DOI: 4/20/2016. Patient is a 51-year-old female assembler who sustained a work-related injury to her right hand due to repetitive motion.…
Having established that, the carpal tunnel is a relatively narrow passageway that is formed anteriorly by the flexor retinaculum and posteriorly by the carpal bones. The median nerve which is the most superficial structure and the long flexor tendons for the digits (such as the flexor digitorum superficialis muscle and the flexor digitorum profundus muscle tendons) pass through this tunnel. Compression injury to the median nerve will result in a condition known as Carpal Tunnel Syndrome (CTS). The median nerve is responsible for transmitting sensory information from the palmar aspect of the thumb and first two or three digits, in addition to supplying some of the muscles of the hand. Therefore, these aforementioned structures would be mostly affected by compression injury to the median nerve, leading to paraesthesia, pain and atrophy of the muscles.…
He reported difficulty with gripping, grasping and holding due to pain. He had persistent painful paresthesias of his right arm. 4 A’s assessment for chronic pain management had ben documented. Physical exam was WNL. Treatment plan included UDS, EMG/NCS and medications.…
Mr. Gallardo maintains sometime in the middle of the year in 2012 he found that each time he was at his workstation working on mattresses, he started developing soreness to the top portion of his right shoulder. He said as soon as he began feeling the soreness, he self-mediated with icy-hot and other creams to subside the soreness which eventually developed into shooting pain throughout his right shoulder when he reported working the next day. He said the pain and discomfort he felt was from each time he would either push or pull on a mattress on to the sewing machine table and while he would have to flip the mattress sometimes on its side, with the use of his right hand which he considered his strong hand. Mr. Gallardo maintains he is right…
Scapular dyskinesia is close to me due to its relation with my family. My brother has scapular dyskinesis due to his athletic endeavors in swimming and possibly due to some genetic factors that run in our family. This abnormal scapulohumeral rhythm is seen in shoulder instability, at a rate of 67%, and in shoulder impingement, at a rate of 100%. Shoulder injuries tend to be prevalent at a high rate in today’s population due to impact sports, accidents, and ever increasing elderly population. Although seen very frequently in shoulder instability and impingement, there are no statistics on the incidence of this condition as a whole.…
* How: usually seen in patients who perform manual labor or sports which require twisting and extension of the wrist against resistance…
Dystonia, a neurological condition or movement disorder wherein the neurological ‘machinery’ controlling the relaxation of muscles that are not in use function inappropriately. Abnormal messages or signals are sent from the movement control centre of the brain to the muscles of the body; these irregular transmissions cause the muscles to contract and twist into involuntary spasms, uncomfortable positions or abnormal postures.…
Duchenne muscular dystrophy has no cure, hence treatment focuses primarily on the underlying symptoms. Essentially, medical treatment includes administration of albuterol, amino acids, carnitine, coenzymes Q10, creatine, fish oil, green tea extracts, and vitamins. Other treatments to help minimize life-threatening conditions includes assisted ventilation, angiotensin-converting-enzyme inhibitors, beta-blockers, diuretics, proton pump inhibitors, and orthopedic appliances.…
Carpal Tunnel Syndrome (CTS) also called median nerve compression is a very common injury to the hand and wrist that causes numbness and tingling. More than 3 million cases of Carpal Tunnel Syndrome are reported each year in the United States . The carpal tunnel is a passageway from your wrist to your hand that consists of bones, tendons, ligaments, and the median nerve. The median nerve that passes through this tunnel is responsible for delivering sensations to the thumb, index finger, middle finger, and the thumb side of the ring finger . The pathology of this injury is believed to be due to compression, entrapment, or irritation of the median nerve. Anything that may cause a reduction in the narrow space of the carpal…
Osteoporosis and Osteoarthritis are both diseases of the bone. Osteoporosis actually means “porous bones” and is a problem with bones where there isn’t enough calcium in them to give them strength. This is because the bone cells aren’t being reproduced as fast as the bone is aging or deteriorating which causes the bones to become fragile. This can happen because of loss of calcium in the bone, or a problem with the calcium being absorbed correctly, which it needs in order to build new bone tissue and complete the remodeling cycle. Even if the bone has enough, other parts of your body may not and will start taking calcium away from your bones.…
Many diseases and disorders that affect the population have an early onset that begins when generations are young. Duchenne Muscular Dystrophy, DMD, is no different with a typical onset of symptoms between the ages three and five. DMD is characterized by muscle weakness that worsens rapidly. When a child, who has been diagnosed with DMD the condition can spread to the cardiovascular and respiratory muscles by the time they mature into teenagers. The beginning of the condition affects the shoulders, upper arm, hip and leg muscles.…
Arthritis is the leading chronic condition for older adults and the leading cause of disability in the United States. Spirituality is recognized as having significant potential to assist individuals in health adaptation. Spirituality and health perception are significantly correlated. Several ways in which spirituality positively affect health include: promoting a sense of relatedness, providing purpose or meaning in life, having a stress-buffering effect, and fostering well being. According to The Neumans System Model (1989) Neuman asserted that the spirit influences the mind, and the mind influences the body. Neuman’s concept of the psychological variable, which is composed of one’s own mental processes and relationships helps to examine the adaptive cognitive and behavioral skills in an individual.…
Patel M.D., Parul. U.S. National Library of Medicine. 13 August 2009. 21 October 2011 .…
There are many risk factors associated with stroke. The more risk factors a person has, the greater the chance that he or she will have a stroke. Some of these you have no control of, such as increasing age, family health history, race and gender. But you can change or treat most other risk factors to lower your risk. The chance of having a stroke more than doubles every decade after the age of 55. The chance is greater in people who have a family history of stroke. African Americans have a much higher risk of disability and death from a stroke than whites, in part because blacks have a greater incidence of high blood pressure, a major stroke risk factor. Overall, the incidence of stroke is about equal for men and women. However, at all ages, more women than men die of stroke. In recent years, studies have shown cigarette smoking to be a key risk factor for stroke. The nicotine and carbon monoxide in cigarette smoke damage the cardiovascular system in many ways. The use of oral contraceptives combined with cigarette smoking greatly increases stroke risk. People with heart disease have more than twice the risk of stroke as those whose hearts work normally. Other risk factors can include the following: extremely hot or cold temperatures, their socioeconomic state (there is some evidence that people of lower income and educational levels have a higher risk for stroke), and excessive alcohol intake. The best way to prevent stroke is to reduce risk factors: improve diet, keep diabetes under control, quit smoking, and get enough exercise.…
I remember the day like it was yesterday, my grandma had experienced a stroke. I remember my dad calling my grandparents’ house to speak with my grandpa, but when my grandma answered with a confused tone my dad knew something wasn’t quite right. She was unable to speak clear and could not respond to a question with a logical answer. After my dad had realized my grandma had a stroke he immediately called an ambulance and rushed to her house to make sure she was okay.…
