Patient: Tyra Banks

John Chiro 2110 Country Cove Lane
Date: 11/03/2006 Altoona, IA 50009
Chart Number: 11299 515-979-1185

Diagnosis/Clinical Impression #1:

Cervical subluxation (739.1) Cervical sprain/strain (847.0) Cervicothoracic subluxation
(839.00) Neck pain (723.1) Cervical rib (756.2) Dizziness, vertigo (780.4)

Complicated by: Loss of Cervical Lordosis.
Associated with: Decreased range of motion.
Resulting in: Headaches.


Diagnosis/Clinical Impression #2:

Low back pain (724.2) Backache (724.5) Lumbar radiculitis (724.4)
Complicated by: Arthritis.
Associated with: Muscle spasms.
Resulting in: Lumbar pain.
Recommended Spinal Manipulation Frequency: 3 times per week for 4 weeks.

Rehab:

Passive & Active cervical rehab.
Structural Support: None needed at this time.

Short Term Goals:

Decrease pain, inflammation, muscle tightness and increase vertebral motion and
decrease swelling/edema, improve gait pattern, improve stability.

Long Term Goals:

100% recovery anticipated, but length of time unknown at this time.

Due Date: 01/01/2007

Follow Up Procedures: Reexamination, Exercises and X-ray.

Restrictions:

None at this time.

Special Instructions:

Spinal care class and discuss sleeping position and cervical pillow usage.

Patient Employment:

Off Work: From 11/01/2006 To: 12/01/2006

Lifestyle/Diet Modification/Nutritional Support:

There were no changes recommended.

Consultation:

This was scheduled with patient's other doctor for 11/5/06.

Additional Diagnostic testing:

The following additional studies are recommended: Imaging: Ultrasound to lumbar spine.

Recommended by Doctor:

Full Chiro, DC