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His Holiness
Maharishi
Mahesh Yogi
Pain syndrome
Main Category Index
Alphabetic Index
Pain syndrome of the lower extremities
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 lower extremities 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
Inflammationl
Affects digestion
Blocked energy flow
Related to anxiety
Related to menstrual cycle
Fibromyalgia
Myofascial pain
None
2)
(required)
Check one or more
primary areas
to be addressed.
Left Hip
Right Hip
Left Thigh
Outer
Inner
Both
Right Thigh
Outer
Inner
Both
Left Knee
Right Knee
Left Lower leg
Right Lower leg
Left Ankle
Right Ankle
Left Foot
Right Foot
Left Heel
Right Heel
Left Toes
Big toe
1st digit
2nd digit
3rd digit
4th digit (little toe)
Multiple
Right Toes
Big toe
1st digit
2nd digit
3rd digit
4th digit (little toe)
Multiple
Toe pads
3)
(required)
Check one or more
Sensations
that are predominant in your case of Pain syndrome of the lower extremities.
Shakiness
Itching
Numbness
Heaviness
Weakness
Rawness
Pain
Stiffness, rigidity and/or tightness
Burning
Heat
Intense pressure
Throbbing
Flashes of light
Nausea
None
4)
Check one or more kinds of
Pain
that you experience in association with your case of Pain syndrome of the lower extremities 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 lower extremities or its symptoms.
Daily
Weekly
Monthly
Yearly
Continuously
Varies
Depends entirely on circumstances
6)
(required)
Currently,
how severe
is your case of Pain syndrome of the lower extremities or its associated symptoms?
mild
moderate
severe
very severe
7)
(required)
How
disabling
is your case Pain syndrome of the lower extremities or its symptoms?
mildly
moderately
severely
very severely
Not at all
Disorder History
8)
(required)
Approximately,
how long
have you had Pain syndrome of the lower extremities 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 Pain syndrome of the lower extremities the
result of an accident
or another sudden traumatic event?
yes
no
unsure
10)
(required)
Has your case of Pain syndrome of the lower extremities been
medically diagnosed?
yes
no
11)
Brief history of your case of Pain syndrome of the lower extremities and its treatment (optional - up to 250 characters only)
12)
How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Pain syndrome of the lower extremities?
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)