Case Report: Work Related Injury

DOI: 07/07/1995. The patient is a 60-year-old female server who incurred a work-related injury to her right knee when she slipped on the floor. Per OMNI, she has bilateral knees reflex sympathetic dystrophy (RSD). She continues with medications and PT. She is status post right knee arthroscopy/chondroplasty lateral release.

Based on medical report dated 05/07/15, the patient complains of, “my legs and arms are on fire.” Pain is located on the right knee and entire body.
Pain is described as burning, aching and stabbing. Pain is unchanged, which has been present for 20 years. Pain is relieved by opioid analgesics (Morphine injections) and PT, and exacerbated by weather, vibration, touch and noise. Pain is rated at 7-10/10.
Associated symptoms are difficulty sleeping and walking.
Past treatment includes opioid analgesics, PT and home exorcise. It was noted that she needs PT due to the physical modalities she is not able to do at home. She is more than willing to exercise at home, but also needs the manual treatments at therapy.
PT allows her to get dressed, be able to wear clothing, and use her hands. It allows her to increase activity and decrease pain medication by 50%. She had 1 emergency room (ER) visit in the last 3 months. The last time she did not have PT, she was in the ER every 2 weeks for pain. She continues with PT 3 times a