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Ratings for flare ups

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I would say you need to tell them about it.  As for the ROM test you tell them as soon as you feel pain.  Do not try to suck it up.  This is your chance to show them the pain.  

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Most Veterans advocates suggest, when your doc asks, "How are you?" to tell the doc "how you are" on your worst day, not your best day.  

Example:  Doctor: "How are you?"

Veteran:  Better today.  Last Monday, I had a flare up, and my pain level went to an "8", so bad I nearly went to the hospital.  My range of motion of my leg was so bad, I could barely walk, and had to be helped to the car by my wife.  I also could not drive, as I could not push the clutch with my ailing knee.  

    In short, when you report symptoms, report those on your worst day, not, for example, today, where you can walk without a problem because today is "your good day".  Most all of us have good days and bad days.  

    Never lie or exaggerate your symptoms, but do tell your "worst day 


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