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trigger point injection for back pain

Posted By: Jami on 2009-06-22
In Reply to:

Subject: trigger point injection for back pain

After alcohol prep, inject with Ristocort (sp??) 80 and 1 ml of Xylocaine. 


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Yep. Trigger point release. Had a trigger finger myself. nm
Subject: Yep. Trigger point release. Had a trigger finger myself. nm


? On trigger point injections
Subject: ? On trigger point injections

This is a trigger point injection into the quadrautus lumborum using 0.5 xylocaine and 0.25 cc s/l "alloquants".  This is on a template that is already filled in for me but the word "alloquants" comes up as underlined in red and I cannot find any info online about what it should really be.  Should I leave it in the template as-is?  Or does someone know what it really should be?


Thanks! 


semicolon and then 5 trigger point injections
Subject: semicolon and then 5 trigger point injections


back pain, given dura-back if needed for spasm. nm
Subject: back pain, given dura-back if needed for spasm. nm

s
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! 
Point well taken.. Back when I started, it was Homan's but now your right in that it has changed
Subject: Point well taken.. Back when I started, it was Homan's but now your right in that it has changed to Homans..

Thanks
nEck pain and back pain
Subject: nEck pain and back pain

what a day!
Rovsing sign, pain over McBurney's point when looking for appendicitis. nm
Subject: Rovsing sign, pain over McBurney's point when looking for appendicitis. nm

s
probably "benefit" (of pain relief from an epidural steroid injection?) nm
Subject: probably "benefit" (of pain relief from an epidural steroid injection?) nm


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.
it is just that she has low back pain..sm
Subject: it is just that she has low back pain..sm

Since that time, she has had increasing low back pain.  She did do the s/l-Ergosco-  method.  She had no relief.  She did have an injection to her SI joint region, which had a terrible reaction.  Since that time, she has had low back pain. 
Pt with low back pain sm
Subject: Pt with low back pain sm

Wondering if it is from his iliac or ileac surgery? Which one would it be/how to tell?
Back pain
Subject: Back pain

The patient has chronic back pain with severe s/l spurring and osteoarthritis.   


TIA


thoracic back pain after MVA
No vertebral tenderness on palpation.  She does have some tenderness on palpating rhomboids and s/l Q L's and paraspinal muscles. 
discogenic back pain
Subject: discogenic back pain


Patient has low back pain
Subject: Patient has low back pain

She has normal lumbar lordosis with tenderness at right PSI? and sacral sciatic notch?
s/l NAMBUTONE for back pain
Subject: s/l NAMBUTONE for back pain

He is also on _____ 500 mg twice a day as needed for severe back pain.
Amryx for back pain? nm
Subject: Amryx for back pain? nm


Patient with low back pain. She is on ....sm
Subject: Patient with low back pain. She is on ....sm

She is on s/l oral phenadrin/fenadrine (may be saying orphenadrine) and Cataflam for this.
s/l peributtock back pain??
Subject: s/l peributtock back pain??


Patient in mid back pain
Subject: Patient in mid back pain

Bowel sounds are normal. No organomegaly. She does have some epigastric tenderness. She also has some left flank tenderness, but there is no s/l spleen dent or dip noted. Thanks!
S/L-ergosco method (for back pain)?
Subject: S/L-ergosco method (for back pain)?


medication - s/l somatalez for back pain? TIA
Subject: medication - s/l somatalez for back pain? TIA


I'd say positive for musculoskeletal back pain.
Subject: I'd say positive for musculoskeletal back pain.


Dx of low back or sciatic pain? Maybe Laseague's? nm
Subject: Dx of low back or sciatic pain? Maybe Laseague's? nm

s
for back pain and was given a script for Duraban??
Subject: for back pain and was given a script for Duraban??


s/l "conjoined" back and neck pain.
Subject: s/l "conjoined" back and neck pain.

The patient is seen with cough over several days.  Possibly some minimal chills.  Minimal sputum.  S/l "conjoined" back and neck pain, which had been accompanied previously.
Neurosurgical note. Back pain. nm
Subject: Neurosurgical note. Back pain. nm

xx
s/l naproline. Pt has neck/back pain. Thanks
Subject: s/l naproline. Pt has neck/back pain. Thanks


lower back pain due to s/l fitskating
Subject: lower back pain due to s/l fitskating

lower back pain due to s/l fitskating
patient with chronic back pain on SENTINEL 75 every third day.
Subject: patient with chronic back pain on SENTINEL 75 every third day.

The patient has chronic back pain and has been in a detox program recently.  The medication S/L SENTINEL 75 - any help?? 


 


 


Pt's back pain is thought to be from her S/L "estalon" radiculopathy. TIA nm
Subject: Pt's back pain is thought to be from her S/L "estalon" radiculopathy. TIA nm


Only symptoms are low back pain which is improved, and the tinnitus -
Subject: Only symptoms are low back pain which is improved, and the tinnitus -

The back pain has resolved. The patient feels that the Lyrica (prescribed from another doctor) has caused the ringing, so this doc prescribed the s/l Pamelor. Very short report so no other info. Thanks.
patient with back pain, s/l policing eight paucet tumor??? nm
Subject: patient with back pain, s/l policing eight paucet tumor??? nm

nm
patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm

nm
Racz (baby) catheter is used against back pain during pregnancy...nm
Subject: Racz (baby) catheter is used against back pain during pregnancy...nm

nm
Racz catheter is used against back pain, inserted into the spine..nm
Subject: Racz catheter is used against back pain, inserted into the spine..nm

nm
Lower back pain" is probably the most common use in AE - though "lumbalgia" is a real word
Subject: Lower back pain" is probably the most common use in AE - though "lumbalgia" is a real word in English medicine...it's rarely used.

.
sl/l positive bordel sign (from flexing neck and causes back pain)
Subject: sl/l positive bordel sign (from flexing neck and causes back pain)


s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history

thank you
Oh, now she is adding she forgot to mention insomnia and low back pain (scream!) NM
Subject: Oh, now she is adding she forgot to mention insomnia and low back pain (scream!) NM

nm
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA

student dictating but I have never heard this term used. Any help would be appreciated.  Thxs
Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!!
Subject: Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!! nm


Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal
Subject: Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal fluid from the cerebral ventricles.


Always typed end point. My Stedman's has end point.
Subject: Always typed end point. My Stedman's has end point.


ORM trigger anesthesia
Subject: ORM trigger anesthesia

S/L ORM trigger anesthesia
Would take comma out before trigger - nm
Subject: Would take comma out before trigger - nm


trigger finger ?
Subject: trigger finger ?

Trigger finger and trigger thumb are conditions affecting the movement of the tendons as they bend the fingers or thumb toward the palm of the hand. This movement is called flexion.

Trigger finger
Subject: Trigger finger

The dictation is referring to the "condition trigger finger". That condition is affecting the patient's right ring finger, meaning that that finger most like catches or locks down upon certain movement.
Trigger finger surgery help, please...
Subject: Trigger finger surgery help, please...

Resected 2 mm of the central portion of A1 pulley tendon... Beneath this there were (s/l fibular or tubular) changes noted on the flexor digitorum superficialis.


TIA


Sorry. Misread. You did not say trigger finger. sm
Subject: Sorry. Misread. You did not say trigger finger. sm

Typed for osteopath and they do trigger point releases etc. OMT really works. After typing all the time my shoulders were up around my ears, I always diagnosed myself as having transcriptionist turtle neck!!!!