DN4 Neuropathic Pain Screen

DN4 (Bouhassira 2005): 7 interview items and 3 exam items, each 1 point; total 0-10 and a score >= 4 suggests neuropathic pain.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Burning
Yes
Painful cold
Yes
Electric shocks
Yes
Tingling
Yes
Pins and needles
Yes

Result: DN4 5 of 10 — neuropathic pain likely (>= 4).

The tool opens with these values already filled in. Replace them with your own.

What the result means

< 4
Neuropathic pain unlikely.
>= 4
Neuropathic pain likely (7 interview + 3 exam items, each 1 point). A screening tool, not a diagnosis.

What you enter

  • Burning
  • Painful cold
  • Electric shocks
  • Tingling
  • Pins and needles
  • Numbness
  • Itching
  • Exam: hypoesthesia to touch
The other 2 fields
  • Exam: hypoesthesia to pinprick
  • Exam: brush allodynia
How this is calculated

Bouhassira D, Attal N, Alchaar H, et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005;114(1-2):29-36. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.