Hello

PT Number:   Expiry date: 1970-02-01

Date of birth:

Address: , ,,

Phone:

Pain summary:

Key

  • Electric
  • Scratchy
  • Pins/needles
  • Dull/ache
  • Burning
  • Pain description

Your summary will appear below

Select what it feels like in each area

In the morning

During the day?

In the evening

When sleeping

Me with the pain

Me before pain

Professional Life

Self-employed. Desk-based work. Lots of meetings. Quite a bit of travel. Domestic and international

Personal life then

Married 2 children. Lots of socialising. Sea-kayaking. Very lucky.

Patient's medical history then

Broke right-leg when 2 yo. Had a sore back for years. But kayaking and Pilates strengthened muscles and its mostly OK with a bit of chiropractic care.

Other pre existing medical conditions

An annoying cold.

The pain and other issues

Me with pain

What happened?

Bowling in cricket weakend my back. Then supporting my wife while she gave birth to our son, something clicked badly.

Describe the health issue

Sore lower back. Stiff Spasms

Has there been a diagnosis?

Yes, but I forget.

Health cover / insurance type

Bupa whatever

The health issue

Medication

Nil

Treatment

Massage and TLC Pilates

Other details

Cycling, walking, gym

Current stop

Imaging, reports, upload

P1020230.JPG uploaded on 2015-07-28 01:36:37
CB in Norway. P1020230.JPG uploaded on 2015-07-28 01:40:18
P1020470.JPG uploaded on 2015-07-28 01:40:25

Patient space

My wife is lovely

Patient journey

   

Jul'15

Back scratch

Mood map

Pain summary:

Key

  • Electric
  • Scratchy
  • Pins/needles
  • Dull/ache
  • Burning
  • Pain description

Your summary will appear below

Select what it feels like in each area

In the morning

During the day?

In the evening

When sleeping

Me with the pain

Me before pain

Professional Life

Personal life then

Patient's medical history then

Other pre existing medical conditions

The pain and other issues

Me with pain

What happened?

Describe the health issue

Has there been a diagnosis?

Health cover / insurance type

The health issue

Medication

Treatment

Other details

Current stop

Imaging, reports, upload

Patient space

Patient journey

Mood map

Pain summary:

Key

  • Electric
  • Scratchy
  • Pins/needles
  • Dull/ache
  • Burning
  • Pain description

Your summary will appear below

Select what it feels like in each area

In the morning

During the day?

In the evening

When sleeping

Me with the pain

Me before pain

Professional Life

Personal life then

Patient's medical history then

Other pre existing medical conditions

The pain and other issues

Me with pain

What happened?

Describe the health issue

Has there been a diagnosis?

Health cover / insurance type

The health issue

Medication

Treatment

Other details

Current stop

Imaging, reports, upload

Patient space

Patient journey

Mood map

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