This document is a pain diary detailing the effects of a rear end car accident over a period of several months. It describes ongoing pain in the diarist's neck, shoulder, back, arm, and hand, as well as difficulty performing daily tasks without assistance such as showering, dressing, and housework. The diarist tracks the severity of pain daily and notes when assistance is received. Pain management includes exercises, painkillers, voltrol gel, and seeing a doctor, with gradual improvement over time but some lingering restricted neck movement.

1. The effects of the rear end shunt-Pain Diary
Thursday 14th
February
*Extreme pain to front left hand tooth and to above gum leading to left
hand side of nose.Severe pain to right collar and shoulder continuing
down arm to fingers. Painful left back and lumber regions. Help to get
dry after shower. Did exercises.
Friday 15th
February
*No change to pain in all areas listed above. Difficulty sleeping on right
side. Unable to bite due to pain in mouth i.e. tongue, tooth. Received
help with getting dry after shower and washing of hair, and general
housework i.e. vacuuming, hanging out washing.Did exercises.
Saturday 16th
February
*No change as above. Received help to get dry after showering. Did
exercises.
Sunday 17th
February
*Right shoulder very painful. Having difficulty lifting arm to put
makeup on or to eat etc. Painful to drive car as my back aches. Wake
up in pain during night. Drying after shower, washing and combing of
hair.Did exercises.
Monday 18th
February
*No change to pain. Received help with getting dry after shower,
housework i.e. vacuuming, mopping, clean bathroom etc.Did exercises.
Tuesday 19th
February
*No change to pain. Help to get dry after shower, washing and combing
hair. Washing done and hung out to dry. Did exercises.
Wednesday 20th
February
*Right side of neck, lower back and back of shoulder throbbing. Still
having difficulty cleaning my teeth or drying myself after a shower,
applying makeup, received help. Didexercises.

2. Thursday 21st
February
*Advised to do some gentle swimming at the gym. After a couple of
lengths found it too painful to continue.Had great difficulty getting dry
when changing in changing rooms. Had help to wash hair in showers
and with combing afterwards. Washing done and hung out to dry.
Struggled to do ecercises.
Friday 22nd
February
*Poor night’s sleep due to pain in back neck and shoulder. Took pain
killers and rubbed shoulder. Washing and showering very painful. Help
with washing and ironing. Did exercises
Saturday 23rd
February
*Helped with getting dry after shower. Went to the Cinema with
previously bought tickets. Was extremely uncomfortable throughout the
whole film. Help to finish ironing and housework. Did exercises
Sunday 24th
February
*Bought some more voltrol gel to be rubbed on my back and shoulder.
Will make an appointment to visit doctor tomorrow after or during
work tomorrow.Helped to get dry after shower.Did exercises
Monday 25th
February
*First day back at work after half term and unable to drive, so I had to
travel on public transport and walk to school/work, to and from bus
station. Called to doctors after leaving early from work. Doctor recorded
injuries. Needed help with house work, to strip and change bed, to get
dry after shower and to wash and comb hair. Did exercises
Tuesday 26th
February
*Had to cancel previous arrangements for evening due to constant
throbbing pain in right shoulder, shoulder blade, arm, hand and lower
back. Persevered with hair washing and showering. Asked for help with,
getting dry after shower, combing and drying of my hair. Did exercises

3. Wednesday 27th
February
*Woke in pain from right shoulder and had it rubbed with voltrol gel.
After work took pain killers, had a bath with help and plenty of rest.
Thursday 28th
February
*Still on public transport as unable to drive, due to a painful-shoulder,
rear shoulder blade, upper arm, fore arm and hand, I am suffering from
sleep deprivation. Help with getting dry after shower, washing and
ironing, vacuuming and dusting. Did exercises
Friday 1st
March
*Stayed Doctor Puree regarding pain, to see what could be done.
Heprescribed kapake and predicted the pain would last at least eight
weeks or more also suggesting physio at a later date. I was advised
against the gym or swimming. Pain today is much the same. Help to get
dry, wash and comb hair.Did exercises
Saturday 2nd
March
*Pain slightly easier, but am reluctant to take kapake too often as
results in constipation. Needed help with showering, shopping.
Sunday 3rd
March
*Bought more voltrol gel to rub into painful areas. Extremely painful
arm and hand. Help to get dry after shower, washing and ironing.
Struggled to slice meat for lunch or lift pans. Settled to sleep, but woke a
couple of times to apply more gel and take painkillers.
Monday 4th March
*Help to strip and change beds and to do house work i.e. vacuum/mop,
polish etc. Help to get dry after shower. Able to drive to and from work
as it is a short distance. However still unable to visit/drive anywhere
further than 3 miles or more. Have restricted movement in my neck.Pain
much the same. Did exercises

4. Tuesday 5th
March
*Pain a little easier. Rubbed it with voltrol Gel and took pain killer
during the night. Managed to dry and shower myself, although was
painful. Did exercises
Wednesday 6th
March
*Experienced pain in front tooth and gum. The rest of pain more
manageable. Had help with gardening washing etc. Did exercises
Thursday 7th
March
*No change to pain. Help with washing and hanging out washing to dry.
Did exercises.
Friday 8th
March
*Better night last night. Still pain on top of shoulder, towards collar bone
and back of arm. Help with ironing and vacuuming. Did exercises.
Saturday 9th
March
*Woke feeling sore and a degree of pain, but much more manageable
with regular pain killers and voltrol rub morning and before bed. Help
with shopping. Did exercises.
Sunday 10th
March
*Felt sore first thing. Drove to Macclesfield and was very achy later. Still
not got full movement in neck when looking over left shoulder.Help with
gardening both front and back. Did exercises.
Monday 11th
March
*Pain much more manageable with painkillers voltrol gel applied
regularly. Help with vacuuming etc. Did exercises.
Tuesday 12th
March
*Trialling taking painkillers morning and night and applying votrol gel
only before bed.
Wednesday 13th
March
*Still restricted movement in neck and coping with fewer painkillers.

5. Did exercises.
Thursday 14th
March
*Things much the same.
Friday 15th
March
*No change
Saturday 16th
March
*Went to Liverpool by train with friends. Applied voltrol gel before
bed.Did exercises.
Sunday 17th
March
Managed to cook Sunday lunch, but needed help lifting pans etc.
Applied voltrol gel before bed.
Monday 18th
March
Bit sore this morning. Did exercises.
Tuesday 19th
March
Things the same.
Wednesday 20th
March
*No change
Thursday 21th March
*No change
Friday 22nd
March
*No change
Saturday 23rd
March
*Drove to Macclesfield. Neck sore especially looking over either shoulder,
whilst reversing. Applied voltrol gel.
Sunday 24th
March
*Bit achy and stiff around neck and shoulder. Rubbed it with gel.

6. Monday 25th
March
*Feeling much better. Aiming to do a little ironing each evening along
with housework.
Tuesday 26th
March
*Stopped taking painkillers, only using voltrol gel. Still have restricted
movement in neck.
Wednesday 27th
March
*No change
Thursday 28th
March
*No change
Friday 29th
March
*Helped do a little painting at my mother in-laws house. Applied a
generous amount of voltrol gel before bed.
Saturday 30th
March
*Shopping at the Trafford Centre and Cinema.
Sunday 31st
March
*Helped to finish off painting. Felt sore during evening, so applied gel
after shower.
Monday 1st
April
*Woke feeling sore. Took painkillers before going out for dinner.Applied
voltrol gel before bed.
Tuesday 2nd
to Thursday 4th
April
*Papered walls. Took painkillers after shower and rubbed shoulder,
lower back and collar bone before bed.
Friday 5th
April
*Tried to make an appointment at G.P.s due to pain. Managed to make
an appointment for Tuesday.Took painkillers.

7. Saturday 6th
April
*Poor night’s sleep due to throbbing neck and shoulder. Took regular
pain relief.
Sunday 7th
April
*Disappointed to be back on regular pain relief.
Monday 8th
April
*No change to pain. Still taking regular pain relief. Been out to dinner
for my daughter’s birthday, but unable to have an alcoholic drink due
to tablets.
Tuesday 9th
April
*Visited Doctor, who told me I had done too much too soon and advised
me to continue with the pain relief until thing got easier.
Wednesday 10th
April
*Went back to work after Easter Break. Got a lift to work and bussed it
back as neck was still little sore.
Thursday 11th
April
*Pain a little better, still on regular pain relief. Travelled to and from
work in the same way as yesterday.
Friday 12th
April
*Things much the same as yesterday.
Saturday 13th
April
*No change
Sunday 14th
April
*Feeling much better and have cut out pain killer and only using voltrol
gel.
Monday 15th
April
*Drove myself to and from work in the car. Still using volrol gel morning
and evening.

8. Tuesday 16th
April
*No change
Wednesday 17th
April
*No change
Thursday 18th
April
*Pain much better. Still noticeable when driving, i.e. reversing.
Friday 19th
April
*Feeling much more comfortable, although haven’t got full movement
in neck.
Saturday 20th
April
*Returned to the gym. Walked on tread mill 15mins, 15mins on a bicycle.
Sunday 21st
April
*My shoulder feel a little achy, rubbed with some voltrol gel.
Monday 22nd
April-Saturday 1st
June
*Generally well. A little sore from time to time. Still not got complete
movement in neck.

11. Took pain killers and rubbed the areas well. Had help with housework
etc. Did exercises.
Monday 11th
March