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The Pain Scale: A Numbers Game or a Reality Check?

Pain is subjective, and that’s an understatement. When we’re asked to rate our discomfort on a scale of 0-10, it can feel like we’re trying to reduce a complex, messy experience into a neat little number. And let’s be real – when you’re in the midst of a migraine or chronic pain, it’s hard to think straight, let alone assign a numerical value to your suffering.

As someone who deals with daily migraines and other health issues, I’ve had my fair share of frustrating experiences with the traditional 0-10 pain scale. It seems like no matter how I answer, the outcome is always uncertain. Will doctors take me seriously? Will they dismiss my concerns?

My friend Selena Marie Wilson, a poet and artist who’s living with chronic migraine, agrees. She finds the standard pain scale too simplistic, as it doesn’t account for the various factors that contribute to her pain. “I use a 1-20 scale,” she explains, highlighting the need for a more nuanced approach.

On the other end of the spectrum is my friend Julie, who’s dealing with a multitude of health issues, including migraines and POTS. She’s vocal about her dislike of the pain scale, which she feels is better suited for people with minor injuries rather than those living with chronic illnesses. “I hate the pain scale,” she says. “It should only be used for people with a sore back or broken arm, not for people like me who are struggling with multiple conditions.”

As someone who’s experienced both ends of the spectrum – from manageable pain to debilitating episodes – I’ve come to realize that my personal pain scale is highly situational. What feels like a 4 at home with medication becomes an 8 when I’m stuck in a car without meds.

So, what are your thoughts on the numerical pain scale? Have you ever felt frustrated or misunderstood by its limitations? Share your experiences and insights in the comments below!

Alice is a part-time baker and community volunteer who writes about cooking through migraine days and finding comfort in routine.

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