Ask Your VA Claims Question | Current Forum Posts | Search | Rules | View All Forums
VA Disability Articles | Chats and Other Events | Donate | Blogs | New Users
- 0
hypertension Update On Ce Exam
Rate this question
Ask Your VA Claims Question | Current Forum Posts | Search | Rules | View All Forums
VA Disability Articles | Chats and Other Events | Donate | Blogs | New Users
Rate this question
Question
ltate90
this was written by a orthopedic ssa dr requested by an alj : he is able to get off the exam table with difficulty by himself. there is decreased range of motion of the cervical spine. he can fully flex his cervical spine to 50 degrees, 0 degrees of extension, 30 degrees of lateral flexion and 50 degrees of rotation, more to the left than the right. there is moderate tenderness to palpation of the cervical spine and the trapezius muscles bilaterally. there is full range of motion of all joints in all four extremities except for his shoulders that he can only raise to 90 degrees due to the pain from his neck. grip strength is decreased and equal bilaterally (3/5) due to pain in his hands from his neck. there are decreased fine motor and gross motor skills in both hands, again due to pain from his neck. he has a tremor in both hands, worse on the right than the left. the patient can flex at the waist to 20 degrees, extend 3 degrees and laterally flex 5 degrees. there is moderate tenderness to palpation of the lumbar spine. straight leg raises are positive bilaterally, at 5 degrees on the right and 10 degrees on the left. the patient is able to walk across the room with a rolling walker with a very antalgic gait. the patient cannot walk on his toes and heels. he cannot do tandem walking. he cannot squat down.
limitations of adl's and work activities: he has severe pain in his neck and lumbar spine with radiation into his extremities. he walks with a rolling walker.
diagnosis: herniated lumbar disc, probable herniated cervical disc, morbid obesity, ptsd, hypertension, gerd
can anyone give me there input on this report written by the ssa dr that was given to the alj.
Link to comment
Share on other sites
Top Posters For This Question
4
1
1
1
Popular Days
Jun 16
3
Jun 21
3
Jun 25
2
Top Posters For This Question
ltate90 4 posts
LarryJ 1 post
jbasser 1 post
WHOLESALE 1 post
Popular Days
Jun 16 2009
3 posts
Jun 21 2009
3 posts
Jun 25 2009
2 posts
7 answers to this question
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now