Step 5: Preparing for Your Doctor's Appointment

Treatment Decision Guide

Your Situation Summary Sheet

Print this sheet and bring it to your appointment.

[!tip] Treatment Consultation Sheet Current Symptoms

Continuous walking distance: ___________ m

Pain score: _____ /10

Main symptom location: _________________

Neurological symptoms: ☐ Numbness ☐ Reduced sensation ☐ Weakness

Impact on Daily Life

Things I can no longer do: ______________

What troubles me most: __________________

Treatment History

Medications: ____________________________

Rehab: ☐ Yes (___ months) ☐ No

Injections: ☐ Yes (___ times, effect: ___) ☐ No

Surgery: ☐ Yes (___ years ago) ☐ No

Your Hopes and Questions