A.     Subjective:

•    Patient complaint

•    Location

•    Onset and duration of symptoms

•    Description of symptoms (i.e.. numbness. pain [constant, dull, sharp], hypersensitivity. stiffness); use pain scale

Pattern of referred pain

•    Pattern of when symptoms occur (AM, PM. after activity, etc.)

•    Self-help or other formal treatment

•    Other medical problems, history

•    Concurrent medications and allergies

B.     Objective (compare with uninvolved foot):

1. Inspection:

•    Redness, swelling, warmth

•    Scars

•    Gait Pattern

•    Arches

2. Palpation:

•    Locate retrocalcaneal and calcaneal bursae and tenderness

•    Palpate Achilles tendon for tenderness

•    Differentiate between soft tissue tenderness and bursae tenderness and thickening

3. Mobility:

•  Active and passive ROM (plantar and dorsi
flexion, inversion and eversion)

4. Muscle Testing:

•  Dorsi and plantar flexors, invertors and evertors
while weight bearing and unloaded

5. Provocation Test:

•  Palpation of bursae with pressure

6. Other Joints:

•  Test toes, ankle, knee and hip for secondary involvement

7. Review x-ray films and physician's report (rule out calcific tendonitis)

C.     Assessment:

1. Problem list

2.    Goals

3.    Treatment:

•    Iontophoresis (medications, dosages, electrode size)

•    Other modalities (e.g., ice or heat, stretching, friction massage, arch supports for longitudinal arch, readjustment of shoes, home program, activity or sport re-education to prevent re­injury, etc.)

•    Oral or injectable medications (administered by physician, e.g., NSAIDs, corticosteroids)

D.     Plan:

1. Frequency and duration of treatment

2.    Date(s) for assessment of progress

Phoresor® Phree Program

	$64.00	IOGEL® Disposable Electrodes - Large (3.5cc fill)
	$64.00	IOGEL® Disposable Electrodes - Medium (2.5cc fill)
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	$64.00	OptimA™ Disposable Electrodes - Medium (2.0cc fill) IOMED's Buffered Technology Satisfying the...
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	$64.00	TransQE® Disposable Electrodes - Medium (2.5-3cc fill) Two Shapes •  Rectangular and...
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	$25.95	Empi Dupel® Replacement Lead Wire
	$25.95	IOMED® Phoresor TL7 Lead Wire Cable: For PM850 & PM900 Systems   Twin Lead Assembly For use only with PM850 or PM900 Iontophoresis Drug Delivery Systems.
	$5.95	Vial Venting System