Place an order for your academic papers, assignments and study assistance. Our reliable paper writing service and research assignment help online ensures timely delivery of high-quality essays, answers, analysis and presentations, tailored to your specific course needs and requirements.
Posted: March 28th, 2023
Subjective:
The patient is a 45-year-old male presenting with complaints of persistent lower back pain that has been bothering him for the past two weeks. He reports that the pain is a dull ache that started gradually and has been worsening since it began. He describes the pain as being constant and affecting his lower back and right leg, with intermittent tingling and numbness in his right foot. He reports that the pain is aggravated by sitting or standing for prolonged periods, and alleviated by lying down. He denies any history of trauma, recent weight gain, or fever. His past medical history is significant for hypertension and hyperlipidemia, for which he takes lisinopril and simvastatin respectively.
Objective:
On examination, the patient’s vital signs are within normal limits. His BMI is 27. He has a limited range of motion in his lumbar spine, with pain elicited on extension and rotation. Sensation to light touch and pinprick is diminished in the L4-5 dermatomes on the right. Motor strength is intact in the lower extremities, with no signs of atrophy. Straight leg raise test is positive on the right side, reproducing the patient’s lower back pain.
Assessment:
The patient’s symptoms and examination findings are consistent with a diagnosis of lumbar radiculopathy. Lumbar radiculopathy is a common condition caused by compression or irritation of one or more spinal nerve roots. The most common cause of lumbar radiculopathy is a herniated disc, which can impinge on the nerve root and cause symptoms such as lower back pain, leg pain, and sensory and motor deficits.
Plan:
The patient will be referred to a physical therapist for conservative management, including therapeutic exercise and stretching to improve range of motion and flexibility, as well as education on proper body mechanics and posture. He will also be prescribed a short course of oral steroids to help alleviate the inflammation and swelling in the affected nerve root. If his symptoms persist despite conservative therapy, further imaging studies such as an MRI may be warranted to evaluate for the possibility of a herniated disc or other underlying structural abnormalities.
References:
Ropper AH, Zafonte RD. Sciatica. N Engl J Med. 2015;372(13):1240-1248.
Chou R, Qaseem A, Snow V, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147(7):478-491.
Lurie JD, Tosteson TD, Tosteson AN, et al. Surgical versus nonoperative treatment for lumbar disc herniation: eight-year results for the spine patient outcomes research trial. Spine (Phila Pa 1976). 2014;39(1):3-16.
Atlas SJ, Deyo RA. Evaluating and managing acute low back pain in the primary care setting. J Gen Intern Med. 2001;16(2):120-131.
Place an order in 3 easy steps. Takes less than 5 mins.
Each Student Wants High Quality and That’s Our Focus
An online hub of writing bishops' experts. We select the best qualified writers to join our team. These writers are recruited based on their college graduation grades, exceptional writing skills and ability to convey complex ideas in a clear manner. They each have expertise in specific topic fields and background in academic writing. This expertise enables them to provide well-researched and informative content that meets the highest standards.
In appreciation of the fact that our clients are majorly college and university students, we offer the lowest possible pricing while still providing the best writers. This approach ensures that our clients receive high-quality content and best coursework grades without breaking the bank. Our costs are fair and reasonable compared to other custom writing services in the market. As a result of maintaining the balance between affordability and quality, we have established ourselves as a reliable choice in the industry.
You will never receive a final paper that contains any plagiarism or AI use similarity index. Our team of professional writers and editors is dedicated to ensuring the originality of all content. We scan every final draft before releasing it to be delivered to a customer for submission in safeassign and turnitin. This rigorous process guarantees that the work meets the highest standards of academic integrity.