he heard cracking sound and felt pain and burning in his low back. He is status post anterior retroperitoneal exposure of the L5-S1 space with mobilization of the bilateral iliac vein and artery on 10/02/12. Per OMNI‚ he was declared MMI on 09/18/13. Based on the progress report dated 03/02/16‚ the patient reports increased pain for about a week. He rates the pain 5/10 with medications and 8/10 without. He is interested in some PT to help with the pain. The pain is in the low back and occasionally
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radiculopathy‚ lumbar region. As per OMNI notes‚ the patient is diagnosed with history of right L5-S1 tear‚ low back pain‚ right quadratus lumborum strain‚ and paresthesias. He underwent lumbar laminectomy at L5-S1‚ and L3-L4 and L4-L5 decompression of the nerve root on 2/24/2016. As per progress report dated 6/6/2016‚ the patient complains of lumbar pain. He states that the symptoms are mild. The pain is aggravated by extended walking. He returns after 3 months postoperative
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complaining of neck pain. HPI The patient tells me her symptoms started in early August. She had been away on vacation. She was sleeping on an air mattress. One night realized that the air mattress was not fully inflated‚ but slept anyway and she awoke the next morning‚ she was having some neck pain. She said initially she attributed just to sleeping wrong. She had pain for a couple of days. She took a few days worth of Advil and felt better. She said following that‚ the pain restarted without
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Bon Voyage Introduction: ‘The heights by great men reached and kept Were not attained by sudden flight‚ But they‚ while their companions slept‚ Were toiling upward in the night.’ - H W Longfellow “That’s one small step for a man‚ one giant leap for mankind”‚ said Neil Armstrong‚ stepping on to the moon’s surface on 21st‚ July 1969. Kalpana Chawla steeped into space‚ not once but twice. It proved to be a great leap for womankind especially for Indian woman. It was the bridge between
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Methodology – Retrospective study . 50 casualty cards with the diagnosis of croup was picked up randomly between the months of October and November 2005 and the management of each case was recorded. Results - Croup score was assessed in only 24% cases.However‚ dexamethasone was given in 86% cases.Pulmicort nebulisations was given in 24% cases and information leaflet given in 50% cases. Conclusion – Though dexamethasone was given in
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This 29 years old patient’s main complaint is low back pain. Alex’s low back problem initiated 4 years ago and it has been bothering him since then. Low back pain is pain‚ muscle tension‚ or stiffness localised below the costal margin and above the inferior gluteal folds‚ with or without leg pain and is defined as chronic when it persists for 12 weeks or more (Chou‚ 2011). Low back pain should be considered a symptom that is rarely attributable to a specific disease or pathologic lesion (Seller
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described. DIAGNOSIS: - Pain in left foot 12/16/15 Progress Report documented that the patient has left foot pain‚ which is described as stabbing‚ aching pain‚ which shoots up the leg with excessive walking and standing. The patient benefited greatly from a sympathetic nerve block. She was able walk and sensitivity of the foot was restored. The pain is rated 3/10-scale level with medications. There are no side effects‚ no aberrant behavior to the meds. The med provide good pain relief. She is currently
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Patellofemoral Pain Syndrome A 23 year old female arrives at the 7th Group Troop Medical Clinic physical therapy office complaining of right knee pain for several weeks. Recently‚ patient went to sick call‚ and referred to physical therapy office for additional evaluation. Knee pain is common in the military. Generally‚ it is expected all service members will experience knee pain at some point during their career. A new recruit that is not accustomed to strenuous physical activity‚ a seasoned
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INTRODUCTION Low back pain can be caused by several pathological entities and its perception can be altered by external and psychosocial factors. The large number of patients complaining about lumbar pain and its consequent impact are startling medical organizations to rethink not only the anatomical pathology‚ but also other topics that may influence or attenuate the clinical presentation‚ such as psychological factors‚ litigation‚ social and work status‚ and other secondary gains. 1‚2 Back pain has been associated
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choronic post surgical pain: Preoperative risk factors associated with high incidence of chronic post surgical pain: • Preoperative pain‚ not localized to previous nonsurgical site‚ is strongly related to chronic post surgical pain (Gerbershagen‚ 2010). • Intensity and duration of preoperative pain (Katz‚ 2009). • Younger female is more prone to having postsurgical pain (Richardson‚ 2007). • Excessive fear of surgery has identified as a predictor for postsurgical pain (Peters‚ 2007). • Chronic
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