HIP PAIN QUESTIONAIRE

Oswestry Hip Pain Disability Questionnaire

(Keywords: HIP PAIN QUESTIONAIRE, hip dysplasia, femero acetabular impingement syndrome, hip arthritis, Chiropractic Help)

Pain is obviously quite difficult to measure. This hip pain questionnaire has been designed to give information as to how your hip pain has affected your ability to manage in everyday life. Please print out the following, answer every section, and mark only ONE box which best applies to you at this moment.

If you get large swings in pain and disability during the day, you may want to repeat it later in the day.

The questionaire will then be repeated after some months so see whether treatment has had any measurable beneficial effect.

Custom Search

BACK PAIN

• In the groin

• On the side of the hip

• In the buttock

• In the sacroiliac joint anatomy SACROILIAC JOINT ANATOMY ...
  
  
• In your back.

HIP PAIN QUESTIONAIRE

DATE:

TIME:

d.o.b.:

SECTION 1 – PAIN INTENSITY

1. I can tolerate my hip pain without having to use pain medication.

2. The pain is bad but I manage without taking pain medication.

3. Pain medication gives me complete relief from pain.

4. Pain medication gives me moderate relief from pain.

5. Pain medication gives me very little relief from pain.

6. Pain medication has no effect on the pain.

SECTION 2 – PERSONAL CARE (Washing, Dressing, etc.)

1. I can take care of myself normally without causing an increase in my pain.

2. I can look after myself normally but it causes an increase in my hip pain.

3. It is painful to take care of myself and that requires me to be slow and careful.

4. I need some help but I manage most of my personal care.

5. I need help every day in most aspects of self-care.

6. I cannot get dressed by myself due to hip pain; I wash with difficulty and stay in bed much of the time.

SECTION 3 – LIFTING

1. I can lift relatively heavy weights without increasing my hip pain.

2. I can lift heavy objects but it does increase my pain.

3. Pain prevents me from lifting heavy objects off the floor, but I can manage if they are conveniently positioned, for example on a table.

4. Pain prevents me from lifting heavy weights but I can manage light to medium weights if they are conveniently positioned.

5. I can lift only very light objects due to hip pain.

6. I can barely lift or carry anything at all.

SECTION 4 – WALKING

1. My hip pain does not prevent me from walking any distance.

2. I can walk briskly, but shopping gives me hip pain.

3. Hip pain prevents me from walking more than one hour.

4. Hip pain prevents me from walking more than 20 mins, fast or slow.

5. I can only walk using a cane or walker due to hip pain.

6. I am in bed most of the time and have to crawl to the toilet.

SECTION 5 – SITTING

1. I can sit on any chair and in the car as long as I like.

2. I can only sit in my favourite chair as long as I like.

3. Hip pain prevents me from sitting more than one hour.

4. Pain prevents me from sitting more than ½ hour.

5. Pain prevents me from sitting more than 10 minutes.

6. I can barely sit at all due to hip pain.

SECTION 6 – STANDING

1. I can stand as long as I like without increasing my pain.

2. I can stand as long as I want but it increases my pain.

3. Pain prevents me from standing for more than 1 hour.

4. Pain prevents me from standing for more than 30 minutes.

5. Pain prevents me from standing for more than 10 minutes.

6. Pain prevents me from standing at all.

SECTION 7 – SLEEPING

1. Hip pain does not prevent me from sleeping well.

2. My sleep is disturbed by hip pain.

3. I am unable to sleep on my side for any length of time.

4. I can sleep well only by using medication.

5. Even when I take medication, I have less than 6 hours sleep because of hip pain.

6. Even when I take medication, I have less than 4 hours sleep.

SECTION 8 – SEX LIFE

1. My sex life is normal and causes no increase in hip pain.

2. My sex life is normal but causes some increase in my hip pain.

3. My sex life is nearly normal but is very painful.

4. My sex life is severely restricted by my hip pain.

5. My sex life is nearly absent because of my pain.

6. Hip pain prevents any sex life at all.

SECTION 9 – SOCIAL LIFE

1. My social life is normal and does not increase my hip pain.

2. My social life is normal but increases my pain.

3. My hip pain has no effect on my social life apart from limiting my energetic interests, for example dancing or tennis.

4. Pain has restricted my social life and I do not go out as often.

5. Pain has restricted my social life to my home.

6. I have no social life because of my hip pain.

SECTION 10 – TRAVELING

1. I can travel anywhere without increasing my hip pain.

2. I can travel anywhere but it increases my pain.

3. My hip pain is bad but I manage journeys over 2 hours.

4. My pain restricts me to journeys of less than 1 hour.

5. My hip pain restricts me to short necessary journeys less than 30 minutes.

6. My pain prevents me from traveling except to my medical appointments or to the hospital.

Pain scale

HIP PAIN QUESTIONAIRE

No pain _______________________________ Worst possible pain

Adapted from Woodstock Rehab & Fitness Oswestry Hip Pain Questionnaire.

USEFUL LINKS @ HIP PAIN QUESTIONAIRE

MONTHLY NEWSLETTER @ HIP PAIN QUESTIONAIRE

BACK ISSUES

Issue #17 Facial Pain / Mussel Facts

Issue #16 Obesity in the Chiropractic Clinic / Flax seed

Issue #15-Breastbone-pain / Broccoli

Issue #14-Hip-and-Groin-pain /Statins for lowering cholesterol

Issue #13-Can-a-DC-help-your-Lumbar-Facet-Syndrome / Strawberries, a wonder food.

Issue #12-Help-Baby-Colic-Cures-2 / Eggplant for high cholesterol

Issue #11-Groin-and-Thigh-Pain / Hummus

Issue #10-Friday-Fun-Stone-in-my-Clog. / Cucumber

Issue #09 – Friday Fun: Headache

Issue #08- Spinal Stenosis/ Celery

Issue #07- Root-of-all-Healing/ Garbanzo beans /Chickpeas

Issue #06 - Safety-on-the-Stairs/ Ginger

Issue #05 - Safety-in-the-home/ Red foods

Issue #04 - Whiplash-and-the-Joints-of-Luschka/ Parsley

Issue #03 - How to stop falling/ Danger of a low fat diet

Issue #01 - Tingling in the arms and hands/ Apples

(PS. If you find them irrelevant to your needs, one click will de-list you.)