Lmbar Ppe Case Studies

DOI: 5/5/2015. Patient is a 53-year-old male engineer who sustained injury while lifting a 10 inches long steel bracket when he felt a pull in his lower back.

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.

Goals of Treatment Plan include decreasing pain/spasms, increasing range of motion/ability to perform normal activities of daily living/strength, returning the patient to his pre-clinical status and increasing function. Long term goals include the reduced usage of over-the-counter/prescription medications as well as an increase in up to 5-10 repetitions of therapeutic exercise/neuromuscular education and an increase in 2-5 minutes of spinal endurance exercises (recumbent bike/ergometer) by the next

Treatments rendered to date included medications, physical therapy, 3 sessions of acupuncture treatment, an e-stim unit, and lumbar back support.

As per medical report dated 3/10/2016, patient complains of low back pain rated at 7/10 with left lower

Based on the medical report dated 03/30/16, the patient has had pain in the right lower leg, numbness and tingling on the left side as well, rated as 8-9/10.

Recommendation was made for a left L5 transforaminal epidural steroid injection to see if this will help her pain more than the SI joint and piriformis trigger point injections. This would be for diagnostic purposes and potential therapeutic. She would like to schedule the injections.

OI: 09/15/2012. Patient is a 67-year-old female home attendant who sustained injury to the back while she was lifting/transferring a client. Per OMNI, she is diagnosed with back pain.

Per office visit note 02/16/2016, patient complains of back pain, rated as 1/10 while sitting and 8/10 while standing. She also reports leg pain, rated as 7/10 while standing. As per office notes dated 5/19/16, the patient complains of left buttock pain 15%, specifically rated as 0/10 while sitting and 7/10 while standing. She also reports leg pain 85%, specifically rated as 0-1/10 while

Based on the progress report dated 03/28/16, the patient complains of pain to his lumbar

Based on progress report dated 08/06/15, the patient complains of increasing low back and right lower extremity pain. Pain is rated as 6/10 with medications and 10/10 without medications.

Based on the medical report dated 08/31/15, the patient complains of low back pain, associated with numbness and parethesias. She has been treated with PT and is scheduled for her first lumbar ESI. On examination of the lumbar spine, range of motion shows anterior flexion of 30 degrees and extension and bilateral lateral bending of 10 degrees, all with pain. Straight leg raisin test is positive bilaterally Assessments are displacement of cervical and lumbar intervertebral discs without myelopathy. Conservative treatment consisting of PT, anti-inflammatory medication, pilates and/or

Treatment history includes 24 PT visits, lumbar epidural injection in 10/2014 which helped by 50% and on 01/23/15 with 50% relief and 8 visits of chiropractic treatment. The following medicatiosn were discontinued: Advil and Tylenol with insufficient relief; -Relafen and Flexeril, which helped somewhat decrease his pain;and

DOI: 11/14/2005. Patient is an 83 year old female demonstrator who sustained injury to her lower back while breaking down on her table.

Patient’s home exercise plan was modified cow or camel against wall and standing spinal twist, which was 5 sec hold, 10-15 repeats and twice a day.