{"text":". Clelland Agnes \" CHI: 0809555328 - \nClinical letter - GP: GP l\u00e9tter . \" e \" NHS \n. 4 s ' . . h\ufb02 \n. Greaterclasgow \nand Clyde \nGlasgow Royal Infirmary \n. Alexandra Parade \n. . \u00a9 \u201c. . i : Glasgow \nDr. E Stafford - _ C G31 2ER \nK!Isyth Medncal F.\u2019artnershlp ; Main Switchboard: ' : \u00a9 01412114000 . \nKilsyth Community Health Centre Department: Orthopaedics \nAirdrie Road Contact Tel: 0141-201-3733 \nKilsyth Enquiries to: ' R \nG65 9.JE Letter Date: : 11\/07\/2023 \n: Reference: - RS\\CWW \n\u2019 . Dictated Date: . 21\/06\/2023 \nDear Dr Stafford , . . Transcribed Date: | \" .21\/06\/2023 \n2 \nAgnes Clelland; D.O.B: 08\/09\/1955; CHI: 0809555328 \n39 Rennie Road , Kilsyth , Glasgow, Lanarkshire, G65 9PQ \nOutcome: Ref\u00e9rral to spinal surgeons \nAgn\u00e9s attended today for review, She had previously been seen in Dacember and had been referred \non to the spinal surgeons and an MRI scan as an outpatient had been requested. \nShe tells me that she still has aevere pain in her lower back radiating to both legs. This is worse to \nthe right side. She describes no paraesthesia in her Iower limbs, but describes pain and giving way \nof her legs. She does not describe cramping or feels like extension activities aggravate her [umbar \n\" back paln ; \n~ \nThe MRI scan results were relayed to Agnes. These show L4\/L5 and L5\/S1 spinal canal stenosis \nwith bilateral L5 nerve root impingement and-S1 nerve root |mp|ngement as well. She has a grade 1 \n- anterior spondylolisthesis at L4 and L5 as noted previously. \nOn examination she was able to mobilise with one stick. Straight leg raise on the right leg \naggravated her back but also produced leg pain. This was negative on the left. Power was 4 out of \n5 on hip flexion, but otherwise was 5 out of 5 in all lower limb myotomes and her plantars were down \ngoing. Sensation was present throughout her lower limbs and not altered. \nPrinted on 11\/07\/2023 15:48 by Louise Cufran Page 1 of 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