Indy practice....

45 yo male presents for a pain consult from ortho to assist with PT.

Pt is s/p Right RCR 3.5 weeks prior. Tearful with guarding of operative extremity, refusing to move. ROS is essentially negative except for smoking. Labs all come back WNL. Only med is Lortab (ineffective).

What else should also be looking for in your physical examination? What treatment options are there after you have made a determination?