DOI: 2/18/2012. Patient is a year old female home health aide who sustained injuries to his neck, back abdomen, left foot and both legs when he slipped and fell after bathing a client. Per OMNI, he was initially diagnosed with cervical and lumbar strain. Based on the latest medical report dated 02/22/16 by Dr. Islam, the patient presents for a follow up consultation. She continues to complain of pain to her cervical spine, lower back and right knee, rated as 6-7/10 and described…
Tenderness was noted in the quadratus lumborum and paraspinous region. Straight leg raise examination was positive on right side. Lumbar range of motion was decreased. Foot drop was absent. On extremity examination, tenderness was noted. Range of motion was decreased. Patient was diagnosed with myofascial pain syndrome, lumbar disc…
Quesada, the patient reports pain along the low back, accompanied by occasional weakness of both legs with numbness and tingling. She was provided a refill prescription for the following medications: gabapentin 250/5 cc liquid 5mL orally 2 times a day, for 30 days, #1 bottle; ranitidine 15 cc/1mL 2 teaspoons orally 2 times a day, for 30…
paresthesias and numbness. Pain radiates to the left lower leg (numbness and parethesias). Left lower leg is getting worse. Of note, patient has paralysis of the left lower leg since the last visit. Medication history includes Tylenol with codeine#3, 1-2 tablet at bedtime. On examination of the spine, midline lumbosacral spine tenderness is demonstrated. Palpation/compression of the sacroiliac joints are tender. Supine straight leg raise reproduces leg pain. Decreased or painful forward…
There are multiple forms of flexibility testing that can be used created on the general outcome you are looking to achieve. These tests can range from Trunk and Lower Body (hamstring test, Straight Leg Raise, Modified Thomas Test, V-Sit test, Kraus Webber Floor Touch Test, Groin Flexibility test, calf muscle flexibility test, Trunk Rotation Test, Sit and reach, Back scratch test V sit-and-reach test) to upper body consisting of Shoulder Flexion (Shoulder Stretch, Back Scratch Test, Shoulder…
The right back and leg pain has resolved. The patient states that, “I now have this pain, the same pain, on the right side.” Pain is described as shooting and tingling. It gets hot, burning and tingling. The left leg is worse than the back. There is a radicular distribution by history at the left lower extremity (LLE). Paresthesias are also noted at the LLE. Neurogenic…
Valdez, the patient complains of ongoing pain to her low back, which radiates to her legs. Patient also reports poor sleep and Medrol was very helpful last night. Patient has decreased spasms lately. On examination, there is decreased range of motion. Straight leg raise is positive. Patient was diagnosed with lumbar radiculopathy. She was given a refill prescription for Norco 10/325 mg, Soma 350 mg, Ultram 50 mg, Motrin 800…
“catching” sensation but does not get stuck. On exam, he has a moderate effusion. He can perform a straight-leg raise and has full active range of motion. He has medial joint line tenderness and pain with squatting. What is the most likely diagnosis? A. Anterior cruciate ligament tear B. Lateral collateral ligament tear C. Medial collateral ligament tear…
Title: Does using kinesio tape have an increase within flexibility in a players hamstring (Does it matter of how the tape is applied as state one way it states it increases muscle length, also looking at acute effect). Introduction: Football is known to be the world 's most popular single sport and it is played in so many different levels by all different ages and gender (Giulianotti: 2012). Within football several players go down in pre-season with tight hamstrings resulting in injury. It…
to 7/10 on pain scale. Patient has lower back stiffness. Pain is gradually reduced and improving, with occasional radiating pain into both legs. Multiple trigger points are noted at the mid-thoracic to upper lumbar paraspinal muscles. Lumbar spine range of motion (ROM) is about 20% improved but some trigger point at lumbar paraspinal is noted. Straight leg raise (SLR) remains positive at 50 degrees on the left side. Lumbar spine flexion/extension is restricted by 20/20 degrees. Therapeutic…