Scales adapted for cluster headaches
The KIP scale
One patient, named Bob Kipple, designed a scale of 1 to 10 to describe the pain of a cluster headache attack.
This scale is widely used in the English-speaking world.
0: No pain, life is beautiful.
1: Very minor, shadows come and go. Life is still beautiful.
2: More persistent shadows.
3: Shadows are getting constant but can deal with it.
4: Starting to get bad, want to be left alone.
5: Still not a “pacer” but need space.
6: Wake up grumbling, curse a bit, but can get back to sleep without “dancing”.
7: Wake up, sleep not an option, take the beast for a walk and finally fall into bed exhausted.
8: Time to scream, yell, curse, head bang, rock, whatever works.
9: The “Why me?” syndrome starts to set in.
10: Major pain, screaming, head banging, ER Trip. Depressed. Suicidal …
The OUCH Belgium scale
This is based on a scale from a French organisation which has now dissolved.
It combines relationships, comparisons and a scale from 0 to 10.