Edward R.

Main

Jurisdictional

AOD

10/23/2008

DLI

12/2008

PFD

11/19/09

Objective

Cervical Spine MRI (ChesPenn)

2/20/08

Loss of disc height with osteophytic spurring at C5/6 and C6/7. No significant neural foraminal encroachmant. Vertebral body heights are normal.

MRI Lumbar Spine (ChessPenn)

2/20/08

Mild to moderate loss of disc height associated with osteophytes at L5/S1. Mild loss of disc height with small osteophytes at L3/L4. Degenrative endplate changes of the lower thoracic spine.

MRI of Lumbar Spine (Premier Ortho)

3/21/08

L5-S1 central disc protrusion and bulge at L3-4

Lumbar Spine MRI

9/27/10

1) Small central disc extrusion at L3-L4.; 2) moderate to severe central canal stenosis at L4-L5 and L5-S1 and mild to moderate central canal stenosis at L3-L4.; 3) Multilevel degenerative change in lumbar spine, moderate central disc protrusion at L5-S1.

Sleep Study

10/5/10

evidence of hypersomnia and narcolepsy. Notes complaints of excessive daytime somnolence.

MRI Lumbar Spine

3/29/11

1) Extensive epidural lipomatosis superimposed on a congenitally small lumbar canal, effacing the thecal sac from L1-L2 through L5-S1; 2) No significant change in disc bulge at L3-L4 since September; stable left central disc protrusion at L5-S1.

MRI Cervical Spine

8/10/11

Revealed new small left paracentral disc protrusion at C5-C6; disc protrusions and unconvertabral joint hypertophy at C5-C6 and C6-C7 with resultant moderate to severe right neural foraminal narrowing at these levels.; Developmental spinal stenosis.

EMG

12/20/11

Consistent with left S1 radiculopathy

Treatment

ChessPenn (Dr. Islam)

11/28/07 - 3/16/2011

Priya Swamy (Pain Management)

2/20/08 - 7/8/10

Lumbar Spine MRI

11/30/09

Since 3/18/08 no change, stable moderate canal stenosis.

Cervical Spine MRI (Priya Swamy)

4/22/10

Multilevel cervical spindylosis, superimposed on a congenitally narrowed central canal. The dgree of central stenosis is most significant at C5-C6 level where there is mild cord flattening.; Multilevel foraminal narrowing, most severe on the right at C6-7. Straightening of the cervical lordosis.

Aubrey Okpaku, Neurosurgeon

10/26/10 - 4/21/11

Notes his complaints of radiating pain to arm and legs, but does not recommend surgery, suggests PT & weight loss.

Crozer-Chester ER

3/14/11

C/O back pain

James Bonner, M.D. (PT Physicians) Pain Management

10/5/11 - 3/21/12

As late as 3/21/12, Dr. Bonner notes limited motion in his neck, back, arms, and legs. Also notes radiating pain into hands bilaterally;

Opinion