Chiropractic ICD-10 Common Codes List
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Torticollis Is a Clinical Diagnosis Based on Head Tilt in Association with a Rotatory Deviation of the Cranium
24. Define type of torticollis? Torticollis is a clinical diagnosis based on head tilt in association with a rotatory deviation of the cranium. Congenital muscular torticollis is the most common type of torticollis. It presents in the newborn period. Its cause is unknown, but it has been hypothesized to arise from compression of the soft tissues of the neck during delivery, resulting in a compartment syndrome. Radiographs of the cervical spine should be obtained to rule out congenital vertebral anomalies. Clinical examination reveals spasm of the sternocleidomastoid muscle on the same side as the tilt causing the typical posture of head tilt toward the tightened muscle and chin rotation to the opposite side. Initial treatment is stretching and is successful in up to 90% of patients during the first year of life. Surgery is considered for persistent deformity after 1 year of age. Common problems noted in patients with congenital muscular torticollis include congenital hip dysplasia and plagiocephaly (facial asymmetry). Source: Spine Secret Plus, 2nd ed. page 256. 25. What clinical problems result from basilar impression? Patients present with a short neck, painful cervical motion, and asymmetric of the skull and face. Additional clinical problems include nuchal pain, vertigo, long tract signs with associated cerebellar ataxia, and lower cranial nerve involvement resulting in dysarthria and dysphagia Source: Spine Secret Plus, 2nd ed. page 258 26. What is Steel’s Rule of Third? Steel noted that the area of the spinal canal at the C1 leve in a normal person could be divided into equal thirds with one third occupied by the odontoid process, one third by the spinal cord, and one third as empty space. -
Too Cool—Families Catch the Cool!
2010 SPRING Cool Culture® provides 50,000 underserved families with free, unlimited sponsored by JAQUELINE KENNEDY access to ONASSIS 90 cultural institutionsRESEVOIR - so that parents can provide their children withCENTRAL PARK 80 Hanson Place, Suite 604, Brooklyn, NY 11217 www.coolculture.org educational experiences that will help them succeed in school and life. CENTRAL PARK HARLEM MEER Malky, Simcha, Stanley and Avi Mayerfeld. Fi e tzpa t trick t . Vaness e a Griffi v th and Ys Y abe l Fitzpat FIFTH AVENUE d rick. n a o FIFTH AVENUE i g r e S , a n i t n e g r A Isabella, Sophia and Ethel Zaldaña 108TH ST 107TH ST 106TH ST 103RD ST 105TH ST 102ND ST 104TH ST 101ST ST 100TH ST 99TH ST 98TH ST 97TH ST 96TH ST 95TH ST 94TH ST 93RD ST 92ND ST 91ST ST 90TH ST 89TH ST 88TH ST 87TH ST 86TH ST 85TH ST 84TH ST 83RD ST 82ND ST 81ST ST Felicia and Omaria Williams F e l ic ia a nd he t C C O o o m o a h ri W o To ol— illiams atc l! Families C The Cool Culture community couldn't choose just one. “I really liked came together to Catch the Cool on making stuff and meeting my friend and June 8th at the Museum Mile getting a poster by (artist) Michael Albert,” she said. The siblings – along with Festival! Thousands painted, drew, their sister Ysabel (one), mom Yvette and aunt danced and partied on Fifth Avenue from Vanessa Griffith– participated in art activities 105th Street to 82nd Street, dropping in that included crafting monkey ears at The museums along the way. -
Sciatica and Chronic Pain
Sciatica and Chronic Pain Past, Present and Future Robert W. Baloh 123 Sciatica and Chronic Pain Robert W. Baloh Sciatica and Chronic Pain Past, Present and Future Robert W. Baloh, MD Department of Neurology University of California, Los Angeles Los Angeles, CA, USA ISBN 978-3-319-93903-2 ISBN 978-3-319-93904-9 (eBook) https://doi.org/10.1007/978-3-319-93904-9 Library of Congress Control Number: 2018952076 © Springer International Publishing AG, part of Springer Nature 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. -
M79 Crosstown Select Bus Service
M79 Crosstown Select Bus Service Progress Report · Winter 2020 Executive Summary Background: • M79 Select Bus Service (SBS) launched on May 21st, 2017, replacing M79 Local service along 79th Street from FDR Drive to Riverside Drive • At just over two miles, the M79 is a crucial connection to the trains and 16 bus routes, including M15 SBS • The redesign of this corridor has brought Select Bus Service improvements to 12,500 daily bus riders, including bus lanes, signal timing improvements, off-board fare payment, and real-time passenger information Results: • The M79 SBS is on average 8% faster than previous M79 service • On-time performance and instances of bus bunching on the M79 have improved since launch of M79 SBS • M79 SBS ridership was up 9% one year after launch, compared to all Manhattan routes up 0.5% in the same time period • Car travel times have decreased by 4-8% and crashes by 19% since project launch • 96% of M79 SBS riders are satisfied with service as compared to 84% of riders with pre-SBS service 2 Project Background 1 3 M79 SBS Stops and Route Q 4 Community Engagement Community Board Presentations and Q&A Sessions • Consultations with both community boards along the M79 route: CB 7 & 8 – Fall 2016: CB 7 Transportation Committee, CB 8 Full Board – Spring 2017: CB 7 Transportation Committee, CB 7 full board, CB 8 Full Board Stakeholder Meetings • 15+ meetings and site visits with elected officials, NYPD, and other stakeholders, including: – American Museum of Natural History – Metropolitan Museum of Art – Theodore Roosevelt -
Improving Bus Service in New York a Thesis Presented to The
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Columbia University Academic Commons Improving Bus Service in New York A Thesis Presented to the Faculty of Architecture and Planning COLUMBIA UNIVERSITY In Partial Fulfillment Of the requirements for the Degree Master of Science in Urban Planning By Charles Romanow May 2018 Abstract New York City’s transportation system is in a state of disarray. City street are clogged with taxi’s and for-hire vehicles, subway platforms are packed with straphangers waiting for delayed trains and buses barely travel faster than pedestrians. The bureaucracy of City and State government in the region causes piecemeal improvements which do not keep up with the state of disrepair. Bus service is particularly poor, moving at rates incomparable with the rest of the country. New York has recently made successful efforts at improving bus speeds, but only so much can be done amidst a city of gridlock. Bus systems around the world faced similar challenges and successfully implemented improvements. A toolbox of near-immediate and long- term options are at New York’s disposal dealing directly with bus service as well indirect causes of poor bus service. The failing subway system has prompted public discussion concerning bus service. A significant cause of poor service in New York is congestion. A number of measures are capable of improving congestion and consequently, bus service. Due to the city’s limited capacity at implementing short-term solutions, the most highly problematic routes should receive priority. Routes with slow speeds, high rates of bunching and high ridership are concentrated in Manhattan and Downtown Brooklyn which also cater to the most subway riders. -
Leisure Pass Group
Explorer Guidebook Empire State Building Attraction status as of Sep 18, 2020: Open Advanced reservations are required. You will not be able to enter the Observatory without a timed reservation. Please visit the Empire State Building's website to book a date and time. You will need to have your pass number to hand when making your reservation. Getting in: please arrive with both your Reservation Confirmation and your pass. To gain access to the building, you will be asked to present your Empire State Building reservation confirmation. Your reservation confirmation is not your admission ticket. To gain entry to the Observatory after entering the building, you will need to present your pass for scanning. Please note: In light of COVID-19, we recommend you read the Empire State Building's safety guidelines ahead of your visit. Good to knows: Free high-speed Wi-Fi Eight in-building dining options Signage available in nine languages - English, Spanish, French, German, Italian, Portuguese, Japanese, Korean, and Mandarin Hours of Operation From August: Daily - 11AM-11PM Closings & Holidays Open 365 days a year. Getting There Address 20 West 34th Street (between 5th & 6th Avenue) New York, NY 10118 US Closest Subway Stop 6 train to 33rd Street; R, N, Q, B, D, M, F trains to 34th Street/Herald Square; 1, 2, or 3 trains to 34th Street/Penn Station. The Empire State Building is walking distance from Penn Station, Herald Square, Grand Central Station, and Times Square, less than one block from 34th St subway stop. Top of the Rock Observatory Attraction status as of Sep 18, 2020: Open Getting In: Use the Rockefeller Plaza entrance on 50th Street (between 5th and 6th Avenues). -
Can Eyes Cause Neck Pain? International Journal of Therapy and Rehabilitation, 23 (10)
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Northumbria Research Link Citation: Hood, Wendy and Hood, Martin (2016) Can eyes cause neck pain? International Journal of Therapy and Rehabilitation, 23 (10). pp. 499-504. ISSN 1741-1645 Published by: Mark Allen Publishing URL: http://dx.doi.org/10.12968/ijtr.2016.23.10.499 <http://dx.doi.org/10.12968/ijtr.2016.23.10.499> This version was downloaded from Northumbria Research Link: http://nrl.northumbria.ac.uk/28627/ Northumbria University has developed Northumbria Research Link (NRL) to enable users to access the University’s research output. Copyright © and moral rights for items on NRL are retained by the individual author(s) and/or other copyright owners. Single copies of full items can be reproduced, displayed or performed, and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided the authors, title and full bibliographic details are given, as well as a hyperlink and/or URL to the original metadata page. The content must not be changed in any way. Full items must not be sold commercially in any format or medium without formal permission of the copyright holder. The full policy is available online: http://nrl.northumbria.ac.uk/policies.html This document may differ from the final, published version of the research and has been made available online in accordance with publisher policies. To read and/or cite from the published version of the research, please visit the publisher’s website (a subscription may be required.) Sensory Integration: Can eyes cause neck pain? Abstract This article is an analysis of literature relating to ocular-motor imbalance and the potential postural consequences. -
CASE REPORT Cervical Spondylolysis
Acta Orthop. Belg., 2006, 72, 511-516 CASE REPORT Cervical spondylolysis : A case report Seddik OUESLATI, Khalil ZAOUIA, Mouna CHELLI From the M. Matri Hospital, Ariana, Tunisia Cervical spondylolysis is defined as a corticated cleft a relatively innocuous condition, thus preventing between the superior and inferior articular facets of inappropriate treatment and unnecessary surgery. the articular pillar, the cervical equivalent of the pars We present a case of this anomaly as imaged interarticularis in the lumbar spine. Of primary with plain radiography, computed tomography and importance is its recognition to avoid confusion with MRI. Differential diagnosis and a brief review of more clinically significant abnormalities such as the literature are discussed. fracture or dislocation. This case report describes bilateral spondylolysis and associated dysplasia of C5 in a 31-year-old female. CASE REPORT We describe the radiographic presentation of this anomaly, stressing the importance of computed A 31-year-old woman was referred by her gen- tomography for correct diagnosis. eral practioner to our hospital, with neck and right A review of the literature on this interesting abnor- shoulder pain. This had started 7 years previously mality and a complete differential diagnosis are pre- without any identifiable trauma or other precipitat- sented. ing event. She was then treated conservatively with analgesics. Three months prior to her consultation, Keywords : cervical spine ; spondylolysis ; spondylolis- her neck pain worsened, without any neurological thesis ; radiography ; computed tomography ; magnetic deficit. On physical examination weakness of resonance imaging. abduction of the right shoulder was noted. Palpation of her neck revealed mild tenderness over the mid-cervical spine with painful limitation of INTRODUCTION Spondylolysis with or without spondylolisthesis is a rare condition in the cervical spine, charac- terised by the presence of a corticated cleft between ■ Seddik Oueslati, MD, Registrar. -
M79 Select Bus Service Manhattan Community Board 8 | March 1, 2017
M79 Select Bus Service Manhattan Community Board 8 | March 1, 2017 New York City Transit Overview • Select Bus Service in New York City • M79 Select Bus Service Background M79 SBS Draft Street Designs • • Next Steps • Questions 2 Select Bus Service in New York City Select Bus Service (SBS) is New York City’s brand name for Bus Rapid Transit: an improved bus service that offers fast, frequent, and reliable service on high-ridership bus routes. SBS has brought: • 10-30% faster bus speeds • About 10% increase in ridership • More reliable service • Customer satisfaction of 95% • Safer streets / reduction in crashes There are 12 Select Bus Service routes in operation serving all 5 boroughs. 3 Select Bus Service Features • Faster bus rides • Reduced traffic conflicts between buses and traffic • More reliable bus service • Buses spend less time stopped at red lights • Quicker bus boarding • Buses spend less time waiting at bus stops 4 Select Bus Service Features • More attractive, appealing bus stops • Better trip information for riders to know when the bus is coming • More comfortable wait for the bus • Better visibility for pedestrians, bus operators, and drivers • Clearer, shorter pedestrian crossings 5 M79 Project Background The M79 bus corridor was identified as a potential candidate for Select Bus Service in the “Bus Rapid Transit: Phase II Study” (2009). • Request for M79 SBS from local elected officials and community • Heavily used route with slow trips • Carries over 18,000 passengers per day over about 2 miles • Crucial connection to -
Pattern of Premature Degenerative Changes of the Cervical Spine in Patients with Spasmodic Torticollis and the Impact on The
J Neurol Neurosurg Psychiatry 2000;68:465–471 465 J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.68.4.465 on 1 April 2000. Downloaded from Pattern of premature degenerative changes of the cervical spine in patients with spasmodic torticollis and the impact on the outcome of selective peripheral denervation S J Chawda, A Münchau, D Johnson, K Bhatia, N P Quinn, J Stevens, A J Lees, J D Palmer Abstract modic torticollis with botulinum toxin Objectives—To characterise the pattern of seems to have a protective eVect. Patients and risk factors for degenerative changes with spasmodic torticollis and restricted of the cervical spine in patients with spas- head mobility who do not adequately modic torticollis and to assess whether respond to treatment should undergo these changes aVect outcome after selec- imaging of the upper cervical spine. tive peripheral denervation. Patients with imaging evidence of moder- Methods—Preoperative CT of the upper ate or severe degenerative changes seem cervical spine of 34 patients with spas- to respond poorly to selective peripheral modic torticollis referred for surgery were denervation. reviewed by two radiologists blinded to the (J Neurol Neurosurg Psychiatry 2000;68:465–471) clinical findings. Degenerative changes were assessed for each joint separately Keywords: osteoarthritis; spasmodic torticollis; com- and rated as absent, minimal, moderate, puted tomography; selective peripheral denervation or severe. Patients were clinically assessed before surgery and 3 months postopera- Idiopathic spasmodic torticollis is the most tively by an independent examiner using common form of adult onset focal dystonia.1 It standardised clinical rating scales. For comparison of means a t test was carried is characterised by repetitive or sustained con- tractions of neck muscles that lead to an out. -
Adolescent Idiopathic Torticollis: Morphological Vertebral Changes of the Spinal Canal and the Spinal Cord Position: a Case Report
ISSN: 2469-5777 Carbonell and Ruiz. Trauma Cases Rev 2017, 3:056 DOI: 10.23937/2469-5777/1510056 Volume 3 | Issue 2 Trauma Cases and Reviews Open Access CASE REPORT Adolescent Idiopathic Torticollis: Morphological Vertebral Chang- es of the Spinal Canal and the Spinal Cord Position: A Case Report Pedro Gutiérrez Carbonell* and Ruiz Miñana E Check for Department of Orthopedic Surgery and Traumatology, General University Alicante Hospital, Spain updates *Corresponding author: Pedro Gutiérrez Carbonell, Department of Orthopedic Surgery and Traumatology, General Uni- versity Alicante Hospital, Paraje Ledua E-25, 03660-Novelda, Spain, Tel: 00-34-606-468-139, Fax: 00-34-965-242-454, E-mail: [email protected] (Sandifer Syndrome), traumatic or oropharyngeal inflam- Abstract mation (Grisel’s Syndrome), anomalies of the brain stem Cervical spinal canal deformities can be caused by muscu- and cervical spine (syringomyelia, diastematomyelia and lar deforming forces, as in the case of a 10-year-old male with inveterate left torticollis. Atlas and axis bone deformi- Arnold-Chiari malformation) or tumors of the posterior ties were observed, including subluxation of the odontoid cranial fossa (astrocytoma and ependymoma) [1-5]. After apophysis, hypertrophy of the anterior arch of the atlas, hy- this wide differential diagnosis was made, orthopedic and poplasia of the posterior arches of atlas, and deformation occasionally surgical treatment of torticollis with muscular of the spinal canal accompanied by an eccentric position of the spinal cord. After tenotomy of Sternocleidomastoid etiology is performed, preferably, within the first year of Muscle (SCM) and 5-years of follow-up, the deformities life, because after this age facial deformities are irrevers- were unchanged. -
Rotunda Is Now Available Online! Download It At
Membership Department Central Park West at 79th Street New York, New York 10024-5192 www.amnh.org VOL. 34 NO. 4 JULY/AUGUST/SEPTEMBER 2009 MEMBERS’ NEWSLETTER PLACE SOY & FSC LOGOS HERE General Information MUSEUM SHOPS The following Museum Shops are open during HOURS # regular Museum hours: Museum: Daily, 10 am–5:45 pm Main Shop (first and second floors) / The Museum is closed Thanksgiving and Dinostore (fourth floor) Christmas. Extreme Mammals Shop (fourth floor) JOURNEY Space Show: Every half hour, 10:30 am–4:30 pm Frogs Shop (first floor) Research Library: Tuesday–Thursday, 2–5:30 pm Planetarium Shop (Rose Center, lower level) Hours are subject to change. TO THE STARS Cosmic Shop (Rose Center, second floor) ENTRANCES Online Shop (www.amnhshop.com) An All-New Space Show During Museum hours, visitors may enter through PHONE NUMBERS the subway (lower level), Central Park West at 79th Opening July 4, 2009 Museum Information 212-769-5100 Street (second floor), and the Rose Center/81st Membership Office 212-769-5606 Street entrances. The Columbus Avenue entrance Central Reservations 212-769-5200 is open on weekends and holidays. The 77th Street Journey to the Stars, AMNH Expeditions 212-769-5700 entrance is closed until further notice. Communications 212-769-5800 the spectacular new Space Show, TRANSPORTATION AND PARKING Development 212-769-5151 Subway: B (weekdays) or C to 81st Street; Education 212-769-5304 launches visitors through 1 to 79th Street Event & Conference Services 212-769-5350 time and space to experience Bus: M7,M10,M11, or M104 to 79th Street; Library Services 212-769-5400 M79 to Central Park West Member Birthday Parties 212-769-5606 the life and death of the stars Parking Garage: Open daily, 8 am–11 pm; enter Museum Shop 800-671-7035 from West 81st Street.