Diagnosis List
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
19-0603 ) Issued: January 28, 2020 DEPARTMENT of the TREASURY, ) INTERNAL REVENUE SERVICE, ) Holtsville, NY, Employer ) ______)
United States Department of Labor Employees’ Compensation Appeals Board __________________________________________ ) S.L., Appellant ) ) and ) Docket No. 19-0603 ) Issued: January 28, 2020 DEPARTMENT OF THE TREASURY, ) INTERNAL REVENUE SERVICE, ) Holtsville, NY, Employer ) __________________________________________ ) Appearances: Case Submitted on the Record Thomas S. Harkins, Esq., for the appellant1 Office of Solicitor, for the Director DECISION AND ORDER Before: CHRISTOPHER J. GODFREY, Chief Judge ALEC J. KOROMILAS, Alternate Judge VALERIE D. EVANS-HARRELL, Alternate Judge JURISDICTION On January 18, 2019 appellant, through counsel, filed a timely appeal from a July 26, 2018 merit decision of the Office of Workers’ Compensation Programs (OWCP). Pursuant to the Federal Employees’ Compensation Act2 (FECA) and 20 C.F.R. §§ 501.2(c) and 501.3, the Board has jurisdiction over the merits of this case.3 1 In all cases in which a representative has been authorized in a matter before the Board, no claim for a fee for legal or other service performed on appeal before the Board is valid unless approved by the Board. 20 C.F.R. § 501.9(e). No contract for a stipulated fee or on a contingent fee basis will be approved by the Board. Id. An attorney or representative’s collection of a fee without the Board’s approval may constitute a misdemeanor, subject to fine or imprisonment for up to one year or both. Id.; see also 18 U.S.C. § 292. Demands for payment of fees to a representative, prior to approval by the Board, may be reported to appropriate authorities for investigation. 2 5 U.S.C. -
Neck and Headache Pain
Neck and Headache Pain ICD-9-CM code: 723.2 cervicocranial syndrome ICF codes: Activities and Participation Domain code: d4158 Maintaining a body position, other specified - specified as: maintaining the head in a flexed position, such as when reading a book; or, maintaining the head in an extended position, such as when looking up at a computer screen or video monitor Body Structure codes: s7103 Joints of head and neck region Body Functions code: b28010 Pain in head and neck Common Historical Findings: Unilateral neck pain with referral to occipital, temporal, parietal, frontal or orbital areas Headache precipitated or aggravated by neck movements or sustained positions Noncontinuous headaches (usually < 1 episode/day; < 2 episodes/week) Common Impairment Findings - Related to the Reported Activity Limitation or Participation Restrictions: Observable postural asymmetry of the head on neck (sidebent or extended) Headache reproduced with provocation of the involved segmental myofascia and/or joints O/C1, C1/C2, or C2/C3 restricted accessory motions with associated myofascial trigger points Physical Examination Procedures: Palpation/Provocation of Suboccipital Myofascia Joe Godges DPT, MA, OCS 1 KP So Cal Ortho PT Residency O/C1, C1/C2, or C2/C3 accessory motion testing using posterior-to-anterior pressures 0/C1 accessory motion testing using C1 lateral translatoty pressures C1 – C2 Rotation ROM testing with the C2 – C7 segments in flexion Joe Godges DPT, MA, OCS 2 KP So Cal Ortho PT Residency Neck and Headache Pain: Description, Etiology, Stages, and Intervention Strategies The below description is consistent with descriptions of clinical patterns associated with the term “Cervicogenic Headache.” Description: Cervicogenic headache is a headache where the source of the ache is from a structure in the cervical spine, such as a cervical facet, muscle, ligament, or dura. -
A Thesis Submitted in Partial Fulfilment of the Requirements for the Degree of Doctor of Philosophy
MYOFASCIAL TRIGGER POINTS AND INNERVATION ZONE LOCATIONS IN UPPER TRAPEZIUS MUSCLES MARCO BARBERO A thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy QUEEN MARGARET UNIVERSITY 2016 1 ABSTRACT Myofascial pain syndrome is characterized by sensory, motor and autonomic symptoms, and a myofascial trigger point (MTrP) is considered the principal clinical feature. Clinicians recognise myofascial pain syndrome as an important clinical entity but many basic and clinical issues need further research. Electrophysiological studies indicate that abnormal electrical activity is detectable near MTrPs. This phenomenon has been described as endplate noise and it has been purported to be associated MTrP pathophysiology. Authors also suggest that MTrPs are located in the innervation zone (IZ) of muscles. The aim of this thesis was to describe both the location of MTrP and the IZ’ locations in the upper trapezius muscle. The hypothesis was that distance between the IZ and the MTrP in upper trapezius muscle is equal to zero. This thesis includes two preliminary studies. The first one address the reliability of surface electromyography (EMG) in locating the IZ in upper trapezius muscle, and the second one address the reliability of a manual palpation protocol in locating the MTrP in upper trapezius muscle. The intra- rater reliability of surface EMG in locating the IZ was almost perfect; with Kappa = 0.90 for operator A and Kappa = 0.92 for operator B. Also the inter- rater reliability showed an almost perfect agreement, with Kappa = 0.82. Both the operators conducted 900 estimations of IZ’ location through visual analysis of the EMG signals. -
MUSCULOSKELETAL MRI Temporomandibular Joints (TMJ) Temporomandibular Joints (TMJ) MRI - W/O Contrast
MUSCULOSKELETAL MRI Temporomandibular Joints (TMJ) Temporomandibular joints (TMJ) MRI - W/O Contrast . CPT Code 70336 • Arthritis • TMJ disc abnormality • Osteonecrosis (AVN) Temporomandibular joints (TMJ) MRI - W and W/O Contrast . CPT Code 70336 • Arthritis/Synovitis • Mass/Tumor Chest Chest Wall/Rib, Sternum, Bilateral Pectoralis Muscles, Bilateral Clavicles MRI - W/O Contrast . CPT Code 71550 • Rib fracture, costochondral cartilage injury • Muscle, tendon or nerve injury Chest Wall/Rib, Sternum, Bilateral Pectoralis Muscles, Bilateral Clavicles MRI - W and W/O Contrast . CPT Code 71552 • Mass/Tumor • Infection Upper Extremity (Non-Joint) Scapula MRI - W/O Contrast . CPT Code 73218 • Fracture • Muscle, tendon or nerve injury Scapula MRI - W and W/O Contrast . CPT code 73220 • Mass/Tumor • Infection Humerus, Arm MRI - W/O Contrast . CPT Code 73218 • Fracture • Muscle, tendon or nerve injury Humerus, Arm MRI - W and W/O Contrast . CPT Code 73220 • Mass/Tumor • Infection Forearm MRI - W/O Contrast . CPT Code 73218 • Fracture • Muscle, tendon or nerve injury Forearm MRI - W and W/O Contrast . CPT Code 73220 • Mass/Tumor • Infection Hand MRI - W/O Contrast. CPT Code 73218 • Fracture • Muscle, tendon or nerve injury Hand MRI - W and W/O Contrast . CPT Code 73220 • Mass/Tumor • Infection • Tenosynovitis Finger(s) MRI - W/O Contrast. CPT Code 73218 • Fracture • Muscle, tendon or nerve injury Finger(s) MRI - W and W/O Contrast . CPT Code 73220 • Mass/Tumor • Infection • Tenosynovitis Upper Extremity (Joint) Shoulder MRI - W/O Contrast. CPT Code 73221 • Muscle, tendon (rotator cuff) or nerve injury • Fracture • Osteoarthritis Shoulder MRI - W Contrast (Arthrogram only; no IV contrast) . CPT Code 73222 • Labral (SLAP) tear • Rotator cuff tear Shoulder MRI - W and W/O Contrast . -
Meniscus Tear
291 North Fireweed Soldotna, AK 99669 907-262-6454 www.kenaipeninsulaortho.com ______________________________________________________________________________________ Orthopaedic Surgeon: Hand and Wrist Specialist: Henry G. Krull, M.D. Edwin D. Vyhmeister, M.D. Meniscus Tear The meniscus is the rubbery, soft cartilage cushion in the knee. There are two of the C-shaped cushions in each knee, a medial (inner) and lateral (outer) meniscus. They sit between the two bones that form the knee joint, and function to cushion and support the knee. The meniscus can tear with injury or degeneration, or a combination of both. The medial meniscus is torn about 10X more frequently than the lateral meniscus. In young people, the meniscus usually tears with an injury. In older people, the cartilage can degenerate (weaken) with age, and can tear with or without an injury; spontaneous tears can occur. Meniscal tears can occur in association with other injuries to the knee. Symptoms: Pain is the usual symptom of complaint with a meniscus tear. There is often a noticeable “pop.” Swelling and stiffness can also occur. Mechanical symptoms are common—clicking, popping, and locking. Sometimes there is just a feeling that something is wrong inside the knee. Pain can be sharp, or can be dull and aching. Meniscus tears do not heal, but sometimes the symptoms dissipate. Chronic, intermittent symptoms is very common. Meniscal tears can cause a feeling of instability, or can cause the knee to buckle or give way. Cause: Injuries, particularly with sports, are a common cause of meniscal tears in young people. As people age, the meniscus tissue weakens through the normal degenerative process, and tears can occur spontaneously, or with simple activities, such as getting up from a chair, and changing direction while walking. -
Regenexx Corporate Brochure
COMMON CONDITIONS TREATED • neck and back bulging, collapsed, herniated, ruptured, slipped, or torn disc; degenerative disc disease; disc extrusion or protrusion; chronic back, neck, disc, or nerve pain • shoulder arthritis, labral tear or degeneration, recurrent shoulder dislocation, rotator cuff tear, rotator cuff tendonitis, joint replacement • elbow arthritis, instability, nerve entrapment (ulnar nerve), tennis elbow or golfer’s elbow • hand and wrist arthritis, carpal tunnel syndrome, instability, trigger finger, cml joint • hip arthritis, osteonecrosis, bursitis, labral/labrum tear, tendinopathy, joint replacement, avascular necrosis • knee arthritis; instability; sprain or tear of the ACL/PCL, MCL/LCL; meniscus tear, tendinopathy, joint replacement • ankle and foot instability, arthritis, bunions, ligament sprain or tear, plantar fasciitis, achilles tendinopathy Regenexx is the pioneer of interventional orthopedic National Clinic Network to Support Client treatments for musculoskeletal conditions in the Needs United States. These non-surgical procedures use a • FDA Compliant (CFR21 Part 1271) patient’s adult stem cells or blood platelets to initiate • Standardized Procedures and Protocol Quality healing of damaged tissues, tendons, ligaments, Assurance Program cartilage, spinal disc and bone. Our orthobiologic • Nationwide network of clinics and physicians to approach is the result of scientific advancements to support corporate client operations heal orthopedic injuries, treat arthritis and repair • Flexible Lab Platform delivering multiple joint degenerative conditions without the need for customized protocols surgery. • Experienced partners with self-funded companies Regenexx procedures use precisely guided, needle Research and Data Driven To Continuously based injections to concentrate healing factors in Improve Efficacy the precise area of damage while leaving a patient’s • Published over 30 times more research than any musculoskeletal structure intact. -
Common Disorders of the Knee
7/27/2017 Common Disorders of Disclosures the Knee Carlin Senter, MD I have nothing to disclose. Associate Professor Primary Care Sports Medicine UCSF Medicine and Orthopaedics UCSF Essentials of Primary Care August 8, 2017 Knee: Top 3 referral diagnoses from Objectives primary care IM to ortho (at UCSF in 2011) 1. Osteoarthritis (OA) Upon completion of this session, participants should be able to: 2. Anterior knee pain 1. List 4 exam maneuvers for meniscus tear • Patellofemoral pain syndrome 2. List the diagnostic criteria for knee OA • Chondromalacia patella 3. Identify 5 non operative treatment options for knee OA • Patellar tendinopathy 4. Identify indications for surgery for patient with meniscus tear 3. Meniscus tear ‒ Without knee OA ‒ With knee OA 5. Generate a differential diagnosis for chronic anterior knee pain 1 7/27/2017 Case #1 All of the following tests, if positive, would raise concern for a meniscus tear except… 25 y/o man with medial-sided pain and swelling of the R knee for 6 A. Joint line tenderness weeks since he twisted the knee playing soccer. No locking, no instability. B. Pain when he stands and pivots on the knee C. Pain when you axially load and rotate the knee D. Pain when you flex the R knee and extend the R hip with the patient lying on his left side. E. Pain when he squats 4 tests for meniscus tear Joint line tenderness 1. Isolated joint line tenderness 2. McMurray 3. Thessaly 4. Squat Medial: Sensitivity 83%, Specificity 76% Lateral: Sensitivity 68%, Specificity 97% (Konan et al. -
Physical Examination of the Knee: Meniscus, Cartilage, and Patellofemoral Conditions
Review Article Physical Examination of the Knee: Meniscus, Cartilage, and Patellofemoral Conditions Abstract Robert D. Bronstein, MD The knee is one of the most commonly injured joints in the body. Its Joseph C. Schaffer, MD superficial anatomy enables diagnosis of the injury through a thorough history and physical examination. Examination techniques for the knee described decades ago are still useful, as are more recently developed tests. Proper use of these techniques requires understanding of the anatomy and biomechanical principles of the knee as well as the pathophysiology of the injuries, including tears to the menisci and extensor mechanism, patellofemoral conditions, and osteochondritis dissecans. Nevertheless, the clinical validity and accuracy of the diagnostic tests vary. Advanced imaging studies may be useful adjuncts. ecause of its location and func- We have previously described the Btion, the knee is one of the most ligamentous examination.1 frequently injured joints in the body. Diagnosis of an injury General Examination requires a thorough knowledge of the anatomy and biomechanics of When a patient reports a knee injury, the joint. Many of the tests cur- the clinician should first obtain a rently used to help diagnose the good history. The location of the pain injured structures of the knee and any mechanical symptoms were developed before the avail- should be elicited, along with the ability of advanced imaging. How- mechanism of injury. From these From the Division of Sports Medicine, ever, several of these examinations descriptions, the structures that may Department of Orthopaedics, are as accurate or, in some cases, University of Rochester School of have been stressed or compressed can Medicine and Dentistry, Rochester, more accurate than state-of-the-art be determined and a differential NY. -
My Experience Was Fantastic! I Feel Better, and I Can Walk and Bicycle Again.“ –Gary W
"My experience was fantastic! I feel better, and I can walk and bicycle again.“ –Gary W. Regenerative Injection Therapy (“RIT”) is an orthopedic approach to healing that is different from traditional orthopedic surgery. Using minimally invasive techniques, our certified physician injects specialized, regenerative cells or growth factor into the precise tissues that need repair. Traditional orthopedic surgery can lead to very serious risk and long, painful recovery. Regenerative Injection Therapy promises no surgical risk, no slings or braces, and participation in a comprehensive hyperbaric oxygen and physical therapy program that is significantly less painful and more functional overall for the patient. Regenerative Injection Therapy offers unique treatment Hyperbaric Oxygen Therapy (“HBOT”) strategies for the following injuries: is a medical treatment that uses pressurized - Disc bulge oxygen to aid in healing wounds and treating - Joint replacement other specific illnesses. The treatment is - Rotator cuff tears administered by placing the patient into a - Ulnar Collateral Ligament (UCL) Tears twelve -person pressure “dive” chamber - Anterior Cruciate Ligament (ACL) Tears delivering oxygen at two to three times - Ankle Ligament Tears atmospheric pressure. HBOT significantly - Meniscus Tears of the Knee accelerates the healing power of your Regenerative Injection Therapy! 11501 Hutchison Blvd Suite 109 Panama City Beach FL 32407 www.readytogetbetter.com Office (850) 502-2015 Fax (866) 854-3159 An Introduction to Regenerative Injection Therapy (RIT) in Orthopedics …from a physician’s perspective Regenerative Injection Therapy (RIT) is an orthopedic approach to healing that is different from traditional orthopedic surgery. Learn about all of the differences between RIT and traditional surgery here. Disc Bulge Surgical approach: Is to perform a discectomy (surgically removing the bulge that is pressing on the spinal nerve). -
Feeling No Pain Conditions We Treat | Acute & Chronic TAC Outcome Reporting | Collected at Each Visit & Discharge
Feeling No Pain Conditions We Treat | Acute & Chronic TAC Outcome Reporting | Collected at Each Visit & Discharge October 1, 2018 – August 31, 2019 761 cases 3.1 visit average per condition 25 recommended surgeries prevented 87.3% conditions fully resolved 95% said Airrosti helped reduce or eliminate need for medications 94% said Airrosti prevented need for further medical care 99.3% said they would refer friends & family to Airrosti 1 | Why Does Lower Body Pain Occur? . Prolonged time in the same position -Standing or sitting . Poor posture . Imbalances . Muscle inhibition . Limited range of motion . Fatigue -Runners/weekend warriors -Repetitive movements 2 | The Low Body Low Down MSK pain/injuries are typically linked to a lack both mobility and stability within your joints, muscles, and connective tissue. •Understanding that all soft tissue is interconnected - ie. Plantar fascia ties up to low back through connective tissue Pain is a symptom of dysfunction and the last thing to set in. •Similar to the “check engine light” on a car 3 | Chief Complaints . Foot Pain -Plantar Fasciitis / Achilles Tendonitis / Ankle . Knee Pain -Meniscus / Patellar Tendonitis / IT Band . Sciatic-like Symptoms . Hip Pain . Low Back Pain 4 | Low Back Pain . Symptoms . Causes • Difficulty sleeping • Weight • Aching • Hip flexor • Stiffness • Posture • Lifting • Shooting pain • Disc issues . Key Players • Dysfunction or weakness in posterior chain • Core weakness 5 | Hip / Sciatic-like Pain . Symptoms . Key Players • Shooting pain • Hip flexors • Numbness / tingling • Weak glutes • Uncomfortable with prolonged sitting • Piriformis syndrome . Causes • Sedentary to active . True Sciatica • Uneven sitting • Refer to an Ortho - Wallet example 6 | Knee Pain . Symptoms . Key Players • Swelling • Meniscus tear • Instability feeling • Patellar tendonitis • Lack of mobility • IT band syndrome • Pain in or around knee - Sharp or shooting - Aching . -
Your Complete Guide to Meniscus Injuries
Your Complete Guide to Meniscus Injuries Getting you back on your feet eBook A PUBLICATION BY DRSTUARTMACKENZIE.COM.AU TABLE OF CONTENTS Introduction 3 What is the Meniscus? 4 Types of Meniscus Injuries 5 How do Meniscus Injuries Occur? 6 What are the Symptoms of Meniscus Injury? 7 What Sports/Activities put me at a higher Risk of Meniscus Injury? 8 What can you do to prevent Meniscus Injury? 8 Treatment Options 9-10 Recovery From Surgery 11 2 Introduction Meniscus injuries are the most common type of injury to the knee. There are several different types of meniscus injury which may require different treatment. Meniscus injuries commonly happen playing sport, but are also common with other activities. The treatment can vary from needing nothing to physiotherapy to surgery depending on the type and severity of meniscal injury. Regardless of the type of meniscus injury and the treatment required most people will return to full normal knee function or close to it after treatment. 3 What is the Meniscus? The meniscus is a cartilage structure inside your knee. In fact, there are 2 menisci in your knee. A medial meniscus (on the inside part of the knee) and a lateral meniscus (on the outside part of the knee). There are different types of cartilage inside your knee which serve different purposes. The articular cartilage is a very smooth cartilage which covers the ends of the bones in a thin layer and allows a smooth surface for movement. The meniscus sits between the articular cartilage of the femur (thigh bone) and tibia (shin bone). -
Musculoskeletal Diagnostic Imaging
Musculoskeletal Diagnostic Imaging Vivek Kalia, MD MPH October 02, 2019 Course: Sports Medicine for the Primary Care Physician Department of Radiology University of Michigan @VivekKaliaMD [email protected] Objectives • To review anatomy of joints which commonly present for evaluation in the primary care setting • To review basic clinical features of particular musculoskeletal conditions affecting these joints • To review key imaging features of particular musculoskeletal conditions affecting these joints Outline • Joints – Shoulder – Hip • Rotator Cuff Tendinosis / • Osteoarthritis Tendinitis • (Greater) Trochanteric bursitis • Rotator Cuff Tears • Hip Abductor (Gluteal Tendon) • Adhesive Capsulitis (Frozen Tears Shoulder) • Hamstrings Tendinosis / Tears – Elbow – Knee • Lateral Epicondylitis • Osteoarthritis • Medical Epicondylitis • Popliteal / Baker’s cyst – Hand/Wrist • Meniscus Tear • Rheumatoid Arthritis • Ligament Tear • Osteoarthritis • Cartilage Wear Outline • Joints – Ankle/Foot • Osteoarthritis • Plantar Fasciitis • Spine – Degenerative Disc Disease – Wedge Compression Deformity / Fracture Shoulder Shoulder Rotator Cuff Tendinosis / Tendinitis • Rotator cuff comprised of 4 muscles/tendons: – Supraspinatus – Infraspinatus – Teres minor – Subscapularis • Theory of rotator cuff degeneration / tearing with time: – Degenerative partial-thickness tears allow superior migration of the humeral head in turn causes abrasion of the rotator cuff tendons against the undersurface of the acromion full-thickness tears may progress to