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Arm ache.

Hosein Ahmadzadeh Chabok1, David Ring2

  • 1Surgery Department, Shamsoshomoos Hospital, Malekoshoara Bahar54, Shariati Square, Mashhad, Khorasan Razavi Iran.

Hand (New York, N.Y.)
|May 20, 2014
PubMed
Summary
This summary is machine-generated.

New approaches to managing arm ache focus on psychological factors like mood and coping strategies, which are treatable with cognitive behavioral therapy. This shifts care beyond a purely biomedical model to improve patient outcomes.

Keywords:
Arm painBiomedical frameworkBiopsychosocial frameworkCognitive therapyCoping strategyRational therapy

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Area of Science:

  • Psychology
  • Pain Management
  • Behavioral Medicine

Background:

  • Nonspecific activity-related upper limb pain (arm ache) management seeks innovative strategies.
  • Current approaches often rely on a biomedical framework, anticipating a direct link between disease and symptoms.
  • Psychological factors significantly influence symptom intensity and disability in arm ache.

Purpose of the Study:

  • To highlight the role of psychological factors in arm ache.
  • To propose a shift towards treatments addressing mood, coping, and illness concerns.
  • To encourage a change in patient and provider perspectives on pain management.

Main Methods:

  • Review of evidence linking psychological factors to arm ache outcomes.
  • Emphasis on cognitive behavioral therapy (CBT) as a treatment modality.
  • Discussion of the patient and provider cultural shift required.

Main Results:

  • Mood, coping strategies (e.g., catastrophic thinking), and illness concern significantly predict symptom intensity and disability.
  • These psychological factors are highly responsive to cognitive behavioral therapy.
  • A large percentage of symptom variation is explained by these non-pathophysiological elements.

Conclusions:

  • Treatments targeting psychological factors offer a promising avenue for managing arm ache.
  • A cultural shift towards integrating psychological care is needed for both patients and providers.
  • Empathy and mindful communication are crucial first steps in encouraging patients toward this approach.