S-LANSS Pain Score S-LANSS Pain Score Your Name * Date of Birth * Your GP * Please choose from the listDr CashDr WallsDr BoydDr CalvertDr MacSorleyDr CarswellDr DuffyDr DickieDr MaysonANP Claire HillDr GilhespyDr Popham Location and Severity A. Can you briefly describe what area of your body where you feel your pain? If you have pain in more than one are, only describe the one main area where your worst pain is. * B. On the scale below, please indicate how bad your pain (that you mentioned in the previous question) has been in the last week, where 0 means no pain and 10 means pain as severe as it could be. * Please choose from list0 - NONE12345678910 - SEVERE Description Think about how your pain that you mentioned previously has felt over the last week. Please choose the descriptions that best match your pain. These descriptions may, or may not, match your pain no matter how severe it feels. 1. In the area where you have pain, do you also have ‘pins and needles’, tingling or prickling sensations? * a) NO - I don't get these sensations b) YES - I get these sensations often 2. Does the painful area change colour (perhaps looks mottled or more red) when the pain is particularly bad? * a) NO - The pain does not affect the colour of my skin b) YES - I have noticed that the pain does make my skin look different in colour 3. Does your pain make the affected skin abnormally sensitive to touch? Getting unpleasant sensations or pain when lightly stroking the skin might describe this. * a) NO - The pain does not make my skin particular sensitive to touch b) YES - My skin in that area is particularly sensitive to touch 4. Does your pain come on suddenly and in bursts for no apparent reason when you are completely still? Words like 'electric shocks', jumping and bursting might describe this. * a) NO - My pain doesn't really feel like this b) YES - I get these sensations often 5. In the area where you have pain, does your skin feel unusually hot like a burning pain? * a) NO - I don't have burning pain b) YES - I get burning pain often 6. Gently rub the painful area with your index finger, then rub a non-painful area (for example, an area of skin further away or on the opposite side from the painful area). How does this rubbing feel in the painful area? * a) The painful area feels no different from the non-painful area b) I feel discomfort, like pins and needles, tingling or burning in the painful area that is different from the non-painful area 7. Gently press on the painful area with your finger tip and then gently press in the same wau onto a non-painful area (the same non-painful area that you chose in the last question). How does this feel in the pain area? * a) The painful area des not feel different from the non-painful area b) I feel numbness or tenderness in the painful area that is different from the non-painful area reCAPTCHA Submit Start Over Δ