Medical Advice:Activity modification-Encourage proper back care precautions,proper body extension posture,and proper body mechanics.Avoid stressful stooping,bending,or heavy lifting maneuvers.Avoid stressful truncal ranges of motion activites. Contact the office if there are any problems.Continue present treatment plan.Elevate extremity when at rest.Continue heat treatment.Home exercise:Encourage daily ambulatory exercises with use of soft soled well-cushioned athletic shoes onto soft flat surfaces.Observation.Patient’s questions were answered.Treatment options reviewed:Consider obtaining diagnostic lumbar spine Magnetic Resonance Imaging Scan study,if symptoms do not resolve soon.Weight bearing options:full weight bearing.
Medication Notes:Encourage beginning daily use of Mobic non-sterodial oral anti-inflammatory medications,7.5mg per day with major meal.Prescribe #30 tables.
Spine Restrictions:No maximum lifting over 10 pounds.
Schedule Follow-up:in 2 weeks.