Summary Of Work-Related Injury

groups of her lower extremities bilaterally. Sensory exam is normal to pin prick and light touch

Impressions are lumbar discogenic pain syndrome, left lumbar radiculitis, myofascial pain, lumbar degenerative disc disease, and chronic pain syndrome and shoulder pain.

Per the medical report dated 03/29/2016 by Dr. Waghmarae, the patient believes that her left buttock pain has increased over the last month. She describes her pain as aching, throbbing and stabbing. She rates her pain symptoms as 8/10. Pain is relieved by medication, heat, ice and use of a Transcutaneous Electrical Nerve Stimulator (TENS) unit, and is increased by movement and standing for long periods of time. She states that her bilateral legs have also increased in pain severity over the last month. She believes because she is doing a lot of standing and trying to clean up her house. She states that pain is increasing in her left buttock. She is not involved in physical therapy, chiropractic, massage therapy or acupuncture. Palpation of the lumbosacral spine reveals abnormalities along the bilateral facet joints. There is pain in her axial lower back in all planes of lumbar motion that is

Per the IME report on 4/28/16 by Dr. Pierce Ferriter, the patient reports that he is actively treating with physical therapy and chiropractic treatment at a frequency of 3 to 4 times per week. The patient’s diagnoses include resolved lumbar strain, resolved cervical strain, resolved left shoulder strain and resolved right knee strain. There is no medical necessity for further physical therapy, orthopedic treatment of diagnostic testing based on examination.

AME dated 6/19/2012 future medicals recommends access to follow up visits for monitoring of his condition with continued provision of pharmacologic agents as prescribed by the managed by the designated primary treating physician. In the setting of symptom flare-ups, re-instatement of brief courses of traditional physical therapy/chiropractic treatment/acupuncture/massage therapy would be beneficial in restoring to baseline function, not anticipated to exceed the requirement of 10 to 14 sessions of all modalities combined per calendar year. Yearly

Based on the medical report dated 03/30/16, the patient has had pain in the right lower leg, numbness and tingling on the left side as well, rated as 8-9/10.

MD discussed with Dr. Kinsman the following: Assessment (1) The patient is somatically oriented; (2) The patient is getting some improvement regarding activity level and endurance/ergonomics with the current court of physical therapy, but the patient has very little understanding of functional management as a long-term strategy to manage her symptoms; (3) MD and Dr. Kinsman feel that the patient would likely be a good fit for the functional restoration program and deserves a one day evaluation for the functional restoration program.

DOI: 12/15/2015. Patient is a 43-year-old male senior buyer who reported pain in his left elbow/arm from repetitive motion using the keyboard. Per OMNI, he was initially diagnosed with left elbow epicondylitis.

As per medical report dated 2/18/16, patient complains of constant low back pain in a L4-5 distribution. Patient has undergone physical therapy as well as medication management without amelioration of the pain and continues to be symptomatic. He had previous epidural steroid injection. He also had acupuncture

Based on the progress report dated 03/28/16, the patient complains of pain to his lumbar

Per the medical report dated 05/27/16 by Dr. Joshi, the patient continues toward goals. Patient reports that PT alleviates her pain, improves overall functional limitations, allows her to perform activities of daily living (ADLs) with less difficulty and allows her to take care of infant child without assistance or difficulty.

Based on the latest medical report dated 06/29/16, the patient continues to complain of low back pain, increased with prolonged standing and sitting. He had been receiving PT for his back prior to the injury, due to a herniated disc and has been progressing. He has been taking naproxen with some relief.

DOI: 11/14/2005. Patient is an 83 year old female demonstrator who sustained injury to her lower back while breaking down on her table.

Three interrelated components for promoting recovery consist of facilitating personal adaptation, promoting access and inclusion and developing hope-inspiring relationship (Bennett, Breeze, & Neilson, 2014). This model has been applied to Mr. Wilson and to some extent, utilizing patient centred care and notion of recovery guides the management of his symptoms. For example Mr. Wilson would regularly sit down with me to discuss his immediate and long term needs. I orientate him to what he needs for his daily living activities.

Per progress report dated 5/02/2016, patient continued to complain of constant pain but is overall doing better. He has pain in the axial neck and low back. The pain radiates only intermittently, rated as 5/10. The pain is relieved with Norco without side effects. The pain medicine relieves pain to a 2/10 which allow performance of grooming and cleaning. On examination, lumbar spine range of motion is limited with 45 degrees flexion due