prolotherapy-ankle-foot

As Seen On...

Ankle & Foot


Inside
ankle-inside

DistalFibulaInsertionofAchillesATFLAnteriorAspectofCalcaneous

Outside
ankle-outside

DistalTibia
Appearance


Palpation
1. Distal Fibula R L
2. Distal Tibia R L
3. ATFL R L
4. Anterior Aspect of Calcaneous R L
5. Insertion of Achilles R L
6. Other
Observed Abnormality? Yes No

Sensation Intact? Yes No

Moves Extremities w/o Deficit? Yes No


Range of Motion

Plantar Flexion
FullLimited    LevelPainExplain
Dorsi Flexion
FullLimited    LevelPainExplain
Inversion
FullLimited    LevelPainExplain
Eversion
FullLimited    LevelPainExplain


Procedure Note
Consent
Skin Cleaned with Chlohexadine
Other

Tender Points Injected with:Dextrose PRP
Joint Injection:Dextrose PRP Stem Cell


Resolution of Symptoms? Yes No

Tolerated Well? Yes No
Procedural Sedation:
Dose

Dose

Dose