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Hip Score

  • 1. How would you describe the pain you usually have in your hip?

  • * Please Answer for this Question
  • 2. Have you been troubled by pain from your hip in bed at night?

  • * Please Answer for this Question
  • 3. Have you had any sudden, severe pain (shooting, stabbing, or spasms) from your affected hip?

  • * Please Answer for this Question
  • 4. Have you been limping when walking because of your hip?

  • * Please Answer for this Question
  • 5. For how long have you been able to walk before the pain in your hip becomes severe (with or without a walking aid)?

  • * Please Answer for this Question
  • 6. Have you been able to climb a flight of stairs?

  • * Please Answer for this Question
  • 7. Have you been able to put on a pair of socks, stockings or tights?

  • * Please Answer for this Question
  • 8. After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your hip?

  • * Please Answer for this Question
  • 9. Have you had any trouble getting in and out of a car or using public transportation because of your hip?

  • * Please Answer for this Question
  • 10. Have you had any trouble with washing and drying yourself (all over) because of your hip?

  • * Please Answer for this Question
  • 11. Could you do the household shopping on your own?

  • * Please Answer for this Question
  • 12. How much has pain from your hip interfered with your usual work, including housework?

  • * Please Answer for this Question
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Shellharbour Public Hospital
15-17 Madigan Blvd
Mount Warrigal NSW 2528
Escarpment Orthopaedics & Sports
54 Princes Highway
West Wollongong NSW 2500
Wollongong Private Hospital
360/364 Crown St
Wollongong NSW 2500
Wollongong Public Hospital
252 Loftus St
Locked Bag 8808
South Coast Mail Centre