Spine Health Assessment
Click on the body part which is causing you the majority of your discomfort
Left
Right
How many strong pain meds (among the following: Norco, Percocet, Vicodin, Ultram, Tramadol, Hydrocodone, Ultracet, Oxycodone, Dilaudid, MS Contin, MSIR, Oxycontin, see more), in total, have you been taking per day?
Astromorph, Codeine, Darvocet, Darvon, Darvon, Demerol, Duragesic, Duramorph, Endocet, Fentanyl Patch, Fioricet, Fiorinal, Hydromorphone, Kadian, Lorcet, Lortab, Meperidine, Methadone, Morphine, Nubain, Numorphan, Oxymorphone, Percodan, Roxanol, Roxicet, Tylenol #3, Tylenol with Codeine, Vicoprofen