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