Academy of Chiropractic’s Doctors PI Program
Lawyers & Medical Narratives #61
From the Desk of :
Mark Studin DC, FASBE (C), DAAPM, DAAMLP
“Ligamentous Laxity Language”
Upon my review of the patient's plain film radiographs and the spinal biomechanical analysis that was ordered, a medical diagnosis of ligament laxity has been rendered. The measurement protocols used were of the AMA Guides to the Evaluation of Permanent impairment, 5th edition, qualifying the patient for 25% whole body impairment based on the DRE Category IV; alteration of motion segment integrity. Specific details are included in the corresponding report. The patient's treatment plan has been updated based on the permanent condition verified by this analysis.
This positive impairment and discovery of ligament laxity explains while although the patient did have a negative lumbar MRI for herniations he remained in pain and continued to have functional limitations and impairments that affected his activities of daily living. This also explains the pain he felt every day and while at work as he was performing heavy manual labor. This correlates with why he was not able to keep up with his co-workers and therefor was eventually laid off because of this.
An at home therapeutic exercise program has been incorporated into the patient's treatment. The program has been demonstrated and given in written format to aid progression of therapy and increase response to care. Range of motion stretches and strengthening exercises for the lumbar region were shown and demonstrated to the patient. These stretches and exercises are performed to help aid both chiropractic adjustments as well as to help increase ability of activities of daily living and to increase the overall muscle ability. The patient has demonstrated understanding of what is expected.