reasons that prescription pain medicine should be avoided whenever possible. First of all, it is highly addicting. Many people get hooked on it after they innocently take it as their doctor suggests. Also, this type of medication gets processed through the liver, which can get damaged over time from it. And lastly, it is easy to build up a tolerance to pain medications. Those who use them are often forced to take higher doses of them or switch to stronger types of pain medications, since they…
Low back pain (LBP) is cited as the second most common musculoskeletal problems for which treatment is sought by individuals. An estimated 90% of LBP reported in clinical practice is categorized as idiopathic or nonspecific, meaning that the underlying pathoanatomy is unclear (Walker, 2000). Spinal manipulation (SM) has been identified as efficacious treatment methods, especially for patients with nonspecific LBP (Slater, 2012). Early use of thrust manipulation among patients with LBP has been…
Treatment Guidelines For Complex Regional Pain Syndrome The paper will describe treatment recommendations for a 43-year-old white male diagnosed with Complex Regional Pain Syndrome (CRPS). The paper will have three different decision points, and at each decision point, the psychiatric mental health nurse practitioner (PMHNP) will have to choose one of the treatment options available and explain the rationale of each choice that was preferred. The paper will describe why starting with…
Fascitis can be a real pain in the foot, that if left untreated can eventually effect mobility and over all quality of life. However, the experienced team here at Burrard Physiotherapy can help. What is Planter Fascitis? Planter Fascitis is inflammation and pain of the connective tissue at the bottom of the foot called the planter fascia. At its most basic, the planter fascia connects the heel and the ball of the foot and aids with walking. When inflamed, this typically causes pain at the heel…
Consequently, I felt like I had to keep up the appearance of being the funny, optimistic guy, because nobody wanted to know how I actually felt. So every day I put on a figurative mask, and I continued my life away from home as it was, bottling up all the pain, anger, sadness, and any other emotions I had like a boat that sits on a collectors’ shelf. In short, the belief that nobody cared how I felt just pushed me further into the emotional black hole I was…
extremity pain. Current medications are Celebrex, Gabapentin, Cymbalta, and Norco. Patient has been treated with 18 sessions of physical therapy and TENS unit use. She has been prescribed with Cymbalta for pain and depression. She has completed pain coping skills and reports that this has been helpful. She is having a depressed mood and would possibly benefit from individual psychotherapy. Based on the progress report dated 03/17 /16, the patient presents for bilateral upper extremity pain. Pain…
Of Pain The slow excape of blood from a cut is excruciating. I remember when simple stuff like playing and swimming was just for fun. But as the skin in between my thumb and index finger made contact with the rusty metal surrounding the pool, I aroma of a rusty metallic scent covered my nose and my tongue tasted iron. I knew it was wrong for me to automatically react by placing my hand in my mouth. Like that could have eased the pain. However, this physical; pain I felt when I had accidently cut…
Pain Relief Preoperatively and Postoperatively Everyone experiences pain differently, and you have the right to have your pain evaluated and managed. If you have questions, problems, or concerns about pain that you may feel before surgery (preoperatively) or after surgery (postoperatively), tell your health care provider. Severe pain after surgery—and the fear or worry associated with that pain—may cause extreme discomfort that: • Prevents sleep. • Decreases the ability to breathe deeply…
strain, left sided low back pain with left sided and lower back injury. Based on the progress report dated 04/15/16 by Dr. Quesada, the patient complains of worsening mid/low back pain, rated as 8-9/10. She states that she has radiation going down her left leg to her knee. She states her symptoms increase with standing, bending, lifting and sitting, and decrease with rest, medications and walking. She also complains of constant right forearm pain, rated as 8- 9/10. The pain starts in her right…
started having spasm while working. On 11/18/2016, the claimant complained of right sacroiliac joint pain and sacrum pain that was described as moderate and constant which was rated as 5/10. There was also mild-moderate and constant right hip pain that was rated as 4/10 as well as moderate and constant neck pain that was rated as 6/10. The neck pain was unchanged since the last visit while the pain in the right sacroiliac joint, sacrum, and right hip were getting better. Examination revealed…