A recent literature review that was published talks about persisting pain after a car accident causing chronic pain (high-impact, statin myopathy) that is perpetuated by the use of Statin drugs (cholesterol drugs).
“Statin intolerance is most frequently associated with a wide range of side effects in the skeletal muscle; the so-called “statin-associated muscle symptoms” (SAMS).
The most important clinical manifestations of SAMS are muscle weakness and muscle pain, mainly large muscle groups (thighs, buttocks, calves, and back muscles) and usually manifesting early, but also after several years of treatment.6
Based upon recent publications, the incidence of chronic pain and high-impact chronic pain is increasing, and chiropractors should be documenting the evaluation and management of these patients, whether the insurance companies cover the care or not. So, I am offering an example of a brief SOAP note that describes a patient with a chronic pain diagnosis.”