The Miller Pain Scale for Rheumatoid Arthritis
Copyright 2005 Dawn Miller
All rights reserved, right to copy with attribution freely granted.
0 Pain Free. No medication needed.
1 Very Minor annoyance, No medication needed.
occasional minor twinges.
2 Mild discomfort. Mild painkillers, nsaids, are effective.
3 Annoying, occasional Mild painkillers relief pain for 3-4
breakthrough pain. hours, medication a must.
4 Distracting pain, but able to Medication a must.
function at 100%.
5 Distracting pain, can’t be ignored, Medication a must and limits
must make adjustments and required on activities, work.
limits to activities and work.
6 Pain constant, can still function Stronger painkillers required,
but only with additional pain such as codeine, ultram, vicodin.
medications and limits. Ability Activities must be limited.
to function at approx. 75%.
7 Pain constant, making it difficult Stronger painkillers partially
to concentrate or sleep. Can effective. Activities must be
still function but requires constant limited more.
effort, personal care is slightly
8 Physical activity severely limited, Stronger painkillers are only
very difficult to concentrate, you are minimally effective. Limits to
functioning at or below 50% of activities and grooming a must,
normal for work, activities, personal and rest required.
care is moderately limited.
9 Constant moderate pain, unable to Strongest painkillers are minimally
work, or do any activities. Only able effective. Pain is a constant, rest
to address most basic required required, and you are basically
personal needs. limited to your house; couch and bed.
10 Pain unbearable, near or in delirium, Hospital intervention is required.
becoming unconscious is a possibility.