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