Grading Breast Pain and Tenderness | Medicalalgorithms.com

Mansel et al listed clinical criteria for evaluating breast pain and tenderness. The authors are from multiple universities and hospitals in Europe.

Parameters:

(1) restriction on usual activities associated with breast pain

(2) response of pain to mild analgesics or diuretics

(3) breast tenderness

(4) response of tenderness to mild analgesics or diuretics

Restriction on Usual Activities	Pain Relief from Mild Analgesics or Diuretics	Pain
none	not needed or completely relieved	mild
can be pursued but pain may be made worse	partial relief	moderate
restricted	persistent pain that is not relieved	severe

Breast Tenderness	Relief from Tenderness with Analgesics or Diuretics	Tenderness
annoying but tolerable	not needed or completely relieved	mild
bothersome, may be made worse by tight clothing	partial relief	moderate
marked tenderness, often apprehensive of being examined	not relieved	severe

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