Mr. Durland's Case Summary

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On 10-7-14, PT Wilcox documented that Mr. Durland reported he hadn’t taken any pain medication since he was last in. Pt Wilcox documented improved tissue mobility in the UGT (upper gluteal tendon) today. On 10-13-14, Chiropractor, D.C. Bogan documented Mr. Durland had recurring low back pain that was better in AM but worse in the PM. Mr. Durland’s pain was 2-3 in the AM and 5-6 in the PM. Mr. Durland stated that he still felt a constant low grade pain in the rectal area that was almost always …show more content…
Durland reported that his symptoms over the last two weeks have been up and down. Mr. Durland stated he was having an ESI to assess the effect it had on his pelvic pain symptoms. PT Wilcox documented that Mr. Durland’s greatest TTP (tender to palpation) was at and just lateral to ischial tuberosity on his right and the pressure there referred into the medial thigh.

On 12-19-14, Chiropractor, D.C. Bogan performed an evaluation and management service. It was part of the ongoing evaluation and management of Mr. Durland’s recorded injury and condition of his case. D.C. Bogan performed two X-rays on Mr. Durland. The purpose of the films were to evaluate Mr. Durland’s progress to determine if further corrective therapy would be needed or even possible. D.C. Bogan determined that Mr. Durland had achieved maximum correction and minimal results would be achieved with further treatment. On 12-30-15, PT Wilcox documented that Mr. Durland reported he had increased soreness since the last visit with increasing symptoms down his right posterior/medial thigh. Mr. Durland was scheduled to see Dr. Hagood on the same day and Dr. Hagood was going to check his prostate for enlargement. PT Wilcox documented STR in prone along right sacral angle, along right ST (sacrotuberous) ligament to ischial tuberosity, TTP (tender to palpation) over medial edge or ischial tub and OI (obturator

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