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Daily Tendinitis Symptom Tracking Sheet

Monitor Your Recovery Progress

Orthopedics

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Template Content

Last updated: Mar 24, 2025

Patient Information

Name: ___________________ Date Started: ___________________ Affected Area: ___________________

Daily Pain Scale

Rate your pain on a scale of 0-10 (0 = no pain, 10 = worst pain)

Date Morning Afternoon Evening Activities Done Notes

Symptom Checklist

Mark all that apply for each day:

  • Stiffness
  • Swelling
  • Warmth in the area
  • Weakness
  • Restricted movement

Treatment Log

  • Ice/Heat Application Times: ___________________
  • Medications Taken: ___________________
  • Exercises Completed: ___________________

Activity Modifications

List activities avoided or modified today:

Progress Notes

Changes noticed since last week:

Next Appointment

Date: ___________________ Time: ___________________

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