Take a Free Pain Evaluation

This is how it works:

  1. Answer the questions as thoroughly as possible.
  2. Provide contact information in order to receive the doctors review.
  3. Once the doctor has completed the review we will contact you with your results.

Getting a good understanding of your condition is critical to making the right choice for your care.

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1-3: Mild Pain, no problem to live with it.
4-6: Moderate Pain, unbearable sometimes.
7-9: Severe Pain, unbearable most of the time.
10: Excruciating Pain, can not live with the pain at all and pain is horrible.

Radiating Arm Pain

Radiating arm pain through your arms or hands is a common symptom of a spine related problems.
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Radiating Leg Pain

Radiating leg pain through your legs or feet is a common symptom of a spine related problems.
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Radiating Face Pain

Radiating face pain can be a symptom of a rare spinal condition.
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Multiple Sclerosis

Along with radiating face pain, having Multiple Sclerosis most likely points to a very specific spinal condition called Trigeminal Neuralgia.
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Pain presents itself in different ways.

Describing your pain accurately can make it easier for your doctor to find the cause of your pain and recommend the right treatment. Please select all of the choices that help best describe your pain.
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The Origins of Your Pain

Understanding the origins behind your pain is very important. When did you first notice the pain? Has the pain gotten worse over time?
Pain is normally caused by trauma or degeneration (wear and tear). For example, you can twist your knee playing tennis and feel immediate pain, or you can develop pain in your shoulder from playing tennis for 8 hours a day all summer. One pain is immediate and the other pain develops gradually over time.
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The Length of Your Pain.

Coordinating how long you have been in pain alongside the origin of the pain helps the doctor get a clear understanding of how your pain has progressed and how deeply rooted the pain is. Pain that has lasted for years has deep roots and can be approached differently then pain that has only been around for a few days or weeks.
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Daily Activities

Every pain is different and determining what movements or actions initiate the feeling of pain or make the pain feel worse helps the doctor better understand the cause and source of the pain.
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Daily Activities

Just as some activities or motions can be harmful, some of them can actually help alleviate your pain and make you more comfortable. This to is important for the doctor to help him better understand the starting point for your relief.
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Taking Steps to Live Pain Free

Some people live with pain for years and never see a doctor. Some people get injured and are at the doctor the next day. It is important to share with the doctor all your previous treatments. Sharing this will help the doctor determine a starting point for your treatment moving forward.
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Associated Pain Symptoms

Sometimes there are other symptoms present with the onset of back or neck pain. Determining what symptoms are associated with your pain helps the doctor identify the cause of your pain.
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Previous Medical Image Testing

If you have already had some medical image testing done such as an XRAY, MRI or CT Scan, the doctor can use those tests to help in his diagnosis of your pain. Sometimes the test can be outdated however and the doctor may or may not require you to get new tests done.
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Understanding More About You

The doctor benefits greatly from having a general outline of your personal stats. Age height and weight all play a significant role in helping to determine factors that may or may not be associated to your pain.
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Your Pain Evaluation is Being Reviewed

Thanks for taking the time to fill out the pain evaluation. Once submitted it will be reviewed and once the review is complete we will send you your results. The results will contain likely conditions and recommended next steps.
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Just About Done!

We just need your basic contact info so we can get your pain evaluation results back to you as soon as the evaluation has been reviewed.

What to Expect Next

i.Once submitted your pain evaluation will be reviewed.
ii.Based on the review, some likely conditions will be provided.
iii.Based on likely conditions we will provide some recommended next steps

Enter your Name, Email & Mobile then click submit.

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