notes from 4-12-09

My pain level has been up in the past 3 weeks or so. I have no ulcers but pain radiating on the exterior of my right foot. It started near my ankle 3 weeks ago and felt like I had been hit hard with a sharp object. I did not have swelling or anything in that area. The pain moved down the outside of my foot and now is located down near my toes. My pain level has been 4-6 as a base with spikes at 8-9. I have treating with Ultram and Percocet but can only get the spikes down to 7 or so and the base down to 4-5. I have an appointment with my dermatologist to discuss pain management and what we can do to bring the level down further. I would like to get the spikes down to 5, with a base at 3-4 if possible.