His Holiness
Maharishi
Mahesh Yogi
  
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Pain syndrome of the back

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 Pain syndrome of the back and its symptoms.
 Whiplash  Benign lumps, tumors or fibroids
 Tension  Stiffness
 Result of arthritis  Result of pinched nerve
 Chronic pain  Related to diet or digestion
 Result of accident or injury  Result of surgery
 From environmental toxins  Have had surgery for this problem
 Curvature of the spine  Muscle tightness
 Muscle spasms  Inflammation
 Disc problems  Affects digestion
 Blocked energy flow  Bent coccyx
 Fused vertebrae  Related to anxiety
 Related to menstrual cycle  Fibromyalgia
 Myofascial pain  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
3) (required) Check one or more Sensations that are predominant in your case of Pain syndrome of the back.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   Intense pressure caused by Pain syndrome of the backIntense pressure
  Throbbing caused by Pain syndrome of the backThrobbing   Flashes of light caused by Pain syndrome of the backFlashes of light   Nausea caused by Pain syndrome of the backNausea   None caused by Pain syndrome of the backNone
4) Check one or more kinds of Pain that you experience in association with your case of Pain syndrome of the back 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 Pain syndrome of the back or its symptoms.
Frequency of Pain syndrome of the back
6) (required) Currently, how severe is your case of Pain syndrome of the back or its associated symptoms?
Duration of Pain syndrome of the back     mild     moderate     severe     very severe
7) (required) How disabling is your case Pain syndrome of the back or its symptoms?
Disablity from Pain syndrome of the back  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Pain syndrome of the back or its symptoms?
Duration of Pain syndrome of the back  years  months  weeks
9) (required) Is your case of Pain syndrome of the back the result of an accident or another sudden traumatic event?
Pain syndrome of the back from accident yes  no  unsure
10) (required) Has your case of Pain syndrome of the back been medically diagnosed?
Pain syndrome of the back was medically diagnosed yes  no
11) Brief history of your case of Pain syndrome of the back and its treatment  (optional - up to 250 characters only) 
History of Pain syndrome of the back
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Pain syndrome of the back?
Prior MVVT treatments for Pain syndrome of the back  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Pain syndrome of the back  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Pain syndrome of the back

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