A table with this legend at top: Mankoski Pain Scale A Numeric Pain Intensity Scale 0: No Pain. No medication needed. 1: Very minor annoyance - occasional minor twinges. No medication needed. 2: Minor annoyance - occasional strong twinges. No medication needed. 3: Annoying enough to be distracting. Mild painkillers are effective. (Aspirin, Ibuprofen, Tylenol) 4: Can be ignored if you are really involved in your work, but still distracting. Mild painkillers relieve pain for 3-4 hours. 5: Can't be ignored for more than 30 minutes. Mild painkillers reduce pain for 3-4 hours. 6: Can't be ignored for any length of time, but you can still go to work and participate in social activities. Stronger painkillers (Codeine, Vicodin) reduce pain for 3-4 hours. 7: Makes it difficult to concentrate, interferes with sleep. You can still function with effort. Stronger painkillers are only partially effective. Strongest painkillers relieve pain (Oxycontin, Morphine). 8: Physical activity severely limited. You can read and converse with effort. Nausea and dizziness set in as factors of pain. Stronger painkillers are minimally effective. Strongest painkillers reduce pain for 3-4 hours. 9: Unable to speak. Crying out or moaning uncontrollably near delirium. Strongest painkillers are only partially effective. 10: Unconscious. Pain makes you pass out. Strongest painkillers are only partially effective. Developed by Andrea Mankoski in 1995