NeuroPath โ€” Initial Exam
Align Co. โ€” NeuroPath
CVC Spine & Sport ยท Peripheral Nerve Wellness
Initial Exam
Patient
Complaints
Thermal
Feet
Hands
Functional
Report

Patient Information

๐Ÿ‘ค
New Patient โ€” Initial Intake
Complete all fields before beginning examination
๐Ÿ”’ Texas Scope Compliance: We document complaints and wellness findings, not diagnoses. Use approved language: "peripheral nerve wellness evaluation," "sensation assessment," "numbness/tingling support program." Never document: "neuropathy diagnosis," "nerve damage," or "we treat neuropathy."

Chief Complaints & History

๐Ÿ“
Symptom Profile
Check all that apply
Type of Sensation Changes
Numbness
Tingling / pins & needles
Burning discomfort
Sharp / shooting sensation
Cold feet / cold hands
Hypersensitivity to touch
Muscle weakness
Balance difficulty
Difficulty walking / unsteady gait
Sleep disruption from discomfort
GI / digestive concerns
Swelling in lower extremities
Affected Regions
Left Foot
Right Foot
Both Feet
Left Hand
Right Hand
Both Hands
Lower Legs
Forearms
Patient-Reported Contributing Factors
Elevated blood sugar (patient-reported)
Prior chemotherapy
Alcohol use history
Nutritional concerns
Prior back / spine history
Autoimmune condition (patient-reported)
Thyroid disorder (patient-reported)
Unknown / idiopathic

Thermal Imaging Findings

๐ŸŒก๏ธ Document thermal camera findings using the color zone scale: Green = normal blood flow | Yellow = mildly reduced | Red = significantly reduced / poor perfusion

Left Foot

Blood Flow / Perfusion Zone
๐ŸŸข Normal
๐ŸŸก Mildly Reduced
๐Ÿ”ด Significantly Reduced
Temp. Differential (vs contralateral / proximal)
Zones Affected
Toes
Ball of foot
Arch
Heel
Dorsum
Ankle

Right Foot

Blood Flow / Perfusion Zone
๐ŸŸข Normal
๐ŸŸก Mildly Reduced
๐Ÿ”ด Significantly Reduced
Temp. Differential
Zones Affected
Toes
Ball of foot
Arch
Heel
Dorsum
Ankle

Left Hand

Blood Flow / Perfusion Zone
๐ŸŸข Normal
๐ŸŸก Mildly Reduced
๐Ÿ”ด Significantly Reduced
Temp. Differential
Zones Affected
Fingertips
Fingers
Palm
Dorsum hand
Wrist
Forearm

Right Hand

Blood Flow / Perfusion Zone
๐ŸŸข Normal
๐ŸŸก Mildly Reduced
๐Ÿ”ด Significantly Reduced
Temp. Differential
Zones Affected
Fingertips
Fingers
Palm
Dorsum hand
Wrist
Forearm
๐Ÿ“ธ
Overall Thermal Impression
Clinician's summary of all thermal findings

Sensory Evaluation โ€” Feet

Score 0โ€“10 (10 = full sensation) or โ€“5 (allodynia/hypersensitivity). ReBuilder reaction time is recorded at the end of ALL sensory testing.
Left Foot 7 Tests
TestScore (0โ€“10 / โ€“5)Value
Total /70 โ†’ % Preserved โ†’ % Sensory Lossโ€”
Right Foot 7 Tests
TestScore (0โ€“10 / โ€“5)Value
Total /70 โ†’ % Preserved โ†’ % Sensory Lossโ€”

Sensory Evaluation โ€” Hands

Left Hand 7 Tests
TestScore (0โ€“10 / โ€“5)Value
Total /70 โ†’ % Preserved โ†’ % Sensory Lossโ€”
Right Hand 7 Tests
TestScore (0โ€“10 / โ€“5)Value
Total /70 โ†’ % Preserved โ†’ % Sensory Lossโ€”

ReBuilder Reaction Time โ€” All Limbs

Performed after all manual sensory tests are complete. Scale 1โ€“8 (1 = fastest / normal response) or DNF (did not feel).
Left Foot
Right Foot
Left Hand
Right Hand

Functional Testing

โš–๏ธ
Balance & Postural Assessment
Sway, stance, and gait findings
Romberg (eyes open)
Normal
Mild Sway
Sig. Sway
Unable
Romberg (eyes closed)
Normal
Mild Sway
Sig. Sway
Unable
Tandem Walk
Normal
Mild Impairment
Moderate
Unable
Single Leg Stance
โ‰ฅ10 sec
5โ€“9 sec
<5 sec
Unable
Gait Pattern
Normal
Antalgic
Ataxic
Steppage
Fall History
No Falls
Near-Falls
1โ€“2 Falls/yr
Frequent Falls
๐Ÿ”ฌ
Orthopedic Differential Testing
Differentiating radicular (structural) vs. peripheral nerve causes. Results inform care direction โ€” NOT used to diagnose.
โš ๏ธ Documentation note: Record findings as positive/negative/equivocal observations. Do not document as a spinal diagnosis. If radicular pattern is strongly suspected, note referral recommendation.
SLR โ€” Straight Leg Raise
L4โ€“S1 nerve root tension. Positive if symptom reproduction <70ยฐ.
Left
Negative
Positive
Equivocal
N/T
Right
Negative
Positive
Equivocal
N/T
Slump Test
Sciatic nerve / dural tension. Differentiates nerve root from peripheral.
Negative
Positive
Equivocal
N/T
Kemp's / Quadrant Test
Lumbar facet / foraminal compression. Positive = radiating pain or reproduced sx.
Left
Negative
Positive
Equivocal
N/T
Right
Negative
Positive
Equivocal
N/T
Differential Impression
Pattern consistent with peripheral origin
Radicular component cannot be ruled out
Mixed picture โ€” peripheral + structural
Spinal referral recommended
Vascular component suspected
Metabolic/systemic component suspected
Step 1 of 7 โ€” Initial Exam

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