Arthroplasty Case Studies
DOI: 3/15/2000. The patient is a 71 -year-old male bank representative who sustained a work-related injury when he slipped and fell. bPatient is status post right total knee arthroplasty. Per the QME dated 09/22/09, the patient remains P & S.
Based on the pain management consultation report dated 04/26/16, the patient has continued improvement of his right knee pain rated 4/10 after bilateral lateral collateral ligament injections performed on 02/17/16. He also reports increased ability to ambulate and rising and lowering from/to seated positions remains difficult.
He underwent a right elbow steroid Injection on 07/15/15 which resulted in continued pain relief and increased functionality of the right elbow.
Patient has completed 6 chiropractic treatments with 70% pain relief and increased functionality in that he can walk and stand for increased periods of time without lumbar spine pain. …show more content…
Patient characterizes his pain as aching, soreness, tight, constant, cramping, stabbing burning, stinging, tingling, numbing, hotness, annoying, and intense. Rest, ice, lying down, heat, stretching, massage, physical therapy, and exercise are palliative.
On examination of the lumbar spine, the bilateral L4-5 and L5-S1 facet joints and bilateral sacroiliac joints are tender. Kemp’s test is positive.
Range of motion (ROM) shows flexion of 75 degrees, extension of 20 degrees, bilateral lateral flexion of 15 degrees and bilateral rotation of 20 degrees, all with pain.
On examination of the right lower extremity, there is mild tenderness to the medial and lateral collateral ligament. Range of motion (ROM) shows 0-140 degrees.
Current medications include atenolol, Lisinopril and
Based on the pain management consultation report dated 04/26/16, the patient has continued improvement of his right knee pain rated 4/10 after bilateral lateral collateral ligament injections performed on 02/17/16. He also reports increased ability to ambulate and rising and lowering from/to seated positions remains difficult.
He underwent a right elbow steroid Injection on 07/15/15 which resulted in continued pain relief and increased functionality of the right elbow.
Patient has completed 6 chiropractic treatments with 70% pain relief and increased functionality in that he can walk and stand for increased periods of time without lumbar spine pain. …show more content…
Patient characterizes his pain as aching, soreness, tight, constant, cramping, stabbing burning, stinging, tingling, numbing, hotness, annoying, and intense. Rest, ice, lying down, heat, stretching, massage, physical therapy, and exercise are palliative.
On examination of the lumbar spine, the bilateral L4-5 and L5-S1 facet joints and bilateral sacroiliac joints are tender. Kemp’s test is positive.
Range of motion (ROM) shows flexion of 75 degrees, extension of 20 degrees, bilateral lateral flexion of 15 degrees and bilateral rotation of 20 degrees, all with pain.
On examination of the right lower extremity, there is mild tenderness to the medial and lateral collateral ligament. Range of motion (ROM) shows 0-140 degrees.
Current medications include atenolol, Lisinopril and