<p>Chief Complaint </p><p><strong>Please choose the primary reason you are coming to our office.&nbsp;Complaints are listed alphabetically.&nbsp;Please do not select more than 5 complaints. </strong></p><p></p><ul style="display: flex;"><li style="flex:1"><strong>Upper Back: </strong></li><li style="flex:1"><strong>Thigh/Hip: </strong></li><li style="flex:1"><strong>Calf: </strong></li></ul><p></p><p>ooooo</p><p>Asthma Bronchitis Emphysema Left Flank Pain Midback pain </p><p>ooooooooooooo</p><p>Arterial insufficiency Left hip pain Left hip tendonitis Left leg cramps Left leg numbness Left leg pain Left leg weakness Left post. thigh pain Left thigh pain Sciatica Venous insufficiency Right hip pain Right hip tendonitis Right leg cramps </p><p>o</p><p>Left calf pain </p><p>ooooooooooooooo</p><p>Left leg cramps Left leg numbness Left leg pain Left leg weakness Leg cramps Leg numbness Leg weakness Varicose veins Venous insufficiency Arterial insufficiency Right calf pain Right leg cramps Right leg numbness Right leg pain </p><p><strong>Lower Back: </strong></p><p>ooooooooooooo</p><p>Fatigue Left flank pain Low back pain Low back spasm Lumbar arthritis Menstrual cramps Nervousness Pain during BM Right flank pain Sacroiliac pain Sciatica </p><p>ooooo</p><p>Right leg numbness Right leg pain Right leg weakness Right post. thigh pain Right thigh pain <br>Right leg weakness </p><p><strong>Neck: </strong></p><p>o</p><p>Stiffness Whole body pain <br>Bronchitis Clavicular pain Cold Coughing Dysphagia Goiter Hoarseness Neck pain Neck spasm Psoriasis Rapid pulse Rash Slurred speech Sore throat Neck stiffness Swollen cervical glands TMJ pain </p><p>oooooooooooooooo</p><p><strong>Head: </strong></p><p>o</p><p><strong>Buttocks: </strong></p><p>Agitation Anxiety attack Cold Diminished concentration Dizziness Dysphagia Ear pain Fatigue </p><p>ooooooooooooo</p><p>Bleeding during BM Bursitis of hip Gluteal pain Hemorrhoids Left gluteal pain </p><p>oooooooooooooooo</p><p>Left hip pain Left post. thigh pain Right gluteal pain Right hip pain Right post. thigh pain Sacroiliac pain Sciatica <br>Fear Flu Head numbness Headache Hearing loss Hypersomnia Insomnia Left TMJ pain Light headedness Poor appetite Pressure around the head Right TMJ pain Sinus pain <br>Tendonitis of hip </p><p>o</p><p>Tonsillitis </p><p>ooooo</p><p>Whole body pain </p><p><strong>Arm: </strong></p><p>oooo</p><p>Right wrist pain </p><p><strong>Groin: </strong></p><p></p><ul style="display: flex;"><li style="flex:1">o</li><li style="flex:1">o</li></ul><p></p><p>Left arm numbness Left arm pain Left arm swelling Left arm weakness Left elbow pain Psoriasis <br>Right wrist tendonitis Right wrist stiffness Trigger finger <br>Bedwetting Constipation Dysmenorrhea Groin pain </p><p>oooooooooooooooooooooooooooo</p><p><strong>Face: </strong></p><p>Hemorrhoids </p><p>oooooooooooooooo</p><p>Face pain Facial paralysis Facial rash <br>Infrequent urination Left inguinal hernia Right inguinal hernia Menstrual cramps Right inguinal hernia Menstrual cramps Painful urination Psoriasis <br>Rash Right arm numbness Right arm pain Right arm swelling Right arm weakness Right elbow pain Stiffness <br>Facial tic Food allergies Inhalant allergies Left eye pain Right eye pain Left eye tearing Left TMJ pain Right eye tearing Right TMJ pain Sinus pain </p><ul style="display: flex;"><li style="flex:1">Tennis elbow </li><li style="flex:1">Left groin rash </li></ul><p>Right groin rash Vaginal discharge </p><p><strong>Forearm: </strong></p><p>Carpal tunnel </p><p>oooooooooooooooooooo</p><p>Left arm numbness Left arm pain </p><p><strong>Knee: </strong></p><p>Skin eruptions TMJ pain Toothache </p><p>ooooooooo</p><p>Knee tendonitis Left knee pain Left popliteal pain Left knee stiffness Psoriasis <br>Left arm swelling Left arm weakness Left elbow pain Left forearm pain Left wrist pain Left wrist swelling Left wrist tendonitis Psoriasis Right arm numbness Right arm pain Right arm swelling Right arm weakness Right elbow pain Right forearm pain Right wrist pain </p><p><strong>Foot: </strong></p><p>oooooooooooooooooo</p><p>Ankle swelling Ankle tendonitis Left ankle pain Left arch pain Left food numbness Left foot pain Left heel pain Left toe pain Metatarsalgia Psoriasis <br>Rash Right knee pain Right popliteal pain Right knee stiffness </p><p><strong>Shin/Ankle: </strong></p><p>oooooooooooo</p><p>Left leg numbness Left leg pain Left leg weakness Left shin pain </p><ul style="display: flex;"><li style="flex:1">Psoriasis </li><li style="flex:1">Rash </li></ul><p>Right ankle pain Right arch pain Right foot numbness Right foot pain Right heel pain Stiffness <br>Rash <br>Right wrist swelling </p><p>Right wrist tendonitis <br>Right leg numbness Right leg pain Right leg weakness Right shin pain Shin splints </p><p><strong>Hand: </strong></p><p>o</p><p>Carpal tunnel Psoriasis Left finger pain Left hand pain </p><p>ooo</p><p></p><ul style="display: flex;"><li style="flex:1">Right toe pain </li><li style="flex:1">Varicose veins </li></ul><p></p><p><strong>Shoulder: </strong></p><p>oooooooooooo</p><p>Left hand numbness Left hand tendonitis Left hand tremor Left wrist swelling Left wrist tendonitis Rash Right finger pain Right hand numbness Right hand pain Right hand tendonitis Right hand tremor Right wrist swelling </p><p>oooooooooo</p><p>Left shoulder pain Left shoulder numbness Left shoulder tendonitis Left shoulder stiffness Psoriasis Rash Right shoulder pain Right shoulder numbness Right shoulder tendonitis Right shoulder stiffness </p>