Pain Diary For CRPS or Chronic Pain Template
The Burning Nights CRPS Support Pain Diary for CRPS or chronic pain template is available for you to download, print or use on your computer.
Pain Diary template For CRPS or Chronic Pain
It has been produced as a PDF document, so please click -> Burning Nights CRPS Support Pain Diary to take you straight to the template. Please feel free to download and print it out or even forward it to a friend. You can always download the Pain Diary and fill it in on your computer if you prefer. If you already have ADOBE Reader then it should be editable to you, however if you don’t have Adobe Reader then click on this -> LINK to download it free.
Pain Diary for CRPS – Burning Nights CRPS Support
If you keep a Pain Diary for chronic pain or CRPS it serves a number of purposes. One of the most important purposes is to help you accept your chronic pain or Complex Regional Pain Syndrome / Reflex Sympathetic Dystrophy. ‘Acceptance’is a huge part of your coping strategiesfor having a chronic condition like CRPS. It can take weeks, months or even years to actually learn to accept you have chronic pain and it is a part of you. (Cho, S. et al. 2012) When you are taking a lot of pain medication and you are in constant pain it can become hard for your to think clearly or see any pattern that is emerging etc.
Burning Pain
By using the Burning Nights CRPS Support Chronic Pain Diary template you can keep a good track of your pain by documenting certain areas of your chronic persistent pain such as:
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Where in your body was the pain, where did the pain start or where was the worst pain
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Intensity of the pain
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Description of the pain – was it sharp, pricking, burning, tingling
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What were you doing at the time
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How do you actually feel – are you upset, tired, depressed, stressed
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How long did the pain last before medication kicked into your system or before the pain started to ease
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Medication you took
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Other strategies you used to help calm the pain down – breathing, mindfulness, mirror therapy, distraction techniques
You will also find the Burning Nights CRPS Support version of the chronic pain pain scale, 3 small images of the body for you to draw a circle or line to point out where the pain problem is, as well as additional notes to help you to fill in the Pain Diary and finally there’s an open table for you to add any extra notes you may have.
Pain Scale | Pain Diary Template for CRPS
Using a Pain Diary for chronic pain or CRPS can be a very useful tool not only for you but also for your doctor to look at, so he/she can see any recurring pattern that may exist. When going to see the doctor, why not take your filled in and used Pain Diary with you and show them. The doctor then will be able to make an informed decision about medication changes, extra advice or support that you may need either physically, emotionally or psychologically and even evaluate any new problems that may be emerging.
There are numerous Pain Apps on the market at the moment and each have different things to offer. Some are free downloads and others you have to pay for. Have a look around first before committing to download one particular app. However in the meantime have a look at our paper version of a Pain Diary.
We do hope you use the Pain Diary Template and if you have any questions or any more suggestions then please do get in touch with us using any of the channels available – email, Social Media or contact us via the contact page.
Cited Research
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Cho, S., McCracken, L.M. et al. (2012) ‘Pain Acceptance-based coping in complex regional pain syndrome Type I: daily relations with pain intensity, activity, and mood,’ Journal of Behavioural Medicine. 2012. (Impact Factor: 3.1). 08/2012; 36(5). FULL TEXT Available from:<http://www.researchgate.net/profile/Lance_Mccracken/publication/230599188_Pain_acceptance-based_coping_in_complex_regional_pain_syndrome_Type_I_daily_relations_with_pain_intensity_activity_and_mood/links/0912f50f83a3f5cbd5000000.pdf > [24 March 2012 / Accepted 24 July 2012]
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Cruise, C.E. et al. (1996) ‘Reactive effects of diary self-assessment in chronic pain patients,’ Pain. 1996, October. Vol 67(2-3), pp 253-258. Available from: <http://www.ncbi.nlm.nih.gov/pubmed/8951918>PMID:8951918
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de Wit, R. et al. (1999) ‘Evaluation of the use of a pain diary in chronic cancer pain patients at home,’ Pain. 1999, January. Vol 79(1), pp 89-99. Available from: <http://www.ncbi.nlm.nih.gov/pubmed/9928781> doi: 10.1016/S0304-3959(98)00158-4
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Feldman, Scott I, et al. (1999) ‘Pain, negative mood, and perceived support in chronic pain patients: A daily diary study of people with reflex sympathetic dystrophy syndrome,’ Journal of Consulting and Clinical Psychology. 1999, October. Vol 67(5) pp 776-785. FULL TEXT Available from: <http://socialrelations.psych.columbia.edu/images/stories/docs/publications/(27)Reflex_Sympathetic_Dystrophy.pdf> doi: 10.1037/0022-006X.67.5.776
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Evaluation of a daily activity diary for chronic pain patients,’ Pain. 1984, August. Vol 19. Issue 4, pp 373-382. Available from: <http://www.sciencedirect.com/science/article/pii/0304395984900836> doi: 10.1016/0304-3959(84)90083-6
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Hager K, Brockopp D. (2009) ‘The use of a chronic pain diary in older people,’ British Journal of Nursing. 2009, April 23 – May 13. Vol 8(8) pp 490, 492-494. Available from: < http://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2009.18.8.41812?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed&> doi: http://dx.doi.org/10.12968/bjon.2009.18.8.41812
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Jamison, R.N. et al. (2001) ‘Electronic diaries for monitoring chronic pain: 1-year validation study,’ Pain. 2001, April. Vol 91, Issue 3. pp 277-285. Available from: <http://www.sciencedirect.com/science/article/pii/S0304395900004504>
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Pain Focus (2015) ‘How to keep a pain diary‘ Pain Focus website. Last Updated December 2015. Available from: <http://pain-focus.com/pcpost/keep-pain-diary/>
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Stinson, J.N. et al. (2008) ‘Working out the kinks: Testing the feasibility of an electronic pain diary for adolescents with arthritis,’ Pain Res Management. 2008, Sept-Oct. Vol 13(5) pp 375-382. FULL TEXT Available from: <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2799260/> PMCID: PMC2799260
Last Updated: 04/02/2019
App would be better vera
Hi Vera
Thank you for your comment. Unfortunately the cost of creating an app in the style we want is extremely expensive & therefore prohibitive. However it is something we would love to do.
Best Wishes
Victoria & team
I’m wondering if there is a way to develop an app for this. It would be amazingly convenient. Always on hand and easily shared with our physicians.
Just a thought.
Hi Kat,
We are looking at developing an app using our pain diary as a template. However the cost is quite high for creating an app but it is something that we are most certainly looking into.
Thanks for your comment though Kat!
Victoria