As you know I have been trying to meet with you to discuss your case with you since January of this year. Specifically, you had appointments scheduled for January 20, 2017, January 24, 2017, February 9, 2017, February 24, 2017 and, March 21, 2017. You failed to keep any of these appointments. The reason I wanted to meet with you was to explain why I was not interested in pursuing this case. I wanted to give you the respect of a face to face explanation of the issues I found in your medical records, which I believe will make it impossible to recover substantial compensation in this matter.
He has been maintained in nonweightbearing and we will continue this. Hinged knee brace is to be worn when he is up and about for extra protection but if he is at home, it is okay to remove the brace to work on range of motion in a nonweightbearing fashion. He is using crutches and is comfortable with these. He should contact us immediately if there is any other change in his condition. Once again, we have had a long conversation about his diagnosis, prognosis, and treatment alternatives. He is possibly going to need some soft tissue reconstruction type surgeries in the future, though at this time, he appears to be healing well and show more stability than expected. We will base this on his clinical results. Long-term outcome shows a high likelihood of traumatic osteoarthritis of the knee, for which he may need both nonoperative and possibly operative treatments in the future. He understands this as it was discussed with him and all questions were entertained to his satisfaction. We will see him back in two weeks ' time for repeat clinical and radiographic
The foot and its ligaments are described in an arch like triangular structure, also known as the truss. This includes the calcaneus, the midtarsal joint, and the metatarsals or the medial longitudinal arch, these three form the truss’s arch. The plantar fascia runs from the calcaneus to the phalanges and ties them to each other. As the individual travels on foot, whether it is running or walking, forces work its way down to the foot that start to flatten the medial longitudinal arch. As this happens, forces form the ground going up through the calcaneus and the metatarsal heads repeatedly happen a begin to create strain and pain in the plantar fascia.
Morton’s toe is a kind of deformity in the body where the second toe of the foot appears to be longer than the first toe (big toe). This definition brings out confusion though. Morton’s toe is not really a long second toe (which refers to the phalanges, or the toe bones), instead it is the relative length of the metatarsal foot bones where the first metatarsal is shorter relative to the second metatarsal.
An Anterior talofibular ligament (ATFL) sprain is one of the most common injuries of the ankle and is a common injury in the fast majority of sports. Ankle sprains account for up to 10-30% of sports injuries. (4…..) The sprain often occurs when the footballer lands on uneven ground, for example the opposing players’ foot, or mis-steps. (5…….) In football the majority of ankle sprains are caused during player contact, resulting in the footballer “rolling over” on their ankle. (5….) A sprain to the ATFL occurs due to an inversion of the foot. (1……..) 25% of all injuries are due to inversion and 50% of these are sport related. The range of motion during inversion is limited due to the lateral ligaments of the ankle. The capsular lateral ligaments
Per the AME report dated 6/2/15 stated that future medical care includes orthopedic consultations for exacerbation, as well as short courses of physical therapy and/or prescription medication. Repeat surgery should be left open for the right wrist, as well as the possibility of surgical intervention for the bilateral shoulders and bilateral knees.
Whether anyone is an athlete or not, most people have likely experienced some sort of ankle problem at one point or another. Acute ankle sprain is a very common injury, in which many people are familiar with but most often it is ignored as minor injuries. It is estimated that about one ankle sprain injury occurs per 10,000 populations per day4and between 15 to 20% of sports-related injuries involve the ankle1. Injuries that are repeated or severe sprains can develop long-term effects such as chronic pain and weakness to the ankle. Assessment and treatment of sprained ankle is critical, yet, most people are clueless when it comes to treating acute ankle sprain. The treatment for the ankle injury is quite controversial. Some may recommend early
Ankylosing Spondylitis (AS) is a type of arthritis that affects the spine. It is a chronic inflammatory autoimmune disease of the axial skeleton, with variable involvement of peripheral joints and non-articular structures. Spondylitis often starts around the sacroiliac joints, where the sacrum (the lowest major part of the spine) joins the ilium bone of the pelvis in the lower back region. The spine 's bones (vertebrae) may grow or fuse together, resulting in a rigid spine. This places the spine in a vulnerable state because it becomes one bone, which causes it to lose its range of motion as well as putting it at risk for spinal fractures. This not only limits mobility but reduces the affected person 's quality of life. These changes may be mild or severe, and may lead to a stooped-over posture. Early diagnosis and treatment helps control pain and stiffness and may reduce or prevent significant deformity. AS can range from mild to progressively debilitating and from medically controlled to refractory forms. Some cases may have times of active inflammation followed by times of remission resulting in minimal disability, while others never have times of remission and have acute inflammation and pain, leading to significant disability.
DOI: 4/30/2013. The patient is a 41-year old male maintenance technician who sustained a work-related injury to his right shoulder/arm from lifting ladders all day. As per OMNI, the patient is permanent and Stationary as of 8/23/2013 with future medical care to include medications, creams, and possible need for injections. As per office notes dated 7/13/16, the patient co complained of bilateral leg and feet pain, back pain, neck pain and low back pain. The patient’s pain is rated as 7 to 10; average of 8. Medications improves his condition. The pain is characterized as sharp, throbbing, bruning, aching, electricity, and pins and needles. The pain is constant and radiating. It is increased by sitting, standing, lying down, bending, and lifting. Previous treatments include
The diabetic foot is a notorious condition that podiatrists treat frequently. Multi-factorial in its development, the diabetic foot is a complex complication of diabetes mellitus1. Characteristically, the condition results in an increase in pressures acting on the plantar aspect of the foot, resulting in tissue destruction1. Alterations in anatomical structures force the foot to adapt in order to maintain some function, and in doing so, alters the biomechanics of the lower limb1. Pathological changes become increasingly prevalent and prevention of tissue destruction becomes exceedingly difficult1. Typically, treatment of the diabetic foot is conservative management involving offloading, however, surgical intervention is enlisted in order to
He is oriented x3, alert, cooperative. Good short-term, long-term, and intermediate memory. No aphasia. Normal fund of knowledge. Normal attention and concentration.
After Dr. Ahmed finished her residency at UTMB, she completed a Fellowship at the American Sports Medicine Institute (ASMI). During her foot and ankle Fellowship at ASMI, she had the pleasure of working under the guidance of numerous prestigious doctors.
In 2010 while walking outside the building where I used to work while mobilize, I was heading to another location when I for no apparent reason twisted my left ankle. When I twisted my ankle I did not immediately feel any pain or discomfort, so I just kept walking. Throughout the day I performed my job like I regularly did and I felt no pain. As the evening approached that day I began to have pain and my ankle began to swell to the point that I could not wear my tennis shoes or walk on it. I took some over the counter pain medication to try to go to sleep that night and the following day went to the troop medical clinic. The medical personnel at the clinic diagnosed me with an injury to my ankle, banded my ankle, gave crouches and put on a
On examination the patient expressed pain with resisted plantar flexion and dorsal flexion and she wasn 't able to fully invert her left foot passively. However there was normal, active and passive movements of the right foot. Examination of the hip showed patient felt some ‘stiffness’ with active moments around the anterior thigh muscles but due to normal flexion/extension of the leg the osteopath ruled out any femoral or sciatic nerve damage from the injury.
‘Achilles Tendinopathy’ is a label for a clinical syndrome, characterized by a combination of pain, swelling and impaired performance.