A 70 year-old man presents to your office complaining of lef…
A 70 year-old man presents to your office complaining of left upper arm and shoulder pain immediately after falling off his back porch. He reports braking his fall by catching the railing with his left arm. He has noticed pain and weakness with movement, especially with abduction of the shoulder. What is the most likely diagnosis?
Read Details25 year-old man presents to your office complaining of low b…
25 year-old man presents to your office complaining of low back pain and right leg numbness. He reports an acute onset of symptoms after lifting heavy boxes 4-days ago. Aside from back pain, he complains of an intermittent right leg numb sensation that has not worsened or improved since the initial incident. He denies leg weakness, abdominal pain, fever/chills, or bowel or bladder control problems. Physical exam: back – lumbar: no palpable vertebral tenderness. Left palpable para vertebral tenderness over L4-5 with some palpable muscle spasms. Left leg normal ROM, and anterior shin along with weakness in dorsiflexion of his right foot & great toe. The remainder of the physical exam is unremarkable and his history reveals no other reported deficits or symptoms. Of the options listed below, what is the best therapeutic recommendation by the NP?
Read Details