Dashboard
Monday, March 16, 2026
Margaret Thompson
physio
Service Category
physio
Referral Source
Dr. Anita Patel
Started
Jan 12
Primary Therapist
Sarah Mitchell
Site
5517 Victoria Rd
Status
Active
Visits
Mar 18
Mar 13
Mar 4
Feb 18
SOAP Notes
Subjective
Patient excited — walked to mailbox and back yesterday without walker (used cane). Pain 2/10 at rest, 4/10 end-range. Sleeping through the night now.
Objective
R hip flexion 105 deg, abduction 35 deg, extension 10 deg. Gait with cane: near-normal pattern, good heel strike and push-off. TUG 14 sec. Single leg stance R 8 sec. Stair test: up/down 12 steps with rail, reciprocal pattern.
Assessment
Excellent progress at 7 weeks post-op. ROM approaching functional targets. Gait pattern near normal with cane. Stairs now safe with handrail. Transitioning from walker to cane is appropriate.
Plan
Reduce to 1x/week. Progress strengthening — add step-ups, mini squats, resistance band hip exercises. Outdoor walking program. Begin planning for discharge — target 2-3 more visits. Update HEP for independent phase.
Signed by c_sarah on Mar 4
Subjective
Patient reports R hip pain 4/10 at rest, 6/10 with stairs. Sleeping better — only wakes once at night. Using walker consistently.
Objective
R hip flexion 95 deg (was 80 deg at initial). Abduction 30 deg. Gait: antalgic pattern improving, heel strike present. TUG 18 sec. Scar healing well, no signs of infection.
Assessment
Good progress 5 weeks post-op. ROM improving ahead of schedule. Gait pattern normalizing. Fall risk moderate — stairs remain a concern.
Plan
Continue 2x/week visits. Progress to resistance band exercises for hip abductors. Add stair training next visit with handrail. Update HEP with standing balance exercises.
Signed by c_sarah on Feb 18
Claims
| Payer | Amount | Status |
|---|---|---|
| MSI | $78.00 | Submitted |
| MSI | $78.00 | Paid |
Authorizations
Treatment Consent — Margaret Thompson
Effective: Jan 12
MSI Physiotherapy Coverage — Margaret Thompson
Effective: Jan 12 — Expires: Jul 12
Notes
Internal case notes.
Margaret is progressing well. Daughter Karen is very involved — always calls to check on progress. Keep Karen updated after each visit.