Self-Assessment: Hip & Knee Pain

The following questions will help determine if you can benefit from therapeutic intervention to address your hip, knee or joint pain.

How to Use This Self-Assessment

For each question, select the choice that applies to you.

Hip and Knee Pain Questions

1. Does your pain interfere with your quality of life?
2. Do you have hip or knee pain that restricts you from performing any recreational activities? (e.g.: hiking, sports, cycling)
3. Do you have hip or knee pain that restricts you from performing any daily household activities? (e.g.: laundry, vacuuming, cleaning)
4. Do you have hip or knee pain that limits you performing daily functional activities? (e.g.: dressing, bathing, toileting, in/out of car)
5. Do you have pain at night that significantly interferes with your sleeping?
6. Do you have significant pain or difficulty with stairs or hills?
7. Do you have difficulty walking or loss of balance?