Neurosurgery & Spine Consultants

Back Pain Quiz

Back Pain Assessment – Neurosurgery & Spine Consultants

🏥 Back Pain Assessment

Neurosurgery & Spine Consultants of San Antonio

⚠️ Important Notice: This assessment is for educational purposes only and does not replace professional medical evaluation. Please consult our specialists for proper diagnosis and treatment.
Question 1 of 8

How long have you been experiencing back pain?

Less than 4 weeks
Recent onset, acute pain
4 weeks to 3 months
Subacute pain period
More than 3 months
Chronic pain condition
On and off for years
Recurring episodes

How would you rate your pain on average (0-10 scale)?

1-3 (Mild)
Noticeable but manageable
4-6 (Moderate)
Interferes with some activities
7-10 (Severe)
Significantly limits daily activities

Where is your pain primarily located?

Lower back
Lumbar region, below the ribs
Upper back
Between shoulder blades
Neck
Cervical spine area
Multiple areas
Pain in several spine regions

Does your pain spread to other areas?

Stays in one area
Pain doesn’t spread
Radiates into leg(s)
Sciatica-like symptoms
Radiates into arm(s)
Nerve pain into arms/hands
Widespread pain
Multiple areas affected

Do you experience numbness, tingling, or weakness?

No neurological symptoms
Pain only, no numbness or weakness
Occasional numbness/tingling
Comes and goes
Frequent numbness/tingling
Regular nerve symptoms
Weakness in arms/legs
Loss of strength or function

How does pain affect your daily activities?

Minimal impact
Can do most activities normally
Some limitations
Avoid certain movements or activities
Significant limitations
Difficulty with work or daily tasks
Severe disability
Cannot perform most activities

Do you have any of these concerning symptoms?

None of these
No concerning symptoms
Bowel/bladder problems
Loss of control or function
Fever or weight loss
Unexplained systemic symptoms
Progressive weakness
Worsening neurological symptoms

What is your primary treatment goal?

Pain relief
Reduce or eliminate pain
Improve function
Return to normal activities
Understand my condition
Learn about diagnosis and options
Prevent worsening
Stop condition from progressing
📋
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