Muscle Guarding Case

Per medical report dated 10/26/15 by Dr. Parsioon, the patient was initially seen on 9/14/15 for evaluation and treatment of cervical pain. At that time, he had neck pain without radiculopathy and bilateral hand tingling. IW stated that physical therapy made his neck pain increase and he wanted to make sure that it is okay to continue this. His chief complaint is pain in his neck radiating to the right shoulder and arm. He states the only time he gets the tingling sensation in the hand is

Based on the progress report dated 05/26/16, the patient complains of lower back pain and stiffness with radiation to the right hip, thigh, below the knee and toes. There is numbness at the back. There is weakness of the right hip. Pain increases with prolonged sitting, standing, bending, lifting, negotiating stairs and walking.

Patient reports back pain that radiats down to her legs, denies injury to the site. current pain 4/10. Patient also reports bilateral knee joint pain. Patient denies chest pain, SOB, N/V/ D, or fever.

He describes the pain as primarily in the low back, left greater than right which is constant. He gets intermittent mid to upper back pain in the midline which tends to be short lived and self resolving. He also gets radiation into the bilateral hips and occasionally the left groin is also intermittent.

Based on the progress report dated 02/29/16, the patient is doing well but reports intermittent pain. He has had a lumbar ESI on 06/15 with no relief.

Based on the progress report dated 05/23/16, the patient complains of constant pain in the mid back, that she describes as sharp. There is radiation of pain into the lower extremities. The patient complains of constant pain in the right wrist and in the left hip travelling down to her left leg with a burning sensation affecting her left knee and ankle, causing numbness and weakness. The pain increases with prolonged periods of walking and

Based on the progress report dated 11/10/16, the patient complains of constant lumbar spine pain, rated as 2/10. Pain is described as sharp, stabbing and throbbing. Pain is aggravated by prolonged sitting, standing and walking, and relieved by rest.

Based on the latest medical progress report dated 05/16/16 by Dr. Merola, the patient complains of severe pain in the neck radiating

Based on the latest medical report dated 12/21/15, the patient complains of persistent severe pain in the lower back radiating to the buttocks and legs, greater on the left side.

Patient is in obvious discomfort. He outwardly appears to be in pain. He does have outward signs of pain after some motor testing of the left upper extremity. He walks with a reciprocal gait. Strength show 4/5 of the left shoulder deltoids with pain, left wrist extensors and left finger flexors. “Decreased index middle and ring fingers.”

Based on the medical report dated 09/19/16, the patient complains of unchanged pain to his low back, abdomen, right groin, and pelvic region. He also reports insomnia, associated with ongoing pain.

Based on the medical report dated 12/01/16, the patient complains of pain in the lumbar spine. The pain level is at 4-5/10 as the patient had

DOI: 6/19/2003. Patient is a 57-year-old female clerk who sustained a work-related injury on 6/19/2003 to her back due to a motor vehicular accident.

Per the medical report dated 09/13/16 by Dr. Grimm, the patient complains of pain to his neck and low back, without radiation. There has been improvement since the last visit. He notes that the pain is worse with activity, and alleviated by home exercise program (HEP).

Based on the progress report dated 11/07/16 by Dr. Smith, the patient complains of lumbar spine pain which radiates to the bilateral lower extremities. Pain is rated 4/10 and is associated with numbness and