Brachialis or Anterior Capsular Elbow Strain With Rehab Brachialis or anterior capsular elbow strain is also known as climber’s elbow. The brachialis muscle is important for flexing the forearm at the elbow joint. This condition occurs when the brachialis muscle in your upper arm is inflamed or when you have a strain in the front of your upper arm (anterior compartment). This condition causes pain in the front of the elbow. This condition is usually an overuse injury that at first causes minimal pain, and slowly progresses.
A-Based on this writer 's assessment, the patient appeared to be alert and oriented. No evidence of SI/HI. P-Next appointment is scheduled on 07/1/2016 at 11am. Patient is aware about being placed on HOLD for the counseling
Symptoms o Shoulder pain o Pain in the outer side of the elbow o Pain in the inner side of the elbow o Pain in the wrist o Pain at the back of the heel Although in most cases the exact reasoning of tendonitis is unknown, when the cause is known it can be one of two reasons either “overuse” or “overload”. Overuse happens when a particular body motion is repeated too often and overload happens when the level of a certain activity e.g. weightlifting.
The patient is requesting a MRI of his right hand prior to returning back to college on Jan 16. Informed the patient that he needs an appt so the his PCM can properly elevated him. Appt was schedule. The patient
The SC enquired about Pa use of medical services or health status changes. The Pa reported no hospitalization, ER visit or new health problems, or medication change. The Pa reported that he saw his PCP a few weeks ago. The SC inquired about any changes in his functions. The Pa reported no change to his ADLs/IADLs, cognitive, social, emotional, or financial status.
The patient can perform the following activities but it always caused pain: lift heavy items; grasp items; sleep; and sit for prolonged periods. He was currently taking Ibuprofen 800mg. As of this report, the patient has had 9 sessions of physical medicine. On examination of the right shoulder, there was +3 spasm and tenderness to the rotator cuff muscles, upper
D-The patient missed Orientation II and reports she was stuck in traffic. This writer informed the patient about calling the clinic to inform the facilitator that she was running late; howevfer, the patient reports that her boyfirend as her phone as why she was unable to call. The patient signed treatment contract due to the missed Orientation and also, non-compliance with UDS testing. The patient and this writer agreed to completed Orientation II on Thursdays whereas this writer completed Orientation I as it pertains to the policy and procedure of the clinic-importance of attending all scheduled appointment, i.e. medical and individual sessions, daily dosing, hold list, Breathalyer, notifying Nursing regards to prescription medication and patient 's to notify PCP about their
Per IME report dated 04/24/15, the patient has a mild to moderate disability at 33%. The patient has reached MMI. In spite of prior IME indicating that the IW required no further treatment, the patient continued to receive chiropractic and acupuncture treatment. The patient has exceeded maximum duration and frequency to both modalities.
I ensure to perform thorough cardiovascular and peripheral vascular assessments, and chart the findings clearly and in a timely manner. Discharge
This writer strongly encourages the patient to think about what is important for his recovery as he expressed to this writer during the walk down the hallway about returning back to work doing landscape. During the course of the session, there was no evidence of SI/HI. P-No appointment was scheduled until the patient is sure about his ongoing treatment at the clinic. This writer strongly advised the patient to continue to adhere to the program policy as it is crucial to his recovery process and the sole purpose as to why he is
Carpal tunnel is caused by repetitive motions of the wrist such as typing, playing an instrument, or knitting. Pregnancy, diabetes, obesity, and hypothyroidism also contribute to developing carpal tunnel syndrome. To prevent CTS take breaks frequently to rest your hands, keep your hands warm, avoid repetitive hand motions, and do frequent wrist exercises. If you have carpal tunnel syndrome it is best to see a doctor earlier on because it is harder to treat once it gets worse. In severe cases you may lose feeling in your fingers, have a loss of strength, and permanent muscle damage.
The client is a fairly active 21 year old with no chronic illnesses other than a diagnosis of arthritis as a child. He is 6 feet tall (72 inches) and weighs 216.4 pounds (98.2 kg). His BMI is 29.3, which puts him in the overweight category. The client has an extensive list of chronic diseases found in his family history. His paternal grandfather died of leukemia, but prior to that had won battles against lung cancer and colon cancer, maternal grandmother died of a brain tumor, paternal grandfather died of a heart attack, and both parents have been diagnosed with type 2 diabetes.
Radial Nerve Palsy Radial Nerve Palsy (RNP) is cause by damage your radial nerve, which is one of the main nerves in your arm, “commonly results from external pressure on the nerve in the spiral groove of the humerus (Saturday night palsy) or from a fracture of the humerus” (Brown, Suneja, Szot, 2015). Damage to the radial nerve can be serious and possibly cause permanent damage “paralysis of the extensor digitorum communis prevents extension of the wrist and fingers with thumb and finger drop” (Brown et al., 2015). The radial nerve is what moves your wrist up and down it “begins in the neck moving down to the upper arms and runs down to the wrist and fingers” (Radial Nerve Palsy, 2015). The radial nerve can be damaged due to it being pinched, having tumors, fractures, and bruises, even a hair tie or a bracelet that is too tight on the wrist can cause RNP.
The carpal tunnel functions as an entrance to the palm for many tendons and median nerve (1). The median nerve is one of the five branches that make up the brachial plexus. This nerve provides motor innervation to the flexor muscles of the forearm and hand as well as muscles responsible for movements of the thumb. It also provides sensory innervation to the volar aspects of the first three digits and half of the fourth digit, the palm, and the medial region of the forearm (2). Carpal tunnel syndrome (CTS) is a common painful disorder of the wrist and hand.
A-Based on this writer 's assessment, the patient was emotional, but eventually calmed down. The patient remained well-mannered, oriented, and alert. There was no evidence of SI/HI. P-The patient will adhere to the program policy and her next scheduled appointment is scheduled on
