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Assess your Knee Pain

If you have knee pain, knowing how to talk about it with your doctor can help you get the relief you need.

Treatment for knee pain depends on the cause of pain, and may include medicines (such as paracetamol, anti-inflammatories, or pain relief creams), surgery, and lifestyle and other management strategies (such as exercise and weight reduction).1

FIND OUT MORE ABOUT TREATING KNEE PAIN

Another long-term treatment option for certain types of knee pain is viscosupplementation which may be suitable for people who have not received adequate pain relief from diet, exercise and medicine.

The first step to seeing if viscosupplementation may be right for you is to complete the Knee Pain Assessment, which will help you:

  • Describe your knee pain in detail
  • Remember what other treatments you’ve had
  • Identify your knee pain relief goals

This will help you and your doctor determine your pain level and review what has helped or not helped in the past in order to find the best way to get you back to your regular activities.

This tool creates a personalised report that you can print or email. Share it with your doctor to help get the most out of your next appointment.

Knee Pain Assessment

A personalised report for your next doctor’s appointment

This questionnaire should only take about 5 minutes to complete.

To protect your privacy, we will not save any of your information, so be sure to finish the questionnaire once you start.

We’ve made it easy to prepare for your next doctor’s visit. Complete this short Knee Pain Assessment and you’ll receive a personalised report that will help you discuss your knee pain with your doctor and identify the best treatment options.

QUESTION 1

Knee Pain Assessment

A personalised report for your next doctor’s appointment

Index of Severity for Osteoarthritis of the Knee

Section 1: Pain or Discomfort

Question 1a

Question 1b

Question 1c

Question 1d

Question 1e

Knee Pain Assessment

A personalised report for your next doctor’s appointment

Index of Severity for Osteoarthritis of the Knee

Section 2: Maximum Distance walked

Question 2a

Question 2b

Knee Pain Assessment

A personalised report for your next doctor’s appointment

Index of Severity for Osteoarthritis of the Knee

Section 3: Activities of Daily Living

Question 3a

Question 3b

Question 3c

Question 3d

Knee Pain Assessment

A personalised report for your next doctor’s appointment

Treatment History

Question 6A 

Question 6B 

Knee Pain Assessment

A personalised report for your next doctor’s appointment

Pain Management Goals

Question 4

Knee Pain Assessment

A personalised report for your next doctor’s appointment

Index of Severity for Osteoarthritis of the Knee

Results*

 Index Score  Severity
   
Index Score Handicap
0 None
1-4 Mild
5-7 Moderate
8-10 Severe
11-13 Very Severe
>14 Extremely Severe

*Not intended for the use in the detection, diagnosis, monitoring, management or treatment of any medical condition or disease.


References:

Lequesne MG. The algofunctional indices for hip and knee osteoarthritis. J Rheumatol. 1997; 24:779-781.
Creamer P, Hochberg MC. Osteoarthritis. Lancet. 1997; 350: 503-508.
Recommendations for the medical management of osteoarthritis of the hip and knee. Arthritis Rheum. 2000;43(9):1905-1915.

Thank you for completing the assessment.

You can now do the following:

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Save your results as a PDF to print at home

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Email a copy of Knee Pain Assessment to yourself
Emailing the assessment is a great way to save your personal report on your own computer. You can print it out at a later date to share the information with your doctor.

THANK YOU. An email with your Knee Pain Assessment has been sent to you. If you have not received it, please check your email filters. For your reference, please save this PDF.