DOI: 07/13/2010. This is a 42-year-old female cafe lead worker who sustained fracture to the low back and coccyx when she slipped on wet floor. Patient was diagnosed with chronic low back pain syndrome, displacement of lumbar intervertebral disc without myelopathy, degeneration of the lumbosacral intervertebral disc and disorders of the coccyx.
Per medical report dated 02/27/2015, patient’s medications are gabapentin 300mg, Klonopin 1mg, Lidocaine 5% patch, lithium carbonate 300mg, naproxen 500mg, and Saphris 5mg.
Based on medical report dated 07/02/15, the patient notices an increase in low back pain and right lower limb radicular pain for a few days before menstruation.. There is associated pain in the right lower extremity along the …show more content…
Gait is slow and guarded.
Diagnoses are displacement of lumbar intervertebral disc without myelopathy, moderate bipolar disorder, degeneration of intervertebral disc, coccyx disorder, and degeneration of lumbar intervertebral disc.
Treatment plan includes follow up with Dr. Weiss, follow-up visit in 2-3 months, trial of nabumetone for pre-menstrual exacerbation of low back and right lower extremity pain, alternate with Naproxen as needed, and continuation with Naproxen, gabapentin and lidocaine patches. All medications reduce pain by half and allow for the patient to continue daily activities.
He was given prescription for Lidocaine 5% patch 3 patches to be applied to the affected area for 12 hours on and 12 hours off #90, naproxen 500 mg 1 tablet twice daily #60, gabapentin 300 mg 2 capsule sin the morning and bedtime (to increase 1 capsule each week to titrate) #120 and nabumetone 750 mg 1 tablet twice daily #60, all with 2 refills.
IW has been previously certified with 120 Capsules of Gabapentin 300 mg between 4/21/2015 and 6/5/2015 (Review # 215627).
Current request is for 60 Tablets of Naproxen 500 mg with 2 Refills; 60 Tablets of Nabumetone 750 mg with 2 Refills; 90 Lidocaine 5% Patches (700mg/Patch) with 2 Refills; and 120 Capsules of Gabapentin 300 mg with 2 Refills between 7/9/2015 and
Per medical report dated 02/27/2015, patient’s medications are gabapentin 300mg, Klonopin 1mg, Lidocaine 5% patch, lithium carbonate 300mg, naproxen 500mg, and Saphris 5mg.
Based on medical report dated 07/02/15, the patient notices an increase in low back pain and right lower limb radicular pain for a few days before menstruation.. There is associated pain in the right lower extremity along the …show more content…
Gait is slow and guarded.
Diagnoses are displacement of lumbar intervertebral disc without myelopathy, moderate bipolar disorder, degeneration of intervertebral disc, coccyx disorder, and degeneration of lumbar intervertebral disc.
Treatment plan includes follow up with Dr. Weiss, follow-up visit in 2-3 months, trial of nabumetone for pre-menstrual exacerbation of low back and right lower extremity pain, alternate with Naproxen as needed, and continuation with Naproxen, gabapentin and lidocaine patches. All medications reduce pain by half and allow for the patient to continue daily activities.
He was given prescription for Lidocaine 5% patch 3 patches to be applied to the affected area for 12 hours on and 12 hours off #90, naproxen 500 mg 1 tablet twice daily #60, gabapentin 300 mg 2 capsule sin the morning and bedtime (to increase 1 capsule each week to titrate) #120 and nabumetone 750 mg 1 tablet twice daily #60, all with 2 refills.
IW has been previously certified with 120 Capsules of Gabapentin 300 mg between 4/21/2015 and 6/5/2015 (Review # 215627).
Current request is for 60 Tablets of Naproxen 500 mg with 2 Refills; 60 Tablets of Nabumetone 750 mg with 2 Refills; 90 Lidocaine 5% Patches (700mg/Patch) with 2 Refills; and 120 Capsules of Gabapentin 300 mg with 2 Refills between 7/9/2015 and