Jackie Guereca PT Theresa Ames pt

Summary

Jackie, a Krav Maga enthusiast, seeks physical therapy for a sharp pain in her right leg after a recent injury while attempting to kick her nephew. Despite no previous leg injuries, the pain worsens with walking, climbing stairs, and kicking. Jackie expresses frustration with her limited mobility, as it affects her ability to practice Krav Maga. She’s been prescribed pain medication, including Mobic, and prefers manual therapy such as massages to alleviate muscle tightness. Jackie’s goal is to return to her regular activities, including Krav Maga, while managing her pain and improving mobility.

Takeaways

• 😀 The patient, Miss Mosa, is experiencing pain in the back of her leg after a fight with her nephew, during which she kicked him and felt a sudden strain.
• 😀 Miss Mosa rates her current pain at 6/10, with the worst pain reaching a 12/10, which she describes as 'unimaginable'.
• 😀 The pain is aggravated by walking, going upstairs, and kicking, with relief coming after sitting for 5-10 minutes.
• 😀 She has no previous history of leg injuries but experienced a hand fracture a few years ago that required surgery and occupational therapy (OT).
• 😀 Miss Mosa enjoys Krav Maga, but the leg pain prevents her from engaging in this activity, leading to increased frustration and irritability.
• 😀 She has difficulty sleeping due to the pain, often requiring repositioning or the use of a pillow under her leg for relief.
• 😀 Miss Mosa works as a telemarketer, which involves sitting for long periods, with leg pain worsening when she stands up after sitting.
• 😀 She consumes alcohol (wine) five times per week to unwind, and is experiencing increased irritability and headaches, which may be linked to her inability to engage in physical activities.
• 😀 The patient prefers physical therapy that includes massage, believing that tight muscles are contributing to her pain and discomfort.
• 😀 Miss Mosa has a preferred learning style where she likes exercises to be demonstrated once and then performed by herself, akin to her Krav Maga practice.
• 😀 She takes Mobic for pain relief (prescribed at the ER) and uses benzodiazepines and lithium for anxiety, which she takes as needed.

Q & A

What event caused Jackie’s leg pain?

Jackie’s leg pain started after an incident where she was fighting with her nephew. She attempted to kick him, and felt a strange pulling sensation in the back of her leg. The pain has persisted ever since.

How does Jackie rate her pain on a scale from 0 to 10?

Jackie rates her pain as a 6 out of 10 on average. When the pain is at its worst, she rates it as a 12 out of 10, describing it as unimaginable. At its best, when resting, the pain is about a 4.

What treatments or measures is Jackie currently using to manage her pain?

Jackie is using ice to manage pain when it flares up and has been prescribed Mobic by her doctor. She also engages in upper body strength training to keep active, though she avoids lower body exercises due to pain.

What previous therapy experience does Jackie have, and how did she feel about it?

Jackie previously attended occupational therapy for a hand fracture. She felt the therapy was ineffective and didn’t feel like she was benefiting from it, as the sessions involved what she described as pointless exercises.

How does Jackie describe her pain in terms of its nature and location?

Jackie describes her pain as sharp and pulling, localized in the back of her right leg. The pain is most prominent when walking, going upstairs, and kicking.

What aggravates Jackie’s pain the most throughout the day?

Walking, going upstairs, and kicking all aggravate Jackie’s leg pain. The pain worsens when she is on her feet for extended periods or while engaging in activities like climbing stairs.

How does Jackie cope with the pain during the day?

Jackie manages the pain by sitting down for about 5-10 minutes, which provides relief. She also enjoys relaxing and watching TV shows with a glass of wine, which helps her forget about the pain.

What is Jackie’s preferred way of learning during physical therapy?

Jackie prefers a hands-on approach to learning. She likes to see exercises demonstrated once and then perform them herself, similar to how she learns in Krav Maga training.

What impact has Jackie’s injury had on her ability to engage in physical activities?

Jackie is unable to engage in Krav Maga or any lower body exercises due to the pain in her leg. This restriction has made her frustrated, as she values these activities for both physical and emotional well-being.

What impact does Jackie’s job have on her pain levels?

Jackie’s job as a telemarketer requires her to sit all day. When she stands up after prolonged sitting, the pain in her leg intensifies, especially when she starts walking.