Stenosis Tracker: Cervical, Spinal Spondylosis Pain and Symptom Tracker, Triggers, Medications, Activities, Mood, Daily Assessment, Patterns for Disease Management

Triggers and Symptom Assessments

Triggers (includes options such as posture, sleep position, inactivity, emotional stress, injury/trauma, infection, smoking, overwork, back extension, and more.)

Daily Symptoms – options include muscle spasms, swallowing, neck pain, lack of coordination, sciatica, hand/foot function, balance, tingling, fatigue and many more. Note that for each symptom you check off – there is an option to circle an adjacent arrow to indicate if that symptom is increased, decreased or the same.

Mark on image the location of the symptoms/pain.

Mood, Daily Assessments, Weight and Weather

Date and day rating

Blood Pressure, Heartrate, Oxygen levels

Weather

Sleep hours - night and day

Mood

Weather - including barometric pressure and air quality

Daily Assessments of Pain, Energy, Activity, Stress, Strength, Mental Clarity, General Mood, Sleep Quality

Activities and Medications

Ten pre-listed activities (including meditation, employment, hobbies, childcare, house/yard work, therapy, walking and more) you can check off - and enter amount of time spent at it. See the example.

Notes - for questions, insights, further information

Mark 'Usual Daily Medications/Usual Daily Supplements' OR list medications along with reason, dose, time taken, and whether it helped

Pain/Weakness Tracker & Meals and Snacks

Pain/Weakness Tracker - when pain or discomfort comes sporadically during the day you can enter the symptom here (along with the trigger if identified), when the symptom occurred, and circle a number to indicate the severity.

List meals and snacks, when eaten, if there were any issues with the meal.

Easily mark if it contained dairy, gluten, sugar or fats.

Hydration

Example of completed sections

Daily Symptoms - note that muscle spasms, fatigue, dizziness, and difficulty walking are marked as increased; neck pain remained the same. Other symptoms occurred with no comparison to previous day (grinding sound, bladder control, numbness, tingling and backpain).

Pain/Weakness Tracker - left hand experienced tingling for 1 hour with a severity of 4.

Example of completed sections

Note that pain, general mood and sleep quality have increased while stress, energy and mental clarity have remained consistent and activity and strength have decreased.

Medical Appointments and What to Avoid

Upcoming medical appointments with reason and outcome and date

Meds/Supps/Foods to avoid - effective date

Current Medications and Changes

Current medications / supplements with reason, dose, refill date.

Changes to supplements and medications along with reason, dose and effective date

Tests/Results and Blood Pressure Log

Personal Information and Healthcare Team

Personal Information - emergency contact, allergies, medical alerts, health conditions

Contact information for physicians, specialists, pharmacy

Insurance policy information

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