On physical exam, CE notes that claimant is obese; has pain with flexion, extension, and rotation, as well as in left shoulder.
Impression: 1) Low back pain radiating to left lower extremity; 2) Left shoulder pain; 3) GERD; 4) Exogenous obesity
1) L10 occ, 25 frq; C 2-3 occ, 20 frq
2) Stand and walk for 4 hours
3) Sit for 8/8
4) Occ posturals