In a recent post Jill K wrote.
My point: don't use psychology as a cop out for unsuccessful therapy. We
don't know enough about the back-diagnosis & rehab-to do that to every
patient with chronic back pain. It's great to believe in what you do and
believe that it works, but nothing is foolproof and every patient is
different!
Jill K.
Ms Jill K.
I do believe we know a great deal about the back-diagnosis and rehab. I also
believe that psychological issue effect treatment. As a good clinician we
have to recognize psychological issue and develop an assistance strategy
while treating the physical problem.
In an article in Spine several years ago patients were evaluated
presurgically. Part of their evaluation was a psychological profile. All
patients were scheduled for significant spinal surgery. The profile include 5
categories of childhood psychosocial trauma's.
Physical abuse
mental abuse
alcoholism
loss of a significant care giver
The fifth escapes me at the moment.
Failure of surgery occurred in 95% of patient having 3 or more significant
emotional traumas
Success occurred in 95% of patient's having 1 or no significant emotional
trauma.
I will look up the article and post the reference exactly. But the meaning of
the study I have stated accurately.
Sincerely,
Charlie Filippone PT OCS
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