“Avoid axial loading activities”
Hey Will,
Thought you might get a kick out of this MRI review from one of my clients. The conclusion seems to be that he has no major issues with his spine and yet the Doc’s orders are to “avoid any high impact/axial loading activities”
<redacted name> has been experiencing intermittent low back. I reviewed his lumbar MRI which showed a spondylolysis at L4-5 which can contribute to his low back pain. I do not see any significant nerve compression that would warrant surgery at this time. He is to monitor his symptoms and continue doing a strong HEP focusing on core strengthening. I am also referring him to a pain management doctor to establish care in the event he has another debilitating episode.
As for his neck, he had been experiencing neck pain with left sided radiculopathy. I reviewed his MRI which showed stenosis, however it is not as severe at this time and there is plenty of room in his spinal canal. He is to monitor his symptoms and if he develops motor deficits, he is to return to the office. Otherwise, he is to avoid any high impact/axial loading activities and let pain be his guide.
1. Spondylolysis
M43.00: Spondylolysis, site unspecified
2. Low back pain
M54.5: Low back pain
3. Neck pain
M54.2: Cervicalgia
4. Cervical radiculopathy
M54.12: Radiculopathy, cervical region
5. Spinal stenosis in cervical region
M48.02: Spinal stenosis, cervical region