Unrelated Case Study

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Unrelated.

The claimant is a 25-year-old female who was injured in an industrial-related incident on 01/23/16. She presented with a work-related low back pain associated with a right lower extremity radiculopathy. The request is for Methyprednisolone. However, .there was no mention that the claimant had inflammation. Further, this medication was not part of her medication regimen nor part of the treatment plan. Also, as per cited guidelines, oral corticosteroids are “not recommended for chronic pain.

This medication was not being prescribed for the treatment related to the work injury.

Discontinue.

The claimant is a 25-year-old female who was injured in an industrial-related incident on 01/23/16. She presented with a work-related low back pain associated with a right lower extremity radiculopathy. The current medications included Naproxen. According to the guidelines, NSAIDs are “recommended at the lowest dose for the shortest period of time. However, the exact date of prescription was not delineated. …show more content…

Gradual weaning prior to discontinuation.

The claimant is a 25-year-old female who was injured in an industrial-related incident on 01/23/16. She presented with a work-related low back pain associated with a right lower extremity radiculopathy. Her review of systems revealed muscle aches described as burning and stabbing. Her current medications included Methocarbamol. However, the submitted report only revealed mild discomfort. Since there was no documented exacerbation of low back symptoms, the continued use of this muscle relaxant is not supported. Recommend gradual weaning prior to discontinuation of Methocarbamol 500 mg.

Continue.

In this case, the claimant presented with a work-related low back pain associated with a right lower extremity radiculopathy. It was mentioned that Lyrica has not improved her radicular symptoms. As such, Lyrica was changed to Gabapentin to further address ongoing neuropathic

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