Example – McGill

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The McGill Pain Questionnaire

Overview: The McGill Pain Questionnaire can be used to evaluate a person experiencing significant pain. It can be used to monitor the pain over time and to determine the effectiveness of any intervention. It was developed at by Dr. Melzack at McGill University in Montreal Canada and has been translated into several languages.

What Does Your Pain Feel Like?

Group Descriptor Points
1 (temporal) flickering 1
quivering 2
pulsing 3
throbbing 4
beating 5
pounding 6
2 (spatial) jumping 1
flashing 2
shooting 3
3 (punctate pressure) pricking 1
boring 2
drilling 3
stabbing 4
lancinating 5
4 (incisive pressure) sharp 1
cutting 2
lacerating 3
5 (constrictive pressure) pinching 1
pressing 2
gnawing 3
cramping 4
crushing 5
6 (traction pressure) tugging 1
pulling 2
wrenching 3
7 (thermal) hot 1
boring 2
scalding 3
searing 4
8 (brightness) tingling 1
itchy 2
smarting 3
stinging 4
9 (dullness) dull 1
sore 2
hurting 3
aching 4
heavy 5
10 (sensory miscellaneous) tender 1
taut 2
rasping 3
splitting 4
11 (tension) tiring 1
exhausting 2
12 (autonomic) sickening 1
suffocating 2
13 (fear) fearful 1
frightful 2
terrifying 3
14 (punishment) punishing 1
gruelling 2
cruel 3
vicious 4
killing 5
15 (affective-evaluative-sensory: miscellaneous) wretched 1
blinding 2
16 (evaluative) annoying 1
troublesome 2
miserable 3
intense 4
unbearable 5
17 (sensory: miscellaneous) spreading 1
radiating 2
penetrating 3
piercing 4
18 (sensory: miscellaneous) tight 1
numb 2
drawing 3
squeezing 4
tearing 5
19 (sensory) cool 1
cold 2
freezing 3
20 (affective-evaluative: miscellaneous) nagging 1
nauseating 2
agonizing 3
dreadful 4
torturing 5
SCORE 63

How Does Your Pain Change with Time?

Question Response Points
Which word or words would you use to describe the pattern of your pain? continuous steady constant 1
rhythmic periodic intermittent 2
brief momentary transient 3
SCORE 6
Do the following items increase or decrease your pain?
(1) liquor
(2) stimulants such as coffee
(3) eating
(4) heat
(5) cold
(6) damp
7) weather changes
(8) massage or use of a vibrator
(9) pressure
(10) no movement
(11) movement
(12) sleep or rest
(13) lying down
(14) distraction (TV reading etc.)
(15) urination or defecation
(16) tension
(17) bright lights
(18) loud noises
(19) going to work
(20) intercourse
(21) mild exercise
(22) fatigue

Statement: People agree that the following 5 words (mild discomforting distressing horrible excruciating) represent pain of increasing intensity. To answer each question below highlight the most appropriate word beside the question.

Question Response Points
Which word describes your pain right now? mild 1
discomforting 2
distressing 3
horrible 4
excruciating 5
Which word describes it at its worst? mild 1
discomforting 2
distressing 3
horrible 4
excruciating 5
Which word describes it when it is least? mild 1
discomforting 2
distressing 3
horrible 4
excruciating 5
Which word describes the worst toothache you ever had? mild 1
discomforting 2
distressing 3
horrible 4
excruciating 5
Which word describes the worst headache you ever had? mild 1
discomforting 2
distressing 3
horrible 4
excruciating 5
Which word describes the worst stomach- ache you ever had? mild 1
discomforting 2
distressing 3
horrible 4
excruciating 5
SCORE 15

Other Important Information

Map of mood, medication & exercise

Professional Life
Professional life is the same but I try move less

Personal life
I ran 30kms per week

Medical history
I have great medical history and no major issues.

Pre-existing medical conditions
Asthma during child years.

Physiotherapy I need this regularly.

I have some really hard moments but I also have a few times when I manage well. But I still can’t work.

My lower back plays up a lot… my hip area gets really cranky. It’s alot better since the implant. That is one of my best treatments.

How did the pain begin? I was in a car accident and my legs were squashed by the inside of the car. No bones were broken but they were terribly hurt nevertheless

Describe the health issue briefly The pain hasn’t gone away. It’s persisted, perhaps even getting worse. I have to buy different shoes and I use a supportive slip-on for the shower.

Has there been a diagnosis? Chronic pain

Note any health cover / insurance Private health cover. Transport insurance

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Note any medication

I’m trying not to take too much medication. Gabapentin as I need it. Panamax or Panadol.

Note past treatment (list current treatment in next section)

I see a physiotherapist monthly.

Other important details:

I’m feeling like not many people can really understand my experience.

Next of kin: Barbara Patient
Phone: 0410 000 000