Scenario: Olivia Patel was admitted on 07/10/2025 with severe lower back pain. She was diagnosed with lumbar spinal stenosis and received an epidural steroid injection. Although physical therapy was initiated for long-term pain management, her pain has not improved, and she is ambulating with support. Write a letter to an orthopaedic surgeon for further urgent treatment.
Notes
- 2016 – Preeclampsia during pregnancy.
- 2017 – Migraine (recurrence); managed with propranolol.
- 2019 – Vitiligo; under dermatology care.
- 2020 – Two episodes of sciatica.
- Intermittent radicular pain in lower limbs, exacerbated by lumbar pathology.
- Chronic low vitamin D and calcium deficiency – previously treated, but ongoing risk for bone fragility.
- 2023 – Obesity – BMI in overweight range.