|
Injectable
• • •
|
Comments
|
|
Joint Injected
• • •
|
|
|
Injection #
• • •
|
# Injections in Series
• • •
|
|
cc Lidocaine used
|
|
|
Needle
• • •
|
|
|
Approach
• • •
|
Imaging Method
• • •
|
|
Contrast Agent
• • •
|
|
|
Fluid Aspirated [-]
|
Volume of Fluid Aspirated
|
|
Aspirate Description
• • •
|
Custom Fluid Description
|
|
Fluid sent for analysis?
|
What was injected?
|
|
Intraarticular PRP? cc injected
• • •
|
Extraarticular PRP? cc injected
• • •
|
|
Intraarticular AD-MSCT cc injected
• • •
|
Extraarticular AD-MSCT? cc injected
• • •
|
|
Intraarticular Prolotherapy? cc injected
• • •
|
Extraarticular Prolotherapy cc injected
• • •
|
|
Lidocaine/Sarapin/Vitamin Mix
|
Quanity of Sarapin/Vitamin Mix Injected
|
|
Quanity of O3
• • •
|
Comment
|
|
Closer.
|
|
|
Second Joint Injected
|
|
|
Injectable
• • •
|
Comments
|
|
Joint Injected
• • •
|
|
|
Injection #
• • •
|
# Injections in Series
• • •
|
|
cc Lidocaine used
|
|
|
Needle
• • •
|
|
|
Approach
• • •
|
|
|
Imaging Method
• • •
|
|
|
Contrast Agent
• • •
|
|
|
Fluid Aspirated [-]
|
Volume of Fluid Aspirated
|
|
Aspirate Description
• • •
|
Custom Fluid Description
|
|
Fluid sent for analysis?
|
|
|
What was injected?
|
|
|
Intraarticular PRP? cc injected
• • •
|
Extraarticular PRP? cc injected
• • •
|
|
Intraarticular AD-MSCT? cc injected
• • •
|
Extraarticular AD-MSCT cc injected
• • •
|
|
Intraarticular Prolotherapy? cc injected
• • •
|
Extraarticular Prolotherapy cc injected
• • •
|
|
Lidocaine/Sarapin/Vitamin Mix
|
Quanity of Sarapin/Vitamin Mix Injected
|
|
Quanity of O3
• • •
|
Comment
|
|
Closer.
|
|
|
Quanity of Sarapin/Vitamin Mix Injected
|
|
