Treatment chronology

7 events · 03/14/2026 – 06/20/2026 · compiled from 4 medical records · every entry cited to the source

✓ Initial treatment within 14 days — accident 03/14, ED same day · § 627.736 Mercy General — ED Records · p.4 ✓ EMC determination found · § 627.736 Mercy General — ED Records · p.5 ✓ No treatment gaps over 30 days — continuous care 03/14–06/20

Mar 142026

Mercy General — Emergency Dept. Mercy General — ED Records · p.4

Acute lumbar strain with paraspinal tenderness at L4–L5; X-ray negative for fracture. Prescribed cyclobenzaprine, discharged with activity restrictions and ortho referral.

Mar 222026

Valley Orthopedics — Initial evaluation Valley Orthopedics — Notes · p.7

Positive straight-leg-raise on the right; decreased lumbar range of motion. Ordered lumbar MRI to rule out disc involvement.

Mar 292026

Lumbar MRI — Radiology read Lumbar MRI — Imaging Report · p.3

4 mm disc herniation at L4–L5 with right-sided neural-foraminal narrowing and nerve-root impingement. Mild facet arthropathy noted.

Apr 52026

Valley Orthopedics — Follow-up Valley Orthopedics — Notes · p.12

Diagnosis: lumbar radiculopathy secondary to L4–L5 herniation. Recommended a course of physical therapy and a lumbar epidural steroid injection.

Apr 122026

Active Recovery PT — Evaluation & care Active Recovery PT — Notes · p.2

PT evaluation and start of therapeutic exercise; began an 18-session course addressing lumbar stabilization and radicular symptoms.

May 302026

Valley Orthopedics — Procedure Valley Orthopedics — Notes · p.21

Lumbar epidural steroid injection at L4–L5 under fluoroscopy. Tolerated well; partial symptom relief reported at follow-up.

Jun 202026

Active Recovery PT — Discharge Active Recovery PT — Notes · p.31

Completed 18 sessions. Discharge note documents residual radicular symptoms with activity and a recommendation for a home exercise program.

Compiled by errata from the cited records and reviewed entry-by-entry against the source. Want this on a real file? Pilot firms run their first case free — contact@errata.app.