DOI: 4/17/2013. Patient is a 61-year old male senior quality assurance manager who sustained a work-related injury to his right hand from repetitive use of keyboard and mouse. As per OMNI entry, he was initially diagnosed with right thumb and wrist tendonitis. The patient is subsequently diagnosed with radial styloid tenosynovitis [de quervain]; periarthritis, unspecified wrist; osteophyte, unspecified elbow; and lesion of ulnar nerve, unspecified upper limb. As per progress report dated 6/29/16, the patient complains of pain at the cervical spine, right shoulder, right elbow, and right wrist/hand with stiffness, weakness and numbness. Physical examination revealed tenderness to palpation, spasms, and decrease range of motion, strength, and
DOI: 1/23/2014. This is a 36- year old male relief driver who sustained injury while he was putting away the automatic tarper when he was struck on the right shoulder and got driven into the ground and twisted his right foot. Per OMNI, he was diagnosed with right shoulder strain, and back/neck/right foot fracture. As per office notes dated 6/3/16, the patient is complaining of numbness in all extremities specifically the bilateral feet, arms and bilateral elbows. He has had a flare-up of pain that past couple of weeks around lateral column of the right foot made worse with walking and standing. He has been taking Neurontin 300 mg thrice a day which is helping control his symptoms. He apparently had a bilateral upper extremity upper extremity
Patient is a 57-year-old male fuel tank driver who sustained cumulative trauma on 2/7/2004 due to repetitive movement caused by delivering fuel. As per QME dated 1/25/14, the patient has numbness in the fingers and the patient is diagnoses that he has carpal tunnel syndrome. The left wrist had undergone carpal tunnel surgery; however, he gets numbness from the wrist up into his forearm and numbness in the fingertips. It was also noted that on 12/5/13, the patient complains of shoulder pain bilaterally at 7/10. It is constant and goes into noth arms, along with weakness with numbness in the hands, decreased ability to perform activities of daily living, and impared grip. The pain in the bilateral shoulders is constant and aching with intermittent
Based on the medical report dated 12/22/16, the patient was last seen on 10/13/16, and was recommended to have continued therapy. He has not had therapy secondary to insurance issues over the last month or so. He presents with ongoing right elbow pain status post cubital tunnel release and medial epicondylitis debridement, worsening with motion and activity, lifting, reaching, bending, upper extremity dressing, household
Patient is diagnosed with bilateral carpal tunnel syndrome, bilateral elbow pain, lesion of the ulnar nerve of the bilateral upper limb.
On Primary Treating Physician’s Progress Report (PR-2) dated 08/11/2017, the patient presented with unchanged symptoms. His left-hand pain was rated at 8/10. and was described as constant and sharp. The pain was aggravated with certain movements and gripping. The
Per medical report dated 10/26/15 by Dr. Parsioon, the patient was initially seen on 9/14/15 for evaluation and treatment of cervical pain. At that time, he had neck pain without radiculopathy and bilateral hand tingling. IW stated that physical therapy made his neck pain increase and he wanted to make sure that it is okay to continue this. His chief complaint is pain in his neck radiating to the right shoulder and arm. He states the only time he gets the tingling sensation in the hand is
DOI: 11/17/2015. Patient is a year old male mechanic who sustained injury while he was throwing a broken urinal into dumpster when it broke and cut his left wrist. Per OMNI, he was initially diagnosed with laceration to left wrist/forearm flexor tendons to middle, ring and pinky fingers. Surgery was done on 11/25/15 for left forearm repair.
DOI: 9/18/2008. The patient is a 62-year-old male cashier who sustained a work-related injury due to repetitive work load.
A 50 year old male presented to the Out-patient department with a two month history of worsening pain in the right upper limb, extending to the middle finger. This pain was not improving with analgesia prescribed by his general practitioner. He also complained of weakness in the affected limb for the preceding two weeks. He denied any lower limb symptoms, had no difficulty with micturition or defecation and no gait disturbance. His examination was significant for grade four weakness in right elbow extension and an absent tricep jerk on the ipsilateral side. A clinical diagnosis of a C7 radiculopathy was made. Magnetic
De Quervain’s tenosynovitis, also called radial styloid tenosynovitis, is a painful condition that affects the inside of the wrist. The two tendons that are located at the base of the thumb begin to swell, causing the tendons and the area around them to become inflamed. As a result, pressure is placed against the neighboring nerves, leading to a feeling of numbness and pain.
This article gives insight into the condition of wrist tendonitis also known as tenosynovitis. Tenosynovitis is inflammation of the tendons and or tendon sheaths at the wrist joint. A tendon is a structure that connects muscle to bone that is surrounded by a tendon sheath. Tenosynovitis is typically diagnosed by looking for common signs such as pain and swelling. A physician can diagnose tenosynovitis by performing a special test that stretches the tendons that are involved in the condition and looking for inflammation around the affected area.
To perform this test, the patient should be seated or standing, while making a fist on the involved side.1 The therapist should use one hand to stabilize along the distal humerus while simultaneously palpating the medial epicondyle.1 With the other hand, the therapist should then passively supinate the forearm and extend the elbow and wrist.1 Pain or discomfort along the medial region of the elbow is positive for medial epicondylitis.1 If the patient does not experience any pain or discomfort along the medial epicondyle during this test, then they most likely do not have medial epicondylitis.1
S: TM is here for s/p ESI X 9 visit follow up for his right hand and wrist pain and also for RUE Neurometrix test. TM reports his current pain is at 7/10. During the Shutdown his pain has improved some, but still waking him up at night with pain and numbness in his right hand and arm, relieved by shaking or rubbing the hands. TM also reports, numbness and the pain occurs during waking hours, when he is driving, talking on the phone, and occasionally when he is using the hands for repetitive maneuvers. When the heat was applied to his
HPI: Ms. Smith presents to the office with bilateral shoulder stiffness and lateral elbow pain in right arm. The patient has been suffering shoulder stiffness for over 2 years. The symptom developed gradually after she started using her computer more at her work place; she had to hold her telephone between her shoulder and head while typing information on computer. The pain in right elbow stated about 8 months ago with gradual onset. The patient does not recall any trauma to the shoulder and elbow. She has been diagnosed as tennis
Ms. bogart is a 50-year old healthy women with a work history as a typist, who presents with a chief complaint of tingling in her left hand’s fingers (thumb and 2 adjacent) over the last 25 hours. The patient’s symptoms began last night while watching television with her arm in a “funny position”. She than shook it out to cease the pain temporally, however it reoccurred. This morning when waking up and driving to the clinic (2 hours away) she describe her pain as worsening. There is no radiation, thus the pain is localized to her three fingers. She appears to have no swelling, redness, or immobility, as well as no fever.