Medical History
Surgical history

Have you ever had surgery on any part of your throwing arm?





Did you feel like you fully recovered from that surgery?




Do you have any pain in your throwing arm?



If yes, please answer the following:

Which joint? (check any that apply)





Pain level at rest (0 no pain, 10 worst imaginable pain)


Pain level when throwing (0 no pain, 10 worst imaginable pain)




Does your shoulder ever feel like it is slipping out of place?



If yes, have you had any treatment for that?




Does your elbow ever feel like it is slipping out of place, clicking or clunking?



If yes, have you had any treatment for that?




Do you have any numbness in the fingers of the throwing hand? (check any that apply)

At rest:






During throwing: