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The Role of the Legal Nurse Consultant in the Insurance Industry
Published in Julie Dickinson, Anne Meyer, Karen J. Huff, Deborah A. Wipf, Elizabeth K. Zorn, Kathy G. Ferrell, Lisa Mancuso, Marjorie Berg Pugatch, Joanne Walker, Karen Wilkinson, Legal Nurse Consulting Principles and Practices, 2019
Pre-existing medical conditions are pertinent to injury claims but do not preclude an injury to the same area of the body. For example, it is possible for an individual with failed back syndrome and chronic low back pain to sustain an acute lumbar strain. Obtaining prior medical records may prove essential in determining the claimant’s previous history of pain medications and dosages, pattern of medical treatment, and employment history immediately before the accident as compared with post-accident. In the absence of disclosure of such a pre-existing medical condition, a thorough review of medical records may suggest a relevant prior condition. For example, the presence of pain or anti-inflammatory medications being taken at the time of the accident, imaging studies being compared with previous studies done at the same facility, and billing records that reveal the claimant as an established patient with a spine surgeon may indicate a pre-existing condition.
Impairment and Disability Determination
Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005
This would fit quite well in cases of malignant pain such as in cancer or in failed back syndrome. Society as a whole and the legal/insurance/administrative authorities have to change their mentality and accept in some cases, where they are well-defined, the presence of permanent chronic pain in a given claim. Of course, the intensity/frequency of the pain and its involvement in the ADL such as shown in Table 46.1 may change in time and should be reevaluated at appropriate intervals within the context of reevaluation of any given claim.
Reduction and Fixation of Sacroiliac joint Dislocation by the Combined Use of S1 Pedicle Screws and an Iliac Rod
Published in Kai-Uwe Lewandrowski, Donald L. Wise, Debra J. Trantolo, Michael J. Yaszemski, Augustus A. White, Advances in Spinal Fusion, 2003
Kai-Uwe Lewandrowski, Donald L. Wise, Debra J. Trantolo, Michael J. Yaszemski, Augustus A. White
We evaluated the efficacy of our PLIF procedure and clinical application of the AW-GC intervertebral spacer in our patient series from 1992 to 1995 [45], during which we treated 148 consecutive patients (68 men and 80 women). The AW-GC spacer was applied in 117 cases. Patients’ mean age at the time of surgery was 59 years (range: 19-80 yr). The mean follow-up period was 3.2 years (range: 2-6.5 yr). The disorders in this patient series were degenerative spondylolisthesis (79 patients), isthmic spondylolysis and spondylolisthesis (56 patients), degenerative lumbar scoliosis (6 patients), failed back syndrome (4 patients), and others (3 patients). Single-level fusion was performed at L4/5 in 81 cases and at L5/S1 in 38 cases. Two-level and three-level fusion was also performed in 12 and three cases, respectively. Radiographic assessment
An update on the pharmacological management of pain in patients with multiple sclerosis
Published in Expert Opinion on Pharmacotherapy, 2020
Clara G. Chisari, Eleonora Sgarlata, Sebastiano Arena, Emanuele D’Amico, Simona Toscano, Francesco Patti
According to the International Neuromodulation Society, therapeutic neuromodulation is defined as ‘the alteration of nerve activity through targeted delivery of a stimulus, such as electrical stimulation or chemical agents, to specific neurological sites in the body’ [35]. In addition to tremor, deep brain stimulation (DBS) has also been studied in the treatment of trigeminal neuralgia in MS showing a significant improvement in pain control in five MS patients with trigeminal neuralgia in response to DBS of the posterior hypothalamus [131]. More recently, DBS has been proposed as a potential treatment option for chronic body pain and bladder dysfunction in MS patients [132]. Spinal cord stimulation (SCS) was approved for treatment of chronic trunk and limb pain secondary to conditions like failed-back syndrome, complex regional pain syndrome, and lumbar radiculopathy [133]. Although few studies are specifically focused on MS, SCS showed to have a therapeutic effect for the treatment of MS-related pain and bladder dysfunction [133]. The transcranial magnetic stimulation (TMS) is mainly used in the treatment of neuropathic pain, major depression, and complications related to stroke and spinal cord injury. There is a limited amount of research about the use of MS-related painful syndromes [134].
Posterior and anterior epidural and intradural migration of the sequestered intervertebral disc: Three cases and review of the literature
Published in The Journal of Spinal Cord Medicine, 2022
Daphne J. Theodorou, Stavroula J. Theodorou, Yousuke Kakitsubata, Evangelos I. Papanastasiou, Ioannis D. Gelalis
Our three cases feature a classic presentation of sequestered lumbar disc herniation in the patterns of posterior, anterior epidural and intradural migration. We believe that disc fragment migration may be more common than it is documented or recognized. This perception however, is intriguing given the implications misdiagnosis of complicated disc herniation can have on failed back syndrome.17 By considering – at least, the migrated disc in the differential diagnosis of intracanalicular lesions, or in the presence of persistent or unexplained symptoms not amenable to treatment, diagnostic and surgical odysseys can be safely avoided.