Stephen Walter

Patient Name: Stephen Walter PI 11.06.21, Latoya, DATE OF BIRTH: 09/08/86 Account No: 28999 Consultation Notes for Stephen Walter PI 11.06.21 on 20/04/23 Current Medications Reason for Appointment None 1. Back Pain Active Problem List Assessments Problem List has not been verified 1. Radiculopathy, lumbar region - M54.16 (Primary), bilateral. Acute Past Medical History since slip and fall on 11/6/21. MRI with disc protrusion with resultant Medical History Verified. severe left L4/5 stenosis. Chiropractic helps short term.  Onset: sudden since slip and fall on water while no blurring of vision. Psychology: walking in a convenience store. She went to ER at S and W hospital. Severity: 10/10, Aggravated by: sitting, standing ideation. no anxiety. no physical abuse. bending, Relieved by: none, Nature: sharp, Associated Symptoms: no mental abuse. no numbness, weakness. He (she) denies any previous low back pain. Chiropractic helps some for short period.
