Iw Case Reports
DOI: 6/25/2007. Patient is a 37-year-old female store manager who sustained injury when a tote slipped off shelf and struck her left side of the body. Per OMNI, she is status post ulnar nerve decompression on 03/11/08, left De Quervain’s release on 09/08/09, spinal cord stimulator implant on 08/03/11 and shoulder surgery on 01/19/15.
Per the PT attendance report dated 05/07/15, the IW has attended a total of 30 sessions for the left shoulder from 02/05/15 through 05/01/15.
Based on the medical report dated 06/24/16 by Dr. Angermeier, the patient presents for evaluation of left hand numbness and tingling. She has history of left ulnar nerve decompression approximately 6 years ago. She also has history of both left upper and lower
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She has elbow range of motion actively from 15 to 150 degrees. She is exquisitely tender to touch throughout the medial elbow and distal forearm. There are some trophic skin changes consistent with her diagnosis of complex regional pain syndrome. She has subtle weakness of the intrinsic function in her hand. There is a 2 point discrimination of 8mm and ulnar nerve distribution, 4 mm in the median nerve distribution.
Current medications include Xanax, Symmetrel, Amrix, Flexeril, Relpax, Duragesic patch, Fentanyl, Prevacid, Movantik, Zofran, Roxicidone, Prevident, Trezix, Chantix, Zorvolex and Vitamin
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She continues to have active symptoms of complex regional pain syndrome in the left upper extremity, which at this point may never resolve. Recommendation was made for continued conservative treatment, although IW was counseled that she may well have progression of ulnar neuropathy over time which could also have significant consequences for her with respect to pain, numbness, tingling, and weakness or deformity of the hand. Unfortunately, MD thinks that the IW’s risk of complications with revision surgery probably outweigh the risk of progression of her ulnar
Nursing Case Memo
647 Words | 3 PagesPer procedure reports, the patient is status post therapeutic bilateral sacroiliac intra-articular injection on 02/18/16, diagnostic bilateral sacroiliac intra-articular injection on 02/05/16, confirmatory bilateral L3-5 medial branch nerve block on 01/25/16, diagnostic bilateral L3-5 medial branch nerve block on 01/11/16, bilateral L5-S1 transforaminal epidural injection on 04/06/15, bilateral L5 dorsal ramus
Low Back Pain Case Studies
934 Words | 4 Pages2. EMG/NCV studies consistent with peripheral motor and sensory neuropathies, from October 2008 12/15/15 Progress Report described that the patient has ongoing low back pain. He was last seen on 10/28/15. The patient stated that his current medication regimen has been helpful. He rated the pain 9/10-scale level, which is brought down to 6/10-scale level with the medications.
Room 3b Case Study
859 Words | 4 PagesShe was unable to abduct (move her arms away from the middle of her body) her arms so we were concerned there was a dislocation in the shoulder joints since they have a shallow articulation (movement). She could pronate (turn her palms up) and supinate (turn her palms down) her palms, but her grip strength is
Jimmie Bowman Case Study
362 Words | 2 PagesJimmie Bowman was seen in followup for CIDP, causing previous weakness and numbness of his distal lower extremities. He states that the strength of his distal lower extremities [____] continues improved and is staying normal. He has occasional mild feeling of numbness of his feet, but states this is staying down to what he can tolerate. He is not having pain of his feet. He is no longer on Imuran.
Percocet Case Summary
284 Words | 2 PagesPain is located in the low back and left leg, rated as 4/10. There is associated numbness to the left thigh and foot, and pins and needles sensation to the left foot. He continues with Percocet with 80% help with use. CURES was very consistent and appropriate.
Iw Case Studies
312 Words | 2 PagesActivities at home and work worsen the pain. Numbness, tingling, and burning sensation are reported with increased pain throughout the week. The patient is requesting medication refills and reports limitations with gripping, grasping, pushing, pulling, and lifting 10 pounds. Activities of daily living are limited due to pain, as
Nursing Case Management Case Studies
1126 Words | 5 PagesJean Russell of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Flavia Tocco and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING I met Ms. Tocco at the St. John’s physical therapy department. Ms. Tocco was open to providing me information on her current and prior medical history.
Medical Assistant Interview Report
892 Words | 4 PagesThe report notes a prior shoulder surgery in 2002, on the right shoulder. An X-ray was done of the left shoulder, which did reveal degenerative changes in the acromioclavicular joint, as well as post-surgical changes, and degenerative changes on the right side in the acromioclavicular joint. The applicant was subsequently referred to an orthopedic surgeon, Dr. Peter Simonian. An MRI of the right shoulder was conducted on April 10, 2015, which noted tendinopathy of the supraspinatus and infraspinatus tendons. No tear of the rotator cuff, but a superior labrum anterior to posterior tear extending to the posterior labrum, as well as post-surgical changes.
Investigative Tort
527 Words | 3 PagesAll health providers describe neck strain radiating down his shoulder. He had physical therapy three times a week for 6 months but still experienced pain at the end of 2012 to the beginning of 2013 when his physical therapy ended. DHD referred him to Dr. Katzman who discussed the need of surgery to his left shoulder which he didn’t have because no fault cut him off. He also had an MRI of his cervical spine and
Carpal Tunnel Syndrome Literature Review
1315 Words | 6 PagesCHAPTER ONE: BACKGROUND AND LITERATURE REVIEW 1.1 Background Carpal tunnel syndrome is the entrapment of median nerve at the wrist. The median nerve originates from the brachial plexus at level of C5 to T1. It passes down through the midline of the arm in front of the elbow joint supplying muscles of the forearm continuing to the hand supplying the front of the thumb, the two first fingers and the lateral half of the third finger (Elsevier 2001). The symptoms in carpal tunnel syndrome include numbness, tingling, burning sensation, loss of grip strength and pain.
Personal Narrative: Journal Entry
559 Words | 3 PagesShe completed all activities that were assigned to her WNL. (A) Assessment Pt is doing extremely well for the number of visits that she has received. This is because of her hard work at home which has contributed to her fast recovery. Her ulnar/radial deviation lacks because of the muscle tightness which could be loosened
Lasegue Case Studies
387 Words | 2 PagesThe pain is constant and the symptoms have increased with the colder temperatures. The patient complains of tingling sensation on the outside of left leg. The pain increases with prolonged standing, sitting, and walking. He also complains of pain and inflammation on the right lower quadrant of his abdomen. He is following up with his primary care physician (PCP) for further diagnostics.
Lumbar Pain Case Study
490 Words | 2 PagesOn examination, she walks with an antalgic slow gait, which is walker dependent. There are tenderness and trigger points along the bilateral L3, L4, and L5 and bilateral buttock. Straight leg raise is positive bilaterally. Motor strength of the lower extremities is 4/5 to the left and 4+/5 to the
Essay On Trigger Thumb
835 Words | 4 PagesIf you’re an athlete, an office worker, a manual laborer, an industrial worker, a farmer, a musician or a hobbyist, you can develop this condition since most of your day-to-day activities involve the use of your hands.
Radial Tunnel Syndrome Research Paper
1367 Words | 6 PagesWith forearm and elbow injuries being so common, the resources to diagnose such conditions are readily available in today’s society. However, because radial tunnel syndrome and lateral epicondylitis have such similar symptoms, it is not uncommon for one to be under looked. For clinicians, the easiest way to differentiate between the two is to pinpoint the exact location of discomfort. Specific testing, such as the EMG, will test to see if the forearm muscles are intact and functioning normally. Assistive passive range of motion will also help the therapist determine the patients end feel.
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