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Lumbar Chief Complaints
Low Back pain
Low back pain with right leg pain
Low back pain with left leg pain
Low back pain with pain in both legs
Right leg pain
Left leg pain
Pain in both legs
Right groin pain
Left groin pain
Right hip pain
Left hip pain
Right knee pain
Left knee pain
Cervical (Neck) Chief Complaints
Neck Pain
Neck Pain and right arm pain
Neck Pain with left arm pain
Neck pain and pain in both arms
Right arm pain
Left arm pain
Pain in both arms
Right shoulder pain
Left shoulder pain
Thoracic (Mid-Back) Chief Complaints
Thoracic Spine Pain (Mid-back)
Thoracic Spine Pain (Mid-back) and right chest pain
Thoracic Spine Pain (Mid-back) and left chest pain
Thoracic Spine Pain (Mid-back) and pain on both sides of the chest
Joint Complaints
Right knee pain
Left knee pain
Bilateral knee pain knee pain
Right hip pain
Left hip pain
Bilateral hip pain
Right shoulder pain
Left shoulder pain
Bilateral shoulder pain
Other Complaints
Headaches
Pelvic Pain
Neuropathy in right leg
Neuropathy in left leg
Neuropathy in right arm
Neuropathy in left arm
Abdominal pain
Chest wall pain

onpatient Reasons For Visit Medical Form

Pain Management Specialist

There are 5 copies in use.
Published: Nov. 30, 2020, 3:29 p.m.
Doctor: Dr. History Physical
Rating: +5   /

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328 Gibraltar Dr
Sunnyvale, CA 94089

Call us: (844) 569-8628

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