Va rating for lumbar spondylosis. Spine Condition Ratings. 2 days ag...
Va rating for lumbar spondylosis. Spine Condition Ratings. 2 days ago · Location. To meet with one of our specialists contact BoulderCentre (303. A 10% rating would include an episode that was between 1 and 2 weeks total over the past year while a 60% rating would include incapacitation of at least six weeks over the past year. Signs and Symptoms. cruise ship salary uk. If your doctor mentions spondylosis when discussing your problems with chronic back pain, you might feel worried. It is rated under code 5003 Arthritis, As discussed above, the VA typically assigns a Veterans Disability rating of between 10 and 20% for degenerative disc disease. 30% Disability Rating. 71a, Diagnostic Code 5293, based on intervertebral disc syndrome. To provide even more value to our veterans, this page is only available with an All-Access Membership. His cervical MRI showed C3-4, C4-5 and C5-6 disc degeneration with foraminal. Providence Portland Medical Center Providence Professional Plaza, Suite 359 5050 NE Hoyt St, Portland, OR 97213. what rapper died december 8 2019. por | jun 7, 2022 | steve mcqueen cars and bikes | 279th infantry regiment | jun 7, 2022 | steve mcqueen cars and bikes | 279th infantry regiment. A 40 percent rating is assigned for severe, recurring attacks, with intermittent relief. In severe cases, the degeneration may. Benjamin Geddes. . Additionally, a 50% rating for complete thoracolumbar spine stiffening and a 40% rating for the stiffening of the whole cervical spine are possible. Most veterans receive a rating of 10 to 20 percent . S. That will bring in about $152. I have recently made a claim with the VA for back issues that was denied presumably due to not having a Nexus letter. It is rated under DC 5009 using the rating criteria of DC 5002. Search: Va Disability Claim For Sciatica. is nothing more than osteoarthritis or bone spurs usually resulting from aging or injury. R. The attorneys at Edgar Snyder & Associates have experience handling workers' compensation settlements for neck and spinal fusions , injuries such as cervical radiculopathy and herniated discs, and other work -related back injuries – so if you have questions or think you have a case, give us a call at 412-394-1000. AROM and PROM will be either full or excessive. This is according to Inc. FREE SHIPPING ON Orders OVER $59+ Call Us:1-866-531-0466 My Cart ( 0 ). The Musculoskeletal AROM and PROM will be either full or excessive. va disability rating for degenerative disc disease. , Juluru K. 8. Resistive isometric movement will be normal. Cervical Radiculopathy. An MRI of the thoracic spine showed some mild disc protrusions in the thoracic area and evidence of surgery. Lumbar spondylosis: clinical presentation and treatment approaches. This can cause symptoms such as numbness, weakness, or pain in the neck , shoulders, or arms. A 60 percent rating for the veteran's degenerative disc disease of the lumbar spine with spinal stenosis and radiculopathy disability was established on. VA Rating for Sleep Apnea VA Rating for Sleep Apnea . large mirror for wall x x The back was progressively more painful, so you were back on sick call a week later. Thus, globus was a symptom singularly attributed to hysterical women October 1, 2015 marked the implementation date for ICD - 10 codes Often it goes away. See all of BoulderCentre’s Physical Therapists. Claims involving both the cervical spine and the thoracolumbar spine are rated under the same general rating formula. , The VA assigns a rating to spinal fusion in the same way it rates other diseases of the spine , basing their rating on a veteran’s range of motion as defined by 38 CFR § 4. combined VA rating and monthly payment. Rating nerve conditions also involves identifying the nerve involved. However, spondylosis is just a medical term that describes the pain and other related symptoms that come from spinal arthritis. The 10% rating for Cervical Spondylosis with C5-C6 Left Foraminal Stenosis and Arthritis is based on a total ROM of 285 degrees. Spondylosis affecting the facet . When patients with herniated discs come to see me, they are often in quite a bit of pain and. Those who have this condition will usually find that it is made . Sep 06, 2022 · If you have been honorably discharged and have joint or back pain, you can probably get the minimum 10% rating for a disability. For Reservists, the condition must have occurred in or resulted from an injury in the Line of Duty to qualify. The veteran's 40 percent rating for cervical spondylosis with right radiculopathy C5-C6, has been assigned pursuant to 38 C. These VA claims are worth big money because the highest rating for. · Cervical spondylosis is a type of osteoarthritis. Degenerative disc disease is an age-related condition that happens when one or more of the discs between the vertebrae of the spinal column deteriorates or The prevalence of DDD secondary to cervical spondylosis increases with age. As discussed above, the VA typically assigns a Veterans Disability rating of between 10 and 20% for degenerative disc disease. 38 U. Severe trauma to the lumbar spine means a major, high impact, direct injury to the lumbar spine which produces immediate lumbar pain and precludes unaided ambulation for a period of at least 2 weeks, and is associated with other fractures and/or significant soft tissue injuries. my size bluey. , AROM and PROM will be either full or excessive. Definition. Va rating for lumbar degenerative disc disease. why did marci miller leaving days of our lives x headlight ballast x headlight ballast Cervicalspondylosisis a 'wear and tear' of the vertebrae and discs in the neck. The lumbar rating said "Lumbar DDD, spondylosis, and kyphosis", but the cervical rating said "Cervical spondylosis". 1,2,3. Treatment included soft tissue and joint mobilization to the suboccipital and cervical regions, neuromobilization, and exercise including neuromuscular re-education for postural stabilization ( TABLE 1 ). Conclusion. Contact BoulderCentre (303) 449-2730 for your hand therapy appointment with one of our specialists Sally Brown, Bridget Myers or Charla Stilling. Va rating for lumbar degenerative disc disease lumbar degenerative disc disease is non-operative and successful main part of the time. What does radiography shows in patients diagnosed with cervical</b> <b>spondylosis</b>? The VA uses ankylosis in providing ratings for the following conditions: •5235 Vertebral fracture or dislocation •5236 Sacroiliac injury and weakness •5237 Lumbosacral or cervical strain •5238 Spinal stenosis •5239 Spondylolisthesis or segmental instability •5240 Ankylosing spondylitis •5241 Spinal fusion. There is no lumbar spondylosis VA rating because it’s not connected to active service. งง 1155, 5107; 38 VA Disability Rating for Spondylosis. , Aug. 1. This means that a 30% rating for a lumbar disc and a 30% rating for a cervical disc will not result in 60% disability. Mar 06, 2022 · VA Ratings for Spondylosis Spondylosis is rated as a back condition, meaning it can Good Morning y'all. 5010-5242. Radiculopathy is a diagnosis commonly made by physicians in primary care specialties, orthopedics, physiatry, and neurology. 64 a month based on the current VA rating schedule. VA Ratings for Spondylosis Spondylosis is rated as a back condition, meaning it can be rated using any diagnostic code between Diagnostic Code 5235 and Diagnostic Code 5243. large mirror for wall x x Sep 06, 2022 · If you have been honorably discharged and have joint or back pain, you can probably get the minimum 10% rating for a disability. The rating will largely depend on whether you have lost VA disability ratings for back pain go from 10% to 100% depending on how severe your symptoms are, including your range of motion and pain frequency and level. genentech bus driver jobs. Published by at June 22, 2022. However, in some cases, the VA has been known to give higher ratings to veterans who exhibit more severe symptoms. 25, 2021- MicroHealth, LLC is among the nation's fastest-growing private companies in 2021. The most common symptoms of cervical spondylosis are neck pain, stiffness and headaches. Special tests performed/ or that were (+) to confirm diagnosis were, Load and Shift test , Apprehension test , Relocation test , Augmentation test . Specifically, the condition will be rated on how it impacts the motion of the spine. Intervertebral Disc Syndrome (also known as IVDS) is a back condition involving the intervertebral disc or disc fragments. 16 a ( “Schedular”) – To be eligible for this form of TDIU, the veteran will need to have one condition rated at minimum 60 percent or two conditions that can be The present VA ratings assigned for degenerative joint disease of the lumbar spine, and radiculopathy of the left and right lower extremities when combined (See 38 C. Va disability rating for lumbar spondylosis. Treatment started with an active warm-up on the upper-body ergometer. Va rating date. Ratings between 10% and 40% are given, in part, based on your ability If the VA determines your spinal stenosis is service-connected, you will receive a disability rating between 0% and 100%. 40% Disability Rating. NK7 Member. Spondylosis L5/ hyperlordosis of lumbar spine. The prevalence of DDD secondary to cervical spondylosis increases with age. Pain after prolonged sitting. i regret having my autistic child. The VA uses ankylosis in providing ratings for the following conditions: •5235 Vertebral fracture or dislocation •5236 Sacroiliac injury and weakness •5237 Lumbosacral or cervical strain •5238 Spinal stenosis •5239 . rbt practice test pdf free; opota pt requirements 2022 pluto channel guide 2022 pluto channel guide 2022 For over a year, intensive research conducted by health experts like Dr. Thank you for supporting the HOW VA DISABILITY RATINGS WORK website and helping other. 2007 buick lucerne headlight assembly removal Fiction Writing. They further state that, "Evidence-based practice for degenerative spine disorders might reserve the use of spinal fusions for spondylolisthesis and only rare cases of disk herniation or spinal stenosis without. Kawasaki M, Tani T, Ushida T, Ishida K. Examples are as follows: . Schmorl's nodes in the superior endplate of L3. 3d models medieval. Use our VA disability calculator to estimate your. Cervical Spondylosis (Neck Arthritis) Jan 27, 2015 · The VA uses ankylosis in providing ratings for the following conditions: •5235 Vertebral fracture or dislocation •5236 Sacroiliac injury and weakness •5237 Lumbosacral or cervical strain •5238 Spinal stenosis •5239 Spondylolisthesis or segmental instability •5240 Ankylosing spondylitis •5241 Spinal fusion. by Dr. The exact VA disability percentage for spinal stenosis that has caused a frozen spine depends on the position where the spine is frozen. sbt japan used cars japan. Other Definition. The Musculoskeletal Jan 21, 2022 · As discussed above, the VA typically assigns a Veterans Disability rating of between 10 and 20% for degenerative disc disease. If you add in the rest of your back, so that your entire back is fused in an unfavorable position, you’ll be eligible for 100%. A 100% rating is needed before the VA considers a veteran to be entirely incapable of working. Cervical spondylosis, or cervical osteoarthritis, is another serious medical condition that veterans suffer from. Importantly, this diagnostic code follows the VA Ratings for Spondylosis Spondylosis is rated as a back condition, meaning it can be rated using any diagnostic code between Diagnostic Code 5235 and Diagnostic Code 5243. Cervical radiculopathy, often called a pinched nerve, is the damage or a change in the way a nerve works resulting from one of the nerve roots near the cervical vertebrae being compressed. What does radiography shows in patients diagnosed with cervical</b> <b>spondylosis</b>? C3-4, C4-5 and C5-6 disc cervical degeneration. The Back and Spine Overview . More rarely, it can trap nerves in the neck, leading to: pain radiating from the arms. The Board takes this issue up as part and parcel of the appeal for an increased rating for a back disability . A favorable position means that the spine is frozen at the baseline position or 0% flexion. Another criterion considered is the frequency of incapacitating episodes you experience. Step 3: Pull Together Key Medical Documents That Support Your Spondylosis Disability Claim The ratings of IVDS range from 10% – 60%. 03/23/2021. This means that a 10% VA disability rating for spinal stenosis plus 60% VA disability rating for peripheral nerve disability in an arm will produce an overall VA disability rating of 60%. VA Ratings for Spondylosis Spondylosis is rated as a back condition, meaning it can be rated using any diagnostic code between Diagnostic Code 5235 and Diagnostic Code 5243. There are also ratings of 30%, 20%, and 10%. The VA disability rating system for spinal stenosis is the same general formula as for other similar spinal conditions, including: . A lumbar MRI showed degenerative changes at multiple levels and some degenerative facet changes at L4-5. 40. Further noted are mild thoracolumbar dextroscoliosis as well as mild spondylosis and degenerative endplate changes. usapl nationals 2022 schedule jeep cherokee xj off road Cervical spondylosis va rating. C. emtek door hardware Cervical spondylosis , also known as cervical osteoarthritis or neck arthritis, can be a painful and debilitating condition. Ratings between 50% and 100% are based on the level of ankylosing spondylitis present. rbt practice test pdf free; opota pt requirements 2022 pluto channel guide 2022 pluto channel guide 2022 Lumbar spondylosis: clinical presentation and treatment approaches. Thread starter NK7; Start date Sep 25, 2012; N. Sherri Tenpenny has brought to light increasing concerns about "Antibody Dependent Enhancement" (ADE), a phenomenon where vaccines make the disease far worse by priming the immune system for a potentially deadly overr. Recently I was diagnosed by my neurosurgeon with the following things: Pain. what is your type of girl meaning. Cholewicki J. However, be aware that these VA disability percentages for a bulging disc are subject to VA math. Anterolisthesis and retrolisthesis of the cervical spine in cervical spondylotic myelopathy in the elderly. Claims Degenerative Disc Disease is a spinal disorder most often rated under CFR Title 38, Part 4, VA Schedule of Ratings, Diagnostic Code 5242, Degenerative Arthritis, Degenerative How VA Rates Spinal Stenosis VA rates spinal stenosis according to 38 CFR § 4. The procedure is performed with the patient standing and actively moving in weight-bearing position within the system. Cervical spine forward flexion of 15° or less or favorable ankylosis of the entire cervical spine. as the highest schedular rating under diagnostic code 5003 is only 20 percent So our veteran should hypothetical get a combined spine rating of 40% from my understanding ( (10% low back deg arthritis) + (10% cervical deg arthritis) + (10% low back ROM)+ (10% cervical ROM)) in one rating is 40%. If a nerve condition affects both sides of . 2022. pins and . The VA uses ankylosis in providing ratings for the following conditions: •5235 Vertebral fracture or dislocation •5236 Sacroiliac injury and weakness •5237 Lumbosacral or cervical strain •5238 Spinal stenosis •5239 Spondylolisthesis or segmental instability •5240 Ankylosing spondylitis •5241 Spinal fusion The VA has rated cervical spondylosis and the radiculopathy, C6 at 20%. Unfavorable ankylosis is a condition in which the entire cervical spine, the entire thoracolumbar spine, or the entire spine is fixed in flexion or extension, and the ankylosis results in one or more of the following: difficulty walking because of a limited line of vision; . The VA assigns a rating to spinal fusion in the same way it rates other diseases of the spine , basing their rating on a veteran’s range of motion as defined by 38 CFR § 4. VA disability ratings for back pain go from 10% to 100% depending on how severe your symptoms are, including your range of motion and pain frequency and level. va disability ratings for degenerative disc disease (ddd) 7 hours ago va rates degenerative disc disease under 38 cfr § 4. A certified hand therapist can teach you ways to reduce nerve compression and tension. It’s not much, but it’s a start. The Easiest Ratings for Joint/Back Pain are Also the Lowest. Keep in mind that that rating can be increased if 50% rating —NOT APPLICABLE to the cervical spine, only assigned to individuals with unfavorable ankylosis of the entire thoracolumbar spine. Keep in mind that that rating can be increased if there is a herniated disc or a bulging disc that causes a doctor to prescribe bed rest, specifically six weeks or more over a year’s time period. Mar 06, 2022 · VA Ratings for Spondylosis Spondylosis is rated as a back condition, meaning it can The VA disability rating system for spinal stenosis is the same general formula as for other similar spinal conditions, including: . The VA awards disability compensation for each Back and Spine condition that is service-connected. For example, one service member who presented with spinal stenosis (narrowing of the canal) and spinal nerve damage received a 60% rating. More importantly, when both the lumbar spine and cervical spine are . An estimated 60% of individuals older than 40 years. this means that a 30% rating for a lumbar disc and a 30% rating for a. 71a, schedule of ratings - musculoskeletal system, diagnostic code 5003. Request the board review and re-evaluated my disability rating. 71a – Schedule of Ratings, Musculoskeletal System, Diagnostic Code 5238. Digital Motion X-ray (DMX) is simply a new type of fluoro-based X-ray system, coupled with new digital and optic technology, allowing clinicians to view the spine in real-time motion at 30 x-rays per second. An ankle sprain can be a fairly serious injury A small, randomized, clinical trial of 56 patients with moderately severe sciatica of 6-12 weeks duration due to disk herniation showed more rapid improvement in leg pain and disability during the first 6-12 weeks in those randomized to the surgery group, with these comparative effects. Introduction. The VA only gives a 50% rating if you have unfavorable ankylosis of the entire thoracolumbar spine. They examine the level of degeneration and the number of joints affected. What does radiography shows in patients diagnosed with cervical</b> <b>spondylosis</b>? The back was progressively more painful, so you were back on sick call a week later. Yeah, in general, the whole point of the conservative treatments, in particular, is to really try to. miami liquidation pallets. Higher ratings are reserved for more severe cases. Become an All-Access Member to access this page, other exclusive content, the ability to our Military Disability Experts, course discounts, and more!. Prevalence and Risk Factors for Lumbar Spondylosis and Its Association with Low Back Pain among Rural Korean Residents. 7. The moderate nerve rating changes based on the specific nerve. With IVDS, these discs may be displaced at the lumbar, cervical, or thoracic areas of the spine. KEY WORDS: Anterior lumbar interbody fusion, Degenerative disk disease, Indications, Scoliosis nterior lumbar interbody fusion (ALIF) Lumbar spondylosis: clinical presentation and treatment approaches. This adds up to a 40% disability rating using VA math, but your conditions have such an impact on your ability to work. Symptoms tend to come and go. "/> A February 2017 rating decision granted service connection for left lower extremity radiculopathy , secondary to the Veteran's back disability . can you cancel nordvpn 2 year plan x ram promaster awning. For sciatica, for example, in radiculopathy of the lower back, the VA applies rating criteria specific to the sciatic nerve (diagnostic code 8720), and assigns a disability percent rating on whether the neuralgia is moderate or mild. Cervical spondylotic myelopathy, which means your limbs go numb, you may have trouble walking or standing, maintaining balance or controlling your bladder About 62% of approved SSD applicants in recent years listed 2-5 conditions on their claim forms. It was followed by manual therapy to the cervical spine. abs control module repair near Thoothukudi Tamil Nadu. What does radiography shows in patients diagnosed with cervical</b> <b>spondylosis</b>? va disability rating for degenerative disc disease. how to prevent sciatica reddit. May 08, 2017 · Additions symptoms of lumbar spondylosis include: Localized pain. That means everything from the middle of your backpack and bra strap down. covid19 positivity rate by state. Search: Globus Sensation Icd 10 . Mar 01, 2022 · VA Disability Ratings for Neck and Shoulder Pain range from 10% to 100%, with breaks at 20%, 30%, 40%, and 50%. Va disability rating for bulging disc. The 5002 criteria requires the condition to be considered under both the active process and the residual criteria. A. st vincent's women's and children's center birmingham, al address; hurlburt field down days; vw electric commercial actors; Hello world! September 10, 2020. stealing baby names. What does radiography shows in patients diagnosed with cervical</b> <b>spondylosis</b>? road closures near grimsby citrix director session details. crochet square patterns for beginners . The DoD will also rate service-connected conditions as long as they also make the service member Unfit for Duty. 100% rating — Unfavorable ankylosis of the VA rates lumbosacral strains under 38 CFR § 4. Italian Sculptor / Scultore Italiano. road closures near grimsby citrix director session details. 7K. Magazine's. Generally, to prove service connection and secure a degenerative disc disease VA rating, veterans need evidence of the following three things: An in-service event, injury, or illness; . What does radiography shows in patients diagnosed with cervical</b> <b>spondylosis</b>? The lumbar rating said "Lumbar DDD, spondylosis, and kyphosis", but the cervical rating said "Cervical spondylosis". If you have been honorably discharged and have joint or back pain, you can probably get the minimum 10% rating for a disability. Your final rating for spinal conditions (neck, upper back, mid back, lower back) depends upon the Frequency, Severity, and Duration of symptoms to include Limitation of Range of Motion (ROM) and Painful Motion. I am 32 year old former Marine with constant pain in my neck and back. For over a year, intensive research conducted by health experts like Dr. It is very . 71a, Schedule of Ratings – Musculoskeletal System (Diagnostic Code 5241). 5238 – Spinal stenosis VA disability rating: This occurs when the spaces in the spine become more 5/17/2020 A lumbosacral strain diagnostic code is 5237. big and tall dress shirts near me denali mountaineering mgh shuttle app lifestyle holidays vacation resort dominican republic michelle lesley elevation church. Rather, according to the VA’s calculations, you would be entitled to 50% disability for two 30% ratings. Degenerative Cervical Spondylosis. The rating schedule will rate the . 71, Schedule of Ratings – Musculoskeletal System, Diagnostic Code 5237. The disability ratings for spinal diseases range from 10% for minor conditions to 100% for . Our physicians treat patients with all types of radiculopathy , including cervical radiculopathy (in the neck), lumbar radiculopathy (in the lower back) and thoracic radiculopathy (in the upper to. So our veteran should hypothetical get a combined spine rating of 40% from my understanding ( (10% low back deg arthritis) + (10% cervical deg arthritis) + (10% low back ROM)+ (10% cervical ROM)) in one rating is 40%. 2 days ago · Herniated discs are quite common, especially in the lumbar spine (lower back). does not rely on clinical findings. 4K. Intervertebral disc syndrome is a common cause of back pain. Cervical spondylosis is the medical term for neck pain caused by age-related 'wear and tear' to bones and tissues. It is a normal part of ageing and does not cause symptoms in many people. A cervical disc herniation is when a damaged spinal disc in the neck presses on the spinal cord or a spinal nerve. The diagnosis may be suggested by symptoms of pain, numbness, paresthesia, and weakness in a pattern consistent with the distribution of a particular nerve root, such as sciatica. massage chantilly 2022. Lumbar spondylosis (LS) is a radiographic diagnosis that refers to degenerative changes of the discs, vertebral bodies and paired zygapophysial joints (z-joints) of the lumbar spineand may be associated with low back pain (LBP). VA now uses more than 80 different DBQs with standardized language and check boxes to streamline the information intake process and ensure timely and. Although cervical spondylosis is just a To answer you question, Lumbar spondylosis. Most cases of cervical herniated discs are due to age-related changes that occur in the spinal discs . Menu and widgets. · Spine Condition Ratings. VA Ratings for Cervical and Lumbar Radiculopathy If the veteran has objective signs of impairment that can be found via testing, they will get only a moderate rating. Unfavorable ankylosis of the entire cervical spine, forward flexion of thoracolumbar spine of 30° or less, or favorable ankylosis of the entire thoracolumbar spine area. An unfavorable position means that the spine is frozen in a position other than the natural upright position. how much is A certified hand therapist can teach you ways to reduce nerve compression and tension. Parking. In fact, it affects about 4 in every 5 people aged 60 and older, primarily for age-related reasons. Cervical and lumbar spine are each considered a joint group. astoria megler bridge traffic. . § 4. Both can be rated under arthritis, but only if there’s no. Mar 27, 2020 · Obstructive sleep apnea (OSA) is the most common variant of sleep -disordered breathing that often goes undiagnosed. KEY WORDS: Anterior lumbar interbody fusion, Degenerative disk disease, Indications, Scoliosis nterior lumbar interbody fusion (ALIF) Va rating for lumbar degenerative disc disease lumbar degenerative disc disease is non-operative and successful main part of the time. autopilot run powershell script . The ratings for this condition may range from 10% to 100%. 23) The criteria for a disability rating of 40 percent, but no higher, for degenerative disc disease of the lumbar spine with spondylosis from June 11, 2007 are met. apartments for rent moncton. The most common VA rating for Sleep Apnea is 50%, which requires the use of a breathing assistance device such as Continuous Positive Airway Pressure (CPAP) machine. frosted reusable cups with lids. Degenerative Disc Disease The VA assigns a diagnostic code of 5003 for degenerative disc disease. Specifically, VA rates Finally, in the absence of limitation of motion, a veteran’s degenerative disc disease VA rating will be as follows: 10% – with X-ray evidence of involvement of two or more major Severe trauma to the lumbar spine means a major, high impact, direct injury to the lumbar spine which produces immediate lumbar pain and precludes unaided ambulation for a period of at 38 CFR § 4. F. 4. Treatments include keeping the neck moving, neck exercises and painkillers. The Musculoskeletal Lumbar spine condition 10% apr 29, 2008, siad that it could go up to 20% if my thoracolumbar spine greater than 30 deg but not greater then 60% deg or the combined range of motion of the thoraclolumbar spine is not greater than 120 deg, i have been going to PT , have 25 to the front and 25 left 30 right, the V/A rated my claim with the PT notes, AROM and PROM will be either full or excessive. Mar 06, 2022 · VA Ratings for Spondylosis Spondylosis is rated as a back condition, meaning it can be rated using any diagnostic code between Diagnostic Code 5235 and Diagnostic Code 5243. '. However, it is sometimes a cause of neck pain. VIENNA, Va . va rating for lumbar spondylosis
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