Active substances: Gabapentin
She is using compounded neuropathic pain cream.
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Esteves returned to Diversified Physical Therapy for evaluation and management of her right groin pain and thigh pain. Pain is worse in the right adductor, hamstrings, and right tibialis anterior.
Pain is aggravated by walking but gets better with stretching, pain medications, and application of heat. Pain started after removal of sling in. She reported less pain when she completed pelvic floor physical therapy in.
She also started treatments with Dr.
Greg Rocchio at Naugatuck Family Chiropractic. After successive treatments, she reported less neck and lower back pain.
She also reported less pain radiating down her right leg. She complained of increased urinary urgency and frequency.
She underwent office cystoscopy for management of her chronic hematuria. She had normal cystoscopy with no abnormalities. She was started on Sanctura for Overactive Bladder.
She was treated for possible UTI with ciprofloxacin. She reported less groin pain and less leg pain while doing Pelvic Floor Physical Therapy and Chiropractic treatments.
A plan was made to taper down off narcotic medications and transition to additional modalities for management of her chronic nerve pain. Esteves completed 10 weekly sessions for management of her pelvic pain and thigh pain.
However, patient has a chronic condition and " will likely continue to show very slow progress ". Physical therapy recommended for 10 more weeks. She is taking Vesicare 10 mg for Overactive Bladder.
Urinary symptoms improved with medications. Esteves is seen by Dr. She reported persistent low back and pelvic pain localized to the right groin and right medial thigh ever since her gynecology surgery and bladder sling. Pelvic pain is aggravated by intercourse.
Cystoscopy was performed to show the integrity of the urethra and bladder. Since her second sling release by Dr.
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