His Holiness
Maharishi
Mahesh Yogi
 
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Sciatica

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 Sciatica and its symptoms.
 Shooting pain in the legs, buttocks, lower back  Chronic back pain
 Tingling  Numbness
 Very tight muscles  Muscle spasms
 Piriformis syndrome  Result of automobile accident
 Result of other accident  Result of surgery
 Result of heavy lifting  Result of osteoporosis
 Result of arthritis  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  General pain and stiffness
 Misaligned hips  Swelling of legs and/or feet
 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 Leg
  Right Leg
  Left Buttock
  Right Buttock
  Left Lower back
  Right Lower back
3) (required) Check one or more Sensations that are predominant in your case of Sciatica.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by SciaticaNone
4) Check one or more kinds of Pain that you experience in association with your case of Sciatica 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 Sciatica or its symptoms.
Frequency of Sciatica
6) (required) Currently, how severe is your case of Sciatica or its associated symptoms?
Duration of Sciatica     mild     moderate     severe     very severe
7) (required) How disabling is your case Sciatica or its symptoms?
Disablity from Sciatica  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Sciatica or its symptoms?
Duration of Sciatica  years  months  weeks
9) (required) Is your case of Sciatica the result of an accident or another sudden traumatic event?
Sciatica from accident yes  no  unsure
10) (required) Has your case of Sciatica been medically diagnosed?
Sciatica was medically diagnosed yes  no
11) Brief history of your case of Sciatica and its treatment  (optional - up to 250 characters only) 
History of Sciatica
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Sciatica?
Prior MVVT treatments for Sciatica  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Sciatica  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Sciatica

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