This website uses cookies to give you the best experience. By continuing to use this website you are consenting to cookies being used. You can delete and block cookies from within your browsers settings. For more information please refer to our privacy and cookie policy page.

Continue

SOCRATES - pain checklist

SOCRATES: Site, Onset, Character, Radiation, Associated features, Timing/duration, Exacerbating/Alleviating factors (e.g. response to NSAIDs), Severity 

Remember:

  • Unilateral, focal, persistent pain is concerning.
  • Referred pain from the hip may present as thigh or knee pain e.g. transient synovitis. 
  • Flitting pain from one joint to another with or without joint swelling can be indicative of acute rheumatic fever. 
  • Persistent night waking with other concerning features (limp, unilateral pain) – think of red-flag conditions. Leg pain at night can also be due to growing pains but caution is needed.
  • Mechanical or inflammatory pain – mechanical (worse with activity, end of the day) or inflammatory pain (associated with stiffness or gelling, worse in morning, may improve with activity).

Site Statistics

To date (end of September 2021) PMM has >928,504 hits and >385,071 users from 221 countries!

Why register?

Some parts of PMM which involve pictures or videos of children, can only be viewed by registered users. Registering also allows you to bookmark favourite pages and track your viewing.

find out more

Short online courses

from Newcastle University, UK

e-resources from PMM

pmm for you

Please help us ensure pmm is as useful to you as possible by completing this short survey

complete survey