Urine drug screen obtained on 04/07/16 showed positive for tramadol and desmethyltramadol. Based on the progress report dated 08/23/16, the patient complains left knee pain upon walking. Discomfort was described as aching, tingling, intense, severe, continuous, pain, discomfort, increasing with movement and varying with activity. Pain is rated as 5/10 without medications and 4/10 with medications.
Patient reports left knee pain history of MVA in 2009 and injured left knee. Patient also reports tooth ache 4/10.
Based on the progress report dated 09/12/16, the patient reports more frequent pain with activity since the last
DOI: 3/24/2011. Patient is a 47-year-old male station manager/mechanic who sustained a work-related injury to his neck, back, bilateral shoulder, right elbow and left wrist when he was mounting a tire and the tire kicked back.
DOI: 9/4/2014. The patient is a 51-year old male paint maker who sustained a work-related injury when he missed a step on a platform and fell, jarring his back. As per OMNI entry, he was diagnosed with lumbar sprain and lumbosacral disc degeneration. Based on the medical report dated 03/31/16
Per medical report dated 09/01/2015, the patient presents low back and right hip pain. She rates the pain as 8/10 and characterized as sharp and stabbing. The pain radiates to the right hip, right thigh, knee, leg, calf, right ankle, and foot and is described to be severe and constant. Her condition is associated with joint stiffness, tingling and weakness. Additionally, the pain is aggravated by any activity or movement, doing excessive work, and prolonged sitting. Relieving factors include application
The patient has difficulties ambulating stairs. Her pain is waking her up at night. She failed to improve with the plethora of conservative treatment entailing physical and acupuncture therapies, activity modifications, home-type exercise, injections, medications. On physical examination, the patient is utterly uncomfortable. She ambulates with antalgic gait. Well healed incisions are noted on the left knee. Patellar crepitus noted on the flexion and extension of the right knee with medial and lateral joint line tenderness more so in the medial side. McMurray's test is positive medially. Patellar crepitus is noted together with pain in patellar compression. Patient’s Voltaren gel was refilled. Patient was recommended to undergo right knee arthroscopy with partial meniscectomy and lateral patellar release surgery. She failed to improve with above mentioned conservative treatment. Any further conservative treatment will be of no benefit. Patient was also recommended 12 PT sessions for the right knee
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 latest medical report dated 03/08/16 by Dr. Tenuta, the patient presents for his right knee pain. He was seen for back pain approximately a year ago. He has had persistent issues with that. He feels that he has been favoring his knees. He has been having problems going up and down steps. On examination, he has crepitus with patellofemoral range of motion. As of this
DOI: 12/13/2012. Patient is a 64-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14. Per QME Dr. Murphy on 08/11/15, the patient has a 20% whole person impairment rating. Future medical care includes 4-6 visits per year for recurrent symptoms, narcotic/nonsteroidal anti-inflammatory drugs (NSAIDS) in addition to gastrointestinal stabilizing medications, pain management specialist monitoring, office visit with an orthopedic surgeon once a year with X-ray, revision surgery in the future and bone scan.
DOI: 8/4/2014. The patient is a 37 -year-old male climber who sustained a work-related injury from repetitive climbing. According to the QME report on 5/27/15, future medical care provisions includes physician visits, medication refills, physical therapy, access for independent aquatic exercise as part of home exercise program, possible additional attempts
DOI: 1/23/2015. The patient is a 53-year-old male unit masonry employee who sustained a work-related injury when he fell approximately 12 feet off scaffold. Per the adjuster, knees are not accepted for this claim. Per IME dated 09/18/15 by Dr. Philip D’Ambrosio, it was opined that there is no further
DOI: 1/27/2015. Patient is a 56-year-old female sales service representative who sustained injury while lifting boxes from a pallet and strained her low back.
DOI: 2/25/2016. The patient is a 38-year old male full-time lot attendant/porter who sustained a work related injury to his left knee due to twisting knee while walking down ramp after parking car. The patient is subsequently diagnosed with sprain of unspecified site of left knee, subsequent encounter. As per office notes dated 7/22/16, the patient returns for a follow up. The patient states that since the last visit, he stayed the same. He rated his pain as 3. Then patient is taking his medications as prescribed. He notes no adverse medication reaction or side effects. The patient is currently working at full duty. Physical examination revealed that the [patient appears to be in mild pain. Left knee examination revealed that superficial swelling
DOI: 5/1/2012. Patient is a 39-yearold female packer who sustained injury to her head, back, right shoulder and right leg when boxes fell on her.