Arm Pain Quick DASH

(Keywords: Arm Pain Quick Dash, chiropractic, neck shoulder arm pain, carpal tunnel syndrome, chiropractic help )

Arm Pain Quick DASH QUESTIONAIRE is a simple test for the inidividual who wants to know just how bad his/ her pain is.


DASH: Disability - Arm - Shoulder - Hand

Just how miz are you? This questionnaire asks about

  • your symptoms including neck shoulder arm pain
  • your ability to perform certain activities.




Please answer every question, based on your condition in the last week, by circling the appropriate number. Make your best estimate if you haven't played tennis or golf in the last week!



Pain is bad enough, but some folk rate disability even higher than pain. The inability to put on a coat, for example with a frozen shoulder or in ability for a carpenter to use a screwdriver with tennis elbow ... or the pain and tingling in your had that wakens you in the early hours of the morning with carpal tunnel syndrome ...


Quick DASH QUESTIONAIRE

Activity No difficulty Mild difficulty Moderate difficulty Severe difficulty Cannot do at all due to arm shoulder hand pain
Open a tight jar. 1 2 3 4 5
Household chores. 1 2 3 4 5
Carry a grocery bag. 1 2 3 4 5
Wash your back. 1 2 3 4 5
Use a knife to cut food. 1 2 3 4 5
Golf, hammering, tennis etc. 1 2 3 4 5
Disturbed social activities. 1 2 3 4 5
Limiting work and daily activities. 1 2 3 4 5
Arm, shoulder, hand pain 1 2 3 4 5
Tingling in the arm. 1 2 3 4 5
Sleep disturbance. 1 2 3 4 5

Your Quick-Dash score = {[(Sum of your 11 scores)/11] -1} x 25.

Eg: {[(2+1+4+3+5+4+2+3+1+4+4)/11] -1} x 25

= {33/11 -1} x 25 = {3-1} x 25 = 50

0 - No disability

100 - Most severe disability


How bad is my pain?

In a group of 109 patients scheduled for surgery in an orthopedic department, the overall arm painQuickDASH score, presurgery, was 39. So, if you have a score of 39, that would be considered averagely bad enough to go to surgery.

The Shoulder and Carpal Tunnel group averaged 49, by the way. They are obviously more disabling.

No patient had a presurgery score of 90, but after surgery one patient (on average they were tested a year later), registered a score of 93! Only 12 of the 109 patients gave a score of zero postsurgery.

To my knowledge no research has yet been done to prove how well chiropractic treatment shapes up compared to our medical colleagues. One thing I can tell you is that none of our post-treatment patients would have a score of 93!

Doctor-caused disease: IATROGENIC ILLNESS ...

Stress

"How does stress affect health, and "How might it affect your Arm Pain Quick Dash score?" are questions heard daily in the clinic. Another that goes with it is, "Why do I always get sick on holiday?" Food for thought. That's why I take a day's leave before I leave on holiday, and have one day at home before I go back to work.

Take a quick browse of this site. Then hit the return button - I'll be waiting to continue our conducted tour of quickDash! How does stress affect health ?



Optional WORK module

This questionaire helps you work out how much pain and disability you have at work. Just how much pain is "mouse arm" causing you? That hammer and screwdriver?

Activity No difficulty Mild difficulty Moderate difficulty Severe difficulty Cannot do at all due to arm shoulder hand pain
Using your usual technique at work. 1 2 3 4 5
Doing your usual work. 1 2 3 4 5
Working as well as you would like. 1 2 3 4 5
Able to spend usual time at work. 1 2 3 4 5

Your Arm Pain Quick Dash WORK score = {[(Sum of your 4 scores)/4] -1} x 25.

Eg: {[(2+1+4+5)/4] -1} x 25

= {12/4 -1} x 25= {3-1} x 25= 50




Optional SPORTS module

So, how disabling and painful is that fixated AcromioClavicular when you are trying to throw a baseball? Are you being a wimp? Is it really painful and you should immediately be seeking Chiropractic Help?

Tip: Be very hesitant to have a cortisone shot in the shoulder if you are a sportsman. It weakens the tendons, I've seen several cases of biceps tendons that have snapped after cortison.  Anti Inflammatory drugs dangerous though they are would be a better option if you are reluctant to consult a chiropractor.

Activity No difficulty Mild difficulty Moderate difficulty Severe difficulty Cannot do at all due to arm shoulder hand pain
Using your usual technique for playing your sport. 1 2 3 4 5
Playing your usual sport. 1 2 3 4 5
Playing as well as you would like. 1 2 3 4 5
Able to spend your usual time at sport. 1 2 3 4 5

Your Arm Pain Quick Dash SPORTS score:

{[(2+1+4+5)/4] -1} x 25

= {12/4 -1} x 25= {3-1} x 25= 50


Dear Dr B - I thought I must drop you a line to let you know that all the hard work you did on my frozen shoulder before I went to the UK really paid off - my shoulder has returned to nearly 100%.  I occasionally have pain when I wake up in the morning.  Have been good about doing all my exercises and know that it is really essential to keep on exercising.  Hope I never experience this horrible condition again.
I don't feel I need any treatment at the moment, but know where you are should I need it.
 
Thank you for all your hard work.
 
Best wishes.
Karen

Optional PERFORMING ARTS module


Musicians put their bodies into quite unusual contortions, often for long periods each day as they practise, and many doctors have no idea of the pain and disability they experience. Let alone how to treat it.

If first realised this when my son took up classical guitar as a profession. For the first time I had to apply basic chiropractic principles to bizarre pain in the hands, upper thoracic pain... tingling in arms and hands ...

Just how bad is that pain?


Activity No difficulty Mild difficulty Moderate difficulty Severe difficulty Cannot do at all due to arm shoulder hand pain
Using your usual technique for playing your instrument. 1 2 3 4 5
Playing your instrument as well as you would like. 1 2 3 4 5
Playing as well as you would like. 1 2 3 4 5
Playing as well as you would like. 1 2 3 4 5

Your Arm Pain Quick Dash PERFORMING ARTS score:

{[(2+1+4+5)/4] -1} x 25

= {12/4 -1} x 25= {3-1} x 25= 50


PHYSIOTHERAPISTS AGREE ...

PTs agree that neck shoulder arm pain should be considered as one entity, as you see from our Lower Cervical Facet Anatomy link. This next link will give you an excellent perspective of the PT take on pain in the arm.

Scroll down past the Dutch Arm Pain Quick Dash questionaire for more in English. Sorry, I'm a Dutchman!


NECK SHOULDER ARM PAIN ...

LOWER CERVICAL FACET ANATOMY ...


Nederlands - Basis Quick Dash Score

activiteiten Eenvoudige moeilijkheids- graad Milde moeilijkheids- graad Matige moeilijkheids- graad Zware moeilijkheids- graad Onmogelijk door de pijn in arm, schouder, hand
Openen van een deksel. 1 2 3 4 5
Huishoudelijke karweitjes. 1 2 3 4 5
Een boodschappentas dragen. 1 2 3 4 5
Uw rug wassen. 1 2 3 4 5
Gebruik een mes om voedsel te snijden. 1 2 3 4 5
Golf, timmeren, tennis etc. 1 2 3 4 5
Verspreid sociale activiteiten. 1 2 3 4 5
Beperk werk en dagelijkse activiteiten. 1 2 3 4 5
Arm-, schouder-, hand pijn 1 2 3 4 5
Tintelingen in de arm. 1 2 3 4 5
Slaapstoornis. 1 2 3 4 5

Uw Arm Pain Quick Dash score = {[(Som van uw 11 scoren)/11] -1} x 25.


Bijvoorbeeld: {[(2+1+4+3+5+4+2+3+1+4+4)/11] -1} x 25

= {33/11 -1} x 25
= {3-1} x 25
= 50

0   - <b>Niet beperkt</b>

100 - <b>Zeer beperkt</b>


CARPAL TUNNEL SYNDROME

Interestingly there is no strong research confirming that Chiropractic can help CTS. Nor in fact is there any strong scientific evidence that ANYTHING including surgery brings long term relief, yet I see and treat carpal tunnel syndrome very successfully on a daily basis. So much work still do it in the research domain: CARPAL TUNNEL SYNDROME ...

DISTURBED SLEEP

Arm pain is often bad at night disturbing sleep. It's not really insomnia, but some of these Insomnia Tips might be helpful.

For some valuable insomnia tips pay a visit to Holistic MindBody Healing.com.


OTHER IMPORTANT CONSIDERATIONS

Go from ARM PAIN QUICK DASH to Rotator Cuff Syndrome

Pinched nerve in the neck: Arm pain

Frozen Shoulder

Acromioclavicular joint

Tennis Elbow

HEAD NECK PAIN ...

Relief by placing your hand on your head? SHOULDER ABDUCTION RELIEF sign ...

Olive Pate ... A joyous way to experience the anti-inflammatory properties of olives and olive oil. OLIVE PATE


Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.










Interesting challenges of the day

1. Mr D has very severe midback back. He bent and twisted, feeding his son, and then laughed. Every breath is a nightmare. A sprung rib is every chiropractor's delight. He or she has golden hands. 30 percent better after one treatment.

2. Mrs C has a long history of severe, disabling migraine headaches since having her wisdom teeth removed. She clenches her teeth at night. After six treatments she has no migraines but some jaw joint discomfort remains; a bite plate is in the offing.

3. Mrs U has the trophy for the worst back this year. After major surgery with plates and screws two years later she still had paresis in the lower leg and severe disabling back pain. She's doing far better than expected, in no little part due to a lift in her shoe for a very short leg.

4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.

5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.

6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.

7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.

8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.

9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine. 

10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.

13. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks 75 percent improved. No longer vomiting all falling. She's not enjoying the Brandt Daroff home exercises.

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?


Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.


You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.