 Re: MEB for back
Hi,
I’m so confused about my ROM results. Last Tuesday my doctor did my ROM test and at the end of our appointment I asked him if I had full range of motion. He walked around the answer by telling me that everyone has different ranges of motion. So basically, I never found out what my results were until today after I went up to the hospital and got my electronic records printed out for the past week. I don’t understand the ROM results whatsoever. To me it reads that I have full range of motion???
This is what was on my records:
Back exam reveals normal gait and sitting position; transfers are without apparent pain limitation. Back ROM: FF-fingertips to the knees, extension is full, and side bends are full and unguarded but has ipsilateral back muscle pain with side bends. He has no TTP at the sciatic notch. Percussion and palpation reveal mild pain over the midline from L4 to S1 and mildly over adjacent paraspinal muscles. Strength is 5/5 to heal and toe walking, and to single-leg calf raises. He has intact sensation, bilaterally equal knee and ankle cord reflexes, and 5/5 strength at the hips and knees. He has hamstring tightness bilaterally that limits his straight leg test to 60 degrees bilaterally. A sciatic stretch test is bilaterally negative. FABER testing is normal bilaterally. Bridging test reveals mild weakness but this is bilaterally. His neck exam shows FAROM but is guarded with extension. He has TTP over the midline of the T-spine at T3 & T4 and has some superior trapezius tenderness L > R as well. There is no palpable crepitance of the neck with motion. His neurological evaluation reveals intact upper extremity sensation but I am unable to elicit reflexes in either arm. He has 5/5 bilateral strength of the shoulders, elbows, forearms, wrist, and fingers. A Spurling’s test of the neck is negative for radicular symptoms.
I still haven’t read my Narsum yet, but would think the ROM would be the same. So if I’m reading this right, I have full range of motion. Does that mean I should really be concerned now about getting a decent rating? Do they rate for pain, or take into account what the MRI shows? Any help would be appreciated, I’m extremely nervous about what affect this ROM test will have on my case.
Thanks,
Dvldog98
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