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DOI: 02/13/1982. This is a 64-year-old male mechanic who sustained a low back injury while lifting grates. Patient is diagnosed with lumbar degenerative disc disease and chronic low back pain. He is status post bilateral below-knee amputation. He has a history of diabetes. As per office notes dated 6/16/16, the patient’s states that the low back discomfort is sharp, aching, burning, tingling, numb, shooting, mild, moderate, severe, intense, continuous with tightness, throbbing associated symptoms. The pain scale is 7. The symptoms are reduced by taking medication, Epsom salt and ointment. Objective findings revealed spinal restriction(s)/subluxation(s): L1, L2, L3, L4, L5, left pelvis, sacrum, right pelvis, and coccyx. There is pain/tenderness

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