Get the free NON OPERATIVE HIP PHYSICAL THERAPY PROTOCOL

Reza Omid, MD Assistant Professor of Clinical Orthopedic Surgery Shoulder and Elbow Reconstruction & Sports Medicine O: (323) 4425680 F: (323) 4426990 Patient Name: Date: Patient DOB: NONOPERATIVEHIPPHYSICALTHERAPYPROTOCOL

How to fill out non operative hip physical

Who needs non operative hip physical?

1. People who have hip pain or hip dysfunction but do not require or are not eligible for surgery.
2. Individuals who have undergone non-surgical treatments for hip conditions such as physical therapy, medication, or lifestyle changes.
3. Patients who are being monitored for the progression of their hip condition or tracking their response to non-operative treatments.

How to fill out non operative hip physical?

1. Start by providing personal information, such as your name, age, and contact details.
2. Include relevant medical history, such as any previous hip injuries, surgeries, or conditions.
3. Describe your current symptoms in detail, including the onset, duration, and intensity of the pain or dysfunction.
4. Mention any activities or movements that aggravate or alleviate the symptoms.
5. Include information about any non-surgical treatments you have tried, such as physical therapy exercises, pain medications, or assistive devices.
6. Describe any modifications you have made to your daily activities or work due to the hip condition.
7. If relevant, mention any imaging studies or diagnostic tests you have undergone, such as X-rays, MRI, or CT scans.
8. Discuss any other medical conditions or medications that may be influencing your hip health.
9. Provide a detailed account of your goals and expectations for the non-operative treatment, including desired pain relief and functional improvement.
10. Finish by signing and dating the form, acknowledging that the information provided is accurate to the best of your knowledge.

For pdfFiller’s FAQs

What is non operative hip physical?

Non operative hip physical is a medical evaluation of the hip joint that does not involve surgery or invasive procedures.

Who is required to file non operative hip physical?

Patients who are undergoing conservative management or non-surgical treatment for hip issues may be required to have a non operative hip physical.

How to fill out non operative hip physical?

Non operative hip physical forms can be filled out by a healthcare provider or physician who is conducting the evaluation.

What is the purpose of non operative hip physical?

The purpose of a non operative hip physical is to assess the status of the hip joint and monitor the effectiveness of non-surgical treatments.

What information must be reported on non operative hip physical?

The non operative hip physical report may include details of the patient's medical history, physical examination findings, imaging results, and treatment plan.

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