1. (C/C = Problem X Duration)
2. Location – foot, dorsal aspect, right, left, medial, lateral,
3. Quality – sharp, dull, hot, burning, numbness, blurry, dark,
4. Severity – mild, moderate, severe
5. Timing – constant, intermittent, episodes? How long are episodes?
6. Remitting/exacerbating factors – what makes it worse? Eating, after eating,
walking, sitting?
7. Associated factors – occurs at work, only when eating fish, started when I started
new med
The old “PQRST”
 Provocation
 Quality
 Radiation
 Severity
 Timing

“C/C+PQRST”
Provocation: What brought it on, how long has it been present
Quality: Dull, sharp, throbbing
Radiates: Down leg, below knee
Severity: 9/10 or mild, moderate, severe
Timing: Constant, intermittent, episodic
C/C + Duration
LOCATION
QUALITY
36-year-old male with complaint of low back pain x 1 week. Lumbar pain that is dull and
radiates down the left leg below the knee. Pain is moderate to mildly severe and comes
and goes but is never completely resolved. Aggravated with inactivity patient reports
feeling slightly better when he gets up and walks a little bit. Associated with lifting and
twisting a box 1 week ago.
RADIATES
TIMIN
G
SEVERITY
PROVACATIO
N
ASSOCIATED
W/