Department of Veterans Affairs Logo with US Flag

VA Cincinnati Medical Center
A member of The VA Health Care System of Ohio (VISN 10)

PAIN: The Fifth Vital Sign

When you come to the VA for an exam, your healthcare provider will check your five vital signs: blood pressure, pulse, temperature, respiration, and pain. You have the right to receive treatment for pain. Treatment means relieving, controlling, and managing your pain. You will be asked to rate your pain on a scale from 0 to 10:

 “0” = no pain
“10” = worst pain imaginable


You will also be asked the following questions about your pain:

  • Where is it?

  • When did it start?

  • How long has it lasted or does it last?

  • What makes it better or worse?

  • Which medications have you tried? Bring your list.

  • Have any treatments worked well? Yes or no: tell your story.

There are different ways to control or treat your pain. Some of these are:

  • Home remedies: heat, ice, elevation, rest.

  • Stretching and exercise: physical and occupational therapies.

  • Medication: the kind prescribed depends on the type and degree of pain.

  • Invasive therapies: surgery, blocks, and/or injections.

  • Non-invasive therapies: massage, acupuncture, biofeedback, or TENS (transcutaneous electrical nerve stimulation - a device that uses electricity to block pain signals going to the brain).

Here are some safety tips to keep in mind when being treated for pain:

  • Give an accurate report of your health history (high blood pressure, heart problems, ulcers, kidney, liver problems, etc.).

  • Report any side effects to drugs (allergies, reactions).

  • Report medicines you are now taking. This includes prescriptions, over-the-counter drugs, nutritional supplements, and herbal remedies.

  • Take medicines as prescribed. When taking pain medication, check with your provider first to see if it is all right to drink alcohol or use other drugs that can make you drowsy. Do not drive if your medicine makes you drowsy.