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SPINE CARE
7500 Beechnut, Suite 150
Houston, Texas 77074

Map & Directions

PHONES:

713-773-CARE (2273)
Toll Free 1-877-503-2273
FAX# 713-773-0392

TIMINGS:

Mon 8:30AM - 5:00PM
Tue 8:30AM - 5:00PM
Wed 8:30AM - 5:00PM
Thu 8:30AM - 5:00PM
Fri 8:30AM - 2:00PM

Back Pain Risk Scale

Questions Assigned Points
1) How old are you?
Under 30 - add 0
30 to 39 - add 1
40 to 65 - add 2
Over 65 - add 3		 ____
2) Do you smoke?
Yes - add 2
No - add 1		 ____
3) Are you overweight?
No - add 0
If yes and 0-5 lbs overweight - add 1
6-10 lbs overweight - add 2
11-15 lbs overweight - add 3
16-20 lbs overweight - add 4
More than 20 lbs - add 5		 ____
4) How often do you exercise?
0 times per week - add 3
1 time per week - add 2
2 times per week - add 1
3 times per week - add 0
4-7 times per week - deduct 1		 ____
5) How often do you lift heavy objects?
0 times per month - add 0
1-2 times per month - add 1
3-4 times per month - add 2
5-6 times per month - add 3
7-8 times per month - add 4
More than 8 times per month - add 5		 ____
6) Have you already experienced back pain?
Yes - add 3
No - add 0		 ____
TOTAL SCORE: ____
Scoring Scale:
0 Congratulations! You are doing what you can to prevent spine pain.
1-4 Low risk. You are doing many things right to prevent spine pain.
5-8 Potential risk. You should change some habits.
9-12 Moderate risk. See a doctor to learn more about prevention.
13-16 Significant risk. You need to change habits now to prevent spine pain.
17-20 Serious risk! Spine pain is likely.
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