Reports decrease in pain. Complains of low back, hip, and leg pain. Initially out of work for one month at bed rest. Returns to work for 5 months with pain medications but with gradually increasing symptoms, plus numbness and tingling sensation in lower extremities bilaterally. Patient discontinues work and undergoes physical therapy three times per week for six months with no relief.
Patient returns to work for one year until pain becomes too severe.
No improvement in symptoms. Returns to physical therapy four hours daily for five months. No improvement in symptoms. Attends work conditioning for three days per week for one month. Depression with suicidal ideation secondary to pain Using narcotic pain medications Diagnosed with multiple myofascial syndromes.