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Pain Diary


Pain Diary

A pain diary may help you and your doctor find out what makes your pain better or worse. Use the diary and pain scale below to keep track of when you have pain, how bad it is, and what you are doing to treat it.

Pain scale
012345678910
No painMildModerateSevereWorst pain imaginable

Daily diary
Date, time:
Pain scale rating:
Medicine and dose:
Medicine side effects:
What made the pain better today?
What made the pain worse today?

Daily diary
Date, time:
Pain scale rating:
Medicine and dose:
Medicine side effects:
What made the pain better today?
What made the pain worse today?

Daily diary
Date, time:
Pain scale rating:
Medicine and dose:
Medicine side effects:
What made the pain better today?
What made the pain worse today?

Daily diary
Date, time:
Pain scale rating:
Medicine and dose:
Medicine side effects:
What made the pain better today?
What made the pain worse today?

Credits

ByHealthwise Staff
Primary Medical ReviewerAnne C. Poinier, MD - Internal Medicine
Specialist Medical ReviewerNancy Greenwald, MD - Physical Medicine and Rehabilitation
Last RevisedJanuary 20, 2011

eMedicineHealth Medical Reference from Healthwise

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