Hello Bob Patient

PT Number: 153991   Expiry date: 2020-11-24

Date of birth: 11/22/1973

Address: 1 Bobs Street, Suburb,VIC,3000

Phone: 1234 1234

Referred By:

Pain Summary:

Pain Summary
+/-

Key

  • ElectricElectric
  • ScratchyScratchy
  • Pins/needlesPins/needles
  • Dull/acheDull/ache
  • BurningBurning
  • CustomPain description
Where is the pain?
+/-

Pain is indicated in order of concern (eg 1 is the most troublesome pain area)

How painful is it:
+/-
  • In the morning?
  • During the day?
  • In the evening?
  • Through sleep?
What type of pain is it:
+/-

In the morning?

During the day?

In the evening?

Through sleep?

What is the pain's pattern?

 

Professional Life

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

Personal life

  • 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

 

Full summary

It's important I stay within my limits. I know that being a passenger in the car, lifting over 2 kilos etc impact my life. I will keep looking for treatments but pacing is key for me. my life has changed and I have to accept that.

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 briefly

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.

 

Note any medication

None but previously stopped very low doses of Amitryptaline

Note past treatment (list current treatment in next section)

Peripheral stim implant that I use daily

Other important 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.

 

Psychology - 4 sessions

Physiotherapy - 4 sessions

Physiotherapy

(Select links to view)

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 Spinal-Stim-Trial-02.png 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

 

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.

 

   

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

Pain Summary:

Pain Summary
+/-

Key

  • ElectricElectric
  • ScratchyScratchy
  • Pins/needlesPins/needles
  • Dull/acheDull/ache
  • BurningBurning
  • CustomPain description
Where is the pain?
+/-

Pain is indicated in order of concern (eg 1 is the most troublesome pain area)

How painful is it:
+/-
  • In the morning?
  • During the day?
  • In the evening?
  • Through sleep?
What type of pain is it:
+/-

In the morning?

During the day?

In the evening?

Through sleep?

What is the pain's pattern?

 

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 Life

Professional life is the same but I try move less

Personal life

I ran 30kms per week

Medical history

I have great medical history and no major issues.

Pre existing medical conditions

Asthma during child years.

 

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 briefly

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

 

Note any medication

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

Note past treatment (list current treatment in next section)

I see a physiotherapist fortnightly.

Other important details worth noting

I'm feeling like not many people understand me.

 

Physiotherapy

Physiotherapy

Physiotherapy

Pretty happy this issue is getting much better

(Select links to view)

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

 

Next of kin: Barbara Patient. 0410 000 000

 

   

Aug'16

Emergency check up

Aug'16

Sent home

Sep'17

Checkup

Sep'17

Maintenance

Pain Summary:

Pain Summary
+/-

Key

  • ElectricElectric
  • ScratchyScratchy
  • Pins/needlesPins/needles
  • Dull/acheDull/ache
  • BurningBurning
  • CustomPain description
Where is the pain?
+/-

Pain is indicated in order of concern (eg 1 is the most troublesome pain area)

How painful is it:
+/-
  • In the morning?
  • During the day?
  • In the evening?
  • Through sleep?
What type of pain is it:
+/-

In the morning?

During the day?

In the evening?

Through sleep?

What is the pain's pattern?

 

Always Sometimes Never N/A
The pain stops me from:
jogging for more than 10 mins
driving for 1 hour
The painful facts are:
I'm not as active
The pain means:
I’m more irritable
The pain makes me feel:
tense and unable to relax
Emotionally, the pain makes me think:
A little down
Support I have:
family who are understanding
work assistants who understand
pet/s (they are very upset!)
Things that exacerbate the pain:
Squatting or bending the knee
Things that ease the pain:
Walking

 

Full summary

Please refer to the access link I provided to my 'Pelvic Pain' health summary. This contains my general info.

How did the pain begin?

Describe the health issue briefly

Has there been a diagnosis?

Note any health cover / insurance

 

Note any medication

I only occasionally take Panamax. The pain has settled greatly

Note past treatment (list current treatment in next section)

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

Other important details worth noting

I'm very happy after the operation

 

Ongoing exercises and lots of walking!

(Select links to view)

 

   

Jan'18

Follow up apt

Feb'18

Surgery follow up

Mar'18

Physiotherapy

May'18

Physiotherapy

Jul'19

Pain Management

Sep'19

Final check up

Pain Summary:

Pain Summary
+/-

Key

  • ElectricElectric
  • ScratchyScratchy
  • Pins/needlesPins/needles
  • Dull/acheDull/ache
  • BurningBurning
  • CustomPain description
Where is the pain?
+/-

Pain is indicated in order of concern (eg 1 is the most troublesome pain area)

How painful is it:
+/-
  • In the morning?
  • During the day?
  • In the evening?
  • Through sleep?
What type of pain is it:
+/-

In the morning?

During the day?

In the evening?

Through sleep?

What is the pain's pattern?

 

Always Sometimes Never N/A
The pain stops me from:
reading a book
sitting outside when there is sun
The painful facts are:
It's really beginning to stress me out
The sharp stabbing pains are frightening
The pain means:
I’m more irritable
I stay home
I change position
I don’t feel like eating
My sleep is disrupted
The pain makes me feel:
tense and unable to relax
less confident in public
Emotionally, the pain makes me think:
My situation will never change
moving will make things worse
Support I have:
shoulder to cry on
supportive friends
family who are understanding
Things that exacerbate the pain:
Stress
A hot day
Loud noise
Being in a busy place
Things that ease the pain:
Sleep

 

Professional Life

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

Personal life

  • Married /
  • no children /
Currently finding it very difficult 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

 

Full summary

This headache issue feels like it's come on very suddenly. I can't guess what might be the trigger. I'm a bit lost as to what I can do about it.

How did the pain begin?

One morning when I woke up

Describe the health issue briefly

It's severe stabbing pains occasionally and then other times I have really dull aching.

Has there been a diagnosis?

No diagnosis

Note any health cover / insurance

I have private health insurance

 

Note any medication

I only occasionally take Panamax.

Note past treatment (list current treatment in next section)

Other important details worth noting

I have always had sinus issues and allergies.

(Select links to view)

 

NOV 4 My headaches are starting to ease a little. This means I can get better quality sleep. I hope this holds up. Thought it was worth noting. Perhaps this is all just sinus.