DOI: 7/28/2014. Patient is a 33-year old male laborer who sustained injury when his left wrist twisted and snapped while using a drill. Per OMNI, he was initially diagnosed with dislocation of the left wrist. He underwent a tendon graft reconstruction on 08/07/14 and hardware removal on 09/11/14. Based on medical report dated 06/12/15, the patient reports that his left wrist is hurting significantly. He presents with pain and dysfunction of the left wrist. The patient continues to experience substantial discomfort, is frustrated by lack of progress. On examination, the wrist shows radiocarpal joint swelling, with decreased range of motion. Flexion-extension is restricted, but pronosupination is full. Digital motion is without significant restriction. …show more content…
He continues to struggle, despite continuing to work. He was provided with 1 cc of Celestone and 1% lidocaine over his radiocarpal joint, which moderately improved his symptoms. As of this report, X-rays show no sgnificant radiocarpal joint narrowing, but does show scaphoid diastases, unchanged comparison to previous exams on the anteroposterior lateral oblique left wrist films. He was diagnosed with wrist pain. Plan is for a left wrist scaphoid excision, 4 corner fusion. This will require use of the Stryker EasyClip staples. He is currently taking Ibuprofen 800 mg 1 tablet 3 times a day. Per OMNI payment screen, the patient has completed approximately 17 PT sessions to the left wrist from 10/03/14 through
2. EMG/NCV studies consistent with peripheral motor and sensory neuropathies, from October 2008 12/15/15 Progress Report described that the patient has ongoing low back pain. He was last seen on 10/28/15. The patient stated that his current medication regimen has been helpful. He rated the pain 9/10-scale level, which is brought down to 6/10-scale level with the medications.
Circumstance: Ayden will maintain contact with medical team monthly. Ms. Smalls (MHP) and Mrs. Wigfall (MHS) discuss Ayden’s recent medical appointments and therapy. Action: MHS report Ayden will start physical therapy at an outside clinic. MHP and MHS discuss Ayden receiving all therapy at the same clinic to reduce several therapy appointments during the week. MHP and MHS review reports given since last week.
Jimmie Bowman was seen in followup for CIDP, causing previous weakness and numbness of his distal lower extremities. He states that the strength of his distal lower extremities [____] continues improved and is staying normal. He has occasional mild feeling of numbness of his feet, but states this is staying down to what he can tolerate. He is not having pain of his feet. He is no longer on Imuran.
Pain is located in the low back and left leg, rated as 4/10. There is associated numbness to the left thigh and foot, and pins and needles sensation to the left foot. He continues with Percocet with 80% help with use. CURES was very consistent and appropriate.
Reason for Visit: Puncture Wound to the Right FA S: TM works in GA Chassis when he injured his right FA. According to TM he was putting in nuts on the exhaust muffler and a piece of metal was sticking out of the muffler and stuck him in his right FA. TM denies previous injury to right arm. TM rates his pain at 2/10. O:
She states that the pain is progressively getting worse. Objective findings revealed pain in the lumbosacral region, more in the sacroiliac joint. Positive findings on fortin finger flexion test. There is limited lumbar flexion. The patient is subsequently diagnosed with lumbar sacral spondylosis; sacroiliac joint arthritis; and low back pain.
All health providers describe neck strain radiating down his shoulder. He had physical therapy three times a week for 6 months but still experienced pain at the end of 2012 to the beginning of 2013 when his physical therapy ended. DHD referred him to Dr. Katzman who discussed the need of surgery to his left shoulder which he didn’t have because no fault cut him off. He also had an MRI of his cervical spine and
Patient 4: Meredith B., Female age 38. She’s a lawyer/rep. With an annual income of $102,000. She has type one diabetes and is expected to live eight months without the procedure. Patient 5: Hiram Y., Male age 44.
It is noted to be better with heat or laying on the right side. The patient is also limping due to pain with weakness and numbness on the left side. She has been treated with Neurontin in the
Patient has had progressive pain, numbness, and weakness in both lower extremities. He has had an epidural, physical therapy, and medications. It was reiterated that the patient has lost over 30 pounds. He has clear-cut instability as documented by the pars fracture and the spondylolisthesis, which is mobile on flexion/extension films.
The patient is in good overall health, and prior to injury remained active, participating in water aerobics and outdoor activities such as yard work. The patient currently wears splints to protect and support the wrists. In addition to the initial OT evaluation, the self-administered assessment The DASH was used. DASH stands for "Disabilities of the Arm, Shoulder and Hand."
He presents with continuous low back pain and right leg pain. Pain is radiating from low back to right leg and right foot with numbness and tingling. Patient’s pain is still 7/10. Over the years, the patient has been treated with physical therapy as a treatment with subsequent pain improvement.
She reported greater awareness of tingling and numbness in the first four digits during the course of physical therapy, but attributed this to greater awareness and didn’t believe that her hand symptoms had changed. The patient was referred to
Pain Pain is one of the most important factors when deciding to consult a specialist about wrist
If you’re an athlete, an office worker, a manual laborer, an industrial worker, a farmer, a musician or a hobbyist, you can develop this condition since most of your day-to-day activities involve the use of your hands.