Todays Date: Oct 24, 2008Authorization Number: 100002521Language of the Questionnaire: EnglishName of Questionnaire taken:...
Patient reports having no problems with the left arm. Patient reports having had nosurgery orinjury to the left arm.Patien...
Behind right ear, toward middle of neck: "pain that comes and goes".The patient also reported the following:Left shoulder ...
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Sample test output Diagnose My Pain, for RSD, CRPS, fibromyalgia, whiplash, sprain, strain, disc, disk, TMJ,

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This is a typical kind of test result customers would get if they bought a Pain Test for $49.95 at www.DiagnoseMyPain.com. This has a report of your pain problems, in your own words, and a list of possible diagnoses, which should be reviewed with your doctor. 96% of the time, these are the same diagnoses you would get if you saw a doctor at Johns Hopkins Hospital (published article).

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Sample test output Diagnose My Pain, for RSD, CRPS, fibromyalgia, whiplash, sprain, strain, disc, disk, TMJ,

  1. 1. Todays Date: Oct 24, 2008Authorization Number: 100002521Language of the Questionnaire: EnglishName of Questionnaire taken: Pain Questionnaire for Diagnose My PainDate the Questionnaire wascompleted: 10/24/2008Based on answered you gave on the questionnaire, you will find a list of possibleresults, below.These are organized by the testing company into groups to make calculations easier.Please notethat a result in Group 1 does not mean a higher probability of occurrence than a result inGroup4. These results should not be considered a diagnosis. However, any of the results inbold printshould be discussed with your physician first.The following is a report of those conditions and information that the patientindicated onthe Pain Test:The patient was born on 03/15/1967.Patient reports that the pain is not the result of an accident. Patient reports having thefollowingconditions: "Diabetes". The patient did not report having any of the following conditions:"Thyroiddisease", "Lupus", "Multiple Sclerosis or M.S.", "Arthritis", "Cancer", "Heart disease, orhigh bloodpressure, or stroke", "Infection", "Muscular Dystrophy". The injury that gave rise to theclaimoccurred on 01/01/1900. Patient reports not having had accidents or injuries before thisdate.Patient reports not having had accidents or injuries since this date.Patient reports having no low back problems. Patient reports having had no surgery tothe lowback.Patient reports having no problems in the left leg. Patient reports having had no surgeryor injuryto the left leg.Patient reports having no problems with the right leg. Patient reports having had surgeryor injuryto the right leg.Patient reports having a neck problem. Patient reports having had no surgery or injuryto the neck.Patient reports that the neck problem, "comes and goes". Patient reports that the neckproblem isa: "dull ache". Patient reports that the neck problem gets better if: "I use heat", "I usemassage".
  2. 2. Patient reports having no problems with the left arm. Patient reports having had nosurgery orinjury to the left arm.Patient reports having no problems with the right arm. Patient reports having had nosurgery orinjury to the right arm.-2-Patient reports having a problem just in front of the ear (where the jaw hinges the skull).Patientreports that the jaw hinge problem, "comes and goes". Patient reports that the jaw hingeproblemis a: "dull ache", "click in the jaw hinge". Patient reports that the jaw hinge problem ismade worseby: "chewing", "opening or closing my jaw", "moving my jaw side to side". Patientreports that thejaw hinge problem is made better by: "the use of massage".Patient reports having no problem with the chest or ribs. Patient reported having had noinjury tothe chest. Patient reported having had no surgery to the chest.On the left side of the body, the patient reported the following:Forehead, on the left side: "pain that comes and goes". Behind the left eye: "pain thatcomes andgoes". Just in front of the left ear: "pain that comes and goes". In left temple: "pain thatcomes andgoes". In left jaw: "pain that comes and goes". Over left eye, around eyebrow: "pain thatcomesand goes". Muscle behind left ear, coming forward and down left side of neck tocollarbone: "painthat comes and goes".A strip, on left side, from back of head up to the top: "pain that comes and goes". Backleft side ofhead: "pain that comes and goes". Back of neck, on the left: "pain that comes andgoes". Acrosstop of left shoulder: "pain that comes and goes". Behind left ear, toward middle of neck:"pain thatcomes and goes".Left calf: "spasm".On the right side of the body, the paitient reported the following:Forehead, on the right side: "pain that comes and goes". In right temple: "pain thatcomes andgoes". In right jaw: "pain that comes and goes". Muscle behind right ear, coming forwardanddown right side of neck to collarbone: "pain that comes and goes".A strip, on right side, from back of head up to the top: "pain that comes and goes". Backof neck,on the right: "pain that comes and goes". Across top of right shoulder: "pain that comesand goes".
  3. 3. Behind right ear, toward middle of neck: "pain that comes and goes".The patient also reported the following:Left shoulder blade: "pain that comes and goes". Right shoulder blade: "pain that comesandgoes".The Patient reported no problems in the mid back. Patient reported having no injuries tothe midback. Patient reported having no surgeries on the mid back. Patient reported not havinga medicalproblem other than injury or surgery in the mid back.Please discuss with your doctor whether or not these terms, shown below, arepossiblecauses for your pain:Group 2 - Lumbar Herniated Disc L2-S1-3-• L5-S1 Radiculopathy• L4-L5 RadiculopathyGroup 5 - Cervical Herniated Disc C4-C7• C5-C6 Herniated or Disrupted Disc• C4-C5 Herniated or Disrupted Disc• C4-C5 RadiculopathyGroup 6 - Cervical Herniated Disc C2-C4• Occipital Neuralgia• C2-C3 Herniated or Disrupted Disc• C-2 Root Compression• C2-C3 RadiculopathyGroup 9 - Temporo-Mandibular Joint Syndrome• Temporo-Manibular Joint Syndrome• Muscle Tension HeadacheGroup 10 - Thoracic Outlet Syndrome• Thoracic Outlet SyndromeGroup 15 - Herniated or Disrupted Thoracic Disc T1-T12• T1-T4 Facet Syndrome• T1-T4 Herniated or Disrupted Disc

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