Additional Intake for Runners (optional)
Approximate mileage per week:
How many years have you run?
What type of terrain to you run on?
for example, pavement, trail, treadmill, etc.
Preferred running shoes:
brand or type (stability, motion control, minimalist)
Do you wear orthotics?
REGARDING YOUR PAIN COMPLAINT:
Location of pain:
for example, heel
Describe the pain:
for example, dull ache, sharp, numb
On a scale of 0 to 10 (0 is no pain, 10 is worse pain imaginable):
What is pain level at its worst during run?
What is pain level 24 hours after run?
When does pain start during run?
It is always there
beginning of run
middle of run
end of run
only hurts the next day
Pain is worse on:
Are there other activities that alter your pain?
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