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(855) 586-2615

Condition Checker

Is chronic neck and back pain preventing you from leading the active lifestyle that you want?
Use our Condition Checker to evaluate your symptoms & get back to life!

Step 1 Group

Step 1: Tell Us About Your Pain
Where are you experiencing pain? (Choose all that apply)*
- Cervical (neck) region
- Thoracic (mid-spine) region
- Lumbar (lower back) region
- Shoulders or Arms
- Hip, Buttocks, or Legs
- Joints (wrists, elbows, knees, ankles, etc.)
- Other
Where is your pain the most severe?
How long have you been experiencing pain?
- 0 to 6 months
- 6 months to 1 year
- 1 to 2 years
- 2 years or more

Step 2 Group

Step 2: Tell Us About Your Symptoms
Describe any pain-related symptoms. (Choose all that apply)*
- Stabbing, shooting, or radiating pain
- Tenderness, throbbing, or dull aching
- Numbness, tingling, or pins-and-needles sensations
- Burning or stinging
- Stiffness or reduced range of motion
- Localized swelling or global inflammation
- Muscular cramps or spasms
- Progressive weakness
- Lack of balance or coordination
- Difficulty walking, bending, sitting, or rotating the spine
- Abnormal curvature of the spine
- "Crunching" or grinding sensations in joints
- Other

Step 2.1 Group

Step 2.1: We Need A Little More Information
Where are you experiencing stabbing, shooting, or radiating pain?
- Neck
- Shoulders
- Arms
- Hands
- Lower Back
- Hips
- Buttocks
- Legs
- Feet
How intense is the stabbing, shooting or radiating pain?
0 1 2 3 4 5
Where are you experiencing tenderness, throbbing or dull aching?
- Neck
- Shoulders
- Arms
- Hands
- Lower Back
- Hips
- Buttocks
- Legs
- Feet
How severe is the tenderness, throbbing or dull aching?
0 1 2 3 4 5
Where are you experiencing numbness, tingling, or pins-and-needles sensations?
- Neck
- Shoulders
- Arms
- Hands
- Lower Back
- Hips
- Buttocks
- Legs
- Feet
Is the numbness, tingling or pins-and-needles sensation constant?
- Yes
- No
- Comes and goes
How intense is the numbness, tingling, or pins-and-needles sensations?
0 1 2 3 4 5
Where are you experiencing burning or stinging?
- Neck
- Shoulders
- Arms
- Hands
- Lower Back
- Hips
- Buttocks
- Legs
- Feet
Is the burning or stinging constant?
- Yes
- No
- Comes and goes
How severe is the burning or stinging?
0 1 2 3 4 5
Where are you experiencing stiffness?
- Neck
- Shoulders
- Arms
- Hands
- Lower Back
- Hips
- Buttocks
- Legs
- Feet
Where are you experiencing reduced range of motion?
- Neck
- Shoulders
- Arms
- Hands
- Lower Back
- Hips
- Buttocks
- Legs
- Feet
Where are you experiencing swelling or inflammation?
- Neck
- Shoulders
- Arms
- Hands
- Lower Back
- Hips
- Buttocks
- Legs
- Feet
How severe is the swelling or inflammation?
0 1 2 3 4 5
Where are you experiencing muscular cramps or spasms?
- Neck
- Shoulders
- Arms
- Hands
- Lower Back
- Hips
- Buttocks
- Legs
- Feet
Do the cramps or spasms limit your ability to walk or move freely?
- Yes
- No
- Sometimes
Where are you experiencing progressive weakness?
- Upper Extremities – Arms or Hands
- Lower Extremities – Legs or Feet

Step 3 Group

Step 3: Tell Us About Your Pain History
Which circumstance resulted in your pain?*
If other, please specify.
Have you undergone any of the following tests?*
- CT Scan
- MRI
- X-Ray
- EMG or Nerve Conduction Study
- Other
Have you tried any of the following treatments?
- Self-care (rest, over-the-counter medications, ice & heat application, etc.)
- Alternative Therapy (Acupuncture, Yoga, Massage Therapy, etc.)
- Chiropractic Care
- Physical Therapy
- Pain Management (prescription strength pain medication, cortisone injections, etc.)
- Surgical Intervention
- None
- Other
If other, please specify.
What type of insurance do you have?*
- Preferred Provider Organization (PPO)
- Exclusive Provider Organization (EPO)
- Health Maintenance Organization (HMO)
- Personal Injury Protection (PIP)
- Worker's Compensation
- Medicare
- Medicaid
- Self Pay
- Other or Unknown

Step 4 Group

Step 4: Get My Condition Results
First Name*
Last Name*
Email*
Phone Number*
Best Time to Contact You
- As soon as possible
- Morning
- Afternoon
- Evening
Additional Comments or Questions?

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COVID-19 UPDATE: Due to ongoing efforts to prevent the transmission of COVID-19 in our communities, our office hours may vary. However, our physicians will be offering ONLINE appointments during this time to address your medical needs. To learn more about this exciting new service, contact our patient advocates today!