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
The SPADI questionnaire showed a steady decline in the amount of pain and disability that the patient was experiencing. The patient experienced a difference of 28% less pain over the course of the study and 37.5% less disability. Overall there was 33.8% less pain and disabilty from the start of the study to the finish. The followup assessment showed a slight increase in the total SPADI score with a gain of 5.4% (Figure 6).
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.
It is estimated that over 3.3 million U.S. women, or 2.7 percent, who are 18 years of age or older have pelvic pain and other symptoms, such as urinary urgency or frequency, that are associated with IC/PBS.
Due the patient’s symptom reproduction with the straight-leg-raise test, the SLR measurements remaining between 30-60 degrees hip flexion, the positive slump test, the described radicular pattern, and diminished Achilles DTR the therapist concluded that the examination findings were consistent with the medical diagnosis of L5/S1 disc herniation with associated nerve root involvement. (CITE) Therefore, the physical therapists diagnosis was practice pattern 4F: Impaired Joint Mobility, Motor Function, Muscle Performance, Range of Motion, and Reflex Integrity Associated with Spinal Disorders. (CITE) Once tested, the sacroiliac (SI) tests determined SI joint dysfunction which warranted interventions to improve SI joint mobility. (CITE)
However, physical therapists may need to compromise what is best for patients due to regulations, and limited benefits. Scenarios may surface where ethical issues and associated dilemmas become paramount between what is versus what should be. This could be a challenge for professionals. However, knowing and utilizing available resources especially the APTA, other websites, documents, and references can strengthen practice patterns and treatment options towards creating a better community project. Treating pelvic floor dysfunctions is an area of practice where it is prudent, practical, and perhaps mandatory to first have a physician’s order and possibly collaborate with that physician and/or other professionals. Doing so helps ensuring that the patient gets a correct diagnosis, and gets the most appropriate treatment or treatment options presented to him or her; that no harm is done to the patient; and that each professional on the team does his or her part legally, ethically, and professionally. Finally, if the treatment of pelvic floor disorders is both legally and ethically acceptable within the boundaries of my discipline and scope of practice of my license, there is no doubt that physical therapists should be knowledgeable and competent enough in the primary and alternative treatments for pelvic floor disorders he/she plans to treat, and not treat, to be able to obtain meaningful informed consent from the client and/or his or her
O: mild grimace on her face; sitting strait up on the exam able without the support; tender over the left side of the lumbar spine, Full lower lumbar ROM with some pain; able to perform heel and toe walks; negative straight leg raise; no impairment of NVS; DTR 2+to bilateral lower extremities
Based on the progress report dated 08/25/16 by Dr. Ahmed, the patient complains of left shoulder pain, neck pain, low back pain, and right ankle pain. IW have received certification for 12 visits of physical therapy to the lumbar spine and right ankle. Overall, the pain and symptoms remain the same. Patient also complains of difficulty sleeping due to
A-Based on this writer's assessment, the patient appears to be alert and oriented. No evidence of SI/HI. The patient is at the maintenance stage of change based on her numerous negative results of UDS result and seriously focused on her recovery process.
The organs of the pelvis i.e. the region of the body between the hip bones include the vagina, cervix, uterus, bladder, urethra, intestines and rectum. These organs are clasped in place by a group of muscles and other tissue. When this support system becomes strained or dithering, it permits pelvic organs to slide out of their normal places or droop down (prolapse).
My client Miles Meredith tested within normal limits for Response to vertical loading, dynamic foot function, and spine range of motion, and knee position. He also tested negative for scoliosis. However during the postural analysis I notice that patient has lordotic posture as well as forward neck posture.
The lower extremity, an important part of a person’s daily lifestyle; responsible for most things related to movement, and travelling from one place to another. This region of the body includes the hip, knee, ankle, and the bones of the thigh, leg, and foot. Most people refer to the lower extremity as the leg. The leg, however, is in fact the body part situated between the knee and the joints of the ankle. Along with the hip joint, the leg, knee, ankle and foot work together in synchronised unison to enable movement in the lower extremity. This report shall focus on a study of the hip, knee, and the ankle and foot.