TALKING ABOUT YOUR PAIN

 
 
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Sickle Cell Pain

  • Pain is a common symptom in sickle cell disease, but it’s not the same for everyone.

  • As a child, your parent helped you understand and talk about your pain.

  • As an adult, you will need to be able to tell your provider about your pain
    on your own. It is helpful to know the common language that is used to talk about pain.

  • People who have sickle cell disease can have pain that is NOT caused by sickled red blood cells.

  • For example, you can have pain because of muscle strain or joint problems like arthritis. These types of pain can happen every day and affect your ability to do the things you enjoy.

  • Sickle cell pain comes on suddenly and can last for hours or days. Pain that lasts for longer than 7 days is probably not sickle cell pain and should be treated differently. Being able to talk about different types of pain can help your health care provider give you the best treatment for the kind of pain you are having.

 

Some common questions that you may be asked about your pain include:

Where is your pain?

When did the pain start?

What does it feel like?

How long has it lasted?

What makes the pain better?

What makes the pain worse?


 

You might use these words to describe your pain:

aching / sharp / stabbing / gnawing / shooting / tingling / throbbing / dull / tender / burning

 

Pain scales

Pain scales are often used during an appointment, in the emergency room, and in the hospital to help measure the amount of pain that you have.

It‘s good to use a pain scale so that you and your provider have a common point of reference as you work together to manage your pain.


 
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Faces

One common pain scale uses “faces.” With this tool, you pick the face that best shows how you feel.

 

 
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Scale

Another common pain scale asks you to rate your pain on a level between zero and ten, with zero being no pain and ten being the worst pain you can imagine.

 

The descriptions given in the table below will help you rate your pain using the numbers and faces scales:

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NO PAIN: I have no pain at all.

 

 
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MILD PAIN: I am aware of the pain, but it does not keep me from doing my daily activities.

 

 
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MODERATE PAIN: I am still able to do my daily activities, but need to take breaks. I am able to keep my mind off of the pain for long periods of time.

 

 
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SEVERE PAIN: I can’t do normal activities for more than 30 minutes because of the pain. There are some activities that I can’t do at all. I am restless and need to change positions often.

 

 
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VERY SEVERE PAIN: The pain makes it hard for me to think. It’s hard to sleep and do normal activities. I don’t want to get out of bed. I don’t feel like eating or drinking.

 

 
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WORST PAIN POSSIBLE: This is the worst pain I can imagine having. I can’t do any normal activities because of the pain. I don’t want to move at all.

 

 
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SECTION OVERVIEW

 
  • It is important to be able to tell the difference between sickle cell pain and other types of pain so you can get the best treatment.