Pain Management Your First NameField is required!Field is required!Your Last NameField is required!Field is required!Phone NumberField is required!Field is required!Your E-mail AddressField is required!Field is required!How would you rate your current physical health?GoodFairPoorField is required!Field is required!What does your pain feel like?SharpAchingIntenseField is required!Field is required!Where is your pain? Field is required!Field is required!How did it start?Field is required!Field is required!When did it start ? (Date)Field is required!Field is required!What makes the pain worse?SittingLaying downWalkingColdHeatField is required!Field is required!What makes the pain better?SittingLaying downWalkingColdHeatField is required!Field is required!What time of day is your pain worse?MorningNoonAfternoonNightAlways the sameField is required!Field is required!Does pain interrupt your sleep?YesNoField is required!Field is required!Do you have psychosomatic symptoms? FatigueNausea/vomitingFeverConstipation/ Bloated Belly/ Abdominal PainHigh blood pressureBack painField is required!Field is required!Are you currently taking any medication?YesNoField is required!Field is required!If yes name the medicationField is required!Field is required!- How do you prefer to communicate with Dr. David? -Live in Dubai or LebanonVia video sessions- How do you prefer to communicate with Dr. David? -Field is required!Field is required!Submit