Sciatic Nerve Block For Total Knee Arthroplasty

Sciatica Animation

Sciatica or sciatic neuralgia is a commoncondition in which one of the spinal nerve roots of the sciatic nerve is compressed resultingin lower back, buttock and leg pain. Sciatic nerve is a large nerve derived from 5 spinalnerve roots: L4, L5, S1, S2 and S3. It runs from the lumbar spine through the buttockdown the leg and the foot on the posterior aspect. There is one sciatic nerve on eachside of the body. Typically, only one side of the body is affected.A typical sciatica pain is described as a sharp shooting pain in the lower back, downthe buttock, thigh and leg on one side of the body. There may also be numbness, burningand tingling sensations. The pain can get

worse with sitting, moving, sneezing, or coughing.The patterns of pain depend on which nerve root is compressed, and follow the dermatomedistribution. The most common cause of sciatica is a herniatedspinal disc. The spinal disc is a soft elastic cushion that sits in between the vertebraeof the spine. With age, the discs become rigid and may crack, the gellike center of thedisc may protrude out and become a herniation outside the normal boundaries of the disc.Disc herniation presses on the nerve root as it exits the spine.In majority of the cases the condition resolves by itself after a few weeks of rest and conservativetreatment. Pain relief, nonsteroidal antiinflammatory

drugs and muscle relaxants may be prescribed.Stretching exercises and physical therapy may be recommended.Surgery may be needed if the pain doesn't go away after 3 months or more of conservativetreatments. The herniated disc may be removed in a procedure called discectomy. Or, in anotherprocedure called laminotomy, part of the bone of the vertebrae may be cut to make room forthe nerve.

Winning Strategies for Back Pain Disability Cases

Hi there, this is Jonathan Ginsberg and today I'd like to talk to you about how I approach a case where the primaryimpairment is back pain As you might expect SocialSecurity judges see a lot of back pain cases its probably the mostcommon physical ailment that Social Security judges are going to see and as such you really need to keep in mind that you've got to stand out a little bit because

a lot of people come in withosteoarthritis and pain in their lower back and again because judges see it sooften how they tend to sometimes discount the severity of it and whether in fact it is truly disabling. Further you have to realize and this issomething you probably wouldn't think about, but it's actually the case

some of the judges that I've beenin front of have actually had back surgery because again back problems are prettycommon in the population and of course a lot of these judges have very goodinsurance they have physical therapy afterwards, they have good s and soforth and so their recovery might be more uneventful than yours. Again, a judge is not doing physical labor

and again he has got typically real goodhealth care. If you've done physical labor or if your health care is not as good youdon't have access to physical therapy or or medication or as much follow up then you may not have gotten the same resultsas the judge but again the judge who's deciding your case is looking at yousaying quot;I went through the same surgery and I'm fine. You know I can't play basketball anymore but but I can play golf and I can do a lot of different thingsquot; and

he or she you may feel likewell you know I've recovered how why can't youé And, again, that's just human nature but just beaware of it. I'm not saying that makes the judge not sympathetic to you butjust be aware that you need to do something to stand out a little bit andshow the judge that your situation is one that did not resolve as easily as his or hers may have. I think that when you deal withback pain cases like in any Social Security case

number one you want to emphasize ifyou've got a long work history. I think this is a factor that you may not think about but this is i think a factor that many judges find it very verycompelling. If you have a long consistent workhistory where you've been in a job, you've performed admirably at the job you've madegood money at the job. people don't give up good jobs and opportunity for retirement, a pleasant retirement, to collect $1,500 or

Knee Pain Stretches Exercises Ask Jo

Hey everybody it's Jo. I've beengetting a lot of questions about knee pain. Knee pain is actually probably the secondmost common thing that we see next to back pain. And that simply because you can getthat OA in there. And when I say OA I don't mean old age. It actually stands for Osteoarthritis.And you can even start getting that as early as 25 to 30 years old. So when you start feelingsome aching in your bones and your joints and your knee, these are some stretches you cando to kind of work it out a little bit. And remember, once you stretch you need to strengthen.Already let's get started with some of the stretches. The first thing I'm gonna haveyou do is I'm gonna have you straighten

out your leg. We're gonna work out the jointa little bit, get some movement in there and get it loosened up. So we're gonna bring outour trusty belt, or dog leash if you have one, I usually take off my shoes for thisone casue it's gonna help you slide a little bit. If you need a towel underneath you cando that, doing it in bed seems to help a lot because it's a little more slick on yoursheets so you'll get a little more movement. I'm gonna have you put the belt around yourfoot, anywhere that's comfortable, and your gonna bring your knee up. If you need a littlehelp, a little over pressure stretch, that's what the belt is for. So you're just gonnakind of slide it up, get a good bend in there.

And just a little pause with this one, maybejust a 5 to 10 second pause, and then you're gonna come back down. But the movement inthe join is what's gonna loosen it up, so you wanna do this continuously. A little pauseat the top, maybe you can go a little further the next time, and then come back down. Soyou wanna do that about 8 or 10 times, really getting that joint moving. And then stretchingit as far as you can, and coming back down. Now we're going to move the kneecap arounda little bit. This is your patella, they might call it a patella, you might say quot;say whatéquot;,but it's basically your knee cap on top. The key to moving around your kneecap is thatyour leg has to be relaxed. If you're squeezing

your muscles tight, that's pushing it downinto your joint and it's not gonna move, so you really want your leg to be relaxed,you can kind of hit it a little bit that helps those muscles relax a little bit. And allyou're gonna do is your just gonna start moving it back and forth, side to side. That'sthe first one. The first couple times it might be hard, it's not knowing what's goingon, so your muscles are tightening up a little bit, you can push pretty hard, getting thatmovement in there. Go side to side a little bit, and you can go front to back a littlebit. You're just moving it back and forth. If you have some osteoarthritis in there youmight feel a little bit of crunching going

on. That's ok. That's what we call crepitus,and that's just that arthritis in there. You keep moving it as much as you can. Thisimportance of this is the patella is connected to your quadricep tendon up here, and yourpatellar tendon down there. Those, if they're tight, push that kneecap down and you'renot gonna get as much bend in your knee. So the key here is to get that kneecap moving,and then you'll have more room to bend that knee if it's feeling really tight. Backand forth. Up and Down. Ok. So now we're just gonna do some stretches of the muscles.You've got the joint loosened up a little bit, no we're gonna stretch out those musclesa little bit. I'm gonna have you bring back

out your belt, and we're gonna this timeput it around the balls of our feet. So not your toes, but just below your toes, righton the ball there, and you're gonna keep your leg straight. This is gonna stretch outour calf muscle underneath. The calf actually, those tendons kind of cross the knee so youreally wanna get those stretched out. You're gonna relax your foot, and you're gonnapull it towards you as much as you can. Now if your knee starts bending a little bit,then you're pulling too hard and your changing the muscle your stretching. So you want thatleg to be straight. And you're gonna pull. And of course this is a stretch so you wannahold if for 30 seconds and you wanna do it

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