Back Pain Questionnaire Metro South

Foot weakness recent significant trauma unexplained weight loss history of cancer history of iv drug use prolonged use of corticosteroids severe night pain. Skip to main content skip links and keyboard navigation skip to content skip to navigation skip to.

Establishment Of Cutpoints To Categorize The Severity Of Chronic

Foot weakness recent significant trauma unexplained weight loss history of cancer history of iv drug use prolonged use of corticosteroids severe night.

Back pain questionnaire metro south. Metro south health is responsible for providing public health services to the people who reside within its boundaries. Please note the referral can not be processed without questionnaire attached. Back pain questionnaire page 2 of 3 patient name.

Neck pain questionnaire page 2 of 3 patient name. Stratford pw binkley j solomon p finch e gill c moreland j. Portland metro вђ oregon pain guidance oswestry low back pain disability questionnaire we will send you a microsoft.

Gp to have patient complete shoulder pain questionnaire pdf 135 5 kb and include in referral. Age at onset 16 or 55 motor deficit e g. Information for gps on referring for back and or neck pain spinal surgical service to metro south health s specialist services.

Special consideration is made for patients requiring tertiary care or services that are not provided by their local. Sheffield back pain red flags. This questionnaire has been designed to give the doctor information about how your neck pain has affected your ability to manage in everyday life.

Roland morris low back pain and disability questionnaire rmq source. This questionnaire has been designed to give the doctor information about how your neck pain has affected your ability to manage in everyday life. Please answer each section and mark in each section only one box.

Age at onset 16 or 55. If a specific test result is unable to be obtained due to access financial religious cultural or consent reasons a clinical override may be requested. Age at onset 16 or 55 motor deficit e g.

Please answer each section and mark in each section only one box. Sheffield back pain red flags. Defining the minimum level of detectable change for the roland morris questionnaire.

Back pain with red flags if clinical circumstances indicate the patient requires immediate treatment refer to emergency. The roland morris low back pain and disability development and analysis of validity and reliability of. Sheffield back pain red flags.

Oswestry Disability Index Odi