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**Arm Pain QuickDASH**

Arm Pain QuickDASH 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

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!

QuickDASH 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

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

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

Optional PERFORMING ARTS module

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

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 - Niet beperkt

100 - Zeer beperkt

CARPAL TUNNEL SYNDROME

Interestingly there is no strong research confirming that Chiropractic can help CTS, yet I see and treat it very successfully on a daily basis. So much work still do it in the research domain .... CARPAL TUNNEL SYNDROME ...