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

The best response I ever got was when a doctor asked me to rate my pain 1-10 and I bust out laughing

I had to explain, we were just talking about the scale on the internet the other day, and how it doesn't make any sense without referents

It was one of those rare moments where you can see a doctor actually focus and be present, for a few seconds

-

Anyway, how am I supposed to rate pain that prevents me from doing 99% of my previously normal activities, and has been ongoing daily for decades?

Am I supposed to change how I define normal activities?

This is what I mean when I say the whole concept is stupid, for chronic pain

I am not super distracted. I am not unable to stop screaming (yes, I have experienced that kind of pain too). I just can't do any of my normal things

If I did 5% of my normal stuff, then yeah, I probably would not be able to stop screaming

But that's not socially acceptable, so I just don't do the stuff

@NilaJones That is, in fact, 7+.

@aredridel

I usually call it a seven. But it's complete bullshit. If I took the trash out to the curb I would not be able to stop screaming