RECORD OF BACK PAIN WORKSHEETS
The following worksheets are for you to use as you
wish. They can be very useful to keep a record of your back pain. It can
be helpful to use when discussing your progress with professionals and when
you have been pursuing a course of treatment or medication for a while. They
can also be motivational if you can track your progress and pain free time.
Please also read below
NOTE ON RECORDING PAIN
Please also read below
RED FLAGS
1.Worksheet
Record of Activities and Pain
Here is the opportunity to record
how activities and any treatment affect you. It is useful to describe
the pain in terms of 0-10; 0 being no pain and 10 being unbearable. Try to
describe it i.e. dull, sharp, tingling, burning, in a line, radiating etc .
It can help to identify how your pain is effecting you and what is helpful
and what is not.
2.Worksheet
Record of Pain Free Time
Here is the opportunity to record when
you do not have pain . This can be very useful after you have started a
treatment program and is very motivational to see you are making
improvements and able to do more.
3.Worksheet
Record of Treatments
Here is the opportunity to record
the effects of your treatments. Especially if you are having many
treatments it is easy to lose track of what works and what doesn't and the
effects treatments/medication etc have on you. This record will help you to
keep track of "what works" for you.
NOTE ON
RECORDING PAIN.
Pain can be very subjective and difficult
to describe accurately. It is helpful to be able to score pain on a scale of
0-10
It is especially helpful when talking
with professionals as you both then are talking from the same scale and can
see how you are progressing.
You can make your own up, or
look around to see what others have used. As long as you share
your codings with the person you are talking with about your
health.
This is the one I made up which
you are welcome to ..
0 = totally pain free
1-2=very mild, slightly nagging only
occasional. Can do anything.
3=mild, annoying, still more pain free
than painful. Can be affected by certain activities/interventions. Feel the
need to take care.
4-5=moderate, intrusive when occurs, pain and pain free
times about equal. Can be affected /eased by certain
activities/interventions.
6=moderate to severe when occurs. Still
not all the time but when occurs painful and affects what I can do.
Activities limited. Pain relief interventions necessary.
7=Moderate to severe. More painful
times than pain free. When occurs painful and affects what I can do and is
debilitating. Activities restricted and interventions essential. Affects my
ability to work when it occurs.
8=severe. Painful almost all the time.
Doesn't seem to matter what I do or don't do. Everything is painful.
Affects my quality of life. Affects my ability to work. Affects me
emotionally/mentally as well as physically. Pain relief interventions crucial.
9=very severe. Always painful. Affects
quality of life. Very debilitating. Affects me emotionally/mentally as well
as physically. Affects my ability to work. Pain
relief interventions crucial.
10.=Extremely severe. Affects everything.
Activities severely limited.
Unbearable. Affects me emotionally /mentally as well as physically. Cannot
work. Pain relief interventions
crucial and essential.
RED
FLAGS
If you are in pain it is
essential you see your Doctor
This
is not a definitive list but If you
experience any of the following you must see a doctor
urgently:
Back
Pain and ;
-
Loss of bowel or
bladder function.
-
Paralysis or
persistent numbness of any part of your body
-
Pain in your arms and
chest.
-
Allergic reaction to any
medication.
-
Back pain and deformity of the
spine.
-
You are younger than 20 or older
than 55 and getting back pain for the first time.
-
Back pain that is constant and
getting worse.
-
Back pain and you have (or have
had cancer in the past)
-
Fever or feeling very unwell
-
Progressive motor weakness
-
Unexplained weight loss and back
pain
-
Urinary tract infection
-
You are on steroid medication
-
You have had a transplant
Also see
Questions to ask the
professionals
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Copyright January 2007
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