*毎週月曜日に更新しています！

本日のフレーズはこちら↓

＜episode 13＞

#1 What movement bothers you the most?

#2 What kind of movements cause you the most pain?

#3 Is there any specific movement that bothers you?

#4 Are there any particular movements in daily life that you feel pain?

#5 Can you tell me what kind of movements makes it worse?

#6 Is there any particular body position that makes your pain better?

＜episode 14＞

#1 On a scale of 1-10, how bad is your pain, with 10 being the worst pain you have ever experienced?

#2 On a scale of 0-10, with 0 being no pain and 10 being the worst pain imaginable, how would you rate your pain?

#3 Would you say your pain is mild, moderate, or severe?
#4 Can you show me on this line how much pain you are experiencing right now? the left end of the line is no pain, and the right end of the line is the worst pain you can imagine.

＜episode 15＞

#1 Is the pain constant, or on and off?

#2 Does your pain stay constant or does it come and go?

#3 is the pain persistent or is it more intermittent?

#4 Does the pain stay the same or does it vary in intensity over time?

＜sample conversation＞

A: So you mentioned that you have low back pain. Can you tell me what kind of movements makes your pain worse?

B: Anything that involves bending down. Like when I wash my face in the morning. Also, coming back up from bent position gives me sharp pain.

A: I see. Is there a particular body position that makes your pain better?

B: Lying down on my side is the only position that doesn't hurt.

A: Alright. Does your pain stay constant or does it come and go? In other words, does it subside once your body warms up, or does nothing really help?

B: Well, I guess it's a bit of both. The pain is always there but the intensity changes. I feel somewhat better when I keep my body moving and get warmed up.

A: Okay. Super helpful to know. Thanks. On a scale of one to ten, how bad is your pain with ten being the worst pain imaginable? Give me two separate numbers: one for the worst pain you experience during the day, and another for when the pain is somewhat better.

B: I'd say around seven for the worst pain, and maybe a four when my body is warmed up.

＜日本語訳＞

A: 腰が痛いと言っていましたね。どのような動きで痛みが悪化するか教えてもらえますか？

B: 前にかがむ動作は全てですね。例えば朝、顔を洗う時とか。それと、曲げた状態から体を起こす時も鋭い痛みがあります。

A: なるほど。痛みが和らぐ特定の姿勢はありますか？

B: 横向きに寝るのが痛くない唯一の姿勢ですね。

A: わかりました。痛みは一定ですか？それとも断続的ですか？言い換えると、身体が温まったら痛みが引くとか、何をしても痛みが変わらないとかありますか？

B: うーん、半々って感じですね。痛みは常にあるんですが、痛みの強度が変わります。体を動かし続けたり、温まるとある程度楽になりますね。

A: なるほど。とても参考になります。ありがとう。10段階の中で、あなたの痛みはどれぐらいですか？10があなたが想像し得る最悪の痛みだとします。1日の中で一番痛い時と、ある程度楽になっている時の2つの状態それぞれの数字を教えてください。

B: 一番痛い時は7ぐらいで、身体が温まっている時は4かなと思います。

受傷機転の聞き取りは問診の中でも一番大事な部分なので、問診で使えるフレーズを覚えたら、ぜひ次は聞き取りの練習をしてみてください！

海に行かれる方は日焼け止めをしっかり塗って安全に楽しんでくださいね！