Abdominal wall pain

The patient is here for a follow-up visit. She continues to have chronic intractable abdominal wall pain from abdominal adhesions and lower back pain. She is doing reasonably well with current pain medication regimen. She is using her TENS unit which is helping as well. Pain level is 2-3/10 on a visual analog scale with medications and 8/10 without medication. She has intermittent flare ups for the pain and is more severe and the pain is 10/10 without medications at that point and 6/10 with medications. She denies any changes in her past medical history, past surgical history, medication history, allergies, family history, social history, or review of systems. She denies any constipation, nausea, itching, high, or buzz on the medications. She denies any oversedation and memory impairment. She is more active and functions better with pain management and has better quality of life.

DIAGNOSES:
Abdominal wall pain.
Lumbago.

RECOMMENDATIONS:
We recommend she continue with TENS unit and home exercise program. We will continue the Vicodin ES one every six hours as needed for pain, #120 dispensed for one month supply. We will see her back in 30-day period of time for reevaluation.

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