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Nachlas Yoemans Kemps L R L R L R L R B B B B N N N N NP NP NP NP Assessment improvement unchanged worsening exacerbation  Plan Adjustments Palpation FindingsSegmentListingTechnique Key: T=Taut & Tender, E= Edema, SF= Sudoriferous Changes, HT= Hypertonicity.TP= Trigger Points, F= Fixation, HM= Hypermobility ( Heat ( Cold ( Home Instruction Ice Therapy Stretch / Exercise Program ( Continue Care Plan ( Modify Care Plan ( R/S Re-examination ( Discharge ( Referral for Further Evaluation ICD-9 CPT E/M  Date: / / Visit of Subjective Overall condition (since last office visit): significantly improved slightly improved not changed slightly worsened significantly worsened Subjective Complaint Key: 0 = Pain Free, 5 = Moderate, 10 = Sever Pain Headache Occipital Frontal Temporal L R L R L R Neck Pain Stiffness Paresthesia Spasm L R L R L R L R Upper Pain Stiffness Paresthesia Spasm Back L R L R L R L R Midback Pain Stiffness Paresthesia Spasm L R L R L R L R Lowback Pain Stiffness Paresthesia Spasm L R L R L R L R Upper Ext Pain Stiffness Paresthesia Spasm L R L R L R L R Lower Ext Pain Stiffness Paresthesia Spasm L R L R L R L R Activities of Daily Living ( Within Normal Limits ( Unchanged ( Increased ( Decreased Objective Fluid Motion Left Right Even Short Leg Left Right Even Cervical Syndrome Left Right Negative Derefield Positive Negative Balanced Sacral Leg Left Right Negative Myofascial Hypertonicity (Key: 1 = Minimal, 2 = Mild, 3 = Mild to Moderate, 4 = Moderate, 5 = Moderate to Severe, 6 = Severe) Suboccipital Thoracic Lumbosacral L R L R L R Cervical Upper Trap Upper LS-sp L R L R L R Mid Cervical Mid Scapular Lower LS-sp L R L R L R Lwr Cervical Lower Trap Gluteal L R L R L R Range of Motion Global Segmental Both (Level of Restriction Key: 1 = Minimal, 2 = Mild, 3 = Mild to Moderate, 4 = Moderate, 5 = Moderate to Severe, 6 = Severe) Cercical Thoracic Lumbosacral L R L R L R ( All unmarked exams unremarkable Orthopedic Tests Key: L=Positive Left, R=Positive Right, B=Positive Bilateral, N=Negative, NP=Not Performed Foraminal Comp. 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