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Diagnosis
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Reason for Trigger Point Injection
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Informed consent
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Patient Prepped
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Skin Prepped
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Area injected
• • •
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Other areas injected
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Medication injected
• • •
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Amount of solution injected
• • •
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Needle size
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Number of Trigger Points Injected
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Patient was discharged to home in good condition, given verbal post procedure instructions.
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