Questionnaire – PDR Oswestry Neck Pain

PDR Oswestry Neck Pain

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This questionnaire is designed to enable us to understand how much your neck pain has affected your ability to manage everyday activities. Please answer each Section by circling the ONE CHOICE that most applies to you. We realize that you may feel that more than one statement may relate to you, but Please circle the one choice which closely describes your problem right now.

Section 1 – Pain Intensity
A. I have no pain at the momentB. The pain is mild at the momentC. The pain comes and goes and is moderateD. The pain moderate and does not vary muchE. The pain is severe, but comes and goesF. The pain is severe and does not vary much

Section 2 – Personal Care
A. I can look after myself without causing extra painB. I can look after myself normally, but it causes extra painC. It is painful to look after myself and I am slow and carefulD. I need some help, but manage most of my personal careE. I need help every day in most aspects of self-careF. I do not get undressed, I wash with difficulty and stay in bed

Section 3 – Lifting
A. I can lift heavy weights without extra painB. I can lift heavy weights but it causes extra painC. Pain prevents me from lifting heavy weights off the floor, But I can manage if they are conveniently positioned (e.g on a table)D. Pain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positionedE. I can lift only very light weightsF. I cannot lift or carry anything at all

Section 4 – Reading
A. I can read as much as I want to with no pain in my neckB. I can read as much as I want to with slight pain in my neckC. I can read as much as I want to with moderate pain in my neckD. I cannot read as much as I want to because of moderate pain in my neckE. I cannot read as much as I want to because of severe pain on my neckF. I cannot read at all

Section 5 – Headache
A. I have no headaches at allB. I have slight headaches that come infrequentlyC. I have moderate headaches that come infrequentlyD. I have moderate headaches that come frequentlyE. I have severe headaches that come frequentlyF. I have headaches almost all the time

Section 6 – Concentration
A. I can concentrate fully when I want to with no difficultyB. I can concentrate fully when I want to with slight difficultyC. I have a fair degree of difficulty in concentrating when I want toD. I have a lot of difficulty in concentrating when I want toE. I have a great deal of difficulty in concentrating when I want toF. I cannot concentrate at all

Section 7 – Work
A. I can do as much work as I want toB. I can do my usual work but no moreC. I can do most of my usual work, but no moreD. I cannot do my usual workE. I can hardly do any work at allF. I cannot do any work at all

Section 8 – Driving
A. I can drive my car without any neck painB. I can drive my car as long as I want with slight pain in my neckC. I can drive my car as long as I want with moderate pain in my neckD. I cannot drive my car as long as I want because of moderate pain in my neckE. I can hardly drive at all because of severe pain in my neckF. I cannot drive my car at all

Section 9 – Sleeping
A. I have no trouble sleepingB. My sleep is slightly disturbed (less than 1 hour sleepless)C. My sleep is mildly disturbed (1-2 hours sleepless)D. My sleep is moderately disturbed (2-3 hours sleepless)E. My sleep is greatly disturbed (3-5 hours sleepless)F. My sleep is completely disturbed (5-7 hours sleepless)

Section 10 – Recreation
A. I am able to engage in all my recreational activities, with no neck pain at allB. I am able to engage in all of my recreational activities, with some pain in my neckC. I am able to engage in most, but not all of my usual recreational activities because of pain in my neckD. I am able to engage in only a few of my usual recreational activities because of pain in my neckE. I can hardly do any recreational activities because of pain in my neckF. I cannot do any recreational activities at all

Section 11 – Numeric Rating Scale (NRS)
Try and assign a number from 0 to 10 to your current pain level. If you have no pain, use a 0. As the numbers get higher, they stand for pain that is getting worse. A 10 means the pain is as bad as it can be.
0 (no pain)123 (mild)45 (moderate)678 (severe)910 (worst possible pain)

Thank you very much for completing all the questions in this questionnaire.