His Holiness
Maharishi
Mahesh Yogi
 
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Back pain

Your answers will enable us to develop your personalized consultation.
Select the consultation type for this disorder. For more information, click on the consultation type.
   Enhanced ($900)

   Additional or Follow-up ($450)
Issues
1) (required) Check one or more characteristics or information relevant to your current case of Back pain and its symptoms.
 Chronic back pain  Very tight muscles
 Muscle spasms  Result of whiplash injury
 Result of automobile accident  Result of other accident
 Result of surgery  Result of heavy lifting
 Result of osteoporosis  Curvature of the spine
 Compressed or deteriorating vertebrae  Fused vertebrae
 Herniated disk(s)  Pain after lifting
 Restricted mobility  Inhibits exercise
 Worse during or after exercise  Feels improved during or after exercise
 Confined to bed  Have had surgery to correct the problem
 Have had chiropractic adjustments for the problem  Mobility of neck affected
 Frequent headaches  Tension in neck and shoulders
 Tingling and numbness down arms  General pain and stiffness
 Misaligned hips  Sciatica
 Lumbago  Spinal calcification
 Spinal deterioration  Blocked energy flow
 Worse with cold or damp weather  Worse with changes in barometric pressure or altitude
 None
2) (required) Check one or more primary areas to be addressed.
  Left Upper back
  Right Upper back
  Center Upper back
  Left Mid back
  Right Mid back
  Center Mid back
  Left Lower back
  Right Lower back
  Center Lower back
  Left Neck
  Right Neck
  Front Neck
  Back Neck
  Left Shoulders
  Right Shoulders
  Left Hip
  Right Hip
3) (required) Check one or more Sensations that are predominant in your case of Back pain.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Back painNone
4) Check one or more kinds of Pain that you experience in association with your case of Back pain or its symptoms.
  Sharp   Dull/Achey   Burning   Prickling   Stabbing   Shooting
  Unbearable   Constant   Occasional   Intermittent   Acute   Extreme
Current condition
5) (required) Select how often you experience Back pain or its symptoms.
Frequency of Back pain
6) (required) Currently, how severe is your case of Back pain or its associated symptoms?
Duration of Back pain     mild     moderate     severe     very severe
7) (required) How disabling is your case Back pain or its symptoms?
Disablity from Back pain  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Back pain or its symptoms?
Duration of Back pain  years  months  weeks
9) (required) Is your case of Back pain the result of an accident or another sudden traumatic event?
Back pain from accident yes  no  unsure
10) (required) Has your case of Back pain been medically diagnosed?
Back pain was medically diagnosed yes  no
11) Brief history of your case of Back pain and its treatment  (optional - up to 250 characters only) 
History of Back pain
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Back pain?
Prior MVVT treatments for Back pain  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Back pain  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Back pain

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