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. 2010 Nov 30;35(12):1869–1874. doi: 10.1007/s00264-010-1162-x

Table 2.

 Pain and tenderness grading scale

Grade Criteria
Pain
Grade 1 No pain/minimal pain (patient has pain but can continue daily activities normally).
Grade 2 Moderate pain (patient can carry out daily activities but with difficulty)
Grade 3 Moderately severe pain (patient has to modify activities due to pain)
Grade 4 Severe pain (patient cannot perform day to day activities)
Tenderness
Grade 1 No/minimal tenderness (patient complains of pain but does not wince on palpation)
Grade 2 Patient complains of pain and winces on palpation.
Grade 3 Patient winces and withdraws the affected limb on palpation.
Grade 4 Patient does not allow examination.