Straight Leg Test Paper
28 May.
A 73-year-old male with chronic low-back pain who says in the last 2 weeks he has had a flare up with some left sided sciatica-type symptoms. He can recall no unusual activity that would have set this off. No trauma, or injury recalled. He has been fairly religious in doing physical therapy type exercises, and tai chi. He describes some sciatica symptoms down the left leg. It has bothered him and concerned him because it seems to last longer than his usual flare ups. No bowel or bladder incontinence, chills, or fevers. He has been seen by Dr. [Name] who is _____ massage and acupuncture which seems to work pretty good for him. Four days ago he would describe the pain as 8/10, today it is 4/10.
EXAM
Alert gentleman, no acute distress who appears healthy, and walking without great difficulty. Blood pressure 126/76. Pulse 76. Respiratory rate 19. Temp 36.9. Weight 208. Palpation of the left SI joint is tender. Spine nontender. Right SI joint nontender. Negative straight leg test. _____(ETR/EPR)'s are +1 in the knees, and trace in the ankles. Sensation intact. No edema. Great toe and leg extensions _____(remain) intact. …show more content…
He is making progress. Flex Roll really helped him, as does the acupuncture he feels. _____ I suggest that we just monitor that. I have given him Medrol Dosepak which he can take on Monday if he does not think he has made as much progress as he would like. Continue care with Acupuncturist. If he is still bothered by this in 2-3 weeks we can consider referral to the Spine Center. However, I believe that this will be
A 73-year-old male with chronic low-back pain who says in the last 2 weeks he has had a flare up with some left sided sciatica-type symptoms. He can recall no unusual activity that would have set this off. No trauma, or injury recalled. He has been fairly religious in doing physical therapy type exercises, and tai chi. He describes some sciatica symptoms down the left leg. It has bothered him and concerned him because it seems to last longer than his usual flare ups. No bowel or bladder incontinence, chills, or fevers. He has been seen by Dr. [Name] who is _____ massage and acupuncture which seems to work pretty good for him. Four days ago he would describe the pain as 8/10, today it is 4/10.
EXAM
Alert gentleman, no acute distress who appears healthy, and walking without great difficulty. Blood pressure 126/76. Pulse 76. Respiratory rate 19. Temp 36.9. Weight 208. Palpation of the left SI joint is tender. Spine nontender. Right SI joint nontender. Negative straight leg test. _____(ETR/EPR)'s are +1 in the knees, and trace in the ankles. Sensation intact. No edema. Great toe and leg extensions _____(remain) intact. …show more content…
He is making progress. Flex Roll really helped him, as does the acupuncture he feels. _____ I suggest that we just monitor that. I have given him Medrol Dosepak which he can take on Monday if he does not think he has made as much progress as he would like. Continue care with Acupuncturist. If he is still bothered by this in 2-3 weeks we can consider referral to the Spine Center. However, I believe that this will be