prolotherapy-hip

As Seen On...

Hip


Front
hip-front

GreaterTrochanter Pubis

Back

hip-back

Ilia

Side
hip-side

Appearance


Palpation
1. Greater Trochanter R L
2. Pubis R R L
3. Ilia R 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
Avduction
FullLimited    LevelPainExplain
Aduction
FullLimited    LevelPainExplain
Internal Rotation
FullLimited    LevelPainExplain
External Rotation
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