DOI: 4/1/2013. Patient is a 48-year-old male warehouse operator who sustained a work-related injury when his right index and middle fingers were cut while he was taking metal seats out of a crate. The patient is status post right index and middle fingers irrigation and debridement, exploration of wound and repair of deep laceration on 04/01/13 and right index finger wound exploration, digital nerve neurolysis, and painful neuroma decompression with short-arm splinting on 12/20/14.
Per the AME report dated 3/9/15, the patient has reached maximum medical improvement and he should have access to future medical care which includes refills of pain medication on an as-needed basis, access to short courses of physical therapy and acupuncture. The need for further injections and surgery in the future cannot be ruled out. The patient may also require further diagnostic testing, including but not limited to MRI scans and electrodiagnostic testing. Whole person impairment rating is 2%. …show more content…
It has been one year since he has been to this office.
He is status post initial repair of laceration followed by a second surgery with Dr. Chen for digital nerve exploration and neuroma excision in 2015. He states he has persistent pain swelling numbness and tingling of the right index finger.
Examination of the right index finger demonstrates a healed longitudinal laceration with tenderness to palpation over the course of the laceration. Sensation is decreased over the radial digital nerve.
Tinel’s is positive over the digital nerve course. Sensation is decreased to 2 discrimination along the radial border measured at greater than 15 mm of 2 discrimination. There is weakness on flexion and extension of the
Per the AME report dated 3/9/15, the patient has reached maximum medical improvement and he should have access to future medical care which includes refills of pain medication on an as-needed basis, access to short courses of physical therapy and acupuncture. The need for further injections and surgery in the future cannot be ruled out. The patient may also require further diagnostic testing, including but not limited to MRI scans and electrodiagnostic testing. Whole person impairment rating is 2%. …show more content…
It has been one year since he has been to this office.
He is status post initial repair of laceration followed by a second surgery with Dr. Chen for digital nerve exploration and neuroma excision in 2015. He states he has persistent pain swelling numbness and tingling of the right index finger.
Examination of the right index finger demonstrates a healed longitudinal laceration with tenderness to palpation over the course of the laceration. Sensation is decreased over the radial digital nerve.
Tinel’s is positive over the digital nerve course. Sensation is decreased to 2 discrimination along the radial border measured at greater than 15 mm of 2 discrimination. There is weakness on flexion and extension of the