myoActivation Consultation [Heidi]

myoActivation Consultation (Whenever a pain level or pain intensity rating is stated by the patient, write this subjective quantification in the format of: a number between 0 to 12, single space, slash mark, single space, the number 10.) (Always refer to the patient by their first name.) (Whenever a muscle is treated, the verb to use in describing treatment is activating the muscle or activation of the muscle.) (Whenever a scar is treated, the verb to use in describing treatment is releasing the scar or release of the scar.) Date: [Insert date] (use date format of YYYY MM DD) Dear [Insert referring clinician], (if referring clinician is a physician, enter Dr. and surname in placeholder; if referring clinician is a nurse practitioner, enter first name in placeholder.) "Thank you for your referral of this pleasant" [Insert age in number] year old [insert gender]. "This consultation note reflects my first encounter with your patient." HISTORY (If a Timeline of Lifetime Trauma form has been added to Context, then populate the section headings below with information that the patient has entered in the form. Do not include any clinical information used as examples in the instructions for filling out the form or information listed in Step 12, Step 13, or Thank You! sections.) Pain Issue 1 [document current pain problem for the first pain issue including location, characteristics, onset, duration, aggravating factors, alleviating factors, associated symptoms, and impact on function] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Pain Issue 2 [document second pain problem for the second issue including location, characteristics, onset, duration, aggravating factors, alleviating factors, associated symptoms, and impact on function] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Pain Issue 3 [document third pain problem for the third issue including location, characteristics, onset, duration, aggravating factors, alleviating factors, associated symptoms, and impact on function] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Functional impairment, most difficult movement [document functional limitations, movement restrictions, activities of daily living affected, mobility issues, and specific movements that are most challenging for the patient] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Occupations Over Lifetime: [document patient's occupational history, work-related activities, job responsibilities, physical demands of work, and any work-related injuries or exposures] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Handedness [document patient's dominant hand and any relevant details about hand use or preference] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Motor Vehicle Accidents [document details of motor vehicle accidents including dates, circumstances, injuries sustained, treatments received, and ongoing effects] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Falls [document history of falls including circumstances, injuries sustained, frequency, contributing factors, and any ongoing effects or complications] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Trauma [document traumatic events including physical trauma, emotional trauma, circumstances, timeframe, treatments received, and ongoing effects] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Repetitive Use Injuries [document repetitive strain injuries, overuse injuries, activities causing repetitive stress, affected body parts, and associated symptoms] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Fractures [document history of fractures including location, circumstances, treatment received, healing complications, and any residual effects] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Surgery / Surgical Procedures [document surgical history including procedures performed, dates, indications, outcomes, complications, and recovery details] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Minor surgery [document minor surgical procedures including type, location, circumstances, outcomes, and any complications or ongoing effects] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Burns [document history of burns including severity, location, circumstances, treatment received, healing process, and any scarring or functional limitations] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Bites [document history of bites including type of bite, location, circumstances, treatment received, complications, and any ongoing effects] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Falls on Tailbone [document specific falls involving the tailbone including circumstances, symptoms, treatment received, and ongoing effects on sitting or mobility] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Chickenpox [document history of chickenpox including age of occurrence, severity, complications, treatment, and any long-term effects or scarring] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Acne scars [document history of acne scarring including severity, location, treatments attempted, and impact on function or appearance] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Recreational injury [document recreational or sports-related injuries including activities involved, circumstances, injuries sustained, treatments received, and ongoing effects] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Childhood injuries [document injuries sustained during childhood including circumstances, age at occurrence, treatments received, and any lasting effects or complications] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Greatest physical trauma [document the most significant physical trauma experienced including circumstances, injuries sustained, treatments received, recovery process, and ongoing impact] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Memory Triggers: [At age X, involved in transport-related trauma involving [mechanism, e.g., car, truck, motorcycle, bike, pedestrian], resulting in [injury/impact].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, sustained [surgical type] surgery: [brief procedure description and site], with/without complications.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, had a fracture treated with [cast/surgery] involving [bone/location].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, sustained fall from [height/tailbone], resulting in [injury and treatment].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, reported repeated sprains involving [joint(s)].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, sports or recreational injury during [activity], resulting in [injury details].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, childhood trauma involving [type, e.g., bleeding, crushing], treated with [treatment].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, concussion from [mechanism: struck by or struck something], affecting [body part].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, sustained laceration from [material, e.g., glass, metal], at [body location].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, penetrating injury caused by [object type], involving [site].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, skin lesion from [condition, e.g., cystic acne, shingles, chickenpox scar], located on [site].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, burn injury due to [source: thermal, chemical, electrical, sun], affecting [area].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [At age X, bitten by [animal], resulting in injury to [site].] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Past Medical History [document relevant past medical conditions, diagnoses, hospitalizations, chronic conditions, and their management or resolution] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Current Medications Prescribed [document current prescription medications including names, dosages, frequencies, indications, and any side effects or concerns] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Over the Counter [document over-the-counter medications, supplements, vitamins, and herbal remedies including names, dosages, frequencies, and reasons for use] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Allergies [document known allergies including allergens, types of reactions, severity, treatments required, and any precautions taken] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Risks Blood thinners or bleeding diathesis [document use of blood thinning medications, bleeding disorders, coagulation issues, and associated risks for treatment] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Aspirin / ASA use [document aspirin or ASA use including dosage, frequency, indication, and any bleeding considerations] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Immunosuppressants [document use of immunosuppressive medications, conditions requiring immunosuppression, and associated treatment considerations] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Needle phobia [document needle phobia, anxiety about injections, previous experiences with needles, and any accommodations needed] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Syncopal history (include patient description in quotes of syncopal or pre-syncopal events) [document history of fainting or near-fainting episodes including circumstances, triggers, symptoms, frequency, and patient's own description in quotation marks] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) ASSESSMENT Plantar Weight (Include comments by the patient stating if more weight is on right or left foot, if more weight is on inside or outside of feet, if weight is more on the heel or toes) [document patient comments regarding weight distribution on right or left foot, weight distribution on inside or outside of feet, weight distribution on heel or toes, and any patient-reported sensations about weight bearing] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as descriptive text in parentheses.) Postural Symmetry (Include comments by clinician on abnormal postural findings. Do not include any comments by the patient.) [document clinician observations and comments on abnormal postural findings, asymmetries, alignment issues, postural compensations, and clinical assessment of posture] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as descriptive text in parentheses. Do not include any comments by the patient.) TREATMENT "All myoActivation treatment involves injections of 0.9% normal saline microaliquots precisely targeted to densities within myofascial tissue at palpable painful points." BASE Test Series 1 Extension Arms Raised [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences) Extension Arms Down [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.) Flexion Arms Down [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.) Squat Arms Down [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences) Squat Arms Raised [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. WWrite in full sentences) Lateral Arch to Patient's Right [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.) Lateral Arch to Patient's Left [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.) Procedural Treatment 1 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 2 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 2 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 3 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 3 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 4 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 4 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 5 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 5 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 6 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 6 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 7 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 7 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 8 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 8 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) AFTERCARE [document patient first name] "was advised not to undertake exertional activities for the next 5 days. Helpful to change posture every 15-20 minutes. Important not to walk more than 15 minutes at any one time but can engage in short walks multiple times per day." [document specific recommendations for follow-up visit including timing and scheduling details] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.). Do not include any comments by the patient.) TREATMENT "All myoActivation treatment involves injections of 0.9% normal saline microaliquots precisely targeted to densities within myofascial tissue at palpable painful points." BASE Test Series 1 Extension Arms Raised [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences) Extension Arms Down [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.) Flexion Arms Down [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.) Squat Arms Down [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences) Squat Arms Raised [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. WWrite in full sentences) Lateral Arch to Patient's Right [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.) Lateral Arch to Patient's Left [document clinician's description of pain location, pain intensity, restriction in movement, range of motion limitations, and treatment response for this specific movement test] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.) Procedural Treatment 1 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 2 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 2 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 3 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 3 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 4 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 4 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 5 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 5 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 6 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 6 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 7 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 7 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) BASE Test Series 8 [list each movement test name, followed by a hyphen, followed by clinician's comment on the result of the movement test, covering pain response, range of motion, restrictions, and functional improvements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. List all individual movement tests using the format described.) Procedural Treatment 8 [list specific tissue or muscle names treated, needle gauge used, needle length used, and any additional procedural details] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) AFTERCARE [document patient first name] "was advised not to undertake exertional activities for the next 5 days. Helpful to change posture every 15-20 minutes. Important not to walk more than 15 minutes at any one time but can engage in short walks multiple times per day." [document specific recommendations for follow-up visit including timing and scheduling details] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)