Massage Therapy Soap Note
SOAP Note
This is a SOAP (Subjective, Objective, Assessment, Plan) note prepared by Dino J. Rosen, affiliated with Solar Flare Creations, for the Massage Therapy session of Ms. Mia Anderson, considering her present symptoms and diagnoses.
|
S |
Subjective |
|---|---|
|
S1: |
Patient reports muscle stiffness at her lower back and shoulders. |
|
S2: |
Expresses that she feels tension headaches happening frequently. |
|
S3: |
Notes stress and anxiety from work situations. |
|
O |
Objective |
|
O1: |
Patient appears visibly tense. |
|
O2: |
Muscles are taut at the mentioned problem areas during touch examination. |
|
O3: |
Patient's posture is slouched. |
|
A |
Assessment |
|
A1: |
Patient displays symptoms of chronic muscle tension. |
|
A2: |
Stress and anxiety seem to be contributing factors. |
|
P |
Plan |
|
P1: |
Commence deep tissue Massage Therapy. |
|
P2: |
Suggest stretches and yoga to supplement therapy, improve posture. |
|
P3: |
Advise regular follow-up sessions. |
This SOAP note is prepared on 10th March 2050 by Dino J. Rosen for Solar Flare Creations.
