FREE PRINTABLE PDF

A pain diary that actually helps your doctor

Stop guessing and describing pain "from memory." Write down what matters — and show your doctor a clear, readable picture of your condition at your next appointment. The same template I've been using for years.

  • Track attacks, intensity, and duration
  • Identify your triggers (wind, touch, eating, stress)
  • Monitor medications and whether they actually help
  • Ready-made "Summary for your doctor" before each visit

100% free · ready to print · created by someone living with trigeminal nerve pain.

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What's inside

Basic infoDiagnosis, affected side, branches V1/V2/V3, current medications — fill in once.
Daily entryQuick table: intensity, number of attacks, rescue medication, context of the day.
Attack entry10 fields: character, area, triggers, symptoms, what helped.
Summary for your doctorThe data that actually helps with diagnosis and treatment decisions.

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Educational content only. Does not replace medical consultation or diagnosis. If you have severe pain, contact your doctor.