No doubt on osteo being some of the worst pain a person can experience. People from all walks of life, with different tolerances and different long term experiences with all types of pain all say that osteo is the absolute worst.
On pain, do you know that the 0 to 10 scale is effectively useless at determining what the person is actually experiencing? For example, the scale goes from 0, no pain, to 10, the worst pain you can possibly imagine. When you say your pain is a 10, or more than 10, what you're saying is that it's worse than osteo, worse than being burned over better than 90% of your boddy and lingering for months, worse than being flayed, salted and vinegared, then repeated, worse than having your entrails pulled out and laid on a table next to you. I can imagine quite a bit that would make *my* pain pale in comparison. SO... a saavy doctor only uses the scale to judge you, not your pain. If you give a number higher than 10, you're effectively saying that you're either not very imaginative or that your pain is not as bad as you think it is. There's the psychological component of pain again. It's not that you don't hurt, it's not an attempt to diminish the extent of your hurt, it's just a simple statement that says that this person is less tolerant of pain than other people. For instance, I recently had an intercostal tear, pretty well tore up, in fact, and I'm still recuperating. When the PA asked me to number the pain, I gave it a three or four. Aggravating it during her exam maybe pinned it up a half a point, but not much. Anyway, she was taken aback by the three and actually spent extra time because I scored it so low. I explained that there are a lot of things more painful, like kidney stones, BTDT, tearing multiple ligaments in your shoulders, both sides, at the same time, BTDT too, and so on. She actually said she was so accustomed to hearing much higher numbers that she wondered for a second why I was even there. And, my answer was that I knew something was wrong that wasn't a simple strain. Anyway, the subjective pain scale is good only at measuring how prejudiced a person is to their own pain. The caliper method is a much better judge of actual pain. And, I'm with the "stingy" doctors on that one, the ones who won't hand out pills. Comparing a patient's determination to the "average" of others' experiences, not diminishing what they're feeling at all, but in their better long term interests, denying them pain killers while favoring other methods is, IMO, a more prudent course. In fact, I think most who manage their pain mostly with medication really would benefit from exploring other means. Even if it's just Tylenol.