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Overton Park Surgery NHS GP Surgery in Cheltenham

Oxford knee score

Oxford Knee Score

Required fields are labelled

During the past 4 weeks…

How would you describe the pain you usually have in your knee? Required

None

Very mild

Mild

Moderate

Severe

Have you had any trouble washing and drying yourself (all over) because of your knee? Required

No trouble at all

Very little trouble

Moderate trouble

Extreme difficulty

Impossible to do

Have you had any trouble getting in and out of the car or using public transport because of your knee? (With or without a stick) Required

No trouble at all

Very little trouble

Moderate trouble

Extreme difficulty

Impossible to do

For how long are you able to walk before the pain in your knee becomes severe? (With or without a stick) Required

No pain for 30 minutes or more

16 – 30 minutes

5 – 15 minutes

Around the house only

Not at all – severe on walking

After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your knee? Required

Not at all painful

Slightly painful

Moderately painful

Very painful

Unbearable

Have you been limping when walking, because of your knee? Required

Rarely/Never

Sometimes or just at first

Often, not just at first

Most of the time

All of the time

Could you kneel down and get up again afterwards? Required

Yes, easily

With little difficulty

With moderate difficulty

With extreme difficulty

No, impossible

Are you troubled by pain in your knee at night in bed? Required

Not at all

Only one or two nights

Some nights

Most nights

Every night

How much has pain from your knee interfered with your usual work? (including housework) Required

Not at all

A little bit

Moderately

Greatly

Totally

Have you felt that your knee might suddenly give way or let you down? Required

Rarely/Never

Sometimes or just at first

Often, not at first

Most of the time

All the time

Could you do household shopping on your own? Required

Yes, easily

With little difficulty

With moderate difficulty

With extreme difficulty

No, impossible

Could you walk down a flight of stairs? Required

Yes, easily

With little difficulty

With moderate difficulty

With extreme difficulty

No, impossible

If you are human, leave this field blank.

Forms not in use

We are currently not using this form. If you have a specific clinical request please call the surgery on 01242 580511. Thank you.

Overton Park Road
Cheltenham
GL50 3BP

Get directions

01242 580511

About the surgery

Register with the surgery

Sick (fit) notes

Feedback and complaints

Dr S Nelson & Partners

CQC overall rating

Good

7 October 2020

See the report

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