Better Health Pain and Wellness Centers

Shoulder Pain Score - Disability Questionnaire

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Pain at rest

None

Light

Average

Severe

Pain in motion

None

Light

Average

Severe

Nightly pain

None

Light

Average

Severe

Sleeping problems caused by pain

None

Light

Average

Severe

Incapability of lying on the painful side

None

Light

Average

Severe

Degree of radiation

None

Till halfway the upper arm

Till the elbow

Past the elbow

Pain Scale: Indicate with a number between 1 and 100 that best discribes your pain

0-9

10-39

40-69

70-100

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