prolotherapy-wrist-hand

As Seen On...

Wrist & Hand


    Front
    wristhandfront-front
    Back
    wristhand-back
    Appearance


    Palpation

    Observed Abnormality? Yes No

    Moves Extremities w/o Deficit? Yes No

    Sensation Intact? Yes No


    Range of Motion

    Flexion
    FullLimited    LevelPainExplain
    Extension
    FullLimited    LevelPainExplain
    Supination
    FullLimited    LevelPainExplain
    Pronation
    FullLimited    LevelPainExplain
    Ulnar Deviation
    FullLimited    LevelPainExplain
    Radial Deviation
    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