Week 8 Focus Episodic SOAP Note Musculoskeletal Case Study 1

Differential Diagnosis: 1. Sciatica: chosen due to subjective data and physical exam findings. 2. Muscle strain: chosen due to subjective information and reports of increased physical activity prior to the visit to the clinic. 3. Spinal stenosis- chosen based on subjective information provided. Physical examination ruled out spinal stenosis due to alleviating and aggravating factors and absence of neurogenic claudication. 4. Spinal disk herniation: This can cause low back pain that radiates down the buttock to below the knee. Patient in this case study did not have pain below the knee. 5. Spondylolisthesis: chosen due to subjective information of pain to legs and buttocks. Ruled out by pain being relieved with standing and worse with sitting