015). Also, genetic cause also plays a significant role in etiology aside from infection, the vast amount of load of the vertebral column causing the protuberance of the disc(Fuller & Goodman, 2015). Moreover, malignancy or arthritic spine within the vertebra or trauma implicates the cause of sciatic nerve irritation or compression (Fuller & Goodman,
On examination of the lumbar spine, there is tenderness and guarding of the paraspinal musculature. Range of motion is decreased secondary to pain.
Nerves from each segment of the spinal cord connect to specific regions of the body. The cervical region or neck are referred to as C1 through C8; they control signals to the neck, arms, and hands. The segments in thoracic or upper back region T1 through T12 relay signals to the torso and some parts of the arms. The segments in the upper lumbar or mid-back region just below the ribs, L1 through L5, control signals to the hips and legs. Last, the sacral segments S1 through S5 lie just below the lumbar segments in the mid-back and control signals to the groin, toes, and some parts of the legs. The effects of spinal cord injury at different segments reflect this organization.(SC-Basic Anatomy of Spine-http://www.goes.com/billr/html/_anatomy_of_a_spinal_cord.html)
• Surgery to cut soft tissue that is compressing the nerve. This is usually only done if other treatment methods are ineffective.
Sciatic nerve pain is very challenging to treat as it's a warning sign of any cause. Thus it is significant to recognize what causes it in order that it
“If they do not get better, it tells you that the pain is not coming through the sympathetic nervous system. That is what we call sympathetically independent pain. It’s treated with a spinal cord stimulator. That’s where put these little electrodes into the epidural space in the spine. We stimulate the pathways that block pain, pathways that transmit pain. We work to create a tingling sensation in the affected area. Hopefully, that tingling sensation is pleasant and blocks the pain and the patient feels
The earliest hypothesis regarding the cause of phantom limbs and pain was that of neuromas. These were thought to be nodules comprised of remaining nerves located at the end of the stump. These neuromas presumably continued to generate impulses that traveled up the spinal cord to portions of the thalamus and somatosensory domains of the cortex. As a result, treatment involved cutting the nerves just above the neuroma in an attempt to interrupt signaling at each somatosensory level (5). This and other related theories were deemed unsatisfactory because of the fact the phantom pain always returned, indicating that there was a more complex reason.
There’s something very important you need to know: most doctors, chiropractors, physical therapists, and other health professionals have no idea how to fix back pain…
This fall she noticed that the pain in her back, the same pain she had been experiencing since her junior year of high school, was immense and worse than it has ever been. Reoccurring pain in any part of the body is a terrible feeling and needs to be taken care of immediately. Brittyn filled me in on her previous back surgery and informed me about all the chaos it has given her for some time now, “I had been having back problems for about two years-It was time, I kept having this sharp pain in my back and could no longer
Pain Assessment. Throughout the shift, Mr. Stewart states he has nociceptive pain from his fractures and skin trauma from his fall (House-Kokan, 2012). He states his pain is increasing in amount, starting from “twinges” in his chest on his right side, pain in his ankles, hip pain, and then
The Progressive Era was a period that exposed the contradictions found in American society in the late nineteenth and early twentieth century. Theodore Roosevelt summed up the Progressive/Reform feeling in his "Square Deal" speech - that it was all about morals, not economics. His goal was the "moral regeneration of the business world." He preached that it was wrong for some people to get ahead in business and politics by tricks and schemes, while others were cheated out of the opportunity. This was the kind of talk that millions of Americans from all areas of society could understand and respond to.
In December of 2013, Caroline Carcerano went to Tufts Medical Center in Boston, Massachusetts to have done what her surgeon said would be a “brief” procedure to relieve her lingering back pain. This was not the case and two days later, Carcerano was dead. Carcerano’s surgery was supposed to be a simple procedure where surgeons were going to insert a pump under her skin so that medication could get into her spine quickly and help alleviate her lingering pain. Carcerano has previously fallen and broken several vertebrae, but even after fusing the vertebra together, the pain, along with leg spasms and weakened bones, was still a chronic issue.
An extensive matrix of neurons in the brain gives us the sense of our own bodies and body parts. Pain results when this matrix produces an abnormal pattern of activity, as a result of memories, emotions, expectations or signals from various brain centres and not just from signals from peripheral nerves. Because of the lack of sensory stimulation or a person’s efforts to move a nonexistent limb, abnormal patterns may arise, resulting in phantom pain.
Having just undergone spinal surgery, a young woman learns she also has a form of cancer. Constantly in pain now, for both the spinal condition and the advancing cancer, her family physician wisely advices her of two