Subjective:\r\n\r\nChronic back pain due to old injury with periodic acute exacerbations.\r\n\r\nObjective:\r\n\r\nvital  signs: stable.\r\nheart: rrr\r\nlungs: cta\r\nback:  decreased range of motion,\r\npalpable paravertebral muscle spasms\r\nwith tenderness to palpation.\r\n\r\nAssessment:\r\n\r\nChronic back pain.\r\n\r\nPlan:\r\n\r\nSee orders.