prolotherapy-elbow

As Seen On...

Elbow


    Front
    elbow-front

    LateralEpichondyle MedialEpichondyle RadialHead
    Appearance


    Palpation
    1. Lateral Epichondyle R L
    2. Medial Epichondyle R L
    3. Radial Head R L
    4. Other
    Observed Abnormality? Yes No

    Sensation Intact? Yes No

    Moves Extremities w/o Deficit? Yes No


    Range of Motion

    Flexion
    FullLimited    LevelPainExplain
    Extension
    FullLimited    LevelPainExplain
    Supination
    FullLimited    LevelPainExplain
    Pronation
    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