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back pain, given dura-back if needed for spasm. nm

Posted By: minmin on 2008-06-05
In Reply to:

Subject: back pain, given dura-back if needed for spasm. nm

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Zanafex or tizanidine, for muscle spasm, esp. in back?? NM
Subject: Zanafex or tizanidine, for muscle spasm, esp. in back?? NM

nm


Drug name - s/l amarek, for back pain and neck pain
Subject: Drug name - s/l amarek, for back pain and neck pain

Any ideas?  Thanks! 
CC: Back pain
Subject: CC: Back pain

Thanks for taking the time on this . . .

While the CC: is back pain, the subjective describes . . .

This is an 81-year-old female who, for the last month, has had some intermittent pain next to her right shoulder blade. She is right-handed, and she has been doing a lot of gardening and weed whacking. It does not bother her much during the day, but at night when she sits, and then when she is lying in bed at night, she feels what she describes as a muscle spasm with twinges. She also at times has some diffuse pain from her elbow radiating up to her neck when she “overdoes it”, but that has been going on for quite some time, and she does not feel like that has recently changed.
it is just that she has low back pain..sm
Subject: it is just that she has low back pain..sm

Since that time, she has had increasing low back pain.  She did do the s/l-Ergosco-  method.  She had no relief.  She did have an injection to her SI joint region, which had a terrible reaction.  Since that time, she has had low back pain. 
Pt with low back pain sm
Subject: Pt with low back pain sm

Wondering if it is from his iliac or ileac surgery? Which one would it be/how to tell?
Back pain
Subject: Back pain

The patient has chronic back pain with severe s/l spurring and osteoarthritis.   


TIA


thoracic back pain after MVA
No vertebral tenderness on palpation.  She does have some tenderness on palpating rhomboids and s/l Q L's and paraspinal muscles. 
discogenic back pain
Subject: discogenic back pain


Patient has low back pain
Subject: Patient has low back pain

She has normal lumbar lordosis with tenderness at right PSI? and sacral sciatic notch?
s/l NAMBUTONE for back pain
Subject: s/l NAMBUTONE for back pain

He is also on _____ 500 mg twice a day as needed for severe back pain.
Amryx for back pain? nm
Subject: Amryx for back pain? nm


Patient with low back pain. She is on ....sm
Subject: Patient with low back pain. She is on ....sm

She is on s/l oral phenadrin/fenadrine (may be saying orphenadrine) and Cataflam for this.
s/l peributtock back pain??
Subject: s/l peributtock back pain??


Patient in mid back pain
Subject: Patient in mid back pain

Bowel sounds are normal. No organomegaly. She does have some epigastric tenderness. She also has some left flank tenderness, but there is no s/l spleen dent or dip noted. Thanks!
nEck pain and back pain
Subject: nEck pain and back pain

what a day!
S/L-ergosco method (for back pain)?
Subject: S/L-ergosco method (for back pain)?


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Subject: medication - s/l somatalez for back pain? TIA


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Subject: I'd say positive for musculoskeletal back pain.


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Subject: Dx of low back or sciatic pain? Maybe Laseague's? nm

s
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Subject: for back pain and was given a script for Duraban??


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Subject: s/l "conjoined" back and neck pain.

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Subject: Neurosurgical note. Back pain. nm

xx
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Subject: s/l naproline. Pt has neck/back pain. Thanks


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Subject: lower back pain due to s/l fitskating

lower back pain due to s/l fitskating
patient with chronic back pain on SENTINEL 75 every third day.
Subject: patient with chronic back pain on SENTINEL 75 every third day.

The patient has chronic back pain and has been in a detox program recently.  The medication S/L SENTINEL 75 - any help?? 


 


 


Pt's back pain is thought to be from her S/L "estalon" radiculopathy. TIA nm
Subject: Pt's back pain is thought to be from her S/L "estalon" radiculopathy. TIA nm


Only symptoms are low back pain which is improved, and the tinnitus -
Subject: Only symptoms are low back pain which is improved, and the tinnitus -

The back pain has resolved. The patient feels that the Lyrica (prescribed from another doctor) has caused the ringing, so this doc prescribed the s/l Pamelor. Very short report so no other info. Thanks.
trigger point injection for back pain
Subject: trigger point injection for back pain

After alcohol prep, inject with Ristocort (sp??) 80 and 1 ml of Xylocaine. 
patient with back pain, s/l policing eight paucet tumor??? nm
Subject: patient with back pain, s/l policing eight paucet tumor??? nm

nm
patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm

nm
Racz (baby) catheter is used against back pain during pregnancy...nm
Subject: Racz (baby) catheter is used against back pain during pregnancy...nm

nm
Racz catheter is used against back pain, inserted into the spine..nm
Subject: Racz catheter is used against back pain, inserted into the spine..nm

nm
Lower back pain" is probably the most common use in AE - though "lumbalgia" is a real word
Subject: Lower back pain" is probably the most common use in AE - though "lumbalgia" is a real word in English medicine...it's rarely used.

.
sl/l positive bordel sign (from flexing neck and causes back pain)
Subject: sl/l positive bordel sign (from flexing neck and causes back pain)


s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history

thank you
Oh, now she is adding she forgot to mention insomnia and low back pain (scream!) NM
Subject: Oh, now she is adding she forgot to mention insomnia and low back pain (scream!) NM

nm
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA

student dictating but I have never heard this term used. Any help would be appreciated.  Thxs
Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!!
Subject: Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!! nm


tinazadine, analgesic/muscle relaxant, used for pain and spasm??
Subject: tinazadine, analgesic/muscle relaxant, used for pain and spasm??

nm
Pain clinic help needed. please sm
Subject: Pain clinic help needed. please sm

In the past, patient has tried tramadol, Percocet, Vicodin, and Darvocet. She has never used an anticonvulsant, a tricyclic antidepressant, or s/l sympatholitic.

s/l diruclofen as needed for pain?
Subject: s/l diruclofen as needed for pain?

xx
you should always try to back it up
Subject: you should always try to back it up

:)


Thx for the help. I just keep going back and forth on it. Now I know. nm
Subject: Thx for the help. I just keep going back and forth on it. Now I know. nm


X-ray of back
Subject: X-ray of back


x-ray of back.....
Subject: x-ray of back.....

It sounds like it might be spondylolisthesis, which would be descriptive of the L5-S1 joint; where as anterolisthesis refers to a subluxation of one vertebral body upon another would be stated as "there is anterolisthesis of L5 on S1"
Going to go w ith take-back
Subject: Going to go w ith take-back

cannot figure out what else this could be. Says this very clear. Thanks for those who were looking.
Went back...
Subject: Went back...

and it is clear as day! Geez...guess I just needed to talk it out! Thanks! :)
That was it, Thank you - I think I need to go back to bed!!!
Subject: That was it, Thank you - I think I need to go back to bed!!!


I put 110 to 120. Never had it come back yet....nm
Subject: I put 110 to 120. Never had it come back yet....nm

x
Just got it back from QA -
Subject: Just got it back from QA -

She has a long habit of only drinking...........

 

Wow! Call me homer simpson.  d'oh!

Pain clinic help needed - please see message
Subject: Pain clinic help needed - please see message

Patient has sacral fracture.

Medications: Cozaar 50 mg p.o. b.i.d.; Lipitor 10 mg p.o. q.h.s.; Lexapro 20 mg p.o. q.a.m. (prescribed by psychiatrist Dr. Laakso); Fosamax 70 mg p.o. q. week; Sinemet 25/100 q.2 h; Sinemet R at bedtime (could not find Sinemet R, but that's what he says).

I have asked her to increase the OxyContin to 10 mg in the morning and 20 mg in the evening, and she can continue to use the s/l sure-lacking medication for breakthrough pain.