Arms/Hands Pain Assessment

Do you feel numbness or tingling in your arm/hand?

Yes, I experience numbness or tingling in my fingers or hand, especially when using my hand for extended periods.

Yes, I feel tingling or numbness that radiates up my arm to my shoulder.

No, I do not experience any numbness or tingling in my arm or hand.

Please select an option before proceeding.

Is the pain related to gripping or lifting objects?

Yes, the pain worsens when I grip or hold objects, like a cup or a pen.

Yes, I feel pain when lifting heavy objects or pushing/pulling things.

No, the pain does not seem to be related to gripping or lifting objects.

Please select an option before proceeding.

Is the pain in your wrist, elbow, or entire arm?

The pain is in my wrist only.

The pain is in my elbow area.

The pain affects my entire arm, from my shoulder to my hand.

Please select an option before proceeding.

Have you experienced a recent injury or overuse?

Yes, I recently injured my arm/hand, such as from a fall, accident, or strain.

Yes, I have been overusing my arm/hand due to repetitive tasks, like typing or lifting.

No, I have not had any recent injury or overuse.

Please select an option before proceeding.

Do you experience swelling or stiffness?

Yes, I experience swelling or puffiness around my wrist, hand, or elbow.

Yes, I feel stiffness in my arm/hand, especially after rest or in the morning.

No, I do not experience any swelling or stiffness in my arm or hand.

Please select an option before proceeding.

How long have you been experiencing this pain or issue?

Less than a week

1-4 weeks

Over a month

Other

How did the pain start?

Sudden

Gradual

Do you know the cause of pain?

Yes

How would you rate your pain on a scale of 1-10?

Please select an option before proceeding.

Have you taken any medications or treatments for this pain?

Yes

Is this pain the first time you’ve experienced it, or have you had similar pain before?

Yes, this is the first time I’m experiencing this type of pain.

No, I’ve had this type of pain before, but it went away after a while.

No, I’ve had similar pain before, and it has been recurring.

Have you ever been involved in a road traffic accident (car, bike, or pedestrian)?

Yes, I’ve been in a road traffic accident before and sustained injuries.

Yes, but I did not experience significant injuries at the time.

No, I’ve never been in a road traffic accident.

Have you ever had any fractures or discitys in your body, particularly around the affected area?

Yes, I have had a fracture or discity in the area experiencing pain.

Yes, I’ve had a fracture or discity in another area of my body.

No, I’ve never had any fractures or discitys.

Have you undergone any surgeries in the past, especially related to the area experiencing pain?

Yes, I’ve had surgery in the affected area (e.g., hip, shoulder, back).

Yes, I’ve had surgeries elsewhere in my body but not in the affected area.

No, I have never had any surgeries.

Do you have any other medical conditions that might be related to the pain, such as arthritis, diabetes, or autoimmune disorders?

Yes, I have a medical condition (e.g., arthritis, diabetes, fibromyalgia) that may be related to the pain.

No, I don’t have any known medical conditions related to the pain.

I’m not sure, but I’ve been diagnosed with other health issues.

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Arms/Hands Pain Assessment

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