Joint Pain Questionnaire

Please take a few moments to complete the following Joint Pain Questionnaire. A representative will contact you to discuss your results and schedule an appointment if you would be interested in a thorough evaluation of your joint pain.
* Denotes required fields
* Do you have generalized pain in and around your knee or hip?
* Is the pain limiting movement or stopping you from doing sports or other activities you once enjoyed?
* Do you have pain when going up or down stairs?
* Do you ever use walking aids such as a cane to assist you with walking?
* Do you feel pain with extended sitting?
* Does your knee or hip sometimes give out when you are physically active?
* Do you experience shoulder pain after typical activities such as getting dressed?
* Have any of your close relatives had arthritis of the knee or chronic knee pain?

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Contact Us

For more information about our orthopedic services in Davenport, please contact:

Patti Said

For more information about our orthopedic services in Silvis, please contact:

Jenna Lenz

Joint Pain

FREE Screening

In pain? In just 15 minutes our experienced physical therapists can help to evaluate the source of your physical pain at absolutely no cost


Total Joint Camp

Review the materials presented in your Total Joint education class.

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