TerraBlue XT - TJay Suite

1) Where exactly is the pain?

2) Can you dress yourself completely without difficulty?

No Yes

3) Can you walk up and downstairs without difficulty?

No Yes

4) How does the pain begin gradually or suddenly?

Gradually Suddenly

5) Does the pain spread to any part of the body?

No Yes

6) Was the onset of the pain associated with any trauma or infection ?

No Yes

7) Did you had any accidents prior to the onset of the pain?

No Yes

8) Is the pain associated with any symptom like headache, nausea or any other feeling?

No Yes
If Yes, What is it associated with?

9) Is there any change in your appetite?

No Yes

10) Did you notice any weight loss?

No Yes

11) Does anyone in your family suffer from any auto immune disease like rheumatoid arthritis?

No Yes

Mr. Vinod Sharma
DOB: 01/01/1978 (Age 37), Male

+91 97420 56787

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