Four Norco Tablets Case Report

DOI: 02/27/2014. The patient is a 63-year-old male driver who sustained lower back injury while unloading foods and fell between the loading dock and rear trailer.

DOI: 7/7/2015. The patient is a 48-year-old male cleaner who sustained a work-related injury to his back while moving a heavy bookcase. As per OMNI, the patient was diagnosed with lumbar degeneration, thoracic or lumbosacral neuritis and myofascial pain.

Per progress report dated 03/04/16, the patient complains of pain of pain in the neck and lower back. Current medication is for Norco and Gabapentin.

He tolerates his medications without any side effects. He is taking Norco for moderate to severe pain. With Norco, he is able to walk 60 minutes longer, sleep longer and be more active. He can help take care of his kids with the help of his medications and standing. The pain is better with medications. He rates his pain as 10/10 without pain medications and 7-8/10 with pain

Per the medical report dated 07/18/16, patient is being seen for her lower backache, rated 7/10 with medications and 10/10 without medications. Current medications include Ambien 10mg; Maxalt-MLT 10mg; Norco 10/325mg; Evzio 0.4mg; orphenadrine 100 mg and gabapentin 600 mg.

DOI: 9/30/2011. Patient is a 41-year-old male information technology computer support specialist who sustained injury while he was walking through a lobby when he slipped and fell. Per OMNI, he was initially diagnosed with lumbar intervertebral disc syndrome, myofasciitis and right arm strain. He underwent a right shoulder surgery on 07/16/13 and 12/22/15.

She did have an EMG nerve conduction study test of the upper extremity which did confirm evidence of chronic left C7 radiculopathy. She takes the hydrocodone 7.5/325 mg sparingly only when pain is intolerable. She also indicates she did experience significant improvement of her pain after she had a left C6-7 transforaminal epidural steroid injection in November 2015. She states she had relief for approximately 2 months. She states she is interested in trying another injection. Her pain is worse with activities using the left upper extremity, improves with rest and medication. She reports her pain level today is

DOI: 9/4/2014. The patient is a 51-year old male paint maker who sustained a work-related injury when he missed a step on a platform and fell, jarring his back. As per OMNI entry, he was diagnosed with lumbar sprain and lumbosacral disc degeneration.

Patient lost consciousness and awoke in the hospital. Radiograph were performed; x-rays of the chest, cervical spine, and lumbar spine as well. Results indicated fracture at the right transverse process of L4 vertebra and no significant findings in the cervical spine. However, upon referral with a diagnosis of cervical strain and lumbar strain three weeks after the accident. He presents in the clinic stating increased dizziness, headaches, and unable to move his neck. Pain is intolerable and pain medications did not make any difference. Per patient, unable to sleep owing to increased pain in the neck radiating to his spine. Upon assessment, increased a sharp pain in the bottom of the neck with tingling and numbness radiating to the side of her little finger. Pain is unrelieved with rest. HE also demonstrates weakness in his grip strength and always drops his objects when he tries to grip

At today's visit he is accompanied by his wife. He is awake, alert and oriented. He reports that his back pain has improved with the pain regimen he was started on last Friday. He complains of lower back pain that he describes as achy and constant; he rates his pain as a 7/10 in severity. He states that his pain doe not radiate, but it affects his mobility and impedes his ability to get out of bed by himself. His pain regimen is Morphine ER 15 mg p.o every 12 hours and oxycodone/apap 10/325 mg p.o every 4 hours as needed for breakthrough pain. He has taken 6 as needed breakthrough doses daily since Friday. He states that his pain has improved but his goal is to have his pain a little better than 7/10, then he will be able to perform his ADLS

DOI: 9/19/2012. Patient is a 50-year-old female route sales representative who sustained a work-related injury when she was involved in a rear end collision. Per OMNI, she suffered injuries to her neck, right shoulder, back, and vertigo. She has attended PT, chiropractic therapy and balance therapy.

DOI: 9/11/2001. Patient is a 47-year-old female correspondence reader who sustained a work-related injury while evacuating when she was pushed and fell in chaos due to an event. Per OMNI, she was diagnosed with herniated lumbar disc. It was noted that the patient has had

12/18/15 Progress Report indicated that the patient presents with back pain radiating down his right leg; lower backache and right hip pain. The pain is 10/10-scale level without medications and 9/10-scale level with medications. His quality of sleep is poor. His activity level has remained the same. Current medications include Lidocaine 5 % patch, Cymbalta 30 mg and Vimovo Dr 500-20 mg.

DOI: 08/20/2012. This is a 59-year-old female sales associate who sustained a low back injury when she was bending down to put some shoes away in the stockroom. Patient was diagnosed with L3-4 spondylolisthesis, multilevel disc protrusion at L3-S1, radiculopathy and bilateral left knee sprain/strain.

Management of lower back pain varies more less depending on its classification. There are medications that can be used such as muscle relaxants, anti-inflammatories, anticonvulsants, antidepressants, corticosteroids, tramadol, dipyrone, opioids, and paracetamol. There can be management options as well like acupuncture, and other physical measures such as the use of laser and transcutaneous electrical stimulation. Nevertheless, these interventions are not completely curative in nature, and are not fully proven (Winkelstein, Weinstein, & DeLeo,