My boy Des by Kenny Huynh https://padlet.com/khuy0020/6pjbu22s07gcpfoo Made with charisma en-us 2021-08-24 01:05:14 UTC 2025-12-31 19:32:58 UTC hello@padlet.com Des khuy0020 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692340513 43 years old
Taxi driver 
was once a vet
Wants to get back to work]]> 2021-08-24 01:06:07 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692340513 Job sdha0008 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692345775 Taxi-driver after coming to Aus
prolonged hours of sitting, carrying heavy suitcases
works 60 hrs/wk as family struggles to "make ends meet"]]> 2021-08-24 01:08:18 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692345775 social history + lifestyle behaviours klam0028 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692345950
- lives w/wife and 3 kids
- wife casual cleaner private hospital
- Misses family and wife's cooking
- worried about missing work and income (stressed) 
- eating fast food by himself (weight gain?) ]]> 2021-08-24 01:08:23 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692345950 Mechanism of Injury khuy0020 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692346937 Chronic 
- flexion injury 
- 10 years of overloading from work

Acute 
- Recently overreaching heavy suitcases]]> 2021-08-24 01:08:48 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692346937 RTW klam0028 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692347085 Not covered by workcover
Likely got medicare and GP referral to cover physio]]> 2021-08-24 01:08:52 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692347085 Hypotheses khuy0020 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692354703 Herniated Disc b/w L5/S1 with Radiculopathy 
S1 nerve root affected

Posterior (dorsal) or Anterior ventral nerve root affected)

]]> 2021-08-24 01:09:27 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692354703 HOPC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692358073 - Pain at the back of right leg and numbness in little toe (first time). Pain at worst is 7/10 in R LL and buttock
- Aggravating factors: sitting for too long, flexion of the back (coughing, sneezing, shaving at the basin, putting on socks and shoes)
- Easing factors: lying prone (but back pain persists), walking, analgesics. Pain subsides to 3/10
- intermittent back pain for 10 years]]> 2021-08-24 01:10:45 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692358073 Outlook khuy0020 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692360768 - Working closely with physio 
- Prescribed McKenzie exercise to help back extension 
 ]]> 2021-08-24 01:11:47 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692360768 Physical Assessment khuy0020 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692361438 Overweight
Anterior pelvic tilt
R lumbar, buttock & LL pain in activity

Pain with flexion

48% on Oswestry Low Back Pain Disability Questionnaire (severe disability)


Loss of sensation in low pinky toe]]> 2021-08-24 01:12:03 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692361438 Poor Prognosis factors linjames05 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692365567 A range of biological, psychological, societal, and work factors are linked to poor outcomes 
e.g.:
 Higher disability, 
 presence of sciatica,
 older age, 
 poor general health, 
 increased psychological or psychosocial distress (e.g. Des' anxiety)
 negative cognitive characteristics,
 poor relationships with colleagues, 
 heavy physical work demands, 
 presence of compensation.


]]> 2021-08-24 01:13:44 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692365567 Risk factors https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692366237
- Acute onset: overstretching / overreaching
- Prolonged periods of sitting
- Increased BMI
- lifting and heavy loads (and poor biomechanics)
-  Poor posture especially sitting
-  Weak lumbar extensors/core musculature
]]> 2021-08-24 01:13:58 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692366237 High reoccurance linjames05 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692370359 l  72% of patients with acute low back pain had completely recovered by 12 months,
l  42% of those with persistent low back pain recovered within 12 months. 
l  Of those presenting with acute pain who recovered, 33% had a recurrence within the next
12 months.
]]> 2021-08-24 01:15:26 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692370359 Imaging sdha0008 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692380271 No red flags on initial assessment
Try conservative management
May consider imaging if pain does not improve after 6 weeks and has persistent radiculopathy 

]]> 2021-08-24 01:19:10 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692380271 shawnravishka https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692440484 2021-08-24 01:41:21 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692440484 Management https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692477806 Education: on back pain- what to do vs. what not to do.
Reassurance: encourage patient that there is a favourable prognosis- reduce stress around this injury (look at biopsychosocial model of treatment).
Self-management- encourage patient to manage pain through simple analgesics and exercise mostly (McKenzie exercises are useful to continue with even after acute pain has based to reduce chance of recurrence)

]]> 2021-08-24 01:54:27 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692477806 Diagnosis shawnravishka https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692479123 S1 Radiculopathy]]> 2021-08-24 01:54:56 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692479123 Differential diagnosis klam0028 https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692500080 mechanical includes: 
- lower back muscle strain
- spondyloisthesis
- herniated disc
- OA/spinal stenosis]]> 2021-08-24 02:02:35 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692500080 shawnravishka https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692570810 2021-08-24 02:27:37 UTC https://padlet.com/khuy0020/6pjbu22s07gcpfoo/wish/1692570810