Wrist Pain Case Study
DOI: 2/24/2010. Patient is a 46-year-old female home attendant who sustained injury to her right wrist while she was changing her client’s diaper when the client squeezed her right hand. Per OMNI, she was diagnosed with right wrist sprain. She had a right wrist arthroscopy in 2010 performed by Dr. Graziosa.
Based on the occupational therapy re-examination report dated 04/07/16, the patient presents for her 1st visit. She started to have shooting pain on the wrist going to her elbow. She was referred for PT. She reports shooting and throbbing pain in the wrist and elbow, rated as 8/10. Patient’s goal is to be able to use her hand during activities of daily living (ADLs) task.
On examination, there is edema of the hand/wrist. She maintains hands/upper extremity in guarded position. Girth measurement of the upper wrist is 16.0 cm on the right and 15.5 on the left. Upper extremity Quick DASH score is 72.73/100. Patient is …show more content…
Diagnoses include hand crushing injury, wrist sprain/strain and right radiocarpal joint sprain.
Patient has a history of wrist pain, arthroscopy and subsequent course of hand therapy. She was recommended to have another course of occupational therapy (OT)/hand therapy.
Patient’s problems are right wrist pain with decreased grip/pinch strength which interferes with holding utensil, toothbrush and manipulate fasteners and descried strength which causes difficulty with carrying groceries, cutting food, meal preparation and making bed. Short term goals are to reduce right wrist pain and discomfort, increase strength and grip/pinch, and reduce stiffness. Long term goal is to maximize functional use of the right hand during ADL/leisure/work.
Plan is PT 2 times a week for 6 weeks.
Requested verification from the occupational therapy facility on the number of visits attended to date; however, no callback/report was received prior to the submission of this request to
Based on the occupational therapy re-examination report dated 04/07/16, the patient presents for her 1st visit. She started to have shooting pain on the wrist going to her elbow. She was referred for PT. She reports shooting and throbbing pain in the wrist and elbow, rated as 8/10. Patient’s goal is to be able to use her hand during activities of daily living (ADLs) task.
On examination, there is edema of the hand/wrist. She maintains hands/upper extremity in guarded position. Girth measurement of the upper wrist is 16.0 cm on the right and 15.5 on the left. Upper extremity Quick DASH score is 72.73/100. Patient is …show more content…
Diagnoses include hand crushing injury, wrist sprain/strain and right radiocarpal joint sprain.
Patient has a history of wrist pain, arthroscopy and subsequent course of hand therapy. She was recommended to have another course of occupational therapy (OT)/hand therapy.
Patient’s problems are right wrist pain with decreased grip/pinch strength which interferes with holding utensil, toothbrush and manipulate fasteners and descried strength which causes difficulty with carrying groceries, cutting food, meal preparation and making bed. Short term goals are to reduce right wrist pain and discomfort, increase strength and grip/pinch, and reduce stiffness. Long term goal is to maximize functional use of the right hand during ADL/leisure/work.
Plan is PT 2 times a week for 6 weeks.
Requested verification from the occupational therapy facility on the number of visits attended to date; however, no callback/report was received prior to the submission of this request to