Per the PT note dated 02/05/14, the patient has attended 12 sessions for the left knee.
Based on the initial orthopedic comprehensive report dated 09/16/16, the patient complains of constant left …show more content…
It was opined that the IW has not reached maximum medical improvement (MMI).
She was given a prescription for Celebrex 200 mg #30 1 capsule daily for inflammation, Protonix 20 mg #60 1 tablet twice daily for gastritis secondary to nonsteroidal anti-inflammatory drug (NSAID) intake, Ultram ER 150 mg #60 1 tablet twice a day for pain, Fexmid 7.5 mg #120 1 tablet three times daily to relax muscles and Neurontin 300 mg, #90, take one tablet twice daily for nerve pain.
Treatment recommendation includes ultrasound guided Synvisc injection to the left knee, MRI arthrogram of the left knee, and PT 2 times a week for 6 weeks to focus on strength training, increasing range of motion and decreasing pain. Follow-up is in 6 weeks.
Attached is a copy of the MRI of the left knee dated 07/24/13.
Per verification from the provider’s office, the IW has not had a steroid injection to the left knee.
Current request is for 18 Physical Therapy Visits for the Left Knee between 9/27/2016 and 11/26/2016.
This is 1 out of 2