Wrist Ganglion. Did not notice Suddenly. Over several hours Over several days Over several weeks Over several months

Size: px
Start display at page:

Download "Wrist Ganglion. Did not notice Suddenly. Over several hours Over several days Over several weeks Over several months"

Transcription

1 Onset, Duration and Frequency Are you left handed or right handed? Left Right Both Which side of your body is affected? Left Right Both If both, which side is more severe? Left Right Varies About the same About how long have you had your? (Type a number in the box and click one of the choices) **Enter numeric value in box** day(s) week(s) month(s) year(s) I don't know **Enter numeric value in box** day(s) week(s) month(s) year(s) I don't know Over what period of time did you notice the start of your? Did not notice Suddenly Over several hours Over several days Over several weeks Over several months Did not notice Suddenly Does not apply Does not apply Is your the result of an injury? Patient Name: Over several hours Over several days Over several weeks Over several months If your condition was the result of a sudden injury and you remember the exact date of the injury, please insert the date below. Mon Day Year (mm/dd/yyyy) (mm/dd/yyyy) If your condition was the result of an injury, please provide a short description of how the injury occurred. Page 1 of 5

2 If your condition was the result of an injury, did you have any pain in this area before the injury? Is your a result of your work? In the past, have you had similar episodes? Pain Do you have any pain associated with your? How often do you have pain? Not at all Intermittently Frequently Constantly Not at all Intermittently Frequently Constantly Pain Location Where do you feel your pain? (Check all that apply) L R Location of Pain Front of the wrist Back of the wrist Thumb side of the wrist Little finger side of the wrist Hand Pain Nature Which of the following would you use to describe your pain? (Check all that apply) L R Nature of Pain Mild Moderate Severe Deep Aching Dull Page 2 of 5

3 Symptoms Do you have any of the following symptoms? (Check all that apply) L R Complaint Swelling Stiffness Redness Numbness Tingling Have you ever had any problems in any of these joints? (Check all that apply) L R Joint Shoulder Elbow Wrist / hand Hip Knee Ankle Foot Associated Problems Have you ever had any of the following? (Check all that apply) Rheumatoid arthritis Gout Skin cancer Osteoarthritis Ehlers-Danlos syndrome Wrist ligament tear Functional Limitations Does your problem cause you to have difficulty with any of the following? (Check all that apply) Lifting any weight Driving Writing Typing Pulling Pushing Page 3 of 5

4 Previous Diagnostic Studies Have you had any of the following tests for your problem? (Check all that apply) Blood tests Bone scan X-ray of the wrist MRI of the wrist CAT scan of the wrist Arthrogram of the wrist (dye study) Non-Operative Care for this Condition Have you had any of the following treatments for your problem? (Check all that apply) Pain medications Aspirin Anti inflammatory medications Prednisone Cortisone injections Physical therapy Acupuncture Home exercises Brace Removal of fluid from cyst Previous Surgical Procedures Have you had any of the following surgical procedures? (Check all that apply) Removal of ganglion cyst Tendon repair on the back of the hand Extensor tendon synovectomy Arthroscopy of the wrist (scope surgery) Ligament reconstruction of the wrist Other Questions Has the cyst been hit by a book? Yes No If you have had fluid removed from the cyst before, how many times? If you have had any cortisone injections into the cyst, how many times? Page 4 of 5

5 If you have any numbness or tingling, where does it occur? (Check all that apply) Fingers Back side of hand/wrist Palm side of hand/wrist Thumb side of hand/wrist Little finger side of hand/wrist Page 5 of 5

ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME

ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME Shoulder injuries are common in patients across all ages, from young, athletic people to the aging population. Two of the most common problems occur in the

More information

Arm Injuries and Disorders

Arm Injuries and Disorders Arm Injuries and Disorders Introduction Your arms are made up of muscles, joints, tendons and other connective tissue. There are many injuries and disorders that can affect the arm. Some arm injuries and

More information

Joint Injuries and Disorders

Joint Injuries and Disorders Joint Injuries and Disorders Introduction A joint is where two or more bones come together. Your joints include the knees, hips, elbows and shoulders. There are many types of joint disorders, including

More information

TOP RYDE CHIROPRACTIC

TOP RYDE CHIROPRACTIC 1. Ankle Pain Conditions Helped by Chiropractic The ankle joint is made up of ligaments, tendons, nerves, and a disc to cushion motion. Distortions of motion of the ankle can strain the ligaments and muscles

More information

The role of orthopedic surgery in the Ehlers-Danlos syndromes

The role of orthopedic surgery in the Ehlers-Danlos syndromes The Ehlers-Danlos Society P.O. Box 87463 Montgomery Village, MD 20886 USA Phone: +1 410-670-7577 The Ehlers-Danlos Society - Europe Office 7 35-37 Ludgate Hill London EC4M 7JN UK Phone: +44 203 887 6132

More information

WILLIAM K MONTGOMERY, MD

WILLIAM K MONTGOMERY, MD WILLIAM K MONTGOMERY, MD Knee and Hip Joint Replacement Specialist New Patient Questionnaire NAME: DOB: / / AGE: Your Primary Care Physician: Phone Number: Referring Physician: Phone Number: Are you a

More information

Name Date. Date of Birth Social Security #: Street Address. City State Zip. Home Phone Cell Phone Address. Employer Business Phone

Name Date. Date of Birth Social Security #: Street Address. City State Zip. Home Phone Cell Phone  Address. Employer Business Phone Version 7/2/2015 Barcode Label Interviewer: Office: **PLEASE USE BLACK INK** Patient Information Private Health Patient Name Date Date of Birth Social Security #: Street Address City State Zip Home Phone

More information

Overcoming joint pain and arthritis

Overcoming joint pain and arthritis Overcoming joint pain and arthritis The 9 things you need to know to get moving again This guide provides an overview about managing joint pain, stiffness and swelling without sacrificing your quality

More information

HISTORY OF PRESENT ILLNESS A. TELL US ABOUT YOUR PAIN PROBLEM

HISTORY OF PRESENT ILLNESS A. TELL US ABOUT YOUR PAIN PROBLEM 1 UT Health Austin Comprehensive Pain Management New Patient Questionnaire Thank you for scheduling a visit with the Comprehensive Pain Management Care Team. The responses you provide to these questions

More information

PRACTICE NAME NEW PATIENT MEDICAL HISTORY FORM. Chief Complaint. History of Present Illness

PRACTICE NAME NEW PATIENT MEDICAL HISTORY FORM. Chief Complaint. History of Present Illness PRACTICE NAME NEW PATIENT MEDICAL HISTORY FORM Height: Weight: Race: African American Asian Caucasian Native American/Alaskan Pacific Islander Other Unknown Decline to Answer Ethnicity: Hispanic Non-Hispanic

More information

Protruding wrist and ankle bones

Protruding wrist and ankle bones Protruding wrist and ankle bones The Borg System is 100 % Protruding wrist and ankle bones You're talking about the medial (on the inside) and lateral (on the outside) malleolus (mah-lee-o-lus). The medial

More information

Carpal Tunnel Release

Carpal Tunnel Release Carpal Tunnel Release Carpal tunnel syndrome is a condition in the hand and wrist caused by excessive pressure on the median nerve in the wrist. Compression of the nerve typically causes numbness and tingling

More information

Welcome to White Rock Orthopaedic Surgery Centre

Welcome to White Rock Orthopaedic Surgery Centre White Rock Orthopaedic Surgery Excellence in Orthopaedic Surgery since 2008 Over 700 surgical cases (spring of 2013) Fully Accredited Class-1 Facility Expedient initial assessment Secure, online registration

More information

Rheumatoid Arthritis

Rheumatoid Arthritis Rheumatoid Arthritis Introduction Rheumatoid arthritis is a fairly common joint disease that affects up to 2 million Americans. Rheumatoid arthritis is one of the most debilitating forms of arthritis.

More information

A Patient s Guide to Elbow Dislocation

A Patient s Guide to Elbow Dislocation A Patient s Guide to Elbow Dislocation 2 Introduction When the joint surfaces of an elbow are forced apart, the elbow is dislocated. The elbow is the second most commonly dislocated joint in adults (after

More information

Arthroscopy in sports medicine

Arthroscopy in sports medicine Arthroscopy in sports medicine DR PABITRA KUMAR SAHOO, ASSISTANT PROFESSOR (PMR) Sports medicine is a special branch of rehab specialty which deals with training in anatomy, biomechanics, pathophysiology

More information

Diagnostic Imaging Exams

Diagnostic Imaging Exams Guide for Chiropractors Diagnostic Imaging Exams CREATED FOR OUR CHIROPRACTIC PARTNERS This document has been prepared by the specialized, board-certified radiologists who interpret patient exams for Center

More information

Guide to Prevention of Sports Injuries

Guide to Prevention of Sports Injuries Guide to Prevention of Sports Injuries Maintaining an active lifestyle offers a number of benefits for your physical and mental health. While exercise and sports-related activities often have a positive

More information

Name (First, MI, Last) Date of Birth Age Male Female. Primary Care Physician. Referring Physician

Name (First, MI, Last) Date of Birth Age Male Female. Primary Care Physician. Referring Physician Current Problem Date Name (First, MI, Last) Date of Birth Age Male Female Primary Care Physician Referring Physician Height (feet/inches) Weight (lbs.) Right Handed Left Handed Both Current Problem: Right

More information

PERSONAL INJURY QUESTIONNAIRE

PERSONAL INJURY QUESTIONNAIRE PERSONAL INJURY QUESTIONNAIRE Name Phone ( ) Age Birth Date Sex S.S.N. Employer Address Did you report this to YOUR Car Insurance? Yes No (Circle One) Your Car Insurance Co. is Claim # Claims Adjuster

More information

Elbow and Forearm Pain Form

Elbow and Forearm Pain Form Elbow and Forearm Pain Form Last Name First Name Date RIGHT LEFT My dominant hand? Right Left Does your elbow hurt? Yes No Yes No Does your forearm hurt? Yes No Yes No When did the problem start? Did you

More information

Common Athletic Injuries of the Ankle

Common Athletic Injuries of the Ankle Common Athletic Injuries of the Ankle Common Injuries of the Ankle in Athletes Ankle Sprains Chronic Lateral Ankle Instability Peroneal Tendon Injuries Achilles Tendon Tears Ankle Sprains What s an Ankle

More information

A Patient s Guide to Tendonitis. Foot and Ankle Center of Massachusetts, P.C.

A Patient s Guide to Tendonitis. Foot and Ankle Center of Massachusetts, P.C. A Patient s Guide to Tendonitis Welcome to Foot and Ankle Center of Massachusetts, where we believe in accelerating your learning curve with educational materials that are clearly written and professionally

More information

Carpal Tunnel Syndrome: What You Don't Know CAN Hurt You By Zev M. Cohen

Carpal Tunnel Syndrome: What You Don't Know CAN Hurt You By Zev M. Cohen Carpal Tunnel Syndrome: What You Don't Know CAN Hurt You By Zev M. Cohen If searched for the book Carpal Tunnel Syndrome: What You Don't Know CAN Hurt You by Zev M. Cohen in pdf format, then you have come

More information

Rotator Cuff Injuries

Rotator Cuff Injuries Rotator Cuff Injuries Introduction Shoulder injuries are fairly common, especially for people who tend to exercise a lot. Some of the most common shoulder injuries are called rotator cuff injuries. This

More information

Joint Injections Why are joint injections performed? Does joint arthritis benefit from injections?

Joint Injections Why are joint injections performed? Does joint arthritis benefit from injections? Joint Injections Why are joint injections performed? Joints in the human body consist of articular cartilage. Normally, cartilage surfaces in joints provide a frictionless surface to provide range of motion

More information

A Patient s Guide to Adult Distal Radius (Wrist) Fractures

A Patient s Guide to Adult Distal Radius (Wrist) Fractures A Patient s Guide to Adult Distal Radius (Wrist) Fractures Suite 11-13/14/15 Mount Elizabeth Medical Center 3 Mount Elizabeth Singapore, 228510 Phone: (65) 6738 2628 Fax: (65) 6738 2629 1 DISCLAIMER: The

More information

MUSCULOSKELETAL DISORDERS: THE BIGGEST JOB SAFETY PROBLEM. What Are Musculoskeletal Disorders

MUSCULOSKELETAL DISORDERS: THE BIGGEST JOB SAFETY PROBLEM. What Are Musculoskeletal Disorders MUSCULOSKELETAL DISORDERS: THE BIGGEST JOB SAFETY PROBLEM What Are Musculoskeletal Disorders Every year more than 1.8 million workers in the United States suffer painful back and repetitive strain injuries,

More information

Your Orthopaedic Experience: Bones, Muscles and Joints. Getting you back into motion

Your Orthopaedic Experience: Bones, Muscles and Joints. Getting you back into motion Your Orthopaedic Experience: Bones, Muscles and Joints Getting you back into motion Taking on your aches and pains You want to enjoy all life has to offer. And it s when you re mobile and active, and your

More information

SIMPLE Targets of OA Therapy

SIMPLE Targets of OA Therapy SIMPLE Targets of OA Therapy Helping your patient with their osteoarthritis symptoms is SIMPLE. Remember these steps to prevent and treat osteoarthritis. Symptom management (e.g. reduce pain and stiffness)

More information

Arthritis and Rheumatology Clinics of Kansas Patient Education

Arthritis and Rheumatology Clinics of Kansas Patient Education Arthritis and Rheumatology Clinics of Kansas Patient Education Regional Pain Syndromes Introduction: At some time in the course of life, virtually everyone will experience pain in a tendon, muscle, or

More information

P.O. Box Sierra Park Road Mammoth Lakes, CA Orthopedic Surgery & Sports Medicine

P.O. Box Sierra Park Road Mammoth Lakes, CA Orthopedic Surgery & Sports Medicine P.O. Box 660 85 Sierra Park Road Mammoth Lakes, CA 93546 SHOULDER: Instability Dislocation Labral Tears The shoulder is the most mobile joint in the body, but to have this amount of motion, it is also

More information

Ergonomics. Best Practices Lifting Tips and Techniques (EOHSS)

Ergonomics. Best Practices Lifting Tips and Techniques (EOHSS) Ergonomics Best Practices Lifting Tips and Techniques Environmental and Occupational Health Support Services Environmental and Occupational Health Support Services (EOHSS) Ergonomics: Agenda Ergonomics

More information

Understanding your spine and how it works can help you better understand low back pain.

Understanding your spine and how it works can help you better understand low back pain. Low Back Pain Almost everyone will experience low back pain at some point in their lives. This pain can vary from mild to severe. It can be short-lived or long-lasting. However it happens, low back pain

More information

Your Orthopaedic Experience: Bones, Muscles and Joints. Getting you back into motion. Hospitals + Health Checks + Physio + Gyms

Your Orthopaedic Experience: Bones, Muscles and Joints. Getting you back into motion. Hospitals + Health Checks + Physio + Gyms Your Orthopaedic Experience: Bones, Muscles and Joints. Getting you back into motion. Hospitals + Health Checks + Physio + Gyms Taking on your aches and pains. Getting you mobile your way. You want to

More information

History of Present Condition

History of Present Condition Name: Date: Address: City: Province: Postal Code: Home Phone: Cell Phone: Work Phone: Email: Marital Status: Name Of Family Physician (MD): Age: Occupation: Employer: Extended Health Care Company: Policy

More information

Name: Date: Sex: Male Female Date of Birth(DD/MM/YY): Address: City: Postal Code: Phone #: (Home) (Work) (Cell) (Other) Address:

Name: Date: Sex: Male Female Date of Birth(DD/MM/YY): Address: City: Postal Code: Phone #: (Home) (Work) (Cell) (Other)  Address: Name: Date: Sex: Male Female Date of Birth(DD/MM/YY): Address: City: Postal Code: Phone #: (Home) (Work) (Cell) (Other) Email Address: Emergency Contact Name and Phone Number: Family Doctor Name and Address:

More information

Conquering Carpal Tunnel Syndrome

Conquering Carpal Tunnel Syndrome Conquering Carpal Tunnel Syndrome PainReliefSciences.com 1 Copyright 2016 NutriFrontier Limited All rights reserved Published by Kevin Richardson. No part of this publication may be reproduced, stored

More information

Name (First, MI, Last) Date of Birth Age Male Female. Primary Care Physician. Referring Physician

Name (First, MI, Last) Date of Birth Age Male Female. Primary Care Physician. Referring Physician Current Problem Date Name (First, MI, Last) Date of Birth Age Male Female Primary Care Physician Referring Physician Height (feet/inches) Weight (lbs.) Right Handed Left Handed Both Current Problem: Right

More information

Name Date. Date of Birth Social Security #: Street Address. City State Zip. Home Phone Cell Phone Address. Employer Business Phone

Name Date. Date of Birth Social Security #: Street Address. City State Zip. Home Phone Cell Phone  Address. Employer Business Phone Barcode Label Interviewer: Office: **PLEASE USE BLACK INK** Patient Information Please Print Name Date Date of Birth Social Security #: Street Address City State Zip Home Phone Cell Phone E-Mail Address

More information

Cubital Tunnel Syndrome

Cubital Tunnel Syndrome Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic Health. All decisions about must be made in conjunction with your Physician or a licensed healthcare provider.

More information

Achilles Tendonitis and Tears

Achilles Tendonitis and Tears Achilles Tendonitis and Tears The Achilles tendon is an important structure for normal ankle motion and normal function, even for daily activities such as walking. Achilles tendonitis can occur in patients

More information

A Patient s Guide to Psoriatic Arthritis

A Patient s Guide to Psoriatic Arthritis A Patient s Guide to Psoriatic Arthritis Glendale Adventist Medical Center 1509 Wilson Terrace Glendale, CA 91206 Phone: (818) 409-8000 DISCLAIMER: The information in this booklet is compiled from a variety

More information

MindfulnessExercises.com

MindfulnessExercises.com We will do a brief body scan that is helpful for anxiety, depression, insomnia and pain. The body scan is a mindfulness practice that will allow you some time to be in your body fully and to get to know

More information

Mr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS

Mr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS Sprained Ankle An ankle sprain occurs when the strong ligaments that support the ankle stretch beyond their limits and tear. Ankle sprains are common injuries that occur among people of all ages. They

More information

Patient Name Date MR#: FLORIDA ORTHOPAEDIC INSTITUTE. Race: Ethnicity: (Circle one) Hispanic / Not Hispanic

Patient Name Date MR#: FLORIDA ORTHOPAEDIC INSTITUTE. Race: Ethnicity: (Circle one) Hispanic / Not Hispanic FLORIDA ORTHOPAEDIC INSTITUTE LOWER EXTREMITY PATIENT QUESTIONNAIRE Patient Name: Family/Primary Doctor: Phone: Family/Primary Doctor s Address: Who referred you to Florida Orthopaedic Institute? (Name

More information

ERI Safety Videos Videos for Safety Meetings. ERGONOMICS EMPLOYEE TRAINING: Preventing Musculoskeletal Disorders. Leader s Guide 2001, ERI PRODUCTIONS

ERI Safety Videos Videos for Safety Meetings. ERGONOMICS EMPLOYEE TRAINING: Preventing Musculoskeletal Disorders. Leader s Guide 2001, ERI PRODUCTIONS ERI Safety Videos Videos for Safety Meetings 2120 ERGONOMICS EMPLOYEE TRAINING: Preventing Musculoskeletal Disorders Leader s Guide 2001, ERI PRODUCTIONS ERGONOMICS EMPLOYEE TRAINING: Preventing Musculoskeletal

More information

Bursitis. Other joints are found between the different bones of your fingers and toes. You also have joints that allow your vertebrae to move.

Bursitis. Other joints are found between the different bones of your fingers and toes. You also have joints that allow your vertebrae to move. Bursitis Introduction Bursitis is a common condition that causes swelling around muscles and bones. It happens most often in the shoulder, elbow, hip, or knee. Bursitis is usually caused by overusing a

More information

POSTERIOR TIBIAL TENDON RUPTURE

POSTERIOR TIBIAL TENDON RUPTURE POSTERIOR TIBIAL TENDON RUPTURE Description Expected Outcome Posterior tibial tendon rupture is a complete tear of the posterior tibial tendon. This structure is the tendon attachment of leg muscles (posterior

More information

Other common causes include poor muscle tone in the back, tension or spasm of the back muscles and problems with the joints that make up the back

Other common causes include poor muscle tone in the back, tension or spasm of the back muscles and problems with the joints that make up the back Yoga for Healthy Back Introduction Back pain is one of the most common physical complaints among adults; some estimates say that over 20% of adults have some chronic back pain. It is the chief cause of

More information

A rotator cuff injury is a strain or tear in the group of tendons and muscles that hold your shoulder joint together and help move your shoulder.

A rotator cuff injury is a strain or tear in the group of tendons and muscles that hold your shoulder joint together and help move your shoulder. Rotator Cuff Injury What is a rotator cuff injury? A rotator cuff injury is a strain or tear in the group of tendons and muscles that hold your shoulder joint together and help move your shoulder. How

More information

Non-operative Treatment of Osteoarthritis. Health Chat June 21 & 22, 2016 Aaron Leininger, MD

Non-operative Treatment of Osteoarthritis. Health Chat June 21 & 22, 2016 Aaron Leininger, MD Non-operative Treatment of Osteoarthritis Health Chat June 21 & 22, 2016 Aaron Leininger, MD About Me Aaron Leininger, MD Clemson University Mechanical Engineering Varsity Soccer, Formula SAE race car

More information

AOS 3: Rheumatoid Arthritis

AOS 3: Rheumatoid Arthritis AOS 3: Rheumatoid Arthritis Arthritis (General) = inflamed joint - NOT a single disease: covers >100 types - Involves disability + decreased quality of life o Can also occur in young people (not just the

More information

Patient Education Ulnar Collateral Ligament Reconstruction

Patient Education Ulnar Collateral Ligament Reconstruction Explanation of Procedure and/or Diagnosis Overview is commonly referred to as Tommy John Surgery. Tommy John was a baseball pitcher who played for the Los Angeles Dodgers. He was the first person to have

More information

What Are Bursitis and Tendinitis?

What Are Bursitis and Tendinitis? Shoulder Tendinitis, Bursitis, and Impingement Syndrome What Are Bursitis and Tendinitis? Two types of tendinitis can affect the shoulder. Biceps tendinitis causes pain in the front or side of the shoulder.

More information

Ergonomics Glossary. Force The amount of physical effort a person uses to do a task.

Ergonomics Glossary. Force The amount of physical effort a person uses to do a task. Ergonomics Glossary Administrative controls Procedures used to reduce the duration, frequency, or severity of exposure to a hazard. They may include training, job rotation, and gradual introduction to

More information

Arthritis. Healthy Living with Hand & Wrist Arthritis The Orthopedic Specialty Hospital. ARTH + ITIS = Inflammation (Joint) (Inflammation) of joints

Arthritis. Healthy Living with Hand & Wrist Arthritis The Orthopedic Specialty Hospital. ARTH + ITIS = Inflammation (Joint) (Inflammation) of joints Healthy Living with Hand & Wrist Arthritis The Orthopedic Specialty Hospital Arthritis Causes Diagnosis Medical treatment Surgical treatment Defining Arthritis ARTH + ITIS = Inflammation (Joint) (Inflammation)

More information

Carpal tunnel syndrome

Carpal tunnel syndrome Carpal tunnel syndrome Patient Information Clinical Support Services Physiotherapy Median nerve Transverse carpal ligament Ulna Radius What is carpal tunnel syndrome? Carpal tunnel syndrome is a condition

More information

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) 6565 Fannin Street Houston, TX 77030 Phone: 713-790-3333 DISCLAIMER: The information in this booklet is compiled from a variety of sources.

More information

Arthritis. written by Harvard Medical School.

Arthritis. written by Harvard Medical School. Arthritis written by Harvard Medical School www.patientedu.org Healthy Joints Your joints are engineering gems. In health, they are strong enough to support your weight, supple enough to let you move about,

More information

HAND AND WRIST OWNER S MANUAL

HAND AND WRIST OWNER S MANUAL HAND AND WRIST OWNER S MANUAL Treatment for Common Hand and Wrist Problems Problems with the Hand and Wrist You depend on your hands and wrists every day. But an injury can make even simple tasks painful

More information

A Patient s Guide to Elbow Dislocation

A Patient s Guide to Elbow Dislocation A Patient s Guide to Elbow Dislocation 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet

More information

Pre-participation Physical Evaluation

Pre-participation Physical Evaluation Pre-participation Physical Evaluation HISTORY FORM Date of Exam: Name Sex Age Date of Birth Grade School Sport(s) Address Phone Personal Physician In case of emergency, contact: Relationship Phone (H)

More information

Anatomy Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle).

Anatomy Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). Shoulder Impingement/Rotator Cuff Tendinitis One of the most common physical complaints is shoulder pain. Your shoulder is made up of several joints combined with tendons and muscles that allow a great

More information

Corporate Safety Manual. Chapter 8 Office Ergonomics

Corporate Safety Manual. Chapter 8 Office Ergonomics Corporate Safety Manual Chapter 8 Office Ergonomics Last updated: April 2015 Office Ergonomics Chapter 8: Office Ergonomics Index Page Introduction to Ergonomics...8-3 Work-related Musculoskeletal Disorders

More information

The Forearm, Wrist, Hand and Fingers. Contusion Injuries to the Forearm. Forearm Fractures 12/11/2017. Oak Ridge High School Conroe, Texas

The Forearm, Wrist, Hand and Fingers. Contusion Injuries to the Forearm. Forearm Fractures 12/11/2017. Oak Ridge High School Conroe, Texas The Forearm, Wrist, Hand and Fingers Oak Ridge High School Conroe, Texas Contusion Injuries to the Forearm The forearm is constantly exposed to bruising and contusions in contact sports. The ulna receives

More information

Carpal Tunnel Syndrome Orthopaedic Department Patient Information Leaflet. Under review. Page 1

Carpal Tunnel Syndrome Orthopaedic Department Patient Information Leaflet. Under review. Page 1 Carpal Tunnel Syndrome Orthopaedic Department Patient Information Leaflet Page 1 Carpal Tunnel Syndrome Carpal tunnel syndrome (CTS) is a common problem which affects the hand and wrist. Symptoms are caused

More information

Patella Instability in Children and Adolescents

Patella Instability in Children and Adolescents Patella Instability in Children and Adolescents Description Patella Instability is an injury to the kneecap (patella) affecting the joint it forms with the thigh bone (femur) Patella Instability can occur

More information

Complications of Treatment: Nonsurgical and Surgical

Complications of Treatment: Nonsurgical and Surgical Complications of Treatment: Nonsurgical and Surgical Whenever orthopedic surgeons discuss a treatment with patients we must always consider the risks and complications of any treatment we recommend. Part

More information

Joint Fitness Program

Joint Fitness Program Joint Fitness Program Exercises for Patients with Joint Pain By Copyrights reserved For information about the program Pls contact secretary@rheumatology4u.com Joint Fitness Program Joint pain can have

More information

PATIENT REGISTRATION FORM

PATIENT REGISTRATION FORM PATIENT REGISTRATION FORM NAME: D.O.B AGE: SEX: STREET: CITY: STATE: ZIP: SS #: ETHNICITY: RACE: LANGUAGE: PHONE # TO LEAVE A PERSONAL MESSAGE: HOME PHONE #: WORK #: CELL #: E MAIL ADDRESS: EMERGENCY CONTACT:

More information

Copyright Vanderbilt Sports Medicine. Table of Contents. What is an Rotator Cuff Tear?...2. What now?...4. Post-operative care...

Copyright Vanderbilt Sports Medicine. Table of Contents. What is an Rotator Cuff Tear?...2. What now?...4. Post-operative care... Table of Contents What is an Rotator Cuff Tear?...2 What now?....4 Post-operative care...5 Post-operative instructions...6 Return to sports/work...7 1 What is a Rotator Cuff Tear? The shoulder is a very

More information

Lumbar Spinal Stenosis

Lumbar Spinal Stenosis Lumbar Spinal Stenosis This article is also available in Spanish: Estenosis de la columna lumbar (topic.cfm?topic=a00701). A common cause of low back and leg pain is lumbar spinal stenosis. As we age,

More information

Urgent Cases and Foreign Bodies

Urgent Cases and Foreign Bodies Urgent Cases and Foreign Bodies Catherine J. Brandon, MD, MS University of Michigan Ann Arbor, MI, USA Introduction: Patients added on to the schedule from the emergency department or as urgent add-on

More information

Salisbury Foundation Trust Radiology Department Referral Guidelines for Primary Care: Musculoskeletal Imaging

Salisbury Foundation Trust Radiology Department Referral Guidelines for Primary Care: Musculoskeletal Imaging Salisbury Foundation Trust Radiology Department Referral Guidelines for Primary Care: Musculoskeletal Imaging These guidelines have been issued in conjunction with the Royal College of Radiology referral

More information

Patient Name: Date of Birth: Date of Visit (Today s Date): Date of Injury (if applicable): Occupation: Right or Left Handed: Referring Provider:

Patient Name: Date of Birth: Date of Visit (Today s Date): Date of Injury (if applicable): Occupation: Right or Left Handed: Referring Provider: New Patient History & Intake Form Patient Information Patient Name: Date of Birth: Date of Visit (Today s Date): Date of Injury (if applicable): Occupation: Right or Left Handed: Referring Provider: Preferred

More information

Osteoarthritis of the Carpometacarpal Thumb Joint

Osteoarthritis of the Carpometacarpal Thumb Joint Appendix 1. Participant s booklet. Osteoarthritis of the Carpometacarpal Thumb Joint Patient Information Booklet Study Coordinator: Sarah Meneses sarah.meneses@sydney.edu.au (02) 9463 1855 For more information

More information

SMF PCP Treatment & Referral Guideline Orthopedics Developed February 1, 2003 Revised: October, 2011

SMF PCP Treatment & Referral Guideline Orthopedics Developed February 1, 2003 Revised: October, 2011 SUTTER MEDICAL FOUNDATION (SMF) 2800 L Street, 7 th Floor Sacramento, CA 95816 SMF PCP Treatment & Referral Guideline Orthopedics Developed February 1, 2003 Revised: October, 2011 I. Shoulder Pain...Page

More information

UNDERSTANDING ARTHROSCOPY

UNDERSTANDING ARTHROSCOPY UNDERSTANDING ARTHROSCOPY Diagnosing and Treating Your Joint Problem Looking into a Problem Joint Whether you re taking a step or raising your hand, your joints help you move freely. A worn, torn, or injured

More information

Department of Orthopaedics

Department of Orthopaedics OUTCOMES DIVISION OF MEDICINE Department of Orthopaedics About Cleveland Clinic Florida Cleveland Clinic Florida s medical staff are dedicated physicians who have joined the clinic as salaried doctors

More information

Address City State Zip. Home Phone Cell Work. (For SHPT use only) Emergency Contact Phone

Address City State Zip. Home Phone Cell Work.  (For SHPT use only) Emergency Contact Phone Somerset Hills Physical Therapy, PC 180 Mount Airy Road, Suite 103 Basking Ridge, NJ 07920 Phone (908) 766-1407 Fax (908) 953-8454 wwwsomersethillsptcom Patient Information: Name Sex M F Date of Birth

More information

Aubrey M. Palestrant, MD, FSIR / Aaron Wittenberg, MD / John Eelkema, MD William Romano, MD, FSIR / Vineel Kurli, MD / Gregory Titus, MD

Aubrey M. Palestrant, MD, FSIR / Aaron Wittenberg, MD / John Eelkema, MD William Romano, MD, FSIR / Vineel Kurli, MD / Gregory Titus, MD Aubrey M. Palestrant, MD, FSIR / Aaron Wittenberg, MD / John Eelkema, MD William Romano, MD, FSIR / Vineel Kurli, MD / Gregory Titus, MD SPINE HISTORY PLEASE COMPLETE THE FOLLOWING QUESTIONNAIRE IN FULL.

More information

Arthroscopy. Turnberg Building Orthopaedics

Arthroscopy. Turnberg Building Orthopaedics Arthroscopy Turnberg Building Orthopaedics 0161 206 4898 All Rights Reserved 2017. Document for issue as handout. Introduction An arthroscopy is a type of keyhole surgery used both to diagnose and treat

More information

May 2014 Knife-free Relief for Knee Arthritis More than a million surgeries are

May 2014 Knife-free Relief for Knee Arthritis More than a million surgeries are Knife-free Relief for Knee Arthritis More than a million surgeries are performed every year to help people suffering from arthritis of the knee. While such surgery is sometimes the best option, two studies

More information

It's your life... be there healthy. RIGHT LEFT RIGHT

It's your life... be there healthy. RIGHT LEFT RIGHT Dr. Sara Weigel Dr. Douglas Ness Active Life It's your life... be there healthy. Chiropractic Patient Information Major Complaint Information Date First Name: Last Name: Initial What is your major complaint(s)?

More information

How to Avoid a Pain in the Neck

How to Avoid a Pain in the Neck OR How to Avoid a Pain in the Neck COURSE INTRODUCTION Computers are found in almost every workplace. Unfortunately, many employees suffer work related injuries from prolonged use of a computer. This CE

More information

Arthroscopic Surgery

Arthroscopic Surgery 175 Cambridge Street, 4 th floor Boston, MA 02114 Tel: 617-726-7500 Arthroscopic Surgery What is arthroscopy? Arthroscopy is a surgical procedure that orthopedic surgeons use to visualize, diagnose and

More information

Acute Services Division. Information for patients. Carpal Tunnel. Physiotherapy Department Glasgow Royal Infirmary

Acute Services Division. Information for patients. Carpal Tunnel. Physiotherapy Department Glasgow Royal Infirmary Acute Services Division Information for patients Carpal Tunnel Physiotherapy Department Glasgow Royal Infirmary Introduction Carpal tunnel syndrome (CTS) can cause the symptoms of pain, pins and needles

More information

Which Thumb Brace is Right for Your Thumb Problem?

Which Thumb Brace is Right for Your Thumb Problem? Which Thumb Brace is Right for Your Thumb Problem? A Publication of Oh My Arthritis 2016 Table of Contents Introduction Chapter 1 CMC Joint Arthritis Chapter 2 de Quervain s Tenosynovitis Chapter 3 Gamekeeper

More information

WRIST SPRAIN. Description

WRIST SPRAIN. Description WRIST SPRAIN Description Other sports, such as skiing, bowling, pole vaulting Wrist sprain is a violent overstretching and tearing of one Poor physical conditioning (strength and flexibility) or more ligaments

More information

Rheumatology & Immunology. Regional pain syndromes to be covered today. Some definitions. Tendinitis. Bursitis. History. History. Exam.

Rheumatology & Immunology. Regional pain syndromes to be covered today. Some definitions. Tendinitis. Bursitis. History. History. Exam. Rheumatology & Immunology Some problems are difficult, but diagnosing and treating soft tissue syndromes are not! Soft tissue syndromes one of the most common reasons patients present to their doctor.

More information

Philip Bayliss St Albans Osteopathy

Philip Bayliss St Albans Osteopathy Philip Bayliss St Albans Osteopathy 43 Thames Street, St Albans, Christchurch 8013 Phone: (03) 356 1353 Website: philip-bayliss.com Subacromial (Shoulder) Bursitis 1 Experts estimate that 65% of people

More information

REFERRAL GUIDELINES: ORTHOPAEDIC SURGERY

REFERRAL GUIDELINES: ORTHOPAEDIC SURGERY All patients referred to specialist clinics are assigned to a priority category based on their clinical need and related psychosocial factors. The examples given are indicative only and the clinician reviewing

More information

Mass General Thoracic Outlet Syndrome Program Questionnaire

Mass General Thoracic Outlet Syndrome Program Questionnaire Mass General Thoracic Outlet Syndrome Program Questionnaire Thank you for completing this form. This must be completed and returned by fax to 617-726-7667, by email or by mail to Dr. Donahue s office (address

More information

Stretching - At the Workstation Why is stretching important?

Stretching - At the Workstation Why is stretching important? Stretching - At the Workstation Why is stretching important? No matter how well a workstation is designed, problems may arise if attention is not paid to the way the work is done. Working at a computer

More information

SHOULDER INSTABILITY

SHOULDER INSTABILITY SHOULDER INSTABILITY Your shoulder is the most flexible joint in your body, allowing you to throw fastballs, lift a heavy suitcase, scratch your back, and reach in almost any direction. Your shoulder joint

More information

Swan-Neck Deformity. Introduction. Anatomy

Swan-Neck Deformity. Introduction. Anatomy Swan-Neck Deformity Introduction Normal finger position and movement occur from the balanced actions of many important structures. Ligaments support the finger joints. Muscles hold and move the fingers.

More information

X-Plain Muscles Reference Summary

X-Plain Muscles Reference Summary X-Plain Reference Summary Introduction are very important elements of the human body. They account for about half of a person s weight. Understanding how muscles work and how they can be injured is necessary

More information

Please take the time to answer all questions that apply to your problem as completely as possible. Thank You.

Please take the time to answer all questions that apply to your problem as completely as possible. Thank You. USC Center for Spinal Surgery New Patient History Form Please take the time to answer all questions that apply to your problem as completely as possible. Thank You. Date Referring Doctor/Primary Doctor

More information