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Order Your Custom Meditation
Price: $79.99
Name:
Email:
Age:
Select Your Injury Type:
Select an injury
Broken bones (fractures, including stress and compound fractures)
Sprains (e.g., ankle or wrist)
Strains (e.g., muscle pulls in back or hamstring)
Dislocations (e.g., shoulder or knee)
Torn ligaments (e.g., ACL or MCL tears)
Ruptured tendons (e.g., Achilles tendon)
Muscle tears
Tendonitis
Bursitis
Joint injuries (e.g., cartilage damage)
Contusions (bruises)
Lacerations (cuts requiring stitches)
Abrasions (scrapes or road rash)
Avulsions (tissue torn away)
Wounds (general penetrating or blunt)
Internal bleeding or hematomas
Whiplash
Spinal cord strains (non-paralytic)
Vertebral fractures
Burns (thermal, chemical, or electrical)
Frostbite
Animal bites or stings
Insect bites with severe reactions
Barotrauma (pressure-related injuries)
Crush injuries
Penetrating injuries (e.g., stabbing or gunshot wounds)
Electrical injuries
Chemical injuries
Nerve damage
Amputations
Deceleration injuries (e.g., from falls or collisions)
Shear force tears
Blowout injuries (from pressure)
Other
Describe Your Injury:
Date of the Injury:
How Far Along Are You in the Recovery Process?
Select stage
Early stage (just happened)
Mid-stage (ongoing treatment)
Late stage (nearing full recovery)
Was the Injury From?
Select cause
Surgery
Accident/Trauma
Overuse/Repetitive Strain
Other
Describe Cause:
Have You Had Any Complications with Your Healing?
Yes
No
Detail the Complications:
Any Additional Information about Your Injury? (Optional)
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