Pelvis is stable. The patient is ambulatory and show no restrictions in motion at the hip, knee, ankle, or foot. Examination of the left upper extremity shows a posterior splint. This is removed and shows some mild swelling and ecchymoses in and around the posterior aspect of the elbow and ulnar forearm. Axillary, radial, median, and ulnar nerves are intact to motor and sensory tone.…
His range of motion of his right hip is somewhat reduced with external and internal rotation being tender and internal rotation particularly being limited at about 5 degrees. There is no definite synovial thickening in either of his knees or in his ankles. He is somewhat tender over the left suprapatellar bursa on the left knee, but he cannot appreciate any definite synovial thickening or effusion in either knee. The exam of the MTP joints in his feet, again reveals some tenderness but no definite synovial thickening, I can appreciate.…
On 11/15/2016, the claimant reported a return of symptoms and stated that she started having spasm while working. On 11/18/2016, the claimant complained of right sacroiliac joint pain and sacrum pain that was described as moderate and constant which was rated as 5/10. There was also mild-moderate and constant right hip pain that was rated as 4/10 as well as moderate and constant neck pain that was rated as 6/10. The neck pain was unchanged since the last visit while the pain in the right sacroiliac joint, sacrum, and right hip were getting better. Examination revealed that there was increased myospasms in the right paralumbar, right parathoracic, and right paracervical muscles.…
The pain is usually worse at night when the patients are lying down. The affected area may also feel warm. As Paget's disease progresses, patients may experience deformities in the affected bones, such as twisted or misshapen limbs, or scoliosis (curvature of the spine). Affected bones can sometimes break (fracture), particularly…
DOI: 8/16/2010. Patient is a year old female home attendant who sustained multiple injuries when she fell off a chair. Per the IME report dated 10/07/14 by Dr. Rubinshteyn, no ongoing PT or orthopedic treatment would be reasonable or necessary. The patient should follow a home exercise program.…
DOI: 11/1/2000. The patient is a 60-year-old male sales representative who sustained injury while he was grabbing a ladder to get samples and felt pain in his back. Patient is status post L5-S1 intradiscal electrothermal therapy procedure and L5-S1 fusion on 04/30/13. Urine drug screen obtained on 03/16/15 showed positive for hydrocodone, hydromorphone, dihydrocodeine, norhydrocodone, carisoprodol and meprobamate.…
DOI: 12/23/2013. Patient is a 51-year-old female registered nurse who sustained a work related injury due to repetitive work. Per OMNI, she is initially diagnosed with strain to the knee patella. MRI of the right knee dated 10/9/15 revealed globular increased signal intensity is seen throughout the medial meniscus most consistent with intrasubstance degeneration; tricompartmental osteoarthritic changes; joint effusion; pre-patellar soft tissue edema, query contusion; and chrondromalacia patellae.…
No muscle atrophy is appreciated except for the spot in the low back Impression is lumbar disc derangement, status post lumbar fusion surgery with ongoing pain and muscle spasms and lower extremity radicular symptoms. IW was advised to stop Neurontin and cyclobenzaprine. She was given a prescription for Lorzone and Horizant to decrease her radicular symptoms with less side effects. She will continue on her tramadol.…
Minimal superior labral fraying is seen. Based on the progress report dated 09/20/16 by Dr. Lo, the patient had on and off right shoulder pain that is about 8/10. She has done physical…
A Progress Note dated 04/11/2017, by Neha Shah, M.D. (Immunology), stated that the patient presented with an Ehlers-Danlos syndrome. She had been feeling better. Her energy has been improved a little. She was able to walk and sit down. The patient complained of intermittent bone pain (long bones).…
Research In 1903, Robert Osgood, a US orthopedic surgeon, and Carl Schlatter, a Swiss surgeon, concurrently described the disease that now bears their names. They found a pattern in which teenagers who are still growing often experience knee pain and inflammation in the area just below the knee and they called it Osgood-Schlatter disease. Teens experience symptoms of this while doing athletic activities or doing some regular exercise like climbing stairs. They feel pain in their knee, sometimes in both but with one more painful.…
The frequency is constant. The symptoms are exacerbated by rest and lessened by use. The patient also reported right shoulder pain. The pain is sharp, mild and constant. The patient complains of pain with motion of the shoulder.…
DOI: 5/2/2013. Patient is a 49 year-old female cleaner who sustained low back pain and right hand pain while compacting trash into a big trash can. The patient was subsequently diagnosed with bursitis of hip. As per medical report dated 4/11/16, patient complains of low back pain with associated leg pain. On physical examination, patient has tenderness of the greater trochanter upon bony palpation of the right hip.…
They occur most often in children who are ligamentously lax or loose-jointed, and can only be fixed with close to the end of their growth (Blanco). These are some of the…
A generic term for bone disease characterized by poor mineralization, which overlaps with osteoporosis, but differs from in that there…