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Extra corporeal Shock Wave Therapy Chronic Lateral Epicondylitis (Tennis Elbow) Patient History Patient Name: Date of Birth:
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How to fill out extracorporeal shock wave therapy form:

01
Begin by gathering all necessary personal information, including the patient's full name, date of birth, contact information, and medical history.
02
Fill out the relevant sections regarding the reason for seeking extracorporeal shock wave therapy. Include details about the specific condition or injury being treated, and any previous treatments attempted.
03
Provide details about any allergies, medications, or underlying health conditions that may influence the suitability or safety of the therapy.
04
Indicate any additional procedures or therapies that will be combined with the shock wave therapy, such as physiotherapy or medication administration.
05
Specify the expected duration and frequency of the therapy sessions, as determined by the healthcare professional.
06
Inquire if there are any consent forms that need to be signed, acknowledging the risks and benefits of the treatment.

Who needs extracorporeal shock wave therapy?

01
Patients with chronic conditions such as plantar fasciitis, tendinitis, or osteoarthritis that have not responded well to traditional treatments may be candidates for extracorporeal shock wave therapy.
02
Individuals who have sustained sports injuries, muscle strains, or ligament damage may benefit from the regenerative effects of shock wave therapy.
03
People with certain orthopedic conditions such as calcific tendonitis, non-union fractures, or avascular necrosis may be recommended for extracorporeal shock wave therapy as a non-invasive treatment option.
04
Patients who prefer non-surgical interventions or wish to avoid long recovery times associated with surgical procedures often consider extracorporeal shock wave therapy.
05
It is important to note that the eligibility for extracorporeal shock wave therapy should be determined by a qualified healthcare professional who will assess each individual case and make the appropriate recommendations.
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Extracorporeal shock wave therapy (ESWT) is a non-invasive treatment that involves directing shock waves at the site of pain or injury to promote healing.
Healthcare professionals who perform extracorporeal shock wave therapy are required to file the necessary forms.
The form for extracorporeal shock wave therapy must be filled out with relevant patient information, treatment details, and any potential side effects.
The purpose of extracorporeal shock wave therapy is to stimulate healing and reduce pain in patients with musculoskeletal conditions.
The form must include patient demographics, treatment dates, treatment location, treatment parameters, and any adverse reactions.
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