Words Matter When Talking About Pain With Your Doctor

Describing how pain affects your daily activities may be more effective than the standard pain scale.

If you’re in the hospital or a doctor’s office with a painful problem, you’ll likely be asked to rate your pain on a scale of 0 to 10 – with 0 meaning no pain at all and 10 indicating the worst pain you can imagine. But many doctors and nurses say this rating system isn’t working and they’re trying a new approach.

The numeric pain scale may just be too simplistic, says Dr. John Markman, director of the Translational Pain Research Program at the University of Rochester School of Medicine and Dentistry. It can lead doctors to “treat by numbers,” he says and as a result, patients may not be getting the most effective treatment for their pain.

Take the case of 33-year-old Adam Rosette, who was recently hospitalized for fibrous dysplasia, a bone disorder that made it nearly impossible for him to chew or even speak. After brain surgery to remove benign tumors related to the disorder, he was definitely in pain. But he was reluctant to label the pain too high.