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His Holiness
Maharishi
Mahesh Yogi
Musculoskeletal
Main Category Index
Alphabetic Index
Disk related problems
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 Disk related problems and its symptoms.
Herniated
Compressed
Degenerated or deteriorating
Crushed
Slipped
Fused vertebrae
Chronic back pain
Very tight muscles or 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
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
Blocked energy flow
Worse with cold or damp weather
Worse with changes in barometric pressure or altitiude
None
2)
(required)
Check one or more
primary areas
to be addressed.
Left Neck
Right Neck
Front Neck
Back Neck
Left Upper back
Right Upper back
Left Mid back
Right Mid back
Left Lower back
Right Lower back
3)
(required)
Check one or more
Sensations
that are predominant in your case of Disk related problems.
Shakiness
Itching
Numbness
Heaviness
Weakness
Rawness
Pain
Stiffness, rigidity and/or tightness
Burning
Heat
None
4)
Check one or more kinds of
Pain
that you experience in association with your case of Disk related problems 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 Disk related problems or its symptoms.
Daily
Weekly
Monthly
Yearly
Continuously
Varies
Depends entirely on circumstances
6)
(required)
Currently,
how severe
is your case of Disk related problems or its associated symptoms?
mild
moderate
severe
very severe
7)
(required)
How
disabling
is your case Disk related problems or its symptoms?
mildly
moderately
severely
very severely
Not at all
Disorder History
8)
(required)
Approximately,
how long
have you had Disk related problems or its symptoms?
1
2
3
4
5
6
7
8
9
10-15
16-20
21-30
31 or more
years
months
weeks
9)
(required)
Is your case of Disk related problems the
result of an accident
or another sudden traumatic event?
yes
no
unsure
10)
(required)
Has your case of Disk related problems been
medically diagnosed?
yes
no
11)
Brief history of your case of Disk related problems and its treatment (optional - up to 250 characters only)
12)
How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Disk related problems?
0
1
2
3
4 or more
12)
What was the average percentage of relief you gained as a result?
75-100%
50-75%
25-50%
0-25%
Unsure
Comments
13)
Additional comments (up to 250 characters only)