Podiatry Concise follow up note

PRESENTING COMPLAINT

[Describe in brief the patient's primary complaint, including the location, nature, duration, and any aggravating or relieving factors. Include any relevant details about the progression of symptoms.]

Patient goals

[List the patient's goals for treatment, such as pain reduction, improved mobility, or return to specific activities.]

Footwear and orthotics

[Document the type of footwear the patient uses, including brand, model, and purpose (e.g., running, daily activities). Note any observations about wear patterns or potential issues with the footwear. Include details about any orthotics or supports currently in use.]

Gait

[Describe the patient's gait pattern, noting any abnormalities or asymmetries observed during the assessment.]

ASSESSMENT OF CONDITION

[Document findings from the physical examination, including any tenderness, range of motion limitations, or structural observations. Include specific details about the affected area and any bilateral comparisons.]

TREATMENT OF CONDITION

[Detail the treatments provided during the visit, such as manual therapy, taping, or other interventions. Include any advice given to the patient regarding self-care, activity modification, or symptom management.]

Prescribed exercises

[List the exercises prescribed to the patient, including specific instructions on how to perform them, duration, frequency, and the intended effect of the exercises. omit section if not relevant]

PLAN

[Outline the follow-up plan, including the timeline for the next visit, specific goals for the follow-up, and any additional resources or materials to be provided to the patient.]