History and Assessment of a Musculoskeletal Problem
Student’s Name
Institutional Affiliation
Course
Professor’s Name
Date
History and Assessment of a Musculoskeletal Problem
Subjective
The patient is a 42-year-old white male who complains of lower back pain that radiates to the left leg. The pain started a month ago after the patient participated in a half marathon organized by the local sports club. He has been taking ibuprofen 800mg OTC Q4H PRN for the last three days with little improvement. The severity of 8/10 is affecting his mobility. The pain abates during the night when he is not walking but it is worse during the day. The patient has no significant medical history. The patient has a history of smoking cigarettes and alcohol use for five years.
Objective
The patient has no significant medical history that could be related to lower back pain. He has no history of rhinitis or spinal surgery. The patient’s vital signs include pulse 82, RR 18, Wt 150lbs, T 98.6F, BP 120/80, H 4’10. He has no torn muscle, a broken bone, fracture, or muscle pain. The patient has no known drug allergies.
Risk Factors
The risk factors of lower back pain that radiate to the left leg include unused muscles and lack of exercise. The patient complains that the pain started after he participated in a half marathon. Another risk factor is age. Studies show that as people age they are likely to experience back pain if they strain their muscles (Moya et al., 2018). Another risk factor is the weight of the patient. Excess weight puts pressure on the back, especially while walking. Patients with a history of smoking are at risk of back pain (Moya et al., 2018). Appropriate interventions are necessary to prevent deterioration of the condition due to the risk factors.
References
Moya, D., Ramón, S., Schaden, W., Wang, C. J., Guiloff, L., & Cheng, J. H. (2018). The role of extracorporeal shockwave treatment in musculoskeletal disorders. JBJS, 100(3), 251-263.
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Sample 2
A Musculoskeletal Problem: A Review of the History and Evaluation
Name of the Student Institutional Affiliation of the Student Course
Name of the professor and the date
A Musculoskeletal Problem: A Review of the History and Evaluation
Subjective
The patient, a 42-year-old Caucasian male, complains of lower back pain that radiates down his left leg. He is seen in the emergency department. The patient’s discomfort began about a month ago, after he or she participated in a half marathon offered by a local sports organization. He has been taking ibuprofen 800mg OTC Q4H PRN for the last three days, but has seen no significant change in his condition. His mobility is being hampered by the intensity of 8/10. The pain subsides throughout the night when he is not walking, but it becomes more severe during the daytime hours. The patient does not have a major medical history to report. The patient has a five-year history of smoking cigarettes and consuming alcoholic beverages.
Objective
The patient does not have any substantial medical history that could be associated with lower back pain, according to the doctor. He does not have a history of rhinitis or spinal surgery to report. The patient’s vital signs are as follows: pulse 82, RR 18, weight 150lbs, temperature 98.6F, blood pressure 120/80, height 4’10. He is not suffering from a torn muscle, a shattered bone, a fracture, or any muscle ache. There are no known medication allergies in this patient.
Risk Factors are those that put you at risk.
Unused muscles and a lack of physical activity are also risk factors for lower back discomfort that radiates to the left leg and foot. The guy claims that the discomfort began after he completed a half marathon and that it has persisted since then. Another risk factor is the individual’s age. When people get older, they are more prone to have back discomfort if they strain their muscles, according to research (Moya et al., 2018). Another risk factor is the patient’s overall body weight. Excess weight exerts strain on the back, which is especially noticeable when walking. Patients who have smoked in the past are at greater risk of developing back pain (Moya et al., 2018). Adequate actions are required to prevent deterioration of the condition as a result of the risk factors being present.
References
D. Moya, S. Ramón, W. Schaden, C. J. Wang, L. Guiloff, and J. H. Cheng published a paper in which they argued that (2018). Extracorporeal shockwave therapy has a role in the treatment of musculoskeletal problems. JBJS, vol. 100, no. 3, pp. 251-263.
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