Periodic reminder that “rate your pain on a scale from 1 to 10" is bullshit without reference points. People with chronic pain, tough guys, people with intense periods, and people who struggle with interoception all struggle when the endpoints are nebulous.

Let me introduce you to the DVPRS: https://www.va.gov/WHOLEHEALTHLIBRARY/docs/Defense-and-Veterans-Pain-Rating-Scale.pdf

It even works if you substitute pain for general impact. If you're asked to rate a symptom on a scale from 1 to 10, this works too.

0 = No pain
1 = Hardly notice pain
2 = Notice pain, does not interfere with activities
3 = Sometimes distracts me
4 = Distracts me, can do usual activities
5 = Interrupts some activities
6 = Hardto ignore, avoid usual activities
7 = Focus of attention, prevents doing daily activities
8 = Awful, hard to do anything
9 = Can’t bear the pain, unable to do anything
10 = As bad as it could be, nothing else matters

10 is still pretty subjective there, but "nothing else matters" is clear enough, and really 9 or 10 isn't really a big difference in how much it matters clinically. (It tells the clinician if an intervention helps though)

@aredridel interestingly, that makes my chronic back pain much higher on the scale. I usually say it's a 1 because it's really not all that bad. But it definitely affects what activities I do, so here it's a 4 or 5.

@wwahammy EXACTLY.

So get your doctor to treat it like a 4 or 5! And tell them you're using the DVPRS and were surprised at how much that changed things. Maybe your pain can be treated better ... and maybe other patients will be treated better too.

@wwahammy Yeah, when I compare straining my neck a few months ago, that would have been a 7 cause I couldn't comfortably lie down or move my left arm much, but hurt much less, while I was avoiding activities, than headaches that I treat as a 3 or 4.

@wwahammy

Just thought the same, 5 maybe 6 😐

@aredridel