Hello Bob Patient

PT Number: 153991   Expiry date: 2019-11-16

Date of birth: 11/22/1973

Address: 1 Bobs Street, Suburb,VIC,3000

Phone: 1234 1234

Referred By:

Pain Summary:

Key

  • Electric  
  • Scratchy  
  • Pins/needles  
  • Dull/ache  
  • Burning  
  • Add  

Document the pain in order of concern (ie. 1 is your most troublesome area)

  • In the morning
  • During the day
  • In the evening
  • During sleep

In the morning

During the day

In the evening

During sleep

What is the pain's pattern?

Managing the pain

Always Sometimes Never N/A
The pain makes me feel:
breathless
I have nothing to look forward to
tense and unable to relax
downhearted and blue
The pain means:
I’m more irritable
I sit or lie down most of the day
I need help with seating
The painful facts are:
use the handrail with stairs
climb stairs more slowly
lie down for a rest more often
avoid heavy jobs at home
The pain stops me from:
making a hot drink
doing the jobs around the house
going to the shops
Speaking
Emotionally, the pain makes me think:
My situation will never change
moving will make things worse
my life is ruined
of terrible conversations to myself
the situation is hopeless
Support I have:
supportive friends
family who are understanding
work assistants
a great community
wellness care providers
Things that exacerbate the pain:
Stress
Any movement
Not moving
Loud noise
Things that ease the pain:
Rest
Sleep
Walking

Professional and personal life in brief

Professional Life

Full-time Graphic Designer 20 years I ran my own design company

Personal life then

  • Married /
  • no children /
  • 1 dog
Currently unable to work I was a really energetic person. I exercised every day and practised yoga 4 x a week. I was social and also created artwork that I exhibited.

Medical history

Childhood Asthma / no other medical conditions

Pre existing medical conditions

No other current medical conditions

The pain and other issues

Managing the pain

How did the pain begin?

I was sitting on a fitball (exercise ball) it was my seat in the studio but it exploded and I fell to a concrete floor

Describe the health issue

Neuropathic pain (pelvis)

Has there been a diagnosis?

Pudendal Neuralgia

Note any health cover / insurance

Health 1 private insurance but Workcover no longer help at all.

The health issue

Note any medication

None but previously stopped very low doses of Amitryptaline

Note treatment

Peripheral stim implant that I use daily

Other details worth noting

I am able to do a little walking but I cannot lift more than a few kilos, I cannot drive and being a passenger or commuting is very difficult. I cannot sit without a seating aid. I can no longer work more than 15 hours per week. I require much help to be able to work and this is distressing.

Current management journey

Psychology - 4 sessions

Physiotherapy - 4 sessions

Physiotherapy

Related reports, files & imaging

Clinical-Letter-20.6.11-Bob-Patient.pdf uploaded on 2011-06-09 12:00
Clinical Letter from Dr Mary Navy Test-x-ray.jpeg uploaded on 2011-09-02 12:00
X-ray - pelvis Bob-M-_Sacral_stim_0592.jpg uploaded on 2015-10-20 12:00
Trial placement x-ray Boston-Scientific.jpg uploaded on 2015-11-27 12:00
New sacral stimulation implant

Personal notes

Sep – Nov: I saw my pain specialist and began PEA and it's really effective. My mood has lifted. Strange how you can't tell what it is that's bothering you until it's dealt with. Being in a better mood makes a huge difference. I could never have explained that. Jul – Aug: I think the heating is bothering me and the electric blanket might be causing my flares. Feb - Mar 2017: I feel like myself again. Although I have to adjust my days dramatically to be off medication, I'm feeling better without all the medication side effects. I hope I can manage this way. Dec - Jan 2017:  Holiday seasons are so hard. I paced myself and although I was in great pain in the afternoon of Christmas day and New year's day, I have recovered ok. I got a hula hoop for a present Jan: I've manage to walk 3 evenings for a short time each in 10 days.

Patient journey

   

Jun'14

Dr Red, Psychology

Sep'14

Dr Red, Acupuncture

Oct'14

Prof Theo, Nerve block/treatment

Feb'15

Violet, Physiotherapy

May'15

Hydrotherapy

Nov'15

Remedial massage

Feb'16

Remedial massage

Jun'16

Remedial massage

Mar'17

Mindfulness - meditation

Oct'17

Pain Management

Map of mood, medication & exercise

Pain Summary:

Key

  • Electric  
  • Scratchy  
  • Pins/needles  
  • Dull/ache  
  • Burning  
  • Add  

Document the pain in order of concern (ie. 1 is your most troublesome area)

  • In the morning
  • During the day
  • In the evening
  • During sleep

In the morning

During the day

In the evening

During sleep

What is the pain's pattern?

Managing the pain

Always Sometimes Never N/A
Support I have:
shoulder to cry on
supportive friends
wellness care providers
Emotionally, the pain makes me think:
My situation will never change
of terrible conversations to myself
the situation is hopeless
The pain makes me feel:
tense and unable to relax
less confident in public
The pain means:
I’m more irritable
I stay home more than I used to
I change position all the time
I only walk short distances
The painful facts are:
use the handrail with stairs
climb stairs more slowly
walk more slowly
avoid standing
The pain stops me from:
running
walking with the dog
Time/s in life that you believe the pain triggers:
Wear and tear

Professional and personal life in brief

Professional Life

Professional life is the same but I try move less

Personal life then

I ran 30kms per week

Medical history

I have great medical history and no major issues.

Pre existing medical conditions

Asthma during child years.

The pain and other issues

Managing the pain

How did the pain begin?

I was in a car accident and my legs were squashed by the inside of the car. No bones were broken but they were terribly hurt nevertheless

Describe the health issue

The pain hasn't gone away. It's persisted, perhaps even getting worse. I have to buy different shoes and I use supportive slip in for the shower even.

Has there been a diagnosis?

Chronic pain

Note any health cover / insurance

Private health cover. Transport insurance

The health issue

Note any medication

I'm trying not to take too much medication. Gabapentin as I need it. Panamax or Panadol.

Note treatment

I see a physiotherapist fortnightly.

Other details worth noting

I'm feeling like not many people understand me.

Current management journey

Physiotherapy

Physiotherapy

Physiotherapy

Pretty happy this issue is getting much better

Related reports, files & imaging

Knee-xray.jpg uploaded on 2017-09-28 12:00
Borderline patella alta. 7D966FB3-1646-4C06-9CB7-D2A2C2D37E97.jpeg uploaded on 2018-04-06 12:00
Knee illustration for reference

Personal notes

Next of kin: Barbara Patient. 0410 000 000

Patient journey

   

Aug'16

Emergency check up

Aug'16

Sent home

Sep'17

Checkup

Sep'17

Maintenance

Map of mood, medication & exercise

Pain Summary:

Key

  • Electric  
  • Scratchy  
  • Pins/needles  
  • Dull/ache  
  • Burning  
  • Add  

Document the pain in order of concern (ie. 1 is your most troublesome area)

  • In the morning
  • During the day
  • In the evening
  • During sleep

In the morning

During the day

In the evening

During sleep

What is the pain's pattern?

Managing the pain

Professional and personal life in brief

The pain and other issues

The health issue

Note any medication

I only occasionally take Panamax. The pain has settled greatly

Note treatment

I have physiotherapy and I am strict with my exercises and walking

Other details worth noting

I'm very happy after the operation

Current management journey

Physiotherapy

Physiotherapy

Physiotherapy

Physiotherapy

Related reports, files & imaging

Personal notes

Patient journey

   

Jan'18

Follow up apt

Feb'18

Surgery follow up

Mar'18

Physiotherapy

May'18

Physiotherapy

Jul'19

Pain Management

Map of mood, medication & exercise