Case #1

Please read the introduction first

Physical Therapy Case Study #1

Gender: Female

Age: 47

Smoker: No

Pregnant: No

Occupation: Waiter

Past Surgical History: Total Hip

Current Meds: Adderall, Soma, Tylenol

Past Medical History: Osteoporosis

During the past month, Have you often been bothered by feeling down, depressed or hopeless? No

During the past month, have you been often bothered  by little pleasure or interest in doing things? No

Currently Experiencing: Headaches

What date did your present pain start? A week Ago

Symptoms are: Getting Worse

Have you received any treatment for this problem? No

How are you able to sleep at night? Moderately Difficult

Rate Average pain on a scale from 0 to 10 for the last 48 hours: 3

Rate Best pain on a scale from 0 to 10 for the last 48 hours: 9

Rate Worst pain on a scale from 0 to 10 for the last 48 hours: 10

Rate your ability to function 0 being none and 10 being normal: 8

Symptoms/Other:

•          3 prior episodes
•          Pain in Lower Abdomen, middle lumbar spine, buttock
•          Straight leg raise ROM above 90
•          Nerve irritation signs
•          Pain varies with physical activity and time

Is this patient appropriate for Physical Therapy?

What is the SINSS (Severity, Irritability, Nature, Stage, Stability)?

Is it simple LBP, nerve root pain or a serious pathology?

What Treatment Classification are they in?

What do you expect/How will you change your examination for this patient?

What structures could be involved?