Personal Documentation of Injury or Condition

The information that you note in your personal injury/condition documentation may include, but is not limited to the following:

  • Date of injury or onset of condition
  • Precise location of injury or condition
  • Activity you were doing prior to or during the onset of the injury or condition
  • Documentation of other medical treatment you received with regard to this injury or condition
  • Home remedy treatments you have tried
  • Description of pain
  • The following words are helpful in properly diagnosing the cause of your pain:

    • Aching
    • Sharp
    • Dull
    • Penetrating
    • Throbbing
    • Tender
    • Nagging
    • Shooting
    • Burning
    • Stabbing
    • Exhausting
    • Numb
    • Gnawing
    • Tiring
    • Unbearable
    • Occasional
    • Continuous
  • Note the time(s) of day that your pain is usually at its worst, and rate your pain on a scale of 0 - 10. (0=No Pain and 10=Unbearable Pain)
  • Note the time(s) of day that your pain is usually at its least, and rate your pain on a scale of 0 - 10. (0=No Pain and 10=Unbearable Pain)
  • Rate your level of pain on a scale of 0 - 10 when you do one or more of the following activities:

    • Laying down
    • Sitting
    • Standing
    • Walking
    • Running
    • Lifting 
    • Bending over
    • Pulling
    • Pushing
    • Driving
  • Note any other activities you do that make you feel better or worse.
  • Note any side effects or symptoms you are having caused by your injury or condition. The following are examples of common side effects caused by pain:

    • Nausea
    • Vomiting
    • Constipation
    • Loss of appetite
    • Fatigue
    • Sweating
    • Difficulty concentrating
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