The patient is here for a followup visit for her lower back pain and joint pain. She is presently on prednisone and already taking Roxicodone up to four times a day and pain levels without medication 5-6/10 and with medications has become 4/10. She denies any memory impairment, oversedation, nausea, itching, or high with medications. She denies any bowel or bladder dysfunction.
Lumbar disc herniation.
The patient will continue to follow with rheumatologist and neurologist. I have renewed her Roxicodone 15 mg one every six hours p.r.n. for pain. We will see the patient back in followup in 30 days.