Pain Assessment Tool

Tell Us About Your Pain

Is chronic neck and back pain preventing you from leading the active lifestyle that you want? Use our Pain Tool to evaluate your symptoms & get back to living!

Choose all that apply:
Option: Lower Back
Option: Middle Back
Option: Neck
Option: Shoulders
Option: Arms
Option: Buttocks
Option: Knee
Option: Legs
?
Option: Lower Back
Option: Middle Back
Option: Neck
Option: Shoulders
Option: Sharp
Option: Burning
Option: Cramping
Option: Throbbing
Option: Quick Jolts of Pain
Choose all that apply:
Option: CT Scan
Option: MRI
Option: Xray
Option: NCS
?
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Option: Aetna
Option: Cleveland Clinic
Option: Medical Mutual
Option: United Healthcare
Option: Blue Cross Blue Shield
Option: Humana
Option: Medicare
Option: Workers Compensation
Option: Cigna
Option: Medicaid Products
Option: ML Healthcare
Option: Other
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