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How many levels of pain are there and what is the highest level like?

How many levels of pain are there and what is the highest level like?

Pain is one of the more common bodily reactions in our daily lives, such as mosquito bites, headaches, stomach aches, wound pains and female labor pains, to name a few. We can't compare this kind of pain, so we have graded the pain with numbers, as well as making divisions with facial expressions.

In medicine, a systematic grading of the human pain index has been made, with the highest level of pain being grade 12 pain, which is the pain experienced by the mother during labor. (The following content is integrated from medical information)

Grade 1 pain:Mosquito bites (undetectable)

Grade 2 pain:Surgery after anesthesia (just noticed)

Grade 3 pain:Cut (faint pain)

Grade 4 pain:Slapped (weak pain)

Grade 5 pain:Inadvertent slamming on door (mild pain)

Grade 6 pain:Dietary or other causes of gastroenteritis, stomach pain (moderate pain)

Grade 7 pain:Pain from clubs, leaving black and purple marks on skin (strong pain)

Grade 8 pain:Extensive bleeding of the skin caused by external causes, dysmenorrhea (severe pain)

Grade 9 pain:The Ten Great Tortures of the Manchu Qing Dynasty, Modern Neck, Shoulder, Back and Leg Pain (Very Intense Pain)

Level 10 pain:e.g. war interrupted limbs, disability (severe pain)

Grade 11 pain:Visceral pain, appendicitis (extremely severe)

Grade 12 pain:Female labor pains (unbearable)

Many shopping malls are equipped with "labor pain experience camp", many men in order to better understand the true feelings of his wife's labor and delivery are eager to try, from the pain to the delivery, very few male friends can experience the last moment, this pain is really unbearable, so that the mother is great.

With the advancement of medical technology, many hospitals have introduced painless labor, and it is recommended that mothers who are in a position to do so should choose painless labor if they can have a normal delivery to ease the pain of childbirth.

This question is answered by Dr. Clove.

It's kinda hard to describe the level of pain in words. That's why some people thought it would be possible to grade the pain, and the following two methods were created, using numbers and facial expressions to reflect it. The most painful situation is 10 points, and no pain at all is 0 points.

Pain Digital Analog Meter ↓↓↓

Visual analog scoring method ↓↓↓

So how much does the highest level of pain, 'grade 10 pain', really hurt?

This is really hard to answer ...... Because pain is not only a physiological response, but also related to subjective perception. If Zhang San feels this pain, Li Si may not. That's why there's the historic dilemma of which hurts more, giving birth or kicking your balls.

However, according to available population surveys, in what we commonly refer to as painThe 'labor pains' of giving birth are generally the most painful and can average an 8 out of 10.

Think about it, giving birth can hurt for 10 hours, but getting kicked in the balls for 10 hours straight is ......

What's the reference for those who have never had children and those who will never have children? Pain from broken bones can average a 7 out of 10, and shingles and toothaches can average a 6 out of 10.

Still the same old saying, it pays to experience more in life ......

Like a knife cut finger this pain is originated from the damage of their own tissues, stimulate the receptor after the conduction to the nerve cells, and then through the way of electrical signals to the spinal cord, and then to the brain stem and optic thalamus and finally to the cerebral cortex to produce nociception, each person's ability to withstand the pain is different, there are several different criteria for the current pain grading, let's take a look at it.

The World Health Organization gives the following pain classification:

O Degree: No feeling, no pain

Degree I: Slight pain, bursts of regular intermittent pain, no medication required

II: Moderate pain, prolonged pain, intolerable

Degree III: Severe pain, unbearable, have to take painkillers to get through it.

Degree IV: Very severe pain, intense pain, significant changes in heart rate and blood pressure

A knife cut on the finger belongs to the first degree, the pain after the hospital stitches belongs to the second degree, the pain when the finger is cut off or in labor belongs to the third degree, and the fourth degree is equivalent to the pain in a traffic accident, and the pain in the state of life-threatening already.Also, the idea that labor is the highest level of pain is a folkloric fabrication that is not medically accepted.

In addition to the Worldbirth Organization's pain scale, there is another pain scale of 0-10

Level 0 is the absence of pain, a mosquito bite is level 0; the pain of labor and delivery is generally between 7 and 8; playing basketball when the hand is injured and swollen belongs to the level 4 pain; finger burns produce pain belongs to the level 5; the pain of fractured bones is generally at the level of 7; the pain of the level 10 pain is equivalent to the pain of the pain of the advanced cancer; people often say that the level 11 pain of labor and delivery plus a mosquito bite of course, is a joke.

Pain is divided into five levels. Level 1, no pain is felt at rest and slight pain is felt during activity (this pain is like thatch sticking, very mild and generally tolerated), this pain is generally seen in subcutaneous cysts, lipomas, skin boils, etc.; Level 2, no pain is felt at rest and severe pain is felt during activity (this pain is like a knife cut and generally not tolerated), this pain is generally seen in Rheumatoid arthritis, rheumatoid arthritis, carpal tunnel syndrome, fascial gap syndrome, etc.; Level 3, slight pain is felt at rest (which is tolerated by the general public), and severe pain is felt at activity, which is seen in pleurisy, myocarditis, post-fracture surgery, osteoarthritis (e.g., elbow osteoarthritis, knee osteoarthritis, periarthritis, tenosynovitis), etc.; Level 4, either at rest or at activity, severe pain is felt (which is not tolerated by the general public). Severe pain (generally intolerable) This kind of pain is usually seen in myocardial infarction, angina pectoris, acute coronary syndrome, pulmonary infarction, severe fractures, etc.

The fifth level is the highest level of pain, manifested by the pain of the person shouting or even wanting to commit suicide, this kind of pain is usually seen in the late stage of malignant tumors, or the body organs of the broken, as well as stone-like diseases such as gallstones, ureteral stones, kidney stones, bladder stones, brain cancer compression of the nerves, serious traumatic injuries and so on!

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Pain is felt by specific nerve fibers that conduct pain impulses to the brain, where the conscious mind responds to the pain stress. Pain can help the body diagnose problems and stay out of danger. Without pain you may hurt yourself unknowingly or fail to realize a health problem.

Type of pain

  • psychogenic pain

Also known as psychogenic pain, it is physical pain that is caused or increased by mental and emotional factors. Headaches, backaches or stomachaches are the most common types of psychogenic pain.

  • phantom pain

Loss of or inability to feel a limb or organ of the bodysignalThe Pain Sensation. A common experience among amputees and quadriplegics, phantom limb pain is a neuropathic pain.

  • acute pain

Pain that comes on quickly and may be severe but lasts for a relatively short period of time, acute pain is a warning of illness or a threat to the body.

  • chronic pain

Pain that lasts longer than natural healing and is associated with a specific type of injury or disease process. Chronic pain makes concentration impossible. The hardest thing about chronic pain is that only you know how muchsoreness, there are no outward signs to confirm the level of pain.

pain measure

Pain metrics are used to evaluate the intensity of a person's pain and are based on self-report,gestionObservational or physiologic data. Pain measures are different for newborns, infants, children, adolescents, adults, and the elderly. The general conditions are as follows:

  • First three levels: mild pain that does not interfere with daily activities, able to adapt to pain with medication or equipment.

  • Grade 4-6: Moderate pain that interferes with daily activities. These pains usually result in some lifestyle changes, but can remain independent and unable to adapt to the pain.
  • Grades 7-10: Severe pain and inability to perform normal activities. The patient is considered incapacitated and unable to live and work independently. Of which

Level 8: Pain so intense that you can no longer think clearly, if the suffering continues for a long period of time, it often leads to drastic personality changes and even the consideration orattemptsSuicide. Such as childbirth or severe migraines.

Level 9: Unbearable and must take pain medication or surgery regardless of side effects or risksIf that doesn't work, there will be frequent lightening of life because there is no more joy in life, as in the case of laryngeal cancer.

Level 10: pain so severe that you quickly lose consciousness, most people will never experience this level of pain in their lives.. This is usually caused by experiencing a serious accident, such as a crushed and crushed limb, and can lead to unconsciousness due to pain.

There are a total of 10 levels of pain.

First, take the example of pain in life.

Around 1-3 levels, when the tip of the needle pierces the back of the hand, clapping vigorously

Around 3-4, scalp pulls, awls in thighs.

Grade 4-7, cut by knife, soft tissue contusion or sprain, etc.

When a woman is in labor, the pre-labor pains are graded 2-3, and when the contractions are the strongest, the pain reaches 7-8;

Around 8-9 levels, one degree of burns, more severe lumbar disc herniation, severe vascular headaches, migraines, etc. 10 highest levels, trigeminal neuralgia, neuralgia triggered by shingles, and cancerous pain triggered by compression of nerves by advanced tumors.

So how is pain graded?

There are many different ways of grading ways of grading in the medical community regarding pain grading.

If the pain level is graded on a scale of 0-10, 0 is no pain, 10 is the highest level of severe pain, 0-3 is mild pain, 4 is the cut-off point, up to 4 will affect sleep; 4 to 6 is moderate pain, up to 7 will seriously affect the sleep so that the person can not sleep; 7 or more than the severe pain.

How is pain produced? The pain that a person feels is produced by pain receptors on nerve endings. When the receptors on the nerve endings are stimulated, they transmit signals through the spinal cord to the brain and the person feels pain.

About the pain classification jianghu legend is divided into 12 levels, the first level such as mosquito bites, the twelfth level as the mother's feeling of childbirth. There will be divided into 18 levels, that are just jianghu legend, when not true. In our medicine, the way of pain assessment for the main two categories: subjective assessment method and objective assessment method. The patient's complaints are the standard method of assessing pain. Subjective assessment applies to chronic pain as well as acute pain, while objective assessment applies only to acute pain. Currently, many hospitals use multiple assessment methods to synthesize the assessment.

I. Subjective assessment method

Numerical Rating System (NRS). This method is more commonly used internationally. The NRS uses numbers from 0 to 10 to represent different levels of pain. Using the numbers 0-10 to represent different levels of pain, with 0 being no pain and 10 being the most severe pain, the patient is asked to circle the number that best represents his or her level of pain. 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain.

II. Objective assessment method - Functional Activity Scoring (FAS). assesses

Estimate the effect of pain on functional activities when breathing deeply, coughing, turning over, getting out of bed, or performing physical therapy.A - Unlimited: functional activities are not limited by pain.B - Mild to moderate: functional activities are limited by pain but can be accomplished.C - Severe: functional activities are severely limited by pain and cannot be accomplished.C - Severe: functional activities are severely limited by pain and cannot be accomplished.C - Severe: functional activities are severely limited by pain and cannot be accomplished.C - Severe: functional activities are severely limited by pain and cannot be accomplished. Turning over: easily - A; turning over is delayed due to pain, but can still be done - B; patient is unable to turn over due to severe pain - C. Coughing: coughing easily - A; coughing is not done smoothly due to pain, but can still be done - B;

Coughing is impossible because of the pain - C.

Ten levels, the highest level will faint from the pain




Grade 1:Slight pain. Such as mosquito bites, and when a nurse sticks a needle in an infusion.

Grade 2:Slight pain. As in patients with chronic hepatitis, vague pain in the liver area, as well as friendly scolding between lovers.

Grade 3:Microbursts of pain. Such as the pain of a spinal anesthetic injection, or the pain of having an inotropic injection.

Grade 4:Significant pain. Such as being slapped in the face, or being scalded by hot water triggering a one degree burn. Sleep is affected above this level.

Grade 5:Constant pain. Such as gastroenteritis from a bad meal, or a head-on collision with a doorframe, patients with this grade may moan in a small voice.

Grade 6: Very painful. If a person has been beaten with a baseball bat, resulting in severe bruising, or if a person has fallen two meters and broken a bone, the person at this level may cry out.

Grade 7:Very painful. As in the case of a relatively smooth labor and delivery, neck, shoulder, back and leg pain, and second-degree burns or extensive bleeding trauma. Patients at this level will be unable to sleep.

Level 8:Severe pain. This can lead to disability, such as the Ten Great Tortures of the Qing Dynasty, or the severing of a finger. At this level, the patient's heart rate and blood pressure will increase dramatically and the patient will be placed in a passive position.

Grade 9:Popping pain. Such as trigeminal neuralgia, or appendicitis pain, cancer pain. Can lead to transient fainting.

Grade 10: Severe pain. If a surgical procedure such as a cesarean section is performed without anesthesia. Can lead to shock.

The World Health Organization and the International Association for the Study of Pain define pain as an unpleasant sensory and emotional experience caused by tissue damage or potential tissue damage. The definition points out the complexity of pain biological, psychological and social factors, each of which is more or less related to all pain, all pain is not only the product of tissue damage, the degree of damage and the intensity of pain does not exist in a completely equal relationship, pain is the subjective feeling of the patient, and when the patient says "I hurt", the concept of pain is created. When the patient says "I am in pain", the concept of pain is created.

Pain is a subjective feeling of the patient, so there is no objective medical instrument available for the assessment of pain intensity, which is mainly based on the patient's complaints.

The simplest and most commonly used grading method is the NRS numerical grading method, or subjective grading method, in which the patient is asked about the severity of the pain and asked to circle a number that best represents his or her pain level. Pain intensity is expressed on a numerical scale of 0-10, and the more common international grading scale for pain is 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain.


General patient pain clinical symptoms, for mild pain (0-3 points): there is pain but tolerable, life is normal, sleep is not disturbed. Moderate pain (4-6 points): pain is obvious, intolerable, require analgesic drugs, sleep is disturbed. Severe pain (7-10 points): pain is severe, intolerable, analgesic drugs are required, sleep is seriously disturbed may be accompanied by autonomic disorders or passive position.

Patients with severe pain, which is so severe that they are unable to engage in normal work and life, often require pain management with strong opioids, such as morphine, oxycodone, and fentanyl.

I hope the above answer can help you.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

I have experienced the most pain is the diameter of a centimeter of kidney stones blocked inside the kidney tube, how to describe the pain? Just like the internal organs into a water-absorbing towel, and then there are two hands constantly wringing the towel feeling, the pain to stand, lie down, squatting, lying down, any position can not adhere to the ten seconds, the first shot to stop the spasm of the drug, completely ineffective, and then played a Dulcolax to barely move, and since then developed the habit of drinking water on time, the unforgettable pain!

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