Chiro Video Consult

Specialty: Chiropractor Subjective: Patient reports feeling better overall, currently in week 3, day 2 of the app programme. Exercises have been well-tolerated, with good adherence to the prescribed routine. Patient has consistently applied the advice on postural correction at work, noting reduced discomfort. Patient mentioned an upcoming family holiday to Spain in two weeks, hoping to be more mobile for sightseeing. Experienced a slight reduction in left-sided lower back stiffness, now rated 3/10 (previously 5/10). No other new clinical details reported. Discussion and Education: Educated patient on the importance of continued core strengthening for long-term spinal stability. Discussed adapting exercises for travel, focusing on stretches and maintaining hydration. Reinforced proper lifting techniques for luggage. Analysis: Patient demonstrating good progress toward stated goals. Left lower back pain improved, indicating positive response to current exercises and lifestyle modifications. Presentation shows continued stability, with no new aggravating factors. Overall clinical impression is positive, patient engaged and compliant. To note: Patient prefers morning appointments. Responds well to visual exercise demonstrations. Lifestyle factor: works a sedentary office job, beneficial to reinforce micro-breaks. Working Diagnosis: Lumbar facet joint dysfunction with associated muscle spasm. Plan: Patient to continue current exercise programme, focusing on posture during travel. Clinician to provide a modified travel-friendly exercise sheet. Follow-up recommended in 2 weeks, booked for 1 November 2024 at 10:00 AM.