Thursday, December 31, 2015

Another Interesting Case

Pesakit dari Terengganu..
Severe Low Back and Leg Pain..following forceful sneezing + massage.. 
Brought to casualty.. 
Hardly move..
1st doctor checked diagnosed Slipped Disc (old MRI ada lumbar disc bulge)
Saya check..bukan slipped disc!!
It's Psoas Muscle Injury@ Strain..
Mimicking Slipped Disc..
Apabila muscle ni injured ..bengkak lalu menghimpit saraf yang turun ke kaki..
Sakit mimik slipped disc.. 
Pain improved more than 80% after RF Injection..
Day 4 discharge home well.

Sunday, December 20, 2015

Contoh Kes

Another interesting case done yesterday
Low back + leg pain
MRI show Slipped disc l4l5 on the RIGHT
But the pain was on the LEFT
Previous treatment by other doctor was miss leaded..
Actual diagnosis: Piriformis Syndrome..
Injection RF done yesterday..
Today ..patient claims 100% recover.

Contoh Kes

16 December 2015....jadi record..
Apabila dua pesakit menjalani RF injection dari Sabah dan Serawak pada hari yang sama..

Nadianatra from Serawak.. 

Cikgu Yeoh from Sabah..

Thursday, December 17, 2015

Good Things Better To Share

Alhamdulillah.. Dengan izinNya Allah (SWT), rawatan berjalan dengan baik. Terima kasih Prof. Nizar Abd Jalil, semua jururawat dan kaki tangan hospital yang mesra lagi baik pekerti. — at Kpj Healthcare Berhad @ Hospital Pakar Perdana Kota Bharu.Sarimah Ismail

Monday, November 30, 2015

Alarming Trend Nowadays

Degenerative spine disease at early stage of life..
Without any known cause to justifed..
This 15 year old girl ...absent from school for the past 8 months suffering from chronic neck low back pain..
Otherwise she is a brilliant student scored 9 A for PT3..
Diagnosis : Cervical and Lumbar Facet Syndrome
Treatment: RF injection

Sunday, November 29, 2015

Something Interesting To Share

Common problem with a typical presentation