KNEE PAIN:

This 10-15 minute questionnaire asks about symptoms of knee pain in adults (it is not for use in or by children).

You can get your personalized Knee Pain Report on-line and for free immediately after you complete the questionnaire - we suggest you show this report to your doctor. The report predicts your most probable diagnosis (based mainly on the diagnoses of US physicians) and the treatments you are most likely to respond to. It analyzes your pain drawing for novel diagnostic information. Your diagnosis will be most accurate if you answer all the questions, particularly your age and gender.

IT IS VERY IMPORTANT FOR YOU TO UNDERSTAND THAT THE INFORMATION IN YOUR KNEE PAIN REPORT SHOULD ONLY BE USED IN CONSULTATION WITH A PHYSICIAN OR OTHER HEALTH CARE PROVIDER, AND ONLY AS SCREENING INFORMATION. BY ITSELF, THE REPORT CAN NOT PROVIDE A DEFINITE DIAGNOSIS. Your Knee Pain Report should not be used for self-diagnosis, as a substitute for consulting your physician or other healthcare provider, or for selecting treatment.

The questionnaire (3 pages) is based largely on information from the U.S. Government's National Institutes of Health (NIH). The UCLA NIH Center for Computational Biology previously collaborated on this study. We have 612,140 people with knee pain enrolled as of September 9, 2012 and are currently enrolling almost 30,000 new people each month. Our diagnostic estimates closely follow the diagnoses of the American physicians in the study.

We have many similar questionnaires for people with pain to use at no cost (see http://masterdocs.com/pain.htm): different types of pain (Lower Back Pain/Sciatica, Headache, Shoulder Pain, Hip Pain, Peripheral Neuropathy Pain, Hand/Wrist/Carpal Tunnel Pain, Jaw Pain/TMJ, Chest Pain, Toothache Pain, Your Pain Type, Chronic Pain Survey) other symptoms (Dizziness, Edema, Sleeping problems, Feeling ill, Fever) or other diseases (Benign Prostatic Hyperplasia (BPH), Depression, Flu (Influenza), Visual Field Defects). See http://masterdocs.com/masterdocsinfo.htm if you are a physician and wish to become a MasterDocs Member.

PAIN LOCATION(S) - LEFT KNEE: (Select all locations where you feel your left knee pain, or where the same pain seems to spread)
On or underneath the knee cap Above & to outside of knee cap Thigh
Just above knee cap Above & to inside of knee cap Shin
Just below knee cap Below & to outside of knee cap Calf
To outside of knee cap Below and to inside of knee cap Elsewhere
To inside of knee cap Back of knee  
PAIN LOCATION(S) - RIGHT KNEE: (Select all locations where you feel your right knee pain, or where the same pain seems to spread)
On or underneath the knee cap Above & to outside of knee cap Thigh
Just above knee cap Above & to inside of knee cap Shin
Just below knee cap Below & to outside of knee cap Calf
To outside of knee cap Below and to inside of knee cap Elsewhere
To inside of knee cap Back of knee  
QUALITY OF PAIN: (Select all items that describe the quality of your knee pain)
Sharp Hot/Burning Stretched
Dull Tingling Horrendous
Aching Pins & needles Itchy
Deep Like an electric shock Pricking
Throbbing Tight or constricting Overly sensitive to normal touch
Numb Crushing Overly sensitive to cold
SEVERITY OF PAIN: (Select the item that best describes the usual severity of an individual episode of knee pain)
Mild Discomfort Severe  
Moderate Agonizing and Debilitating  
FREQUENCY OF PAIN: (Select the item that best describes the frequency of episodes of your knee pain in the last year)
No episodes 4-10 episodes Pain present most/all of the time
1-3 episodes Pain present about half the time  
TIME SINCE KNEE PAIN BEGAN: (Select the item that best describes the time since you first noticed knee pain)
Less than 1 day 3-6 months More than 5 years
1-30 days 6-12 months
1-3 months 1-5 years
SYMPTOMS ASSOCIATED WITH PAIN: (Select all items that tend to occur at the same time as the knee pain)
Swelling of knee Knee buckles forward when you stand on it Difficulty lifting the leg
Knee locks when bent or straightened Knee buckles sideways when you stand on it Feel a Snap when knee is bent and then straightened
Knee clicks when bent or straightened Difficulty bending knee Ache or burning on outside of knee during activity
Knee feels weak Difficulty straightening knee Knee cap moves excessively from side to side
TIME PATTERN OF PAIN: (Select the item that best describes the pattern of your knee pain).
Has a Predictable Pattern (e.g., usually occurs when you move a certain way) Occurs inconsistently with certain activities Occurrence appears unrelated to particular activities
SPEED OF ONSET: (Select the item that best describes the onset of your knee pain)
Sudden Onset with pain worst at start Gradual Onset over a minute or a few minutes with pain gradually getting worse Onset very slow so that it is not clear when it began
THINGS THAT PRECIPITATE THE PAIN: (Select all items that can bring on your knee pain)
Physical activity (e.g., hurried walking) Straightening knee without bearing weight Rotating (twisting) knee while bearing weight
Inactivity (e.g., worst in morning on waking) Straightening knee while bearing weight Twisting knee with feet planted
On your knees on the floor Walking down stairs or hills Pressing on pain area
Bending knee Rotating (twisting) knee without bearing weight  
THINGS THAT RELIEVE THE PAIN: (Select all items that result in the knee pain improving or disappearing)
Avoiding knee joint movement such as stopping walking (immediate relief) Rubbing the painful area
Icing knee Heating knee
Over-the-counter painkillers Prescription painkillers
Pain-relieving cream Calming down emotionally
Regular exercise such as walking (long term relief) Losing weight
INJURY TO KNEE: (Select all items that describe injuries you may have had to your knee)
No injury Injury from blow to outside of knee Injury from chronic overuse - cycling
Acute injury that was immediately followed by pain for the first time Other injury from blow (e.g., auto accident) Injury from chronic overuse - jumping (e.g., basketball)
No acute injury but injury in the past Injury trying to break a fall Injury from chronic overuse - dancing
Injury rotating knee while bearing weight Popping sound on injury  
Injury twisting knee with feet planted Injury from chronic overuse - running/jogging  
INTERFERENCE WITH QUALITY OF LIFE: (Select the item that best describes the impact of your knee pain on your quality of life)
None Reduces quality a moderate amount Devastating
Reduces quality a slight amount Reduces quality a large amount  
PREVIOUS DIAGNOSES: (Have you ever been told by a health care provider that you have any of the following diagnoses? Select all that apply.)
Arthritis Posterior cruciate ligament injury Anserine bursitis
Osteoarthritis Medial collateral ligament injury Dislocation of knee
Rheumatoid arthritis Lateral collateral ligament injury Bakers cyst
Femoropatellar syndrome Tendinitis of knee Osteochondritis dissecans
Chondromalacia (also called runner’s knee, anterior knee pain, patellofemoral syndrome, etc.) Iliotibial band syndrome Osgood-Schlatter disease
Medial meniscus injury Tendon tear Plica syndrome
Lateral meniscus injury Prepatellar bursitis (housemaids knee) Other knee disorder or disease
Anterior cruciate ligament injury Infrapatellar bursitis  
FAMILY HISTORY: Have any of your close relatives had arthritis of the knee or chronic knee pain?
No Yes  
WEIGHT: (pounds)
GENDER:
Male Female  
AGE: (years)