Work Related Injury

Per medical report dated 2/16/16 by Dr. Bakhos, the patient has been in physical therapy and using brace with goof relief of his pain. However, he reports increasing pain in the anterior knee for the past 3 weeks. The pain is exacerbated with stairs and kneeling. It is decreased with a brace and Advil. The patient received steroid injection to the right knee.

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.

11/18/15 Progress Report documented a follow-up visit. The patient presented with a history of right knee pain, stating the current level of pain is a 5/10. On exam, the physician indicated the patient had a tentative gait with ecchymosis to the right lower extremity. The patient had a 20 cc effusion to the right knee. There was tenderness of the tibial tubercle in the medial joint line. There was also tenderness of the patellar tendon. The physician indicated that the patient is progressing in physical therapy and recommended the patient continue to regain full function of the knee.

On examination, he has moderate pain to palpation to the lumbar spine and paravertebral muscles over the bilateral facet joints at L4-L5-S1. He has a positive straight leg raise test to the right.

Based on the progress report dated 09/21/16, the patient reports of 60% pain relief, functional gain and activities of daily living improvement from completing physical therapy, per Dr. Khan, which decreased her pain intensity and improved her range of motion. She reports she will be undergoing

Based on the latest medical report dated 03/08/16 by Dr. Tenuta, the patient presents for his right knee pain. He was seen for back pain approximately a year ago. He has had persistent issues with that. He feels that he has been favoring his knees. He has been having problems going up and down steps. On examination, he has crepitus with patellofemoral range of motion. As of this

DOI: 12/13/2012. Patient is a 64-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14. Per QME Dr. Murphy on 08/11/15, the patient has a 20% whole person impairment rating. Future medical care includes 4-6 visits per year for recurrent symptoms, narcotic/nonsteroidal anti-inflammatory drugs (NSAIDS) in addition to gastrointestinal stabilizing medications, pain management specialist monitoring, office visit with an orthopedic surgeon once a year with X-ray, revision surgery in the future and bone scan.

DOI: 12/18/2015. The patient is a 60-year-old male quality control manager who sustained a work-related injury when he fell from a 6-feet scaffold when he stepped on an unsecured board. Patient underwent open reduction and internal fixation on 1/8/2016.

MRI study of the left knee doted 07/26/15 revealed Grade Ill type tear of posterior horn of medial meniscus and anterior horn of the lateral meniscus. There is thinning and splaying of the anterior cruciate ligament joint. However, there appears to be intact fibers. There is thickening and intermediate signal of the posterior cruciate ligament (PCL), which may represent a chronic partial tear versus tendinopathy. Mild Grade I sprain of medial collateral

MRI of the right knee dated 05/17/16 revealed that there is a truncated appearance of the lateral meniscus compatible with prior partial meniscectomy. There is no evidence of imbibition of intra-articular contrast into a re-tear. Advanced lateral compartment arthropathy is seen. There is a moderate medial compartment arthropathy. Minimal periligamentous edema is seen along the medial collateral ligament possibly a very low-grade 1 sprain. There is a 5 mm chondral defect at the median ridge of the patella, possibly an old chondral fracture. There is no bone marrow

O: Left Knee: no malalignment, no atrophy, no swelling of the Knee, no ecchymosis, mild warmth to the anterior part of the knee; mild erythema; no effusion palpated; Reports tenderness to anterior part of the knee with palpation; Full AROM and PRO with pain; Knee joint stable, without locking, and catching. McMurray test was negative.

The above named patient visited our facility in March 22, 2016 on account of left knee pain, swelling, difficulty with walking and a sense of weakness in the left lower limb. She accidentally injured her left knee in August 4, 2015 while she was on a plane. Imaging studies were obtained in the United States, and the results showed a partial tear of the ACL, MCL, LCL and a low-grade sprain of the PCL. She had physical therapy for 5 months both in the United States and Nigeria before visiting our facility. Her major complaints were general limitations in her daily activities. These included pain which got worse with activity such as prolonged walks; difficulty with squatting, stair climbing and stooping; recurrent left knee swelling and occasional buckling.

DOI: 1/25/2008. Patient is a 54-year-old male service technician who sustained a work-related injury when he slipped and fell while installing a tub. The patient is subsequently diagnosed with hemarthrosis of knee or lower leg, hemarthrosis of left knee, lumbar facet arthropathy, bursitis of left shoulder, derangement of medial meniscus due to old tear of left knee, complete rupture of rotator cuff. MRI of knee joint without contrast/-“LT/A” dated 2/17/16 revealed extensive metallic susceptibility artifact which does not allow assessment of the medial femorotibial compartment; there are some degenerative changes of the anterior horn of the lateral meniscus without definite tear; there is low grade chronic partial tearing versus mild mucoid degeneration

The patient stated that he began experiencing painful swelling in his right knee over a decade ago. A large mass grew around the knee and he underwent a total knee arthroplasty. Not long after the arthroplasty of his right knee, he began experiencing similar symptoms in his left knee and right elbow.

Brief Description of patient: - Patient is a 27 year old male that presents with atraumatic knee pain in his left knee. Patient has difficulty performing squats, lunges, and other knee related activities while exercising, he also has limited range of motion both active and passive. When tested for ligamentous issues all tests results were negative.