Chronic pain

progress note by Dr. Tarasenko indicates request for Tramadol and Butrans. The Diagnosis is lumbar facet arthropathy. 10/11/15 progress report by Dr. Kofoed indicated that the patient complains of significant anterior left knee pain. The pain is 7-8/10 on pain scale. She describes pain in the lower back and right knee. There is difficulty with walking. PE of the left knee was within normal limits. MRI does not demonstrate any significant pathology with no evidence of meniscal tears. Treatment…

cumulative trauma to her back. Based on the progress report dated 07/26/16, the patient complains of same aching pain of the low back, which radiates to the buttocks and posterior legs. She has numbness at the top of her right foot. She takes Norco and ibuprofen with good relief and tolerates it well. Pain levels are 8-9/10 without medication, coming down to 5-6/10 with medication. Her pain is worse with sitting, standing, walking, bending and lifting. It is decreased with injections,…

Pain management is the most common reason people seek medical care and the leading reason that people take prescription drugs (Ignatavicius & Workman, 2015). According to Ignatavicius and Workman (2015), chronic pain is defined as pain that lasts for a time period greater than three months. A recent research report indicates that more than 100 million Americans suffer from chronic pain, interfering with personal relationships, activities of daily living, and job performance (American Academy…

symptoms. What is Fibromyalgia? A generic fibromyalgia definition is that it's a chronic disorder characterized by widespread pain and tenderness. Other symptoms are often present, which include: Fatigue Cognitive difficulties, which include impaired ability to focus on tasks and limited concentration Depression Headaches Cramps in the lower abdoment In order for a fibromyalgia diagnosis to be given, the pain must be widespread and last longer than three months and must be coupled with…

management of acute and chronic pain associated with Sickle Cell Disease, (SCD). One intervention that comes to my mind after reading the articles would be recognizing the cues to an acute pain episode and responding appropriately and in a timely manner (Jenerette & Ataga, 2014). By doing so, it could help manage the chronic pain associated with sickle cell disease. Patients with SCD are often stigmatized as addicted to opioids, disbelieved or mistrusted regarding reports of pain and not being…

Use of Traditional Chinese Medicine in Pain Management Kevin Cates Hypothesis: TCM is an effective choice in pain management, specifically chronic pain and psychogenic pain of the lower back area. Chronic Pain and Pain Management: Chronic pain is a major health issue in our modern day society. It causes immense suffering for patients and their families, drains public health care resources and is a major detriment to society due to lost work productivity. Current western medical treatments are…

nerves, discs and tissues. There is no specific age for lower lumbar pain. Most persons will suffer from some sort of back pain during their life time. The back has the important function of proving structural support, movement and protection. Every wonder what causes back pain in the first place? Listed below are some of the major culprits. (1) Lumbar Strain: A ligament, tendon or muscle is over stretched causing pain. This type of pain occurs usually from overuse, improper use or trauma/…

deeply on our lives. Guilt takes two diverse forms in the Scarlet Letter; public guilt, which allowed Hester to rejuvenate, and private guilt, which caused sickness to form in Dimmesdale. The idea of depression or hefty amounts of guilt leading to chronic illness can be seen in modern society through academic sources. To begin dissecting this phenomenon, an understanding of the process that lead Dimmesdale’s overwhelming sense of guilt is necessary. Moreover, A very intricate…

presented with chronic ankle pain that he developed after an old sprain sustained while paying soccer. He eventually withdraw from soccer entirely doe to his chronic pain. So, I thought that a history of previous injury will help me pinpoint the differential diagnoses faster. However, according to my preceptor, my patient’s pain might be caused by an intra-articular or extra-articular problem and may be the result of his injury or not. Thus, the differential diagnosis for his chronic ankle pain…

Shoulder Pain After An Injury So You Don't Suffer From Chronic Effects Of A Rotator Cuff Tear If your shoulder is painful or you have limited range of motion and you've recently been injured in a car accident or fell on your arm, then you might have a rotator cuff tear. Even if your pain doesn't seem severe, you should have it checked out by a doctor. Mild damage to the rotator cuff in your shoulder can lead to chronic damage when scar tissue builds as the injury recovers. Besides pain, a…