Psychiatric Factors Discussion

Psychological Factors: The management of upper extremity problems may be more complex and outcome less predictable in patients who have ongoing psychiatric problems. It is generally ackowleged that for anyone, psychological effects of stressful life situations may impair pain tolerance or ability to cooperate with therapy. Altered perception of body sensations may occur and increase diagnostic uncertainty, especially when the primary complaints are subjective. Lack of full cooperation may greatly affect the final result, particularly when treatment involves either regular exercise or a strict immobilization protocol.

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