Living Well with Back Pain

Pain Diary — Understanding Your Patterns

Keeping a simple pain diary can help you identify what makes your pain worse and what helps it improve.

How to Keep a Pain Diary

Record the following each day:

Item What to Note
Date Today's date
Pain level 0 (no pain) to 10 (worst imaginable pain)
Activities What you did — e.g., 30-minute walk, grocery shopping, gardening
Sleep quality Slept well / fair / poorly
Mood Good / neutral / low
Observations Anything you noticed — e.g., "pain was worse after sitting all afternoon," "felt better after talking with a friend"

Using Your Pain Diary

  • After 2–4 weeks, patterns often become visible
  • Bring it to your doctor's appointments — it helps guide treatment decisions
  • Many people discover that their pain isn't constant. Even when it feels like "every day is bad," a diary often reveals that some days are better than others