Deterior Lumbar Case

Satisfactory Essays
DOI: 8/6/1997. Patient is a 56-year-old male chief engineer who sustained a work related injury when he fell on a level on or against an object. Patient is status post anterior lumbar interbody fusion at L3-4 and L4-5 with infuse, diskectomies with partial corpectomies and left cage instrumentation per the operative report dated 04/26/04.
Per the PT attendance report dated 03/06/15, patent has attended 12 visits for the lower back.
As per medical report dated 2/18/16, patient complains of constant low back pain in a L4-5 distribution. Patient has undergone physical therapy as well as medication management without amelioration of the pain and continues to be symptomatic. He had previous epidural steroid injection. He also had acupuncture
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