Personal InformationFirst Name *Surname *Email Address *Date of BirthGeneral HealthPlease provide more information about your general healthDo you have any of the following:DiabetesHigh Blood PressureHigh CholesterolPrevious DVT (Clot)On Blood ThinnersAre you a current smoker?YesNoDo you drink alcohol?YesNoPlease list any medications you are currently takingSymptomsPlease provide more information about your conditionSelect the main site of your symptomsShoulderElbowWristHandKneeHow did the symptoms start?Please select your main symptomsPainStiffnessWeaknessUnstable JointLumpAverage level of pain0 - No pain to 10 - worst painLength of time of symptoms (months)Treatment you have received so farPhysiotherapySteroid injectionsSurgeryInvestigationsPlease provide details on any scans that have been undertakenXraysUltrasoundMRI ScanSubmitPlease do not fill in this field.
