Summary: A Case Study Of Serensitized Patient Conditions

She was referred to, see a neurology doctor. Client reported she is currently seeing Dr. Lempert/Neurology.

Komblatt, the patient underwent extensive chiropractic treatment with 87 sessions from 10/07/11 through 07/11/12. It was opined that it does appear that the IW ha s undergone excessive passive-chiropractic treatment referable to both lumbar spine and right shoulder. It was further opined that the IW has reached MMI regarding the lumbosacral strain and contusion of the right shoulder within approximately 6-8 weeks post injury. Appropriate treatment would have consisted of aggressive right shoulder and low back rehabilitation to include aerobic conditioning, strengthening exercises involving the right upper extremity, lumbar spine and core, and resumption of normal recreational and work activities within 6-8

IW is currently taking Naproxen. IW is taking gabapentin but states that it has not helped as he has some grogginess. Patient has 50% relief with current medications.

The patient will continue physical therapy 1 day per week for 8 weeks where he will receive moist heat, cold packs, electrical stimulation, massage therapy, ultrasound to the right shoulder by followed by gentle range of motion and strengthening exercises with the goals of reducing pain, improving strength, improving range of motion, improving overall function, and teaching home exercise program.

Patient is an 86-year-old right-handed white female who is a poor historian. She states she saw me several years ago, but cannot recall for what. She did see Geoffrey Starr, MD in 2011 for episodes of numbness and tingling in the right side of her cheek. He did a workup, which included the EEG, EMG, and carotid studies. She was complaining of some right upper extremity and left lower extremity numbness and tingling as well. These were all negative. Her PCP switched her from aspirin 81 mg to Plavix 75 mg. Dr. Starr added Trental to that. The patient states that over the years, she continued to have the numbness and tingling episodes of the right side of her face. The last several seconds at times, rarely

The patient is a 64-year-old female who was noted to have elevated blood pressures. She had been on atenolol in the past, but got some hair thinning with it. She was willing to try it again, from her physical appointment in April 2015. This time however, she felt very fatigued and groggy on it. We, therefore, switched her to losartan 50 mg, which she was taking a half a tablet per day. With taking this, however, she states she started feeling more anxious and had more difficult time sleeping. She stopped it on her own. She has been checking her blood pressures at home and they have ranged in the 120's/60s to 80s.

Patient is diagnosed with pain disorder with related psychological factors and complex regional pain syndrome I of the right upper limb, chronic pain syndrome. He will follow-up in 4 weeks.

medication is not available. I would encourage any and all staff to give their input

02/16/16 Progress Report noted that the pain is very severe in the right upper extremity at a 7-8/10-scale level. She is using the Pulley to exercise shoulder, but it is making her shoulder hurt worse. She is working with modified duties in a thrift store, but it requires her to do repetitive tasks such as sorting and hanging items. She is having

Clinical Scenario: Adult female accountant complaints of right-sided lateral upper extremity numbness and tingling, pain, weakness, and dropping things held in right hand.

DOI: 06/04/2007. Patient is a 66-year-old male baggage service agent who felt pain in his right shoulder after lifting bags. As per OMNI notes, patient is status post right shoulder decompression. Per the Orthopedic AME Supplemental report dated 11/05/19, IW has 3% whole person impairment rating for his bilateral shoulders. Per OMNI payment screen, last PT session was on 07/28/16.

On 6/19/17 I contacted Evergreen physical therapy and requested an update from his physical therapist. On 6/20/17 I was faxed a current update. Mr. Stevens continues to report pain to his shoulder at a 8 out of 10. Moving the shoulder increases the pain Mr. Stevens continues to be very motivated to get better. They continue to recommend physical therapy to continue at 3 times per

Originally this condition was thought to be caused by emotional stress and clients were told that their pain was a fabrication of the imagination. These days, it is known that the painful

DOI: 9/30/1997. Patient is a 49-year-old female visitor service representative who sustained injury to her back and lower extremities when she tripped and fell. As per OMNI, she was diagnosed with complex regional pain syndrome.

Treatment plan includes a single Functional Capacity Evaluation, left shoulder surgery and follow-up visit in 4 weeks.