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Contralateral Arm Pain as a Sign of Distress Regarding Symptoms
Floor A Davids1, Jose C Padilla1, David Ring1
1The University of Texas at Austin, USA.
Pain in one arm may be linked to distress about symptoms, even if the other arm is the primary issue. This finding can guide patients and surgeons toward effective care strategies for managing symptom-related stress.
Area of Science:
- Musculoskeletal conditions
- Pain management
- Psychological distress
Background:
- Unhelpful thoughts, such as catastrophic thinking and kinesiophobia, are linked to pain intensity and functional limitations.
- This study investigated the association between pain in the upper limb contralateral to a non-trauma condition and unhelpful thinking patterns.
Purpose of the Study:
- To determine if pain intensity in the contralateral (opposite) limb is associated with unhelpful thoughts.
- To explore the relationship between contralateral limb pain and levels of unhelpful thinking.
Main Methods:
- A cross-sectional study involving 152 patients with upper-limb musculoskeletal conditions.
- Patients completed measures of upper-extremity function, pain intensity (involved and contralateral limbs), unhelpful thoughts, distress regarding symptoms, and depression.
- Multivariable statistics were used to assess factors associated with pain intensity and functional capability.
Main Results:
- Contralateral arm pain was associated with distress regarding pain in bivariate analysis, but this was not significant in multivariable analysis.
- Greater pain intensity in the affected limb was independently associated with increased distress and no prior surgery.
- Higher upper-extremity function was linked to less distress, being married/partnered, male gender, and no prior surgery.
Conclusions:
- Greater pain intensity in the contralateral limb correlates with increased distress regarding symptoms.
- Patient concerns about contralateral limb pain, alongside other distress indicators, can inform evidence-based care for symptom-related stress.
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