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


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BACK PAIN

People suffering from hip pain often also have low back pain, but this is primarily a HIP PAIN questionaire. Of course your Chiropractor will also ask about back pain. Do your best to decide whether the pain is PRIMARILY

  • In the groin
  • On the side of the hip
  • In the buttock
  • radiating down the front of the leg towards the knee
  • In the sacroiliac joint anatomy SACROILIAC JOINT ANATOMY ...
  • In your back. Low in your back? Higher in the lumbar spine?

Why is this important? The Sciatic nerve... Help for Sciatica Pain ... originates from the lower lumbar spine (and sacrum) and tends to cause buttock pain, posterior thigh, calf, side of the foot or great toe pain and tingling. However the Femoral nerve emerges from higher in the lumbar spine and supplies the side of the thigh, the groin and front of the thigh and the inner lower leg.


Being able to describe accurately where the pain and tingling, or numbness is, helps your chiropractor identify more accurately where the problem is. Regretably only a few can afford the luxury of a scan to help in making the correct diagnosis.

Hip pain often causes groin and front of the thigh pain radiating down to the knee. Deciding whether this is a pinched nerve in the back or an impingement in the hip is vital to the correct treatment.

On last thought at this hip pain questionaire: Lying on your back pull the knee to the chest. Compare sides. Rotate your hip. Does the movement cause pain? Is it very stiff, or not at all? There are two pre-arthritic hip conditions called Femero Acetabular Impingement syndrome and Developmental Hip Dysplasia ... One present with a very stiff hip, even in a young person, the other in a very (hyper)mobile hip. Can you sit in the lotus position?





HIP PAIN QUESTIONAIRE

NAME: Mr/ Mrs/ Ms

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. Reaching my foot to put on shoes on socks is very difficult.
  6. I need help every day in most aspects of self-care.
  7. 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.

The difference between brisk walking, and dawdling as in window shopping, or around the supermarket, gives your chiropractor a clue as to whether you make have one leg shorter than the other.


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.
  7. I can / can't sit in the lotus position.


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

Please mark an “X” on the line below which represents the amount of pain you have had in the past 24 hours. The scale is from no pain at all to worst pain possible.


No pain _______________________________ Worst possible pain

Adapted from Woodstock Rehab & Fitness Oswestry Hip Pain Questionnaire.


USEFUL LINKS @ HIP PAIN QUESTIONAIRE


Physical Therapists providing a "Chiropractic adjustment?"

With many insurance companies now only paying for Physical Therapists to provide a "Chiropractic Adjustment", in the face of powerful research proving that inclusion of Chiropractors to provide the Chiropractic Adjustment would save them a good deal of money, one has to conclude that political Medicine has gone off on another tack to contain Chiropractic.





And it's being successful, with some Chiropractors quitting. In recessionary times, the going is tough when the insurance won't pay.

Is the time approaching for a new Wilk vs AMA and the Insurance Companies?

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