SPINEONLINE BUILDING

The leader in herniated disc treatment!
Home / Incoming Patients / Patient Testimonials / Mission Statement / Search / FAQ / Contact us / Success Rates

 About us
 Introduction
 Finest Equipment
 "Superb Approach"
 No Trauma vs Micro
 Small Bandaid
 Ask a Specialist

 Abstracts
 Historical Review
 Video Room
 After Open Surgery
 Image Gallery
 Spine Dictionary

 Motion MRI
 IDET
 Spine Nutrition
 Pain Management
 Links

 Post Surgery Area
 What's New
 Register Email Update
 West Coast Location
 East Coast Location
 Out of Town Patients
Tell A Friend
Tell a friend about SpineOnline
Questions
Major surgery is not the only option for many patients with disc herniation. Call 800-956-6724.
 Send us a question

Journals
Click here to read journals

Post Discectomy Form #2  [3 Weeks after Procedure]

Dr. Ditsworth's Patient Only.
If you had surgery with another Dr, please use different form.

Please Fill out all fields.

It will help us provide better care
if you answer the following questions 3 weeks after your procedure.
Name
Age
E-mail
Occupation
Today's Date(mm/dd/yy)
Date of procedure(mm/dd/yy)
Do you have occasional back or leg pain (neck or arm pain, if it was a neck problem) severe enough to interfere with normal work or leisure activities?
Yes No
Are you handicapped by severe pain?
Yes No
How are your symptoms different in comparison to prior to your procedure? :
What medication are you taking and how often? :

Are you having or have you arranged any type of traction at home. Please describe the device, how much you have used it and your response:
When did you return to work? :
Are you working at the same job as prior to the start of your back problem? If a different job, please describe:
Working full time?
No limitation or if there is a limitation at work, please describe:

© 1995-2006 SPINEONLINE.COM
Any questions about this site, mail to Webmaster.
Please read our policy before using this site.
Am I a Candidate?
Who should consider Non-traumatic discectomy?
Doctors choose us!!

Learn more!
Lowest Cost
Click Here
Solve the Problem
Send Your Question

Spine Care at Americanspine.com

Spineonline.com
Additional Surgical Options
Manual Therapy
Products/Suppliers
Pain Management
Symptoms
1.Sciatica;leg pain

2.Back Pain
Surgery Pictures
Patient walking out of the hospital
Message Board
Email from Patients who have had open back surgery elsewhere.