*MH002472686*

OUT-PATIENT RECORD
Patient Name : Mr. Sasank Komarla Age/Sex : 34 Years / Male
Hospital No. : MH002472686 Date/Time : 10/07/2020,11:55:22 am
Consultant Name : Dr. Rashmi Krishnan Episode No : PAN200726095
HISTORY, EXAMINATION, INVESTIGATIONS, TREATMENT AND PROGRESS

CONSULTATION DETAILS
Present Illness

Case of Right L5-S1 PIVD , 2018

with recurrence in pain - 10 days ago
Availing modalities at PMR
Reports relief : Pain intensity before treatment was 8/10 currently 4-5/10
Stiffness in the back and pain on transition of position is better
Plan
-Transition to home program of pain management

Discussed with Dr.Priyamvadha

Physical Examination
Right SLR : 60 degrees , Left - 80
Hamstring tightness +
Paraspinal spasms - reduced
Diagnosis
Right L5 - S1 PIVD
C6-C7 PIVD
Rx
Treatment Plan/Notes
1. Contnue advice of Dr.Priyamvadha
2. Back care as advised , Reassurance
3. Relative rest
4. Avoid lifting weight
5. Walking - tolerable level
6. Local Moist heat three time daily / SOS
7. Voveran emulgel for local application
8. Shall review after 1 week or SOS

Plan
- Back exercises once pain reduces significantly

Dr. Rashmi Krishnan

MD
Consultant
Neuro Rehabilitation
KMC

V1,10/07/2020,11:55