Knee Pain Assessment

Is the pain in one knee or both?

One knee

Both knees

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Where is the pain located in your knee?

Front (kneecap area)

Inside (toward the other leg)

Outside (away from the other leg)

Behind the knee

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Do you experience swelling or stiffness?

Yes, swelling and stiffness

Only swelling

Only stiffness

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Does the pain worsen with certain movements or activities?

Climbing stairs

Walking or running

Sitting for long periods

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Have you had a recent injury or increased physical activity?

Yes, a recent injury

Yes, increased physical activity

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How long have you been experiencing this pain?

Less than a week

1-4 weeks

Over a month

Other

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

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Have you taken any medications or treatments for this pain?

Yes

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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.

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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.

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

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

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

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

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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.

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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.

Please select an option before proceeding.

Personal Details

First Name

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Last Name

Last Name is required.

Body Type

Age

Minor Name

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Knee Pain Assessment

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Personal Details

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