Medial meniscus tear

The patient comes in today for a follow-up visit. She continues to have neck and knee pain. She did see orthopedic doctor for knee and is scheduled on August 24, 2012 to undergo arthroscopic knee surgery. The Mobic did help with pain and inflammation. She has been taking more the Roxicodone than usual for pain. She has been taking total of one and half tablets a day and basically to take half a tablet two times per day. Pain level is 3-4/10 on a visual analog scale with medication and 10/10 without medications. She denies any memory impairment, oversedation, constipation, nausea, itching, high or buzz on the meds. She is alert and functional with better quality of life since coming to the pain center. She is resting fairly well at night. She denies any change in her past medical history, past surgical history, medication history, allergies, family history, social history, or review of systems.

DIAGNOSES:
Medial meniscus tear.
Knee joint pain.
Cervical disc herniation.
Cervical spondylosis.
Myofascial pain syndrome.
Cervical degenerative disc disease.
Cervical radiculopathy.

RECOMMENDATIONS:
She will follow-up with Dr. for cervical procedure. Typically, I will increase her medication of Roxicodone 15 mg to half or one tablet b.i.d. #60 dispensed for the month. We have advised her for her postoperative period where she will probably need to take more pain medication. We did a random urine drug toxicology today. We will see her back in four-week period of time for reevaluation and at that point if she is doing well from her knee surgery, we will consider scheduling her for the cervical epidural steroid injection.

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