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Based on the evaluation, a personalized pain management plan may include medications, physical therapy, injections, or minimally invasive procedures focused on reducing pain and improving function

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1, two times daily Prednisone 5 Mg., 1 daily Catapres 0.1 Mg., 1 at bedtime Peritoneal dialysis with 1 liter of solution four times daily (prepared by Texas Kidney Institute at Hermann Hospital, Houston.) Review of Systems : HEENT: Patient had begun to notice numbness and coldness of tips of fingers, with a sensation of swelling of hands, fingers, toes, arms, and legs about two years ago