Home Remedies Numbness Tingling

Any home remedies? _____ Please circle where you are at: (No Complaint/Pain) 0 1 2 3 4 Neck Pain Tingling/Numbness Stress Sleeping Problems Pain in Legs/ankle or Feet High Blood Pressure Lower Back Pain

Foot Numbness Ankle sprain Flat feet High arch feet Heel pain Toe walking NONE of these # of childbirths ___ Are you currently pregnant? Yes No Are you slow to heal after cuts? Yes No Any abnormal bruising, bleeding or scarring? Yes

Burning shooting sharp aching throbbing numbness tingling dull List previous medical treatments or home remedies: Anything else we should know: Weight: now long nave you Deen aiagnosea7 Surgical History: Height: SHOE SIZE: O Asthma O Stomach Problems O Liver O Alcoholism

Burning Shooting Sharp Aching Throbbing Numbness Tingling Dull 5. List previous medical treatments or home remedies: _____ 7. Anything else we should know?: _____ Are you DIABETIC? Yes No If yes, for how long? _____ Past