13 thoughts on “Stanford PainScale

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    1. Zyp Czyk Post author

      I agree! I always wonder if any chronic pain patients are at all involved in creating these scales, or if pain-free people create them according to what they *imagine* chronic pain would feel like if they had it.

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  3. steven cope

    My only hope as a chronic pain patient is that one day soon every advocate for taking these meds away from pain patients has a loved one close to them be afflicted with a condition requiring pain management!

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  4. Alan Williams

    If I had one “Super Power” it would be the ability to project my pain onto any Doctor who chooses to scoff at and dismiss the levels of pain that I am describing.

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    1. Imagol4

      On the pain scale listed above, while likely the most accurate descriptor of pain to a pain-free individual, it is still not able to convey the psychological aspects of living with pain. To wit: level 3 (Tolerable) describes a “blow hard enough to cause a bloody nose” — well, that level of pain felt continuously for more than a few moments without relief, would cause 100% of humans to commit suicide. If you need proof, have your spouse hit you hard enough in the nose to cause a bloody nose, I guarantee you it will override whatever pain you currently are going through. Proof positive that your pain is not that high, if it were, you would not feel the blow to the nose. The thing about pain is it’s impossible to feel pain that is less, if you are feeling a pain level of 5 you cannot feel the 4 or lower even if it is inflicted on you, the level 5 overrides everything. Yet here 3 is described as “tolerable”. What makes it tolerable is the fact we know it will be over quickly. Now, pinching skin between your fingernails, would be tolerable for long periods of time, years. It would become annoying, and as time went on our attention would be focused more, and more, and more, on that little annoying pain until it became all we think about. Meaning in order to try and describe that to a pain-free person we have to elevate how much pain is there in an attempt to convey the discomfort. The reason pain free individuals, doctors or otherwise, can’t conceive of your discomfort is because they can’t conceive of living with ANY level of pain for long periods of time. As a chronic pain person you can’t remember a pain-free time. So even if you had your super power, the doctors would go well that’s not so bad, because all they could conceive of was the pain would go away shortly. All of this has been said, to tell you, and other people who complain of chronic pain that you are in fact just a bunch of babies who wish their days could be pain-free 100% of the time. Not possible, get over it, deal with it. No sympathy. I have lived with chronic back pain for 30+ years I go to work every day without drugs or complaint. It’s just part of being human and walking up right, there will be some degree of discomfort.

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      1. Zyp Czyk Post author

        I agree that being human and walking upright will eventually lead to some “discomfort”, even in “normal” people, but that’s not what we’re generally talking about here. The pain from EDS goes so far beyond “discomfort” that the word is only an insult.

        I’ve tried to convince my brain that my pain is just another sensory stimulus, like a firm touch or a hard bump, but something changes the sensation from “discomfort” to the agony of nociception. Pain is very different from other sensory input because only certain “painful” stimuli trigger the nociceptive nerves to signal pain to our brain.

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  6. V. Troyan

    Please fix #3 to #5 and fix you to your. Additionally, a disorder by its nature isn’t temporary!
    I also have issue with the original #3. The pain of an injection or getting hit in the face is temporary, sure. That’s because the stimuli stop, thus giving your body time to adapt to the pain. If the stimuli were continuous the pain would not remain at a level 3! Also, this level of description could be triggering for victims of domestic violence.

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    1. Zyp Czyk Post author

      I’m sorry about these errors, but I can’t fix them because this is a copy of an image posted online.

      I agree that there’s a HUGE difference between temporary pain versus pain that just goes on and on. To me, it seems almost to “accumulate” over time and a pain that wouldn’t be bothersome for a few minutes becomes a terrible burden after a few hours, days, weeks, months…

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  7. Glenn

    Is there a reason why the people who posted this scale selected an illiterate to write it? On several occasions, the scale refers to “real bad pain…” There are only two kinds of people who refer to something like pain as being “real” bad: people who have been on the Jerry Springer show as guests, or those who are functionally illiterate. And if the reader is illiterate, here’s the hint: it’s not “real” bad pain, but really bad pain…
    This is not a good look, you guys…

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    1. Zyp Czyk Post author

      I think the descriptions overall are actually quite good and communicate a good “sense” of what the pain is like. We have to remember that this is written for “everyone and anyone” and I think many folks would describe their pain as “really bad”.

      Some of us have lived with it long enough to discern all kinds of detailed sensations and feelings of our pain, but others are just starting out.

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