Physical Therapy Case Study

(3) spondylolishesis is the lumbar slippage of the vertebra between L4-L5 and L5 and S1 which causes the compression of the spinal nerves 4) degenerative joint disease related to aging is also responsible for the cause of sciatica, there is a malformation involvement in the spine and dehydration resulting to disc herniation and severe inflammation in the vertebral bodies causing the compression and irritation of the spinal nerve roots 4) degenerative joint disease related to aging is also responsible for the cause of sciatica . Sciatica evolves between the age of forty to sixty years old and commonly occurs more in male as compared to female (Fuller & Goodman, 2015). Also, genetic cause also plays a significant role in etiology aside from infection, the vast amount of load of the vertebral column causing the protuberance of the disc(Fuller & Goodman, 2015). Moreover, malignancy or arthritic spine within the vertebra or trauma implicates the cause of sciatic nerve irritation or compression (Fuller & Goodman,

Low Back: Article by Fritz and Kelly demonstrated literature review of how to differentiate low back pain between musculoskeletal and non-musculoskeletal sources. The patient demonstrated with red flag signs and symptoms that lead the therapists to believe it could be a non-musculoskeletal problem. They discovered that bilateral leg symptoms and spinal deformity is a possible indication of spinal neoplasm. The patient presented with both of these symptoms along with insidious onset of pain. A clinical decision was made to refer the patient to receive an MRI. The MRI ruled out a spinal neoplasm, but did show a grade 2 spondylothesis.

In degenerative spondylolisthesis, radiographic findings include a spinous process below the level of the slip. X-rays of fracture spondylolisthesis show the body, pedicles, and superior articular processes slipping forward above the level of the slip with the spinous process in it's usual position. This disorder can be managed with physical therapy and reduced activity with an emphasis on forward flexion, as extension can further cause disruption of the vertebrae. Pain medication and bracing can help decrease pain, though surgical intervention is sometimes necessary as a long term solution (McKinnis,

In this case, although the error started from the transmission of the discharge note to the home health care agency, Physical Therapist and Physical Therapist Assistant made number of mistakes in terms of clinical practice and delegation. First of all, completion and accuracy of patient’s physical therapy record is a professional responsibility of a supervising Physical therapist.1(p4) However, the PT failed to read the hospital discharge referral and documented incomplete and inaccurate plan of care. As a result, important information such as un-cemented prosthesis in situ and weight bearing limitations were not documented. In addition to that PTA elected to follow a protocol for cemented hip arthroplasty without referring back to PT for the missing information in the assessment. According to Texas Board of Physical Therapy examiners rule, “PTA may not specify and/or perform definitive (decisive, conclusive, final) evaluative and assessment procedures.”1(p5) Hence, it was also a mistake of the PTA to conclude the assessment and elect the inappropriate plan of care.

Diagnosis: Other spondylosis with radiculopathy lumbar region, other spondylosis with radiculopathy lumbosacral region, Sacroiliitis, Sacrococcygeal disorders, Low back pain, other intervertebral disc displacement, lumbar region

The statutes, rules, ethics guide, and policy statements are specific in informing physical therapist what is involved in the legal practice of physical therapy in Arizona (Arizona state board of physical therapy, n.d a.). The approval of licensure is different for a new graduate, a physical therapist with a license in another state, and a foreign educated therapist. In each of the categories, a person has to be of good moral character and complete the application process correctly. For a new graduate of an accredited institution in the United States, a passing score on the national exam in required. The minimal passing set by The Federation of State Boards of Physical Therapy is a scaled score of 600. When I took the boards in 1974, California

The patient has been diagnosed with bilateral peripheral neuropathy. She has been seeing Kishori Somyreddy, MD. Dr. Somyreddy recommended physical therapy, which she is not sure it helped with the neuropathy, but she does think it helps with her chronic back pain and she is feeling better from that standpoint. She has not been able to stick with the physical therapy exercises as much of late, but does plan on getting back to that now that she is settled and feeling less stress with all that she needs to do.

Prognosis is guarded at this time since the patient is actively rehabbing and treatment is incomplete. The patient understands that chiropractic management through active and passive treatments have been demonstrated to be effective in the treatment of chronic spinal soft tissue injuries.

Corpus Christi Physical Therapy & Sports Medicine is a full-service physical therapy clinic that is located in Corpus Christi, Texas. Corpus Christi Physical Therapy & Sports Medicine uses research-based concepts, training and techniques to bring their customers comprehensive and effective physical therapy treatments. Their patient, Paul Chapa had a very bad motorcycle accident. He said that their staff treated him like family. Paul Chapa also shared that they are very nice and very professional. Paul Chapa has come a long way compared from 3 months ago. One time his doctor even told him that he almost lost his leg. Now, he is up and walking. It may be still a long process but he knows that Lee Glover, the physical therapist and his staff

Newton, the IW has reached MMI. Total Whole Person Impairment (WPI) rating is 17%. Future medical care for the lumbar spine includes nonsteroidal anti-inflammatory medications (NSAIDS), muscles relaxants, physician follow-up visits for acute exacerbations, and additional physiotherapy sessions for any acute exacerbations that do not improve after 6-8 weeks of medications and additional lumbar epidural injections. Any further diagnostic studies are not anticipated, unless there is a significant acute exacerbation or aggravation that does not improve after 6-8 weeks of conservative treatment. Lumbar surgery is not recommended or anticipated.

Per our telephone conversation on Wednesday, March 22, 2017, you informed your VR counselor that you have terminated your physical therapy sessions and we both realize that your successful completion of physical therapy was an important step toward your participation in the work evaluation. The agency has been unable to provide VR services within the past two years and it appears that the agency will not be able to provide VR services in the foreseeable future.

In the summer between my sophomore and junior year, I had started to feel agonizing pain in my lower back. After seeing a specialist and going over the MRI, I was diagnosed with Lumbosacral Disc Disorder with Radiculopathy. Overall, the MRI revealed lumbar degeneration and congenital abnormalities of the lumbar spine with spondylolisthesis and instability. The problem causes low back pain with left leg weakness and numbness. The congenital abnormality of my spine was there since birth which is very rare; however, I do not have the most severe case compared to other people diagnosed with the same problem.

The claimant is a 31-year-old male who had an injury on 03/01/2017 while lifting a pallet, he shifted his weight and injured his left shoulder. He was diagnosed with chronic, complete rupture of the left distal biceps tendon. He underwent Allograft reconstruction of the left distal biceps tendon on 06/22/2017.

Patient is diagnosed with lumbar arthrodesis and bilateral sacroiliac joint dysfunction. She is status post bilateral sacroiliac joint arthrodesis with X-spine instrumentation in 06/08/2015.

Mr./Mrs. Physical Therapist Supervisor this is in regards to your open position as a Physical Therapist in your clinic. This part/full time job which is currently open, extremely fits with the details of a job I am currently looking for. The proximity to school as well as the hours that are offers would most adequately fit my school schedule and allow to focus on both without no distractions. When my mentor informed me of the job opening and the details, motivation surged through me for the desire of the job. Working for and as a physical therapist has been my goal ever since the beginning of high school especially for such a great company which provides a wide variety of benefits toward its customers. Aside from thee great services it provides