Strudwick's Injury

DOI: 6/23/2016. Patient is a 42-year-old female registered nurse who sustained injury to her neck/left shoulder when she twisted to keep the attachment from falling to the floor. Per OMNI, she was initially diagnosed with strain to multiple body parts.

Based on the progress report dated 03/02/16 by Dr. Ozaeta, the patient has had a right knee corticosteroid injection one week ago. She had to take a Norco yesterday for right knee pain. She saw Dr. Cantrell, who requested 8 additional physical therapy sessions. She has low back discomfort, notable when sitting. She takes nortriptyline and an antihypertensive.

Based on the medical report dated 12/22/16, the patient was last seen on 10/13/16, and was recommended to have continued therapy. He has not had therapy secondary to insurance issues over the last month or so. He presents with ongoing right elbow pain status post cubital tunnel release and medial epicondylitis debridement, worsening with motion and activity, lifting, reaching, bending, upper extremity dressing, household

The patient wants to also update me as far as the arm pain he mentioned last time. He says his left arm is feeling better now. He is noticing that his right shoulder is hurting at times, especially in certain positons such as while he is sleeping and if he has his arm raised over his head while he is lying down. He had no specific injury or trauma. He is not aware of anything that makes it better or worse. He is not using any medication for it thus far. He would be interested in having

Examination of the bilateral shoulder reveals tenderness to palpation about the anterior shoulders bilaterally. There is also restricted range of motion secondary to pain and her supraspinatus weakness and Hawkins’ impingement tests are both positive. In addition, Neer’s impingement and drop-arm tests are also positive.

On Primary Treating Physician’s Progress Report (PR-2) dated 08/11/2017, the patient presented with unchanged symptoms. His left-hand pain was rated at 8/10. and was described as constant and sharp. The pain was aggravated with certain movements and gripping. The

Based on the medical report dated 03/25/16, the patient continues to have significant headaches and bilateral neck and shoulder pain. IW has numbness and tingling in both arms with neck pain.

The patient was diagnosed with bursitis of the right shoulder, pain in right shoulder, and impingement syndrome of the right shoulder.

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

According to the IME report on 11/9/15 by Dr. Shashi Patel, the patient has not reached maximum medical improvement for any of the body parts and a follow up care with pain management is appropriate.

He elevates foot, rest it, applies ice pack, and takes pain medication to help alleviate pain. Patient is currently taking Norco. Patient is not under any form of therapy. Patient walks with a limp favoring the left leg. There is noted tenderness on the medial aspect of the left ankle, and swelling on the lateral aspect of the ankle. Patient’s last x-ray was done a year ago and revealed hard palpable mass on the rear foot at talonavicular joint which is potentially a screw placed by previous surgeon. There is 6/10 pain noted at the anterior talofibular ligament and calcaneofibular ligament. Pain is increased with plantarflexion and inversion of foot/ankle. The peroneal tendon is weak and painful along the lateral malleolus. The palpable pain is rated as 9/10. Pain increases against resistance to the peroneal muscle. There is pain noted at the lateral shoulder of the ankle mortis. Muscle testing showed 3/5 on the left ankle evertors.

DOI: 12/1/2003. The patient is a 58-year-old female book keeper who is experiencing pain in her right arm and wrist due to performing her usual and customary job duties. Per OMNI, the patient is diagnosed with neck pain and bilateral upper extremity pain. The patient is subsequently diagnosed with lateral epicondylitis, right elbow; lateral epicondylitis, left elbow; radial styloid tenosynovitis; and enthesopathy, unspecified. As per medical report dated 6/23/16, the patient walks in due to worsening of symptom. She has worsening pain in the right upper arm, forearm, medial, and lateral elbows, and left upper arm, forearm, medial, and lateral elbow, right more than left. Pain is burning in nature and constant. Any gripping/grasping activity

DOI: 11/16/2016. Patient is a 48-year-old female lift truck operator who sustained injury to her left hand, right arm and back due to picking up coils and heavy parts in heat exchange. Per OMNI entry, he was initially diagnosed with bilateral wrist pain and low back pain.

DOI: 10/4/2007. Patient is a 43-year-old male upholsterer who sustained a work-related injury to his left knee due to being struck on table. The patient is subsequently diagnosed with impingement syndrome, right shoulder. As per office notes dated 7/14/16, the patient returns for follow up. The patient is frustrated due to denial of the right shoulder surgery. It was noted that the patient is still having very significant pain in both of the shoulders, more on the right. Objective findings revealed that the patient has a positive Neer’s and Hawkins sign bilaterally. He has active forward flexion only about to 125 degrees on the left and about 100 on the right. He has supraspinatus weakness, bilaterally. He has some scapular dyskinesis, bilaterally.

HPI: Ms. Smith presents to the office with bilateral shoulder stiffness and lateral elbow pain in right arm. The patient has been suffering shoulder stiffness for over 2 years. The symptom developed gradually after she started using her computer more at her work place; she had to hold her telephone between her shoulder and head while typing information on computer. The pain in right elbow stated about 8 months ago with gradual onset. The patient does not recall any trauma to the shoulder and elbow. She has been diagnosed as tennis