5 main symptoms to test for Disc Annular tear syndrome
Please mark each questions below which the most clearly describes your symptoms.
Total score ( ) out of 25
Total score over 20 – Procedure is required
Total score over 15 – Precise examination and injection theraphy considered
Please mark each questions below which the most clearly describes your symptoms.
- Pain comes when I sit for a long time. The pain becomes severe especially when I sit on a floor. 5 very much / 4 quite often / 3 sometimes / 2 rarely / 1 not at all
- I need to hold my back up with my hand, when I sit for a long time and try to stand up because it’s hard to sit up straight my back. 5 very much / 4 quite often / 3 sometimes / 2 rarely / 1 not at all
- It’s bearable at usual day but the pain appears few times a year, when I work hard. 5 very much / 4 quite often / 3 sometimes / 2 rarely / 1 not at all
- I try not to lift any stuffs because lifting object is burdensome for me. 5 very much / 4 quite often / 3 sometimes / 2 rarely / 1 not at all
- I have difficulty with doing wash my face or hair. Hard to keep the same position. 5 very much / 4 quite often / 3 sometimes / 2 rarely / 1 not at all
Total score ( ) out of 25
Total score over 20 – Procedure is required
Total score over 15 – Precise examination and injection theraphy considered
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