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Chart Notes 6603 220th St. SW Suite 102Mountlake Terrace, WA 98043-2186Phone: (425) 774-2411Fax: (425) 672-7065 <br />Olympic Spine and Sports Therapy <br />Patient:Ins Co:WA MEDICARE-NORIDIAN Pol #:NONE <br />Date 07/29/2025Provider:Mark Shelley, DC, DACNB *** continued from previous page ***Ankle Clonus - NormalWithdrawal Reflex - Normal <br />POSTURE:Head translation anterior. Thorax translation left. <br />PALPATION:Pain with Digital Pressure & Hypertonicity: left thoracic paraspinals, left lumbar paraspinals, bilateral lumbosacral paraspinals, L3, L4, L5 and sacrum <br />SPINAL RANGE OF MOTION:ROM was tested and measured using the Goniometer. The ROM tests are as shown below. CERVICAL SPINECervical ROM:Flex:36/65 Ext:19/50 Left Lat Flex:19/40 Right Lat Flex:16/40 Left Rot:40/70 Right Rot:29/70 The patient reported pain with the following ranges of motion: NONE. LUMBAR SPINELumbar ROM:Flex:92/95 Ext:10/25 Left Lat Flex:20/25 Right Lat Flex:22/25 Left Rot:30/45 Right Rot:27/45 The patient reported pain with the following ranges of motion: flexion and right lateral flexion. Location of Pain: Right Hip. <br />Radiographic Findings <br />Cervical Spine: Examination of the cervical spine, utilizing views obtained in the AP, Lateral and AP Open Mouth positions revealed the following: Moderate to severe multilevel degenerative changes were noted from C3 through C6.A Retrolisthesis was noted at C3 on C4 and C5 on C6.Biomechanical analysis revealed -36 degrees of cervical curve. -42 degrees is considered ideal. C2 measured 53 mm anterior translated from C7 and was translated -14 mm rightfrom neutral relative to S1. Zero translation is considered ideal. <br />Thoracic Spine: Examination of the thoracic spine, utilizing views obtained in the AP and Lateral positions revealed the following: Moderate to severe multilevel degenerative changes were noted from T7 through T 10. Vertebral body compression deformities were noted from T6 through T 10.Compression fractures noted at T9-T11. <br />Printed:Page 4 Of 7Tuesday, August 12, 2025 4:16:38 PM