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Work Related Injury Case Summary

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DOI: 12/13/2012. Patient is a 57-year-old male route sales representative who sustained a work-related injury to his neck and right knee from picking up baskets. Per OMNI, he is diagnosed with cervical degenerative disc disease and right knee meniscus tear. He is status post right knee arthroscopic repair surgery on 04/08/13.
Per Orthropedic panel QME report dated 05/13/15, it was noted that the patient started having aches and pains in both of his right shoulder and left knee on 01/01/13 a couple of weeks when he stopped working. He received a cortisone injection to the right shoulder which did not work. Since that time, his right shoulder pain worsened. He has difficulty keeping static positions with his right arm. He is unable to reach behind his back. He has left knee pain inside the kneecap. On examination of the right shoulder, there is impingement syndrome with some limitation of range of motion. Bothe knees show degenerative joint disease with crepitus and medial joint line tenderness. There is some edema in the distal lower extremities. …show more content…
IW is not yet P & S. He needs to be referred for further testing, evaluation and treatment. He needs one MD which can be in charge of directing his evaluation and treatment. He needs MRIs of the left knee and right shoulder to specifically document his pathology and determine the appropriate course of treatment. He is a reasonable candidate for cervical and lumbar spine, right shoulder and bilateral knees surgeries, but he needs to have MRIs first for the knees and shoulders. Patient is currently taking Gralise, Tramadol, Tizanidine and Flexeril, which are appropriate medications for his

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