Oswestry Low Back Pain PREOP

Oswestry Low Back Pain PREOP


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Instructions: This questionnaire has been designed to give us information as to how your back or leg pain is affecting your ability to manage in everyday life. Please answer by selecting ONE option in each section for the statement which best applies to you. We realize you may consider that two or more statements in any one section apply but please just shade out the spot that indicates the statement which most clearly describes your problem.












 
Mercy Hospital participates in the Joint Commission Disease Specific Certification program. As a participating organization, Mercy tracks specific data related to the care of patients having knee replacement, hip replacement and spine surgery. This data is used to improve program quality and patient care experience. Personal patient information is protected.