Help With C&p Results Regarding My Spine...

[Quaymar]

I finally got a copy of my C&P exam and I am trying to interpret the results. I'm hoping to get some help understanding what I'm looking at so any and all feedback is appreciated. The ROM results are as follows;

Cervical Spine ROM

Flexion: 0 to 30 degrees.

Extension: 0 to 39 degrees.

Left Lateral Flexion: 0 to 30 degrees.

Left Lateral Rotation: 0 to 60 degrees.

Right Lateral Flexion: 0 to 30 degrees.

Right Lateral Rotation: 0 to 60 degrees.

Is there objective evidence of pain on active ROM? No.

Additional limitation with repetitive motion; Is there objective evidence of pain following repetitive motion? No. Are there additional limitations after three repetitions of range of motion? No.

Thoracolumbar Spine ROM

Flexion: 0 to 60 degrees.

Extension: 0 to 20 degrees.

Left Lateral Flexion: 0 to 20 degrees.

Left Lateral Rotation: 0 to 20 degrees.

Right Lateral Flexion: 0 to 25 degrees.

Right Lateral Rotation: 0 to 20 degrees.

Is there objective evidence of pain on active ROM? Yes.

Additional limitation with repetitive motion; Is there objective evidence of pain following repetitive motion? Yes. Are there additional limitations after three repetitions of range of motion? Yes.

What is the most important factor? Pain.

ROM After Repetitive Motion

Flexion: 0 to 55 degrees.

Extension: 0 to 25 degrees.

Left Lateral Flexion: 0 to 15 degrees.

Left Lateral Rotation: 0 to 5 degrees.

Right Lateral Flexion: 0 to 20 degrees.

Right Lateral Rotation: 0 to 5 degrees.

Time lost from work during last 12-month period: 8 weeks.

Cause: Con leave from back surgery.

I didn't type every last word, I just wrote what I think matters. If I missed something or you have a question, please ask.

The information regarding my cervical spine seems correct as I haven't had any issues with that part of my back until just recently. I'm getting epidural shots now and may need another surgery but that occurred after the C&P exam.

If I'm reading the Thoracolumbar part correct, it seems that I should get a rating of 20% based on the Flexion ROM of 55 degrees or would it be; "Unfavorable ankylosis of the entire thoracolumbar spine......50?" But, since I had spinal fusion of T7-T8, I should get 60% because I missed 8 weeks of work and the VASRD states; "With incapacitating episodes having a total duration of at least 6 weeks during the past 12 months ..... 60"

It seems quite confusing to me, I hope someone can clear things up for me...thanks.

[cooter]

Just remember, the longer you wait the less chance the surgeon will be able to help you. Another words, if your back goes completely out before the surgery, the chances of living in a wheel chair the rest of your life is just about irreversible, depending how bad it is. As a matter of fact, I'm in the same situation according to my Neuro surgeon at Barrows Inst.

Coot

[john999]

If I was going to get it done I think I would get it done before I got out of the service. However, I would get some opinions even if I had to pay myself to make sure these surgeries are going to help long term. If it means you will need more surgeries in the coming years because of increased stress of the connecting discs I would just look at all alternatives. I was told just 6 months ago I needed to have a disc in my neck removed and fused. The second opinion said I didn't. What the heck! It is my neck they are talking about not the payment on their new BMW. I lot of guys here know a lot about back surgery. The pain does not always go away even when the operation is a complete success.

John

[Quaymar]

I appreciate the feedback....thanks!