Palpation

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…

DOI: 11/5/2011. Patient is a 65-year-old female certified nursing assistant who sustained injury when she slipped and fell while giving patient a bath, hitting her left knee and hip and injuring her low back. The patient underwent complex revision left total knee arthroplasty on 10/27/2015 and also undergone left knee arthroscopic capsular release and left knee manipulation under anesthesia on 1/22/2016. Based on the medical report dated 11/10/16 by Dr. Fieser, the patient presents for left…

prevented worsening of pain and is allowing the patient to work, pending spine surgery. Patient is working full-time. On examination of the lumbar spine, the paraspinal muscles are tender upon palpation, bilaterally from L4-S1, worse at the L5 level. There is radicular pain into the right leg. Careful palpation reveals muscle spasms with associated trigger points in the bilateral lumbar paraspinal muscles. There is restriction of movement due to pain and stiffness. Straight leg raise is…

Tenderness is noted at the paracervical muscles, rhomboids and trapezius, as well as cervical paraspinal muscles. Spurling's maneuver causes pain in the muscles of the neck. There is tenderness to bilateral facets with palpation. There is pain with facet loading bilaterally. Patient appears to be depressed and in mild-to-moderate pain. On examination of the right shoulder, movements are restricted with flexion to 145 degrees, extension to 50 degrees, abduction to 80…

C-spine rule and are used to determine whether a cervical collar should be placed. The guidelines require gaining a history of the event from the patient, asking about any neck pain or tingling anywhere, checking for midline cervical tenderness via palpation then assessing…

DOI: 7/5/2016. Patient is a 41-year -old female head cashier who sustained injury while she was in the elevator, holding a cash counter and when rotated to tuck it underneath her arm, she heard a pop in her right shoulder. Per OMNI, she was initially diagnosed with right shoulder strain. Per the PT note dated 08/12/16, the IW has attended 12 sessions MRI of the right upper extremity obtained in 09/07/16 showed moderate rotator cuff tendinosis with marked acromioclavicular joint…

side or upper extremities. He takes previously ordered ibuprofen 200 mg 1 tab every 6 hours and Tylenol 500 mg q 8 hours, but not taking them on regular bases. O: Inspection of the right shoulder no redness or discoloration noted; no tenderness palpation; Full active and passive ROM. Reports increased pain with posterior rotation of his right shoulder;…

information that helps the health care provider make a problem diagnosis, and build a more accurate medical plan. During the examination process, the main focus is to assess objective anatomical findings using clinical methods such as observation, palpation, percussion and auscultation. The sequence in which the healthcare provider performs these activities should be completed in an orderly fashion and with minimal patient…

Torn Achilles Tendon,It mainly occurs in people playing recreational sports, but it can happen to anyone. The Achilles tendon is a strong fibrous cord that connects the gastrocnemius and soleus in the back of your calf to your calcaneus. If you overstretch your Achilles tendon, it can tear completely or just partially. When the gastrocnemius and soleus which are located in the back of your calf, are flexed the achilles tendon pulls on the calcaneus or heel. The movement of flexion allows…

DOI: 10/15/2010. The patient is a 63-year-old female machine operator who sustained a work-related injury from performing repetitive duties of usual and customary job. Patient is status post cervical midline C7-T1 Epidural Steroid Injection (ESI) on 08/14/15 and status post cervical fusion at C5-6 and C6-7 on 03/15/16. Cervical spine x-ray on 05/05/16 showed postsurgical findings status post interbody fusion procedure at C5-C6. MRI of the cervical spine dated 06/16/16 revealed interval…