History of pain, past medical history, psychological condition and family history
1. The situation at the time of the first attack of pain.
The exact date of the initial onset of pain and details of the situation at that time, specifying the location, nature, intensity, distribution and duration of the pain.
Whether the pain is related to movement.
The presence of sensory abnormalities (e.g., numbness), motor abnormalities, and abnormal autonomic function at the time of the initial onset of pain, as well as the treatment administered and the effectiveness of the treatment.
2. from the initial onset of pain to the time of assessment
Has the pain increased or decreased over time?
Has the location and distribution of pain changed?
Has the nature, intensity, and characteristics of the pain episodes changed during this period?
What treatment has been performed? History of surgery?
3. Current pain condition
The nature, location, intensity, distribution, and temporal characteristics of the current pain
Under what circumstances the pain worsens, under what circumstances it decreases, and under what circumstances it has no effect on pain.
what effect changes in mood, local activity, physical exercise, local pressure, hot and cold stimuli, coughing, sneezing, muscle pulling and deep breathing have on the nature, intensity and distribution of pain
Does the pain make it difficult for the patient to sleep? Is the pain awakening from a deep sleep?
4. Past medical history
General health status and history of previous surgery, accident or trauma prior to the initial onset of pain, as well as the exact date, characteristics, duration of dysfunction and sequelae of each condition.
5. Family history
Rheumatic diseases, tumors, hereditary diseases
6.History of psychological disorders
The role of environmental factors of pain, avoidance behavior and depressive state of mind on the patient’s pain behavior.
Past history of psychological disorders, history of substance abuse, occupational problems, family history of chronic diseases or pain and recent mental stimulation can contribute to the judgment of the patient’s pain disorder.