Your Name Your Email Mobile Number Your Age Location Job classification Disease details Location of pain with duration Type of Pain ThrobbingAchingExcruciatingStabbingGrabbing Any Radiation present NoYes If yes please mention the location with side? The Pain associated with NumbnessTinglingBurning sensation Conditions affecting symptoms Any systemic conditions? Such as Diabetes, Hypertension, Thyroid Dysfunction, Cholesterol issues NoYes If yes, mention the duration and name of medication Your Height Your Weight Any surgical history? NoYes Any allergy if present Medical Documents Submit