What is reasoning behind other treatments recommended

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Reference no: EM133658122

Assignment:

Name: male Age: 43 years old Medical diagnosis: Cervical and thoracic spine pain

Past medical history: fibromyalgia, hypertension, right knee meniscectomy3 years ago

Current history: Pt has pain rated at 5/10 (at rest) in the cervical spine and the thoracic spine. The pain can increase to a 6-7/10 depending on the day and his activity level. He has occasional numbness and tingling down the arm and into the hands, usually with the right worse than the left. This tends to increase as the day progresses and with the following activities: driving for greater than 20 minutes, reaching for/lifting objects overhead, working out at the gym. He also has achy to throbbing headaches that start in the "back of my head and wrap to the front of my head."

The headaches can range from a 4/10 to a 7/10, and they occur at least 5-7 times per week. They can last up to 1-2 hours at a time even after taking his medication (Percocet and Flexeril). They do not keep him up at night as he usually takes his medication before he goes to bed, and the pain that usually awakens him is the pain in his upper back. Overall, he has tried the following treatments: rest, ice, chiropractic treatments, and acupuncture. None of these treatments have helped to decrease his pain or increase his activity level. Therefore, he has been sent to physical therapy

1. Based on the patient information provided, is mobilization/manipulation to the cervical and thoracic spine supported by evidence-based research as an appropriate treatment for this patient? Why or why not?

2. What other treatments would or could be recommended for this patient? What is the reasoning behind the other treatments recommended? Provide evidence-based research to support your recommendations.

3. Have you ever worked with a patient who had this type of issue? If so, what type of treatment was given?

Reference no: EM133658122

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