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Did your pain happen after a sudden event or injury, or has it been bothering you for a while?*
Can you bear weight on the affected foot or ankle?*
Does your foot or ankle ever give way, or feel unstable?*
Do you have pain when walking on your foot or ankle?*
How painful is it?*
How often does this foot or ankle problem prevent you from working or exercising?*
Is there any swelling or bruising on your foot or ankle?*
Is there a visible deformity on your foot or ankle?*
Do you suspect this is related to a previous surgery on your foot or ankle?*
Have you been told by a medical provider that this problem is worth seeking further treatment for?*


Submit your answers, and we'll email you the results. We'll also follow up with next steps and contact information to help you get closer to returning to the activities you love.

Disclaimer
OrthoNebraska pain assessments are not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. For a full diagnosis, schedule an appointment with one of our specialists, visit an OrthoNebraska Orthopedic Urgent Care or our emergency room. You understand that by completing this form, you are consenting to receive phone and email communications from OrthoNebraska, but you can opt-out at any time.

Have you ever been a patient at OrthoNebraska?*
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