I was in a military training and during the training I was involved in accident. This accident was 8 months ago. A lot has happened ever since. But to make a very long frustrating story short, this are the results from different study I have been in:
MRI Studies on my back:
T5-T6, T6-T7, and T7-T8 show small disc bulges. The disc bulges indent the anterior thecal sac and contact the spinal cord. The largest of the bulges is identified at the T7-T8 level, which also has a small focal protrusionvwhich measures approximately 5 mm at its base and extends 2 mm in AP dimension. Adequate CSF is identified posterior to the spinal cord at the level of these bulges. These bulges overall cause minimal canal stenosis. The neural foramina remain widely patent throughout.
Impressions:
1. Minimal discogenic disease within the mid thoracic spine with small disc bulges as identified above.
2. No evidence of high-grade canal stenosis.
3. Minimal anterior spondylosis.
L2-L3: There is a broad-based bulge with mild to moderate bilateral neural foraminal stenosis. There does appear to be slight impression upon the traversing nerve roots, but no significant nerve thickening or signal change.
L3-L4: Broad-based disc bulge with moderate bilateral neural foraminal stenosis. No significant sequela on the nerve roots.
L4-L5: There is a large broad-based disc bulge with moderate to severe bilateral neural foraminal stenosis. The nerve roots appear to exit without any significant impingement. No central canal stenosis
L5-S1: There is large broad-based disc bulge with central protrusion. The central protrusion does result in at least moderate grade central canal stenosis. There appears to be displacement of the traversing nerve roots with slightly more mass effect towards the left, where there appears to be slight thickening. Bulge does displace and potentially abut the nerve roots in the lateral recesses.
Traumatic Brain Injurie study:
1. He is here for TBI evaluation. Presenting symptoms include: Headaches, irritability, short-term memory loss, difficulties with concentration, insomnia, tinnitus, dizziness and balance problems, blurred vision, and nightmares. He had a mild traumatic brain injury on May 6, 2010. He is still symptomatic of mTB!.
Consult(s): -Referred To: OCC THERAPY - TBI (Routine) Specialty:
Diagnosis: TINNITUS BOTH EARS
2. memory lapses or loss: OT-TBI consult.
3. TINNITUS BOTH EARS
A straight-leg raising test of the right leg was limited at by stiffness <30 degrees.
Evaluation Of Tinnitus:
Evaluation of tinnitus DPOAE revealed robust results, bilaterally and is consistent with his most current hearing screening. Counseled SM on tinnitus management strategies and issued a tinnitus fact sheet SM is currently being follow up by behavior health and denies having any suicidal thoughts. Tinnitus Handicap Inventory was revealed a score of 60 points, Severe level, which is described as his tinnitus is "almost always heard, leads to disturbed sleep patterns and can interfere with daily activities). SM will return should as necessary to help him deal with his tinnitus. SM did express having a positive outlook towards the future and feels he can learn to manage his tinnitus.
I had a left L5-S1 microdiscectomy on jan 19. Everything seems to be going good so far. It still hurts a lot and I can barely walk, but I was told this is part of the process. In addition to this, my knees are hurting a lot but I was told to choose what to threat first. I choose my back therefore I will start treating my knees soon. I had a sleep test done and I was diagnosed with sleep apnea. I have a respiratory machine to use when I sleep.
I have been trying to get to the WTB but not even in that I have the support of my chain of command. After all this I honestly don’t want to be in the military anymore. Its 7 herniated disc, surgery on my L5-S1, my knees hurt all the time, my headaches, the noise in my ears. Do I qualify for PEB? Any help will be greatly appreciated. Thank you.
MRI Studies on my back:
T5-T6, T6-T7, and T7-T8 show small disc bulges. The disc bulges indent the anterior thecal sac and contact the spinal cord. The largest of the bulges is identified at the T7-T8 level, which also has a small focal protrusionvwhich measures approximately 5 mm at its base and extends 2 mm in AP dimension. Adequate CSF is identified posterior to the spinal cord at the level of these bulges. These bulges overall cause minimal canal stenosis. The neural foramina remain widely patent throughout.
Impressions:
1. Minimal discogenic disease within the mid thoracic spine with small disc bulges as identified above.
2. No evidence of high-grade canal stenosis.
3. Minimal anterior spondylosis.
L2-L3: There is a broad-based bulge with mild to moderate bilateral neural foraminal stenosis. There does appear to be slight impression upon the traversing nerve roots, but no significant nerve thickening or signal change.
L3-L4: Broad-based disc bulge with moderate bilateral neural foraminal stenosis. No significant sequela on the nerve roots.
L4-L5: There is a large broad-based disc bulge with moderate to severe bilateral neural foraminal stenosis. The nerve roots appear to exit without any significant impingement. No central canal stenosis
L5-S1: There is large broad-based disc bulge with central protrusion. The central protrusion does result in at least moderate grade central canal stenosis. There appears to be displacement of the traversing nerve roots with slightly more mass effect towards the left, where there appears to be slight thickening. Bulge does displace and potentially abut the nerve roots in the lateral recesses.
Traumatic Brain Injurie study:
1. He is here for TBI evaluation. Presenting symptoms include: Headaches, irritability, short-term memory loss, difficulties with concentration, insomnia, tinnitus, dizziness and balance problems, blurred vision, and nightmares. He had a mild traumatic brain injury on May 6, 2010. He is still symptomatic of mTB!.
Consult(s): -Referred To: OCC THERAPY - TBI (Routine) Specialty:
Diagnosis: TINNITUS BOTH EARS
2. memory lapses or loss: OT-TBI consult.
3. TINNITUS BOTH EARS
A straight-leg raising test of the right leg was limited at by stiffness <30 degrees.
Evaluation Of Tinnitus:
Evaluation of tinnitus DPOAE revealed robust results, bilaterally and is consistent with his most current hearing screening. Counseled SM on tinnitus management strategies and issued a tinnitus fact sheet SM is currently being follow up by behavior health and denies having any suicidal thoughts. Tinnitus Handicap Inventory was revealed a score of 60 points, Severe level, which is described as his tinnitus is "almost always heard, leads to disturbed sleep patterns and can interfere with daily activities). SM will return should as necessary to help him deal with his tinnitus. SM did express having a positive outlook towards the future and feels he can learn to manage his tinnitus.
I had a left L5-S1 microdiscectomy on jan 19. Everything seems to be going good so far. It still hurts a lot and I can barely walk, but I was told this is part of the process. In addition to this, my knees are hurting a lot but I was told to choose what to threat first. I choose my back therefore I will start treating my knees soon. I had a sleep test done and I was diagnosed with sleep apnea. I have a respiratory machine to use when I sleep.
I have been trying to get to the WTB but not even in that I have the support of my chain of command. After all this I honestly don’t want to be in the military anymore. Its 7 herniated disc, surgery on my L5-S1, my knees hurt all the time, my headaches, the noise in my ears. Do I qualify for PEB? Any help will be greatly appreciated. Thank you.