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Additional information was received from a healthcare professional (hcp).It was reported that the patient was experiencing back pain (middle and lower back), neck pain, and leg pain.The patient back pain was described as burning, pressure-like, sharp, shooting, stabbing.The pain was reported as a 10/10 on the pain scale, and intolerable which affected daily activities and interfered with sleep.This pain had been going on for more than a year.It was reported that this pain was reported as a sudden onset, constant, and nocturnal.The pain worsens with movement, and improves with opioids.The patient was also receiving ketamine injections, toradol injections, fentanyl patches and back injections.The hcp reported the patient has upper extremity paresthesia, upper extremity pain in the left arm and hand, weight loss, abdominal pain, urinary frequency, urinary urgency, bladder dysfunction, bowel dysfunction, saddle paresthesia, difficulty walking, joint pain (left side of pelvis and both knees).It was reported that the patient's neck pain affected the entire neck, and was described as achy, burning, and radiating to shoulders and both arms.The neck pain was rated as a 5-6/10 on the pain scale.The patient had been having neck pain for more than 1 year.The patient lower back pain was describes as burning, sharp, and radiating to the upper back.The pain was rated as a 10/10 on the pain scale and was unbearable, affecting daily activities, affecting sleep, and has worsened since onset.The patient had not been able to work since 2005 because of the pain.It was reported that this pain was reported as a sudden onset, constant, recurrent, and nocturnal.The lower back pain worsened with movement and improved with medication.The hcp reported the patient had claudication in both legs, and headaches.The patients leg pain was described as pain in the entirety of both legs.The pain was reported as burning, sharp, stabbing, more severe in the left leg, affecting daily activities, and affecting sleep.The pain radiates to the lumbar spine.The pain in the left leg was reported as a 10/10 on the pain scale, and an arteriogram of the right leg had helped improve the pain in the right leg.The leg pain had been occurring for more than 1 year.This pain was reported as worse in the morning, sudden onset, constant, worsening since 2005 helicopter crash, and occurs at rest.The leg pain worsened with movement, walking and bending.The leg pain improves with lying down and medication.The hcp reported that the patient had an edema in the legs that was tender to palpation.The hcp also reported limitation of movement, trouble standing, weakness, instability, limp, catching sensation, paresthesia in upper leg, hip pain, fatigue, prolonged ulcer on lower extremity, lower extremity skin discoloration, erectile dysfunction.It was reported that the patient experienced a decline in health, dizziness, head injury, blurry vision, double vision, eye pain, hair loss on legs, high blood pressure, sho rtness of breath, decreased appetite, excessive thirst, hemorrhoids, nausea, swallowing problems, diarrhea,vomiting, constipation, excessive hunger, heartburn, rectal pain, gout, excessive stress, nail appearance and texture change, tingling, memory loss, burning urination, urinary stones, incontinence, impotence, hernia, cervical spine tenderness, thoracic spine tenderness, and lumbar spine tenderness.No further complications were reported.Concomitant medications include; gralise 600mg tablet 1x/day, lidocaine 10mg/ml (1%) injection solution, soma 350mg tablet 2x/day, morphone 30mg tablet (2 tablets every 6 hours), testosterone cypionate 200mg/ml intramuscular kit, zoipidem 10mg tablet at bedtime when needed, duloxetine 30mg capsule (3 at bedtime), promethazine 25mg tablet (1 tablet every 6 hours), donepezil 10mg tablet (1 tablet nightly), lisinopril 10mg tablet 1x/day, ondanestron 8mg disintegrating tablet (1 tablet in the morning).
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