Dfc Case Studies

This is a 52-year-old male with a 9/24/2014 date of injury. A specific mechanism of injury has not been described.

The patient is a 50 year old male construction worker who sustained a work-related injury while lifting heavy boxes of metals. In an office visit dated 12/14/13, patient complaints of intermittent severe low back pain which radiates to bilateral lower extremities. The claimant had an epidural injection, which significantly alleviated right leg pain for a short period of time. Unfortunately pain has returned. It is in the right leg as well as severe pain in the lower back. The claimant wishes to consider surgical intervention due to severity of pain. Objective examination reveals weakness in the right extensor halucis longus and anterior tibialis which are 4+/5. The claimant has diminished sensation along the dorsum of right foot. The claimant has a positive straight leg raise.

O: Inspection of the right shoulder, no redness or edema noted; palpation of the right shoulder there was no warmth noted; on deep palpation TM reports in some tenderness

DOI: 4/01/2015. The patient is a 53-year-old-male old carpenter /foreman who sustained a work- related injury while lifting a high beam when the beam slipped before being placed into the ground pushing him between the beam and leads, crushing his right ankle and foot.

This is a 54-year-old male with a 1/17/2012 date of injury. A specific mechanism of injury has not been described.

This is a 47-year-old male with a 12/15/2005 date of injury. A specific mechanism of injury has not been described.

DIAGNOSIS: Impingement syndrome, right shoulder; full-thickness rotator cuff tear with retraction, right shoulder; adhesive capsulites, right shoulder; post-op pain, right shoulder; Right elbow strain/sprain; Right wrist strain/sprain; Right upper extremity overuse syndrome.

The patient is a 36-year-old individual who sustained an injury on 01/30/17 due to lifting.

Based on the progress report dated 02/09/16, the patient presents for follow-up. He describes ongoing difficulty with pain in both shoulders, wrists, low back and the bilateral lower extremities from the knees to the calves. His symptoms include pain, spasms, numbness and tingling. He rates his pain level as a 9/10 in intensity, but it is reduced to a 7/10 with use of his medications. He reports that morphine is helping, but he is still taking 5-6 Norco a day. He is also taking a stool softener three times a day as well as Linzess. However, he continues to have significant constipation.

The patient was admitted of January 21, 2018 for physical and occupational therapy. M.G suffers from traumatic arthritis of the right hip,

This is a 38-year-old female with a 1/10/2013 date of injury. A specific mechanism of injury has not been described.

The patient was a 57-year-old married man living on disability insurance. He was admitted to the hospital with a chief complaint of sub sternal pressure-like discomfort, and pain radiating to the back and upper left extremity, which had started four to five hours before intake. The pain

As per medical report dated 5/17/16, the patient is right handed male and presents for evaluation of the right elbow. The patient has been treated with a strap, PT, and NSAIDs. The symptoms have not improved. He presents for ongoing management. Current the patient complains of pain

Based on the latest medical report dated 02/10/16, the patient complains of posterior neck pain rated as 4/10, described as throbbing. She also has 6/10 back pain. Sacroiliac belt increase her left hip pain. She also reports 0/10 elbow pain.

As per progress report dated 8/05/15, the patient is being seen for chronic right ankle pain and chronic right foot pain. Her current medications include Cymbalta 60 mg, Relafen