Name of the Condition

• Common Name: Lumbar Segmental and Somatic Dysfunction
• ICD Code: M99.03

Summary

Segmental and somatic dysfunction of the lumbar region is a condition involving altered biomechanics in the lumbar spine area. This can affect movement, posture, and overall spinal function, leading to discomfort or pain.

Causes

• Poor posture or ergonomics
• Repetitive stress or strain
• Trauma or injury to the lumbar spine
• Degenerative changes in the spine

Risk Factors

• Sedentary lifestyle
• Occupational hazards involving heavy lifting or prolonged sitting
• Previous spinal injuries
• Advancing age

Symptoms

• Localized pain in the lower back
• Reduced range of motion
• Muscle stiffness or spasms
• Tenderness upon palpation

Diagnosis

• Physical examination focusing on mobility and spinal alignment
• Imaging studies such as X-rays or MRIs to rule out other conditions
• Assessment by an osteopathic physician or chiropractor

Treatment Options

• Physical therapy to restore mobility and strength
• Chiropractic adjustments to correct misalignments
• Pain management with medications or injections as needed
• Manual therapy techniques such as massage

Prognosis and Follow-Up

• Generally good with appropriate treatment and lifestyle modification
• Regular follow-ups may be necessary to monitor progress and adjust treatment

Complications

• Chronic pain if untreated
• Potential development of secondary conditions like sciatica

Lifestyle & Prevention

• Maintaining proper posture and ergonomics
• Engaging in regular physical activity and exercises focused on core strength
• Avoiding activities that put excessive strain on the lower back

When to Seek Professional Help

• Persistent pain that does not improve with self-care
• Significant loss of mobility or function
• Symptoms extending into the legs, indicating nerve involvement

Additional Resources

• American Chiropractic Association (ACA) - acatoday.org for information on chiropractic care
• National Institute of Neurological Disorders and Stroke – ninds.nih.gov

Tips for Medical Coders

• Ensure that the specific lumbar region (M99.03) is identified in the documentation.
• Verify that the dysfunction is segmental and somatic to differentiate from other musculoskeletal conditions.
• Avoid using the code for generalized back pain or dysfunction not limited to the lumbar segment.