Diclofenac

Pantoprazole-protonix 20 mg, diclofenac sodium 1.5 %, and Norco 7.5-325 mg. Based on the office visit note dated 01/08/16, the patient presents with chronic back, left knee and right shoulder pain. Patient reports that she continues to have persistent pain that is worse with increased activity. She did see Dr. Krinsky and left knee surgery was recommended. She…

complains of shoulder blade discomfort which is more bothersome than the neck and arm. She describes the shoulder blade pain as sharp in nature. She has undergone physical therapy which provided her with minimal improvement. She has also utilized diclofenac and methocarbamol which did not help either. She currently rates her pain a 7/10 with feelings of depression, tiredness and…

Lateral epicondylitis, unspecified elbow. Per medical report dated 5/9/2016, patient presents with primary complaints of right upper extremity pain and right middle finger pain. Patient rates her pain as 5/10. Current medications include omeprazole, diclofenac, and Lidocaine ointment. Examination of the right wrist revealed restricted range of motion with dorsiflexion limited to 45 degrees due to pain. Patient also has painful…

complains of left shoulder pain. She has been diagnosed with a deep venous thrombosis of the left lower extremity which requires anticoagulation. Due to this, she is uncertain if she can take oral anti-inflammatory medication and has stopped her oral Diclofenac. She reports that her left shoulder continues…

injury. A cortisone injection was administered to the left subtalar joint on this visit. Patient will try a topical anti-inflammatory cream to be applied on the left leg. Is the request for 1 Compound Topical Anti-Inflammatory Cream (Amantadine 10%/Diclofenac 5%/Baclofen 2 %/Bupivacaine 1%/Cyclobenzaprine 2 %/Gabapentin 6% and Ibuprofen 3%) between 4/26/2016 and 6/10/2016 medically necessary? C-4 for Preauthorization Request. (Kindly use the NY Medical Treatment Guideline as primary…

Late Entry On 5/24/2016, CM met with the client and completed Bi-Weekly ILP Review. In the meeting client was dressed appropriately for the weather. Client appears to be cooperative, friendly and forthcoming with all information. SOCIAL SUPPORT UPDATE: Client continues to report she need to surgery in the stomach to remove hernia and residing in the shelter, she is unable to go through with the surgery because she will need a HHA help. EMPLOYMENT UPDATE: Client continues to report she is…

Dear Editor, Post Dural Puncture Headache (PDPH) is a known complication after accidental dural puncture during epidural anaesthesia, subarachnoid block, myelography and diagnostic lumbar puncture. It’s incidence in totality ranges from 0.16-1.3%(depending upon the needle size and type).[1] Epidural blood patch has remained the gold standard of treatment, while including other modalities like hydration, use of abdominal binder, caffeine and desmopressin. Sumatriptan, a 5-hydroxytryptamine-1D…

• Analgesics – i.e. Co-codamol, Codeine, or Paracetamol to treat and prevent pain. Codeine, used for pain relief, (i.e., head-aches) common side effects can be; light-headedness, dizziness, nausea, vomiting, shortness of breath, and sedation. Codeine can also cause allergic reactions, symptoms of which include constipation, abdominal pain, rash and itching. Addiction to these, Irritation of the stomach, liver damage and sleep disturbances as some analgesics contain caffeine, if taken over a…

aching and throbbing with sharp exacerbations. Pain is rated 3.5/10. Pain is worsened with bending, lifting and working; and alleviated with rest, stretching and pain medications. Current medications include Oxycontin, Percocet, Lorzone, topical diclofenac, chlorzoxazone, and Advil. The patient has had lumbar facet blocks, and lumbar radiofrequency ablation in the past with good improvement of both the axial and radicular symptoms. On examination of the lumbar spine, there is midline…

• The authors discovered that a diclofenac patch applied to the breasts of women had significantly higher breast tissue concentrations. • This topic has shown that transdermally applied drugs is helpful in preventing breast cancer for women who do not prefer oral medication. 2. RS: Risk-benefit…