Advanced Interventional Pain & Sports Medicine Center
Amit Bhargava, MD, MS (Ortho), RMSK
Tel: (410) 581 2969
www.bPain.com
Fax: (410) 581 5775
20 Crossroads Dr, Ste 210, Owings Mills, MD 21117
827 Linden Ave, Bridge Suite ‘C’, Baltimore, MD 21201
Fisher Med. Bldg, 193 Stoner Avenue, Ste 130, Westminster, MD 21157
Patient's Name_______________________________ Date_________________
Diagnosis________________________________________________________
Physician Name & Signature________________________________________
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Evaluate and Treat____________________________________
IME
Spine Injections - Cervical and Lumbar
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Epidural Injections
Transforaminal Injection
Nerve Blocks
Facet joint Injections
SI joint Injections
Occipital Nerve Blocks
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Discography
Medial Branch Block
Radiofrequency ablation
Disc decompression
Trigger point injection
Vertebroplasty
MSK Ultrasound - Diagnostic and Therapeutic
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Shoulder
Elbow
Wrist & Hand
Hip
Knee
Foot & Ankle
Spine
Trigger point Injection
Shoulder Calcification
NCS/EMG
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Peripheral Neuropathy
Carpal tunnel syndrome
Ulnar neuropathy
Paresthesia
Radiculopathy
Leg and arm pain
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Joint Injections
Rotator Cuff
Tennis Elbow
Trigger Finger
Percutaneous tenotomy
Visco-supplementation
Snapping Hip
Carpal Tunnel Syndrome
Achilles Tendinosis
Sports Medicine
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Running Injuries
Disabled Athlete
PRP Injections
Tendon Injuries
Dance Medicine
Ligament Injuries