Epicondyle Debridement: A Case Study

Per medical report dated 01/23/15, the patient reported of middle and lower back pain and bilateral leg pain with tingling. He was diagnosed with thoracic compression fracture and lumbar spondylolisthesis.

Per medical report dated 11/24/15 by Dr. Cano, the patient is complaining of severe numbness in the right hand, tightness around the right worse than left hand. She also associates this with dropping items. She is unable to button her shirts or raise her arms up to her elbows. This is continuous all day long. Also, associated is severe low back pain with numbness, radiation, and muscle spasm in the thoracic area, and numbness and radiation down the right sciatic nerve with severe low back pain. She continued to work, sixteen-hour shifts, seven days a week. At this time, she is unable to function. She states that she has had 24 sessions of physical therapy that has definitely helped her.

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

DOI: 2/24/2016. Patient is a 46-year-old male production technician who sustained injury while he was lifting a heavy door when he felt immediate pain in his right shoulder. Per OMNI, he was initially diagnosed with right shoulder strain.

DOI: 03/11/2009. Patient is a 60-year-old male truck driver who sustained a work-related injury to his back when he tried to catch a box from falling. He is status post two back surgeries on 07/06/2009 and has reached Maximum Medical Improvement as of 06/19/2012.

IW was diagnosed with cervical strain with right arm dysesthesia with what appears lo he chronic regional pain syndrome of her right arm, right shoulder biceps tendonitis and subacromial bursitis with associated impingement, status post subacromial injection x 1, mild medial and lateral epicondylitis of her right elbow, carpal tunnel syndrome by EMG/nerve conduction velocity and reactive depression.

Based on the progress report dated 02/02/16, the patient presents for evaluation of his bilateral knee pain. He was last seen on 01/05/2016.

Based on the progress report dated 03/10/16, the patient complains of continued pain over the lateral epicondyle. He has completed 3 PT sessions to date with no improvement. Pain is radiating from the elbow towards the shoulder and hand, rated as 8/10. Review of systems is positive for joint pain and bronchitis.

DOI: 11/25/2014. Patient is a 47 year old male laborer who sustained injury to his left side of body, back, shoulder, and ankle while he was walking/smoothing tar when he was hit by double bottom truck while working at job site. Per OMNI, he sustained strain to lower back, left shoulder, and left ankle.

Based on the medical report dated 03/30/16 by Dr. Kharrazi, the patient presents for an orthopedic re-evaluation regarding his right shoulder.

DOI: 6/5/2014. The patient is a 52-year-old male full-time yard person who sustained a work-related injury to his left shoulder as a result of repeatedly pushing down on a lever to cut pipe.

\DOI: 3/11/2016. Patient is a 52-year old male supervisor who sustained a work related injury to his right elbow and tore his muscle when he tries to grab a falling 'A' frame. As per medical report dated 5/3/16, patient suffered biceps tendon tear. It was noted that the patient had surgery performed on 3/25 and he is in the process of going through physical therapy. He continues to have limitations in range of motion of the elbow. He also has developed fluid and edema over the right elbow into the olecranon bursa. He has an extension lag of about 15 degrees. He can flex his elbow, but not fully. There is about 5-6 inches between his fingertips and his shoulder. He also cannot perform full supination and pronation. It is in the moderate range at this time.

DOI: 5/22/1957. Patient is a 58-year old male forklift operator who sustained a work-related injury on 8/8/1988 to his mid/lower back and hip when he slipped on ice in a freezer.

Based on the progress report dated 06/02/16, the patient presents for evaluation of her left wrist. She is still having a lot of symptoms. She did have a repeat nerve study which showed normal.

He complains of constant left elbow and wrist pain, which radiates from the left elbow to the finger tips with numbness. Pain is rated as 5/10. He takes ibuprofen 800mg with some relief. He reports intermittent numbness into