Curricular Fibrocartilage Seizure Case Summary

She said, she fell last night while playing volley ball. She landed on her right shoulder and heard a pop sound, too. She did not take any pain medicines. She applied icepack and felt burning pain. This was an interesting musculoskeletal assessment case. We assessed her right shoulder and compared with the left one. We found slight dislocation of the shoulder joint. She had good circulation in her right arm, no swelling noted in the right hand and the capillary refill was < 2 secs. Mary said, since she had burning pain, it could be a nerve injury, too. We also noted a slight swelling of her trapezius muscle on the right side. She complained of pain on palpation. Mary applied a sling to her right arm to keep it elevated. She may need an MRI to see the damage. Mary sent her to the urgent care. She told her that, since she heard the popped sound, the ER or Urgent care doctor can replace it. It will be a painful procedure, and she will need a strong pain medicine. She gave her the note for her teacher and asked her friend to drive her to the urgent

Based on the progress report dated 10/07/16, the patient presents for evaluation of carpal tunnel syndrome on the right shoulder.

The patient underwent a right foot surgery with bilobed rotational skin flap of the foot, debridement, harvesting of a full thickness skin graft at a separate site and application of a full thickness skin graft per operative report dated 5/29/15.

Based on the medical report dated 12/22/16, the patient was last seen on 10/13/16, and was recommended to have continued therapy. He has not had therapy secondary to insurance issues over the last month or so. He presents with ongoing right elbow pain status post cubital tunnel release and medial epicondylitis debridement, worsening with motion and activity, lifting, reaching, bending, upper extremity dressing, household

Current request is for 12 Physical Therapy Visits for the Left Shoulder between 1/17/2017 and

As per office notes dated 5/4/16, the patient is seen for bilateral elbow pain and bilateral wrist pain. She rates the pain as 3/10 with medication and 7/10 without medication. She is active for at least six hours a day and has energy to make plans. Her activity level has

The patient c/o ganglion cyst to right top of hand near the wrist. limited movement and pain x 6month. However the patient c/o of increased pain x 2 days .She denies injuies but states when she opened the door she move "her hand some type of way causing her immediate pain." The pt currently rates 4/10 dull pain that radiates to finger and elbow with occassional numbness to the forearm and elbow. The patient states that she was being seen by othropedic and was referrrd to a hand speciialist but was never nofitied. Per Major Blount the patient was advised to called othropedic and schedule and appt. Take Tylenol or Motrin as need for pain.The patient agrees and verbalized understanding to the POC.

Is the request for 16 Physical Therapy Visits for the Back with Re-evaluation between 2/29/2016 and 4/29/2016 medically necessary?

Impression is rotator cuff tear with adhesive capsulitis, poorly controlled diabetes, AC joint arthrosis, and proximal biceps tendinopathy.

Based on the progress report dated 02/29/16 by Dr. Naraghi, the patient reports worsening of her right lower extremity with pain, numbness and weakness.

DOI: 11/26/2012. The patient is a 66-year old male janitor who sustained a work-related injury as a result of his job duties over the past 2 years.

DIAGNOSIS: Strain of muscle, fascia, and tendon at neck level; Carpal tunnel syndrome, unspecified right limb,;Carpal tunnel syndrome, unspecified left limb; Status post left carpal tunnel release; and Adhesive capsulitis of right shoulder (M75.01).

DOI: 6/28/2007. Patient is a 66 year old male ship-packer who developed pain from unloading stack of bread from trailer. Per OMNI, he underwent knee surgery on 5/28/2008, partial knee replacement on 4/12/2010, and elbow surgery on 5/08/2013.

On 01/03/2018, the claimant presented for a follow-up for the right wrist. She complained of pain and weakness in her right wrist/hand. The associated symptoms include joint pain, joint stiffness, weakness, pain, and decreased strength. Objective findings showed healed pin sites. There was less swelling, deformity, tenderness, and limited range of motion. She had a full range of motion in the fingers with popping in the wrist. She lacked full supination and pronation. Physical therapy was

On 11/6/17 I spoke with Mr. Naylor and reported he was doing really good. He said the fingers are healing and the bumps he had are almost gone. I confirmed he did not need a