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PATIENT IDENTIFICATION AREAOutpatient Rehabilitation Services 159 Wells Avenue, Newton, MA 02459OSWESTRY DISABILITY QUESTIONNAIRE LOWER BACK This questionnaire has been designed to give your therapist
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How to fill out evaluation of low back

01
Start by obtaining patient's information such as name, age, contact details.
02
Record patient's medical history, including any past injuries or surgeries related to the low back.
03
Perform a physical examination of the patient's low back, checking for any tenderness, range of motion, and strength.
04
Use diagnostic tools such as X-rays, MRI, or CT scans to further evaluate the condition of the low back.
05
Create a detailed report of the evaluation findings, including treatment recommendations and follow-up plans.

Who needs evaluation of low back?

01
Individuals experiencing low back pain or discomfort.
02
Patients with a history of low back injuries or conditions.
03
Athletes or individuals involved in strenuous physical activities that may affect the low back.
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The evaluation of low back is an assessment of an individual's lower back condition, typically used for medical or insurance purposes.
Individuals who are seeking medical treatment or workers' compensation for lower back issues may be required to file an evaluation of low back.
To fill out an evaluation of low back, the individual will need to provide detailed information about their symptoms, medical history, and any treatments or therapies received for their lower back condition.
The purpose of an evaluation of low back is to assess the severity and impact of an individual's lower back condition, in order to determine appropriate treatment and/or compensation.
Information that may be reported on an evaluation of low back includes medical history, symptoms, diagnostic test results, treatments received, and functional limitations.
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