Pain management question -
Posted By: Please see message - thanks! on 2007-11-19
In Reply to:
Subject: Pain management question -
Discogram indicated pain at L4-L5 level which was concordant, but no pain at the L5-S1 level, which seems to be the worst level by MRI.
Injection of local anesthetic at the L5-S1 disc would help to s/l clarify the patient.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
Please help with pain management
Subject: Please help with pain management
mild L3-4 disc degeneration with annular s/l reversal
Thanks for any and all help here!
Pain management -
Subject: Pain management -
Patient has 5 Hertz resting tremor of the upper extremities.
How would you write that? Thanks.
Pain management s/l
Subject: Pain management s/l
Dorsal column stimulator s/l TAT 10 or PAT 10. I'm guessing this is a model but can't find anywhere.
It's pain management, the sentence is below, Thanks!
Subject: It's pain management, the sentence is below, Thanks!
she states, about 70% improved since going to our physical medicine and rehabilitation program with the trigger point injections, regenerative injection therapy, as well as Clasper laser therapy. I found the other word. Thanks again.
pain management specialist
Subject: pain management specialist
Under physical examiantion,
s/l * fay-ling's (sign) is negative, Tinel's is negative, Spurling's is negative. There is no Hoffmann's sign
Any help appreciated, thank you
I type for pain management
Subject: I type for pain management
and always type pain as 5/10. Nothing has ever been said, so I don't know if it's right or wrong.
MRI ortho/pain management s/l please sm
Subject: MRI ortho/pain management s/l please sm
An MRI scan of the lumbar spine was performed in an open unit. The quality of the scan is poor.
There is a retrolisthesis on the scan at L5-S1 with a s/l shelf of disc material and possible impingement of the right L5 and S1 nerve roots with a left lateral disc osteophyte complex as well.
Has anyone ever heard the term shelf of disc material?
pain management or ortho help
Subject: pain management or ortho help
A post myelography CT showed s/l promenus disk and end plate degeneration at L4-L5.
pain management or ortho help
Subject: pain management or ortho help
Docs says patient had MRI scans done at s/l biv ska pig stone gap???? 
word help - pain management
Subject: word help - pain management
The patient will undergo diagnostic s/l putivly therapeutic costotransverse costovertebral joint blockade.
Pain management/ortho question - s/l
Subject: Pain management/ortho question - s/l
Patient continues to have foot and ankle s/l COPS or CRPS.
Glad to help. SM for some pain management refs. sm
Subject: Glad to help. SM for some pain management refs. sm
http://www.oregon.gov/DHS/pain/glossaryterms.shtml
==
http://jax.shands.org/hs/pain/services.asp
===
chronic pain management which s/l Zentene ???
Subject: chronic pain management which s/l Zentene ???
Patient was on ?? s/l Zentene management and informed she needed to taper off her OxyContin in order to decrease her narcotic demand postoperatively.
There is a Byetta, management of diabetes...
Subject: There is a Byetta, management of diabetes...
Found in drug book.
Possible risk management issue
Subject: Possible risk management issue
I think the proper form would be to type it verbatim and then flag the report for possible risk management.
"medical management versus empiric gas CD" nm
Subject: "medical management versus empiric gas CD" nm
possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Cardiac cath, s/l *ReadyWire pressure management* placement? TIA
Subject: Cardiac cath, s/l *ReadyWire pressure management* placement? TIA
There are hits on Google for Operational Performance Management. Would that fit into the dictation?
Subject: There are hits on Google for Operational Performance Management. Would that fit into the dictation?
Oh got it, yes there is a Compass sheet used for therapeutic notes in medical management.
Subject: Oh got it, yes there is a Compass sheet used for therapeutic notes in medical management.
could be TKA-total knee amputation. pain could be "ghost" pain --nm
Subject: could be TKA-total knee amputation. pain could be "ghost" pain --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!
Cardiac Hospitalization Atherosclerosis Management Program (CHAMP) see link
Subject: Cardiac Hospitalization Atherosclerosis Management Program (CHAMP) see link
http://circ.ahajournals.org/cgi/content/full/112/20/3184
possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
Subject: possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
cardiac: The patient was enrolled in the *Curg* trial , which supported medical management for angi
Subject: cardiac: The patient was enrolled in the *Curg* trial , which supported medical management for angi
shoulder pain and knee pain
Subject: shoulder pain and knee pain
Doctor says, "he denies any neck pain or s/l ridicular symptomatology into the upper extremity.
nEck pain and back pain
Subject: nEck pain and back pain
what a day!
px with rib pain
Subject: px with rib pain
px does repetitive lifting motions at work and this must have caused some musculoskeletal *exavation* or costochondritis. TIA
TMJ Ear Pain
Subject: TMJ Ear Pain
She could be saying, "TMJE type pain."
http://www.atlantadentist.com/tmj_ear_pain.html
pain?
Subject: pain?
The patient's pain was 5 out of 10.
Is it 5/10 or 5:10?
Pain med
Subject: Pain med
Is it for ear pain? If so, there is Aralgen.
They are also without and with pain.
Subject: They are also without and with pain.
SP pain??
Subject: SP pain??
Diagnosis: "Patient complaining of SP pain over her c-section scar." SP stands for?? Thanks!
pain?
Subject: pain?
I would think so, because pain down either - sm
Subject: I would think so, because pain down either - sm
extremity (sciatica) can often go along with lower back pain, especially if there is a herniated lumbar disc involved.
nothing more than pain in the great toe. sm
Just states he injected w/Xylocain and "Delone". thanks
I feel your pain. SM
I had a few like that. Guess who got fired? It wasn't me.
Sorry, it's PAIN. Long day!!
Subject: Sorry, it's PAIN. Long day!!
x
On-cue pain buster?
Subject: On-cue pain buster?
x
referred pain?
Subject: referred pain?
referred pain
pain from deep structures perceived as arising from a surface area remote from its actual origin; the area where the pain is appreciated is innervated by the same spinal segment(s) as the deep structure. Syn: telalgia.
intermittent pain?
Subject: intermittent pain?
recurrent pain?
Subject: recurrent pain?
There is Balacet 325, pain med. SM
Subject: There is Balacet 325, pain med. SM
FDA approves of BALACET 325 - Business Update - Pharma Business Week
BALACET 325 attacks mild-to-moderate pain while helping to reduce the risk of
... At the maximum daily dose, BALACET 325 contains 1950 mg of acetaminophen, ...
www.newsrx.com/library/pub/Pharma-Business-Week/ 2005-07-25/072520053332PB.html - 23k - Cached - Similar pages
limb pain
Subject: limb pain
because the most important thing is whether or not the pain is radiating down into the extremities. That would be radiculopathy (commonly called sciatica), and it's not a good thing.
On-Q pain ball
Subject: On-Q pain ball
!
neuropathic pain med
Subject: neuropathic pain med
The patient has neuropathic pain. She is going to be put on s/l "liracur" and taken off her Neurontin. Any ideas???
chest pain
Subject: chest pain
He is still complaining of some fatigue and some mild left-sided __________ s/l claritig chest pain
The patient was just hospitalized for a pulmonary embolism.
Nope, not hip pain.
Subject: Nope, not hip pain.
I really don't know what this doctor is mumbling. Maybe he should try dictating without food in his mouth 
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.
pain clinic
Subject: pain clinic
The patient is scheduled for a percutaneous s/l racks or rax procedure of the lumbar spine. Any ideas?
|
