ਮਨ, ਤਣਾਅ ਅਤੇ ਠੀਕ ਹੋਣ ਦੀ ਪ੍ਰਕਿਰਿਆ ਜਾਣਕਾਰੀ

ਇਹ ਪੰਨਾ ਮਸ਼ੀਨ ਦੁਆਰਾ ਅਨੁਵਾਦ ਕੀਤਾ ਗਿਆ ਹੈ ਅਤੇ ਹਾਲੇ ਤੱਕ ਕਿਸੇ ਡਾਕਟਰ ਦੁਆਰਾ ਜਾਂਚਿਆ ਨਹੀਂ ਗਿਆ। ਅੰਗਰੇਜ਼ੀ ਸੰਸਕਰਣ ਹੀ ਅਧਿਕਾਰਤ ਹੈ।

ਤੁਸੀਂ ਕੀ ਮਹਿਸੂਸ ਕਰ ਰਹੇ ਹੋ

ਸਰਜਰੀ ਤੋਂ ਬਾਅਦ ਤੁਹਾਡੇ ਮਹਿਸੂਸ ਕਰਨ ਦੇ ਤਰੀਕੇ ਵਿੱਚ ਤੁਹਾਡੀ ਮਾਨਸਿਕ ਸਿਹਤ ਦਾ ਵੱਡਾ ਯੋਗਦਾਨ ਹੈ। ਬਿਨਾਂ ਇਲਾਜ ਕੀਤੀਆਂ ਗਈਆਂ ਮਾਨਸਿਕ ਸਿਹਤ ਦੀਆਂ ਬਿਮਾਰੀਆਂ ਹਿੱਪ ਸੁਰੱਖਿਆ ਸਰਜਰੀ ਦੇ ਨਤੀਜਿਆਂ ਵਿੱਚ ਉੱਚ ਦਰਾਂ ਦੀ ਨਿਊਨਤਮ ਕਲੀਨਿਕਲ ਮਹੱਤਵਪੂਰਨ ਅੰਤਰ ਅਤੇ ਮਹੱਤਵਪੂਰਨ ਕਲੀਨਿਕਲ ਲਾਭ ਪ੍ਰਾਪਤ ਕਰਨ ਦੀ ਲਗਾਤਾਰ ਅਸਮਰੱਥਾ ਲਈ ਜ਼ਿੰਮੇਵਾਰ ਹੋਣ ਦੀ ਸੰਭਾਵਨਾ ਹੈ। ਚਿੰਤਾ ਅਤੇ ਡਿਪਰੈਸ਼ਨ ਦੇ ਲੱਛਣ ਕੁੱਲ ਹਿੱਪ ਆਰਥਰੋਪਲਾਸਟੀ ਕਰਵਾਉਣ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਵਿੱਚ ਘੱਟ ਨਤੀਜਿਆਂ ਨਾਲ ਜੁੜੇ ਹੋਏ ਹਨ। ਤੁਹਾਡੀ ਠੀਕ ਹੋਣ ਦੀ ਪ੍ਰਕਿਰਿਆ ਉਨ੍ਹਾਂ ਲੋਕਾਂ ਤੋਂ ਵੱਖਰੀ ਹੋ ਸਕਦੀ ਹੈ ਜਿਨ੍ਹਾਂ ਵਿੱਚ ਇਹ ਲੱਛਣ ਨਹੀਂ ਹਨ।

ਆਰਥਰੋਸਕੋਪਿਕ ਸ਼ੋਲਡਰ ਸਥਿਰੀਕਰਨ ਸਰਜਰੀ ਤੋਂ ਬਾਅਦ ਨਵੀਂ ਸ਼ੁਰੂ ਹੋਈ ਚਿੰਤਾ ਜਾਂ ਡਿਪਰੈਸ਼ਨ ਦੀ 90-ਦਿਨਾਂ ਦੀ ਦੁਬਾਰਾ ਹਸਪਤਾਲ ਵਿੱਚ ਭਰਤੀ ਦੇ ਜੋਖਮ ਵਿੱਚ ਮਹੱਤਵਪੂਰਨ ਵਾਧਾ ਹੁੰਦਾ ਹੈ। ਰੀਵਿਜ਼ਨ ਰੋਟੇਟਰ ਕੱਫ ਮੁਰੰਮਤਾਂ ਕਰਵਾਉਣ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਵਿੱਚ ਮਾਨਸਿਕ ਸਿਹਤ ਦੀ ਸਥਿਤੀ ਦਾ ਮਰੀਜ਼-ਰਿਪੋਰਟ ਕੀਤੇ ਗਏ ਨਤੀਜੇ ਮਾਪਾਂ ਨਾਲ ਸਭ ਤੋਂ ਮਜ਼ਬੂਤ ਸੰਬੰਧ ਹੈ। ਉੱਪਰਲੇ-ਅੰਗ ਦੇ ਨਿਊਰੋਮਾ ਲਈ ਰੀਜਨਰੇਟਿਵ ਪੇਰੀਫੇਰਲ ਨਰਵ ਇੰਟਰਫੇਸ ਸਰਜਰੀ ਤੋਂ ਬਾਅਦ ਘੱਟ ਪ੍ਰੀ-ਸਰਜਰੀ ਮਾਨਸਿਕ ਸਿਹਤ ਸਕੋਰ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਨੇ ਸਮਾਨ ਜਾਂ ਵੱਧ ਦਰਦ ਵਿੱਚ ਸੁਧਾਰ ਅਤੇ ਸਮਾਨ ਕਾਰਜਾਤਮਕ ਸੁਧਾਰ ਦੀ ਰਿਪੋਰਟ ਦਿੱਤੀ।

ਕੈਰਵਾਈਕਲ ਡਿਸਕ ਹਰਨੀਏਸ਼ਨ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਵਿੱਚ ਲੰਬੇ ਸਮੇਂ ਤੱਕ ਲੱਛਣਾਂ ਦੀ ਮਿਆਦ ਪੋਸਟ-ਆਪਰੇਟਿਵ ਨਿਰਾਸ਼ਾ ਦਾ ਇੱਕ ਸੁਤੰਤਰ ਭਵਿੱਖਬਾਣੀ ਕਾਰਕ ਹੈ। ਕਿਨੀਸੀਫੋਬੀਆ ਇੱਕ ਮਹੱਤਵਪੂਰਨ ਮਾਨਸਿਕ ਕਾਰਕ ਹੈ ਜੋ ਗਲੇਨੋਹਿਊਮਰਲ ਅਸਥਿਰਤਾ ਲਈ ਆਰਥਰੋਸਕੋਪਿਕ ਬੈਂਕਾਰਟ ਮੁਰੰਮਤ ਤੋਂ ਬਾਅਦ ਕਾਰਜਾਤਮਕ ਠੀਕ ਹੋਣ ਅਤੇ ਖੇਡਾਂ ਵਿੱਚ ਵਾਪਸੀ ਨੂੰ ਨਕਾਰਾਤਮਕ ਢੰਗ ਨਾਲ ਪ੍ਰਭਾਵਿਤ ਕਰਦਾ ਹੈ। ਕੁਝ ਮਾਨਸਿਕ ਪ੍ਰਵਿਰਤੀਆਂ ਵਾਲੇ ਲੋਕਾਂ ਵਿੱਚ ਕ੍ਰੋਨਿਕ ਗੈਰ-ਨਿਰਦਿਸ਼ਟ ਖੁਰਦਰੇ ਪਿੱਠ ਦੇ ਦਰਦ ਵਿੱਚ ਕੇਂਦਰੀ ਸੰਵੇਦਨਸ਼ੀਲਤਾ ਨੂੰ ਨੋਸੀਸੈਪਟਿਵ ਨਿਊਰੋਨਾਂ ਦੀ ਸਧਾਰਨ ਜਾਂ ਸਬ-ਥ੍ਰੈਸ਼ਹੋਲਡ ਅਫਰੈਂਟ ਕ੍ਰੋਨਿਕ ਉਤੇਜਨਾਵਾਂ ਪ੍ਰਤੀ ਕੇਂਦਰੀ ਸਨਾਤਨਕ ਤੰਤਰ ਵਿੱਚ ਅਤਿਰਿਕਤ ਪ੍ਰਤੀਕਿਰਿਆ ਵਜੋਂ ਦੇਖਿਆ ਜਾ ਸਕਦਾ ਹੈ।

ਅਸਲ ਵਿੱਚ ਕੀ ਹੋ ਰਿਹਾ ਹੈ

ਤੁਹਾਡਾ ਮਨ ਅਤੇ ਤੁਹਾਡਾ ਸਰੀਰ ਇਕੱਠੇ ਠੀਕ ਹੁੰਦੇ ਹਨ। ਬਿਨਾਂ ਇਲਾਜ ਕੀਤੇ ਮਾਨਸਿਕ ਸਿਹਤ ਦੇ ਵਿਕਾਰਾਂ ਦੇ ਕਾਰਨ ਹਿੱਪ ਸੁਰੱਖਿਆ ਸਰਜਰੀ ਵਿੱਚ ਘੱਟੋ-ਘੱਟ ਕਲੀਨਿਕਲ ਤੌਰ 'ਤੇ ਮਹੱਤਵਪੂਰਨ ਅੰਤਰ ਅਤੇ ਕਾਫ਼ੀ ਕਲੀਨਿਕਲ ਲਾਭ ਦੀਆਂ ਉੱਚ ਦਰਾਂ ਪ੍ਰਾਪਤ ਕਰਨ ਵਿੱਚ ਲਗਾਤਾਰ ਅਸਮਰੱਥਾ ਦਾ ਕਾਰਨ ਬਣਦੇ ਹਨ। ਇਸਦਾ ਮਤਲਬ ਹੈ ਕਿ ਜੇਕਰ ਚਿੰਤਾ ਜਾਂ ਡਿਪਰੈਸ਼ਨ ਦਾ ਇਲਾਜ ਨਹੀਂ ਕੀਤਾ ਜਾਂਦਾ, ਤਾਂ ਤੁਹਾਡੀ ਸਰਜਰੀ ਤੁਹਾਨੂੰ ਉਹ ਪੂਰਨ ਰਾਹਤ ਨਹੀਂ ਦੇ ਸਕਦੀ ਜਿਸਦੀ ਤੁਸੀਂ ਉਮੀਦ ਕਰਦੇ ਹੋ।

ਕੁੱਲ ਹਿੱਪ ਆਰਥਰੋਪਲਾਸਟੀ ਕਰਵਾਉਣ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਵਿੱਚ ਚਿੰਤਾ ਅਤੇ ਡਿਪਰੈਸ਼ਨ ਦੇ ਲੱਛਣ ਘੱਟ ਗੁਣਵੱਤਾ ਵਾਲੇ ਨਤੀਜਿਆਂ ਨਾਲ ਜੁੜੇ ਹੋਏ ਹਨ। ਤੁਹਾਡੀ ਠੀਕ ਹੋਣ ਦੀ ਪ੍ਰਕਿਰਤੀ ਉਹਨਾਂ ਲੋਕਾਂ ਤੋਂ ਵੱਖਰੀ ਹੁੰਦੀ ਹੈ ਜਿਨ੍ਹਾਂ ਵਿੱਚ ਇਹ ਲੱਛਣ ਨਹੀਂ ਹੁੰਦੇ। ਆਰਥਰੋਸਕੋਪਿਕ ਸ਼ੌਲਡਰ ਸਥਿਰਤਾ ਸਰਜਰੀ ਤੋਂ ਬਾਅਦ ਨਵੀਂ ਸ਼ੁਰੂ ਹੋਣ ਵਾਲੀ ਚਿੰਤਾ ਜਾਂ ਡਿਪਰੈਸ਼ਨ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਵਿੱਚ 90-ਦਿਨਾਂ ਦੇ ਹਸਪਤਾਲ ਦਾਖਲੇ ਦਾ ਜੋਖਮ ਯਥਾਰਥ ਤੋਂ ਵੱਧ ਹੁੰਦਾ ਹੈ। ਇਹ ਦਰਸਾਉਂਦਾ ਹੈ ਕਿ ਤੁਹਾਡੀ ਮਾਨਸਿਕ ਸਥਿਤੀ ਤੁਹਾਡੀ ਸਰੀਰਕ ਠੀਕ ਹੋਣ ਦੀ ਗਤੀ ਅਤੇ ਸੁਰੱਖਿਆ ਨੂੰ ਸਿੱਧਾ ਪ੍ਰਭਾਵਿਤ ਕਰਦੀ ਹੈ।

ਮਾਨਸਿਕ ਸਿਹਤ ਦੀ ਸਥਿਤੀ ਰੋਟੇਟਰ ਕਫ਼ ਮੁੜ-ਮੁਰੰਮਤ ਸਰਜਰੀ ਕਰਵਾਉਣ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਵਿੱਚ ਬੇਸਲਾਈਨ ਮਰੀਜ਼-ਦੁਆਰਾ ਰਿਪੋਰਟ ਕੀਤੇ ਗਏ ਨਤੀਜਿਆਂ ਨਾਲ ਸਭ ਤੋਂ ਮਜ਼ਬੂਤ ਸੰਬੰਧ ਦਿਖਾਉਂਦੀ ਹੈ। ਇਸੇ ਤਰ੍ਹਾਂ, ਚਿੰਤਾ ਅਤੇ/ਜਾਂ ਡਿਪਰੈਸ਼ਨ ਦਾ ਇਤਿਹਾਸ ਆਰਥਰੋਸਕੋਪਿਕ ਹਿੱਪ ਸਰਜਰੀ ਤੋਂ ਬਾਅਦ ਬੁਰੇ ਨਤੀਜਿਆਂ ਨਾਲ ਲਗਾਤਾਰ ਜੁੜਿਆ ਹੋਇਆ ਹੈ। ਕਾਈਨੇਸੀਫੋਬੀਆ, ਜਾਂ ਚਲਣ-ਫਿਰਨ ਤੋਂ ਡਰ, ਇੱਕ ਮਹੱਤਵਪੂਰਨ ਮਾਨਸਿਕ ਕਾਰਕ ਹੈ ਜੋ ਗਲੇਨੋਹਿਊਮਰਲ ਅਸਥਿਰਤਾ ਲਈ ਆਰਥਰੋਸਕੋਪਿਕ ਬੈਂਕਾਰਟ ਮੁਰੰਮਤ ਤੋਂ ਬਾਅਦ ਕਾਰਜਾਤਮਕ ਠੀਕ ਹੋਣ ਅਤੇ ਖੇਡਾਂ ਵਿੱਚ ਵਾਪਸੀ ਨੂੰ ਨਕਾਰਾਤਮਕ ਢੰਗ ਨਾਲ ਪ੍ਰਭਾਵਿਤ ਕਰਦਾ ਹੈ।

ਤੁਹਾਡਾ ਦਿਮਾਗ਼ ਦਰਦ ਦੇ ਸੰਕੇਤਾਂ ਨੂੰ ਤੇਜ਼ ਕਰ ਸਕਦਾ ਹੈ। ਕੁਝ ਮਾਨਸਿਕ ਪ੍ਰਵਿਰਤੀਆਂ ਵਾਲੇ ਲੋਕਾਂ ਵਿੱਚ, ਕ੍ਰੋਨਿਕ ਗੈਰ-ਨਿਸ਼ਚਿਤ ਘੱਟ ਪਿੱਠ ਦੇ ਦਰਦ ਵਿੱਚ ਕੇਂਦਰੀ ਸੰਵੇਦਨਸ਼ੀਲਤਾ ਨੂੰ ਕੇਂਦਰੀ ਸਨਾਤਨ ਪ੍ਰਣਾਲੀ ਵਿੱਚ ਨੋਸੀਸੈਪਟਿਵ ਨਿਊਰੋਨਾਂ ਦਾ ਸਧਾਰਨ ਜਾਂ ਸਬ-ਥ੍ਰੈਸ਼ਹੋਲਡ ਅਫਰੈਂਟ ਕ੍ਰੋਨਿਕ ਉਤੇਜਨਾਵਾਂ ਪ੍ਰਤੀ ਅਤਿਰਿਕਤ ਪ੍ਰਤੀਕਿਰਿਆਸ਼ੀਲਤਾ ਵਜੋਂ ਦੇਖਿਆ ਜਾ ਸਕਦਾ ਹੈ। ਇਹੀ ਕਾਰਨ ਹੈ ਕਿ ਤਣਾਅ ਸਰੀਰਕ ਦਰਦ ਵਾਂਗ ਮਹਿਸੂਸ ਹੁੰਦਾ ਹੈ।

ਕੁਝ ਹਸਤਖੇਪ ਲਾਭਦਾਇਕ ਹਨ, ਪਰ ਨਤੀਜੇ ਵੱਖਰੇ ਹੁੰਦੇ ਹਨ। ਇੱਕ ਜਾਣ-ਪਛਾਣ-ਵਿਵਹਾਰਕ ਥੈਰੇਪੀ-ਅਧਾਰਤ ਹਸਤਖੇਪ ਨੇ 6 ਹਫ਼ਤਿਆਂ 'ਤੇ ਦਰਦ ਬਾਰੇ ਜਾਣਕਾਰੀ ਅਤੇ ਮਾਨਸਿਕ ਤਣਾਅ ਵਿੱਚ ਸੀਮਿਤ ਸੁਧਾਰ ਦਿਖਾਇਆ, ਪਰ ਘੱਟ ਪਿੱਠ ਦੇ ਦਰਦ ਲਈ 1 ਸਾਲ ਤੱਕ ਦਰਦ ਅਤੇ ਕਾਰਜਕੁਸ਼ਲਤਾ ਵਿੱਚ ਕੋਈ ਮਹੱਤਵਪੂਰਨ ਲਾਭ ਨਹੀਂ ਦਿਖਾਇਆ। ਤੁਹਾਡਾ ਡਾਕਟਰ ਸਰਜਰੀ ਤੋਂ ਪਹਿਲਾਂ ਇਹਨਾਂ ਜੋਖਮਾਂ ਦੀ ਜਾਂਚ ਕਰਨ ਲਈ ਮਰੀਜ਼-ਦੁਆਰਾ ਰਿਪੋਰਟ ਕੀਤੇ ਗਏ ਨਤੀਜਿਆਂ ਦੇ ਮਾਪ ਦੀ ਜਾਣਕਾਰੀ ਪ੍ਰਣਾਲੀ ਗਲੋਬਲ ਸਿਹਤ ਉਪਕਰਨ ਮਾਨਸਿਕ ਸਿਹਤ T-ਸਕੋਰ ਵਰਗੇ ਔਜ਼ਾਰਾਂ ਦੀ ਵਰਤੋਂ ਕਰਦਾ ਹੈ। ਇਹ ਕੁੱਲ ਜੋੜ ਆਰਥਰੋਪਲਾਸਟੀ ਤੋਂ ਬਾਅਦ ਮਾਨਸਿਕ ਤਣਾਅ ਦੀ ਭਵਿੱਖਬਾਣੀ ਕਰਨ ਵਿੱਚ ਮਦਦ ਕਰਦਾ ਹੈ।

ਕਿਰਪਾ ਕਰਕੇ ਜਾਣੋ ਕਿ ਤੁਹਾਡੀ ਮਾਨਸਿਕ ਭਲਾਈ ਇਲਾਜ ਦੀ ਯੋਜਨਾ ਦਾ ਹਿੱਸਾ ਹੈ। ਤਣਾਅ ਅਤੇ ਮੂਡ ਨੂੰ ਹੱਲ ਕਰਨਾ ਤੁਹਾਡੇ ਜੋੜ ਨੂੰ ਬਿਹਤਰ ਢੰਗ ਨਾਲ ਠੀਕ ਹੋਣ ਵਿੱਚ ਮਦਦ ਕਰਦਾ ਹੈ ਅਤੇ ਤੁਹਾਨੂੰ ਹਸਪਤਾਲ ਤੋਂ ਦੂਰ ਰੱਖਦਾ ਹੈ।

ਇਸ ਬਾਰੇ ਅਸੀਂ ਕੀ ਕਰ ਸਕਦੇ ਹਾਂ

ਤੁਹਾਡੀ ਮਾਨਸਿਕ ਸਿਹਤ ਤੁਹਾਡੀ ਭਲਾਈ ਦੀ ਪ੍ਰਕਿਰਿਆ ਵਿੱਚ ਵੱਡਾ ਭੂਮਿਕਾ ਨਿਭਾਉਂਦੀ ਹੈ। ਬਿਨਾਂ ਇਲਾਜ ਵਾਲੀਆਂ ਮਾਨਸਿਕ ਸਿਹਤ ਦੀਆਂ ਬਿਮਾਰੀਆਂ ਹਿੱਪ ਸੁਰੱਖਿਆ ਸਰਜਾ ਦੇ ਨਤੀਜਿਆਂ ਵਿੱਚ ਘੱਟੋ-ਘੱਟ ਕਲੀਨਿਕਲ ਮਹੱਤਵਪੂਰਨ ਅੰਤਰ ਅਤੇ ਕਾਫੀ ਕਲੀਨਿਕਲ ਲਾਭ ਪ੍ਰਾਪਤ ਕਰਨ ਦੀ ਲਗਾਤਾਰ ਅਸਮਰੱਥਾ ਦਾ ਕਾਰਨ ਬਣਦੀਆਂ ਹਨ। ਇਸਦਾ ਮਤਲਬ ਹੈ ਕਿ ਤੁਹਾਡੀ ਭਾਵਨਾਤਮਕ ਹਾਲਤ ਤੁਹਾਡੀਆਂ ਸਰੀਰਕ ਨਤੀਜਿਆਂ ਨੂੰ ਬਦਲ ਸਕਦੀ ਹੈ।

ਤੁਸੀਂ ਆਪਣੀ ਦੇਖਭਾਲ ਨਾਲ ਸ਼ੁਰੂਆਤ ਕਰ ਸਕਦੇ ਹੋ। ਸਧਾਰਨ ਜੀਵਨ ਸ਼ੈਲੀ ਵਿੱਚ ਬਦਲਾਅ ਅਤੇ ਭੌਤਿਕ ਚਿਕਿਤਸਾ ਤੁਹਾਨੂੰ ਤਾਕਤ ਅਤੇ ਆਤਮ-ਵਿਸ਼ਵਾਸ ਵਾਪਸ ਪ੍ਰਾਪਤ ਕਰਨ ਵਿੱਚ ਮਦਦ ਕਰਦੇ ਹਨ। ਜੇਕਰ ਤੁਹਾਨੂੰ ਚਾਲ-ਵਿਧੀ ਤੋਂ ਡਰ ਹੈ, ਜਿਸਨੂੰ ਕਾਈਨੇਸੀਓਫੋਬੀਆ ਕਿਹਾ ਜਾਂਦਾ ਹੈ, ਤਾਂ ਇਹ ਗਲੇਨੋਹਿਊਮਰਲ ਅਸਥਿਰਤਾ ਲਈ ਆਰਥੋਸਕੋਪਿਕ ਬੈਂਕਾਰਟ ਮੁਰੰਮਤ ਤੋਂ ਬਾਅਦ ਕਾਰਜਾਤਮਕ ਭਲਾਈ ਅਤੇ ਖੇਡਾਂ ਵਿੱਚ ਵਾਪਸੀ ਨੂੰ ਨਕਾਰਾਤਮਕ ਢੰਗ ਨਾਲ ਪ੍ਰਭਾਵਿਤ ਕਰਨ ਵਾਲਾ ਇੱਕ ਮਹੱਤਵਪੂਰਨ ਮਾਨਸਿਕ ਕਾਰਕ ਹੈ। ਇਸ ਡਰ ਨੂੰ ਦੂਰ ਕਰਨਾ ਮੁੱਖ ਹੈ।

ਡਿਸਟਲ ਰੇਡੀਅਸ ਫ੍ਰੈਕਚਰ ਤੋਂ ਬਾਅਦ ਸੰਭਾਲ ਵਾਲੀ ਚਿਕਿਤਸਾ ਵਿੱਚ ਮੋਟਰ ਇਮੇਜਰੀ (motor imagery) ਨੂੰ ਜੋੜਨ ਨੇ ਸਿਰਫ਼ ਰਵਾਇਤੀ ਚਿਕਿਤਸਾ ਦੇ ਮੁਕਾਬਲੇ ਕਾਰਜਾਤਮਕਤਾ, ਕਲਾਈ ਦੇ ਵਧਾਅ (wrist extension), ਅਤੇ ਹੱਥ ਦੇ ਫੜਨ ਦੀ ਤਾਕਤ ਵਿੱਚ ਸੁਧਾਰ ਕੀਤਾ। ਇਸਦਾ ਮਤਲਬ ਹੈ ਕਿ ਤੁਹਾਡੀ ਚਾਲ-ਵਿਧੀ ਦੀ ਕਲਪਨਾ ਕਰਨਾ ਤੁਹਾਡੇ ਸਰੀਰ ਦੇ ਭਲੇ ਹੋਣ ਵਿੱਚ ਮਦਦ ਕਰ ਸਕਦਾ ਹੈ। ਹੇਠਲੇ ਅੰਗਾਂ ਦੇ ਅਮਪੂਟੀ (amputees) ਲਈ, ਵਿਆਪਕ ਰੀਹੈਬਿਲੀਟੇਸ਼ਨ ਪ੍ਰੋਗਰਾਮਾਂ ਨੂੰ ਪ੍ਰਭਾਵਸ਼ਾਲੀ ਦਰਦ ਪ੍ਰਬੰਧਨ, ਸਮਾਜਿਕ ਸਹਾਇਤਾ, ਅਤੇ ਵਿਅਕਤੀਗਤ ਦੇਖਭਾਲ ਨੂੰ ਪਹਿਲ ਦੇਣੀ ਚਾਹੀਦੀ ਹੈ। ਇਹ ਕਦਮ ਤੁਹਾਨੂੰ ਆਪਣੀ ਭਲਾਈ ਦੀ ਯਾਤਰਾ 'ਤੇ ਕਾਬੂ ਪਾਉਣ ਦਾ ਅਹਿਸਾਸ ਦਿਵਾਉਂਦੇ ਹਨ।

ਜਦੋਂ ਆਪਣੀ ਦੇਖਭਾਲ ਕਾਫੀ ਨਹੀਂ ਹੁੰਦੀ ਹੈ, ਤਾਂ ਚਿਕਿਤਸਕ ਪ੍ਰਬੰਧਨ ਵਾਧੂ ਸਹਾਇਤਾ ਪ੍ਰਦਾਨ ਕਰਦਾ ਹੈ। ਤੁਹਾਡਾ ਡਾਕਟਰ ਤੁਹਾਡੀ ਅਸੁਵਿਧਾ ਨੂੰ ਸੰਭਾਲਣ ਵਿੱਚ ਮਦਦ ਲਈ ਦਰਦ ਨਸ਼ਿਆਂ ਜਾਂ ਸੋਜ-ਵਿਰੋਧੀ ਦਵਾਈਆਂ ਬਾਰੇ ਗੱਲ ਕਰ ਸਕਦਾ ਹੈ। ਕੁਝ ਮਰੀਜ਼ਾਂ ਲਈ, ਹਾਰਮੋਨ ਥੈਰੇਪੀ 'ਤੇ ਵਿਚਾਰ ਕੀਤਾ ਜਾ ਸਕਦਾ ਹੈ, ਹਾਲਾਂਕਿ ਇਸ ਵਿੱਚ ਅਜਿਹੇ ਪਹਿਲੂ ਹਨ ਜਿਨ੍ਹਾਂ ਬਾਰੇ ਤੁਹਾਡਾ ਡਾਕਟਰ ਸਮਝਾਵੇਗਾ।

ਜੇਕਰ ਤੁਹਾਨੂੰ ਚਿੰਤਾ ਜਾਂ ਡਿਪਰੈਸ਼ਨ ਹੈ, ਤਾਂ ਇਹ ਲੱਛਣ ਕੁੱਲ ਹਿੱਪ ਆਰਥਰੋਪਲਾਸਟੀ (total hip arthroplasty) ਕਰਵਾਉਣ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਵਿੱਚ ਘੱਟ ਨਤੀਜਿਆਂ ਨਾਲ ਜੁੜੇ ਹੋਏ ਹਨ। ਭਲਾਈ ਦੇ ਰਾਹ ਉਨ੍ਹਾਂ ਮਰੀਜ਼ਾਂ ਤੋਂ ਵੱਖਰੇ ਹੁੰਦੇ ਹਨ ਜਿਨ੍ਹਾਂ ਵਿੱਚ ਇਹ ਲੱਛਣ ਨਹੀਂ ਹਨ। ਹਾਲਾਂਕਿ, ਇਲਾਜ ਮਦਦ ਕਰ ਸਕਦਾ ਹੈ। ਚਿੰਤਾ ਜਾਂ ਡਿਪਰੈਸ਼ਨ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਨੂੰ ਆਰਥੋਸਕੋਪਿਕ ਰੋਟੇਟਰ ਕੱਫ ਮੁਰੰਮਤ ਕਰਵਾਉਣ ਵੇਲੇ ਡੂਲੋਕਸੇਟਿਨ (duloxetine) ਦੇਣ ਨੇ ਪ੍ਰਸ਼ਾਵਸ਼ਤ ਸਮੇਂ ਦੌਰਾਨ ਚਿੰਤਾ ਅਤੇ ਤੰਾਅ, ਅਤੇ ਸਰਗਰਮ ਗਤੀ ਦੀ ਰੇਂਜ, ASES, ਅਤੇ SST ਸਕੋਰਾਂ ਵਿੱਚ ਸੁਧਾਰ ਕੀਤਾ। ਇਸ ਗੱਲ ਤੋਂ ਅਗਾਹ ਰਹੋ ਕਿ ਆਰਥੋਸਕੋਪਿਕ ਰੋਟੇਟਰ ਕੱਫ ਮੁਰੰਮਤ ਕਰਵਾਉਣ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਨੂੰ ਡੂਲੋਕਸੇਟਿਨ ਦੇਣ ਨਾਲ 16% ਮਰੀਜ਼ਾਂ ਨੂੰ ਉਲਟੀ ਅਤੇ ਉਲਟੀਆਂ ਦਾ ਅਹਿਸਾਸ ਹੋਇਆ। ਇਹ ਇੱਕ ਪਾਸੜ ਪ੍ਰਭਾਵ ਹੈ ਜਿਸ 'ਤੇ ਨਜ਼ਰ ਰੱਖਣੀ ਚਾਹੀਦੀ ਹੈ।

ਦਵਾਈ-ਰਹਿਤ ਥੈਰੇਪੀਆਂ ਤਣਾਅ ਨੂੰ ਘਟਾਉਣ ਵਿੱਚ ਵੀ ਮਦਦ ਕਰ ਸਕਦੀਆਂ ਹਨ। ਕੁੱਲ ਸ਼ੋਲਡਰ ਆਰਥਰੋਪਲਾਸਟੀ ਦੌਰਾਨ ਸੰਗੀਤ ਥੈਰੇਪੀ ਇੰਟਰਵੈਨਸ਼ਨ ਪ੍ਰਾਪਤ ਕਰਨ ਵਾਲੇ ਮਰੀਜ਼ਾਂ ਵਿੱਚ ਨਿਯੰਤਰਣ ਸਮੂਹ ਦੇ ਮੁਕਾਬਲੇ ਦਰਦ ਅਤੇ ਚਿੰਤਾ ਸਕੋਰਾਂ ਵਿੱਚ ਕਾਫੀ ਵੱਧ ਕਮੀ ਦੇਖੀ ਗਈ। ਇਹ ਸਧਾਰਨ ਸਾਧਨ ਤੁਹਾਡੀ ਚਿਕਿਤਸਾ ਦੌਰਾਨ ਤੁਹਾਡੀ ਭਾਵਨਾਤਮਕ ਹਾਲਤ ਵਿੱਚ ਅਸਲ ਫਰਕ ਪਾ ਸਕਦਾ ਹੈ।

ਜੇਕਰ ਤੁਹਾਡੇ ਲੱਛਣ ਗੰਭੀਰ ਹਨ ਅਤੇ ਉਪਰੋਕਤ ਦੇ ਬਾਵਜੂਦ ਜਾਰੀ ਰਹਿੰਦੇ ਹਨ, ਤਾਂ ਡਾਕਟਰ ਤੁਹਾਨੂੰ ਵਿਸ਼ੇਸ਼ਜਾ ਪ੍ਰੀਖਿਆ ਲਈ ਭੇਜ ਸਕਦਾ ਹੈ। ਕੁਝ ਖਾਸ ਸਥਿਤੀਆਂ ਲਈ, ਅਧਾਰ ਭੂਤ ਸਮੱਸਿਆਵਾਂ ਨੂੰ ਹੱਲ ਕਰਨ ਲਈ ਕਦੇ-ਕਦਾਈਂ ਇੱਕ ਪ੍ਰਕਿਰਿਆ 'ਤੇ ਵਿਚਾਰ ਕੀਤਾ ਜਾ ਸਕਦਾ ਹੈ। ਤੁਹਾਡੀਆਂ ਵਿਲੱਖਣ ਜ਼ਰੂਰਤਾਂ ਦੇ ਆਧਾਰ 'ਤੇ, ਤੁਹਾਡਾ ਡਾਕਟਰ ਸਭ ਤੋਂ ਵਧੀਆ ਅਗਲੇ ਕਦਮਾਂ ਬਾਰੇ ਤੁਹਾਨੂੰ ਮਾਰਗਦਰਸ਼ਨ ਕਰੇਗਾ। ਯਾਦ ਰੱਖੋ, ਤੁਹਾਡੀ ਮਾਨਸਿਕ ਸਿਹਤ ਲਈ ਮਦਦ ਮੰਗਣਾ ਬਿਹਤਰ ਸਰੀਰਕ ਭਲਾਈ ਵੱਲ ਇੱਕ ਮਜ਼ਬੂਤ ਕਦਮ ਹੈ।

ਕਦੋਂ ਕਿਸੇ ਡਾਕਟਰ ਨੂੰ ਦਿਖਾਉਣਾ ਹੈ

ਜੇਕਰ ਤੁਹਾਨੂੰ ਅਜਿਹੀ ਦਰਦ ਮਹਿਸੂਸ ਹੁੰਦੀ ਹੈ ਜੋ ਆਰਾਮ ਨਾਲ ਨਹੀਂ ਘਟਦੀ, ਜਾਂ ਜੇਕਰ ਤੁਹਾਨੂੰ ਆਪਣੇ ਜੋੜਾਂ ਵਿੱਚ ਕਮਜ਼ੋਰੀ ਜਾਂ ਅਸਥਿਰਤਾ ਦਿਖਾਈ ਦਿੰਦੀ ਹੈ, ਤਾਂ ਆਪਣੇ ਆਮ ਪਰਿਵਾਰਕ ਡਾਕਟਰ (GP) ਨੂੰ ਦਿਖਾਓ। ਜੇਕਰ ਤੁਹਾਡੇ ਲੱਛਣ ਜੋੜਾਂ ਨੂੰ ਫਸਾਉਣ (locking) ਦਾ ਕਾਰਨ ਬਣਦੇ ਹਨ, ਜਾਂ ਜੋੜ ਢਹਿ ਜਾਂਦਾ ਹੈ, ਜਾਂ ਜੇਕਰ ਉਹ ਤੁਹਾਡੀ ਨੀਂਦ ਜਾਂ ਕੰਮ ਵਿੱਚ ਰੁਕਾਵਟ ਪਾਉਂਦੇ ਹਨ, ਤਾਂ ਵਿਸ਼ੇਸ਼ਜ਼ ਦੀ ਸਮੀਖਿਆ ਲਈ ਕਿਹਾ ਜਾਵੇ। ਲੱਛਣਾਂ ਵਿੱਚ ਅਚਾਨਕ ਵਾਧਾ ਤੁਰੰਤ ਧਿਆਨ ਮੰਗਦਾ ਹੈ। ਇਸ ਗੱਲ ਤੋਂ ਅਵਗਤ ਰਹੋ ਕਿ ਚਿੰਤਾ ਅਤੇ ਡਿਪਰੈਸ਼ਨ ਜੋੜ ਸਰਜਰੀ, ਜਿਵੇਂ ਕਿ ਕੁੱਲ ਨਿੱਕਲ ਸਰਜਰੀ (total hip arthroplasty), ਤੋਂ ਬਾਅਦ ਨਤੀਜਿਆਂ ਨੂੰ ਘੱਟ ਪ੍ਰਭਾਵਸ਼ਾਲੀ ਬਣਾ ਸਕਦੇ ਹਨ। ਘੁਟਣ ਸਥਿਰੀਕਰਨ (shoulder stabilization) ਵਰਗੀਆਂ ਪ੍ਰਕਿਰਿਆਵਾਂ ਤੋਂ ਬਾਅਦ ਨਵੀਂ ਸ਼ੁਰੂਆਤ ਹੋਣ ਵਾਲੀ ਚਿੰਤਾ ਜਾਂ ਡਿਪਰੈਸ਼ਨ 90 ਦਿਨਾਂ ਦੇ ਅੰਦਰ ਹਸਪਤਾਲ ਦੁਬਾਰਾ ਭਰਤੀ ਹੋਣ ਦੇ ਤੁਹਾਡੇ ਜੋਖਮ ਨੂੰ ਯਥੇਸ਼ਟ ਵਧਾਉਂਦਾ ਹੈ। ਬੇਦਖਲ ਮਨੋਸਿਹਤ ਸਮੱਸਿਆਵਾਂ ਤੁਹਾਨੂੰ ਮਹੱਤਵਪੂਰਨ ਕਲੀਨਿਕਲ ਲਾਭ ਪ੍ਰਾਪਤ ਕਰਨ ਤੋਂ ਰੋਕ ਸਕਦੀਆਂ ਹਨ। ਤੁਹਾਡਾ ਡਾਕਟਰ ਤੁਹਾਡੀ ਵਾਪਸੀ ਦੀ ਪ੍ਰਕਿਰਿਆ ਦੀ ਭਵਿੱਖਬਾਣੀ ਕਰਨ ਵਿੱਚ ਮਦਦ ਕਰਨ ਲਈ ਸਰਜਰੀ ਤੋਂ ਪਹਿਲਾਂ ਤੁਹਾਡੇ ਮਨੋਵਿਗਿਆਨਕ ਹਾਲਤ ਦਾ ਮੁਲਾਂਕਣ ਕਰਨ ਲਈ ਖਾਸ ਸਕ੍ਰੀਨਿੰਗ ਟੂਲ ਵਰਤ ਸਕਦਾ ਹੈ।


Evidence & references

Overview

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
  • Early identification of patients at risk for postoperative psychological distress enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
  • Tailored perioperative counseling and psychological support are needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
  • Patients with lower preoperative mental health scores report similar functional improvements after regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
  • Regenerative peripheral nerve interface surgery benefits patients regardless of mental health status [3].
  • Anxiety and depression may be more important than the alpha angle or suction seal in hip preservation surgery outcomes [4].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
  • A cognitive behavioral therapy-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain [8].
  • The cognitive behavioral therapy-based intervention did not yield meaningful benefits in pain and function out to 1 year for low back pain [8].
  • Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with underlying mental health disorders may still significantly benefit from medial patellofemoral ligament reconstruction compared to their unaffected counterparts [10].
  • Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after medial patellofemoral ligament reconstruction compared to unaffected counterparts [10].
  • Kinesiophobia is a critical psychological factor that adversely affects functional recovery following arthroscopic Bankart repair [12].
  • Kinesiophobia is a critical psychological factor that adversely affects return to sport following arthroscopic Bankart repair [12].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score has superior performance for identifying the potential for poor outcomes following elective total knee and hip arthroplasty [13].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is integrated within standard outcome frameworks [13].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening [13].

Anatomy & Pathophysiology

  • Machine learning models can predict psychological distress after total joint arthroplasty to enable early identification of at-risk patients [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories compared to those without these symptoms [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements and similar functional improvements following regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
  • Revision rotator cuff repair patients are more commonly White, have lower mental health status, and have more severe rotator cuff pathology compared to primary rotator cuff repair patients [11].
  • Tear severity is not associated with baseline patient-reported outcomes in revision rotator cuff repair patients [11].
  • Kinesiophobia adversely affects functional recovery and return to sport following arthroscopic Bankart repair for glenohumeral instability [12].
  • A history of depression may not adversely affect patient-reported outcomes after thumb carpometacarpal arthroplasty [15].
  • Machine learning models demonstrate excellent predictive power and accuracy in assessing postoperative catastrophic cardiac complications following hip and knee periprosthetic fracture surgery using preoperative parameters [19].
  • Adding motor imagery to conservative treatment after distal radius fracture improves function, wrist extension, and hand grip strength compared to conventional treatment alone [20].
  • The Hip-RSI Score with a cutoff of 51.7 at 4 months postoperatively demonstrates moderate ability to predict return to sport after surgical repair of a proximal hamstring avulsion [21].
  • The Hip-RSI Score for predicting return to sport after proximal hamstring avulsion repair has a sensitivity of 69% and a specificity of 77% [21].
  • No operation for reconstruction of a resected part of the skeleton can restore a limb to normal function [22].
  • Patient-specific psychological characteristics and personality structure significantly affect functional outcomes after arthroscopically assisted acromioclavicular joint stabilization for acute and chronic injuries at mid-term follow-up [23].

Classification

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements and similar functional improvements following regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
  • Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
  • Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
  • Revision rotator cuff repair patients have lower mental health status compared to primary rotator cuff repair patients [11].
  • Tear severity is not associated with baseline PROMs in revision rotator cuff repair patients [11].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening for poor outcomes following elective total knee and hip arthroplasty [13].
  • Adolescent AIS patients' anxiety levels are stable, independent of received therapeutic support [14].
  • Central sensitization in chronic nonspecific low back pain can be seen as an excessive reactivity of nociceptive neurons in the central nervous system to normal or subthreshold afferent chronic stimuli in people with certain mental predispositions [16].

Clinical Presentation

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements and similar functional improvements following regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
  • Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
  • A cognitive-behavioral therapy-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain, but did not yield meaningful benefits in pain and function out to 1 year [8].
  • Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
  • Revision rotator cuff repair cohorts have lower mental health status compared to primary rotator cuff repair cohorts [11].
  • Tear severity was not associated with baseline PROMs in patients undergoing revision rotator cuff repairs [11].
  • Kinesiophobia adversely affects functional recovery and return to sport following arthroscopic Bankart repair [12].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening for potential poor outcomes following elective total knee and hip arthroplasty [13].
  • Adolescent idiopathic scoliosis patients' anxiety levels are stable, independent of received therapeutic support [14].
  • Central sensitization in chronic nonspecific low back pain can be seen as an excessive reactivity of nociceptive neurons in the central nervous system to normal or subthreshold afferent chronic stimuli in people with certain mental predispositions [16].

Investigations

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
  • Such models support early identification of patients at risk for postoperative psychological distress [1].
  • Early identification enables targeted behavioral health referral prior to surgery [1].
  • Early identification enables psychologically informed physical therapy prior to surgery [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty [2].
  • Patients with anxiety and depression have different recovery trajectories after total hip arthroplasty [2].
  • Tailored perioperative counseling is needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
  • Psychological support is needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface surgery [3].
  • Patients with lower preoperative mental health scores report similar functional improvements after regenerative peripheral nerve interface surgery [3].
  • Regenerative peripheral nerve interface benefits patients regardless of mental health status [3].
  • Anxiety and depression may be more important than the alpha angle or suction seal in hip preservation surgery outcomes [4].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference in hip preservation surgery [4].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve substantial clinical benefit in hip preservation surgery [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • There is a disparity between sexes in physical recovery following anterior cruciate ligament reconstruction [6].
  • There is a disparity between sexes in psychological recovery following anterior cruciate ligament reconstruction [6].
  • There is a disparity between sexes in return to sport status following anterior cruciate ligament reconstruction [6].
  • Patients with remission or mild fibromyalgia experience more severe symptoms than patients with remission or low disease activity rheumatoid arthritis [7].
  • Patients with remission or mild fibromyalgia experience poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
  • Patients with remission or mild fibromyalgia experience more severe symptoms than healthy controls [7].
  • Patients with remission or mild fibromyalgia experience poorer quality of life than healthy controls [7].
  • A cognitive-behavioral therapy-based intervention resulted in marginal improvements in pain-related knowledge at 6 weeks for low back pain [8].
  • A cognitive-behavioral therapy-based intervention resulted in marginal improvements in psychological distress at 6 weeks for low back pain [8].
  • A cognitive-behavioral therapy-based intervention did not yield meaningful benefits in pain out to 1 year for low back pain [8].
  • A cognitive-behavioral therapy-based intervention did not yield meaningful benefits in function out to 1 year for low back pain [8].
  • Patients with major depressive disorder are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with underlying mental health disorders report worse pre-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
  • Patients with underlying mental health disorders report worse post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
  • Patients with underlying mental health disorders may still significantly benefit from MPFL-R compared to their unaffected counterparts [10].
  • Revision rotator cuff repair patients are more commonly White than primary rotator cuff repair patients [11].
  • Revision rotator cuff repair patients have lower mental health status than primary rotator cuff repair patients [11].
  • Revision rotator cuff repair patients have more severe rotator cuff pathology than primary rotator cuff repair patients [11].
  • Tear severity was not associated with baseline PROMs in revision rotator cuff repair patients [11].
  • Kinesiophobia adversely affects functional recovery following arthroscopic Bankart repair [12].
  • Kinesiophobia adversely affects return to sport following arthroscopic Bankart repair [12].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score has superior performance for identifying the potential for poor outcomes following elective total knee and hip arthroplasty [13].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is integrated within standard outcome frameworks [13].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening [13].
  • Adolescent idiopathic scoliosis patients' anxiety levels are stable independent of received therapeutic support [14].
  • Music therapy intervention effects on pain and anxiety in adult patients undergoing total shoulder arthroplasty were not dependent on live vs. recorded presentation [17].
  • Adding motor imagery to conservative treatment after distal radius fracture improved function compared to conventional treatment alone [20].
  • Adding motor imagery to conservative treatment after distal radius fracture improved wrist extension compared to conventional treatment alone [20].
  • Adding motor imagery to conservative treatment after distal radius fracture improved hand grip strength compared to conventional treatment alone [20].

Treatment

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty to support early identification of at-risk patients [1].
  • Early identification of patients at risk for postoperative psychological distress enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
  • The differing recovery trajectories of patients with anxiety and depression emphasize the need for tailored perioperative counseling and psychological support [2].
  • Regenerative peripheral nerve interface (RPNI) surgery provides similar or greater pain improvements and similar functional improvements regardless of preoperative mental health status [3].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • Sex-based disparities exist in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
  • Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
  • A cognitive-behavioral therapy-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain but did not yield meaningful benefits in pain and function out to 1 year [8].
  • Distal biceps tendon repair using a cortical button with or without an interference screw provides excellent short- to mid-term clinical and functional outcomes [9].
  • Patients with major depressive disorder and undiagnosed depression report worse pre- and post-operative PROMIS scores after patellar stabilization surgery compared to unaffected counterparts [10].
  • Patients with underlying mental health disorders may still significantly benefit from medial patellofemoral ligament reconstruction compared to their unaffected counterparts [10].
  • Kinesiophobia is a critical psychological factor that adversely affects functional recovery and return to sport following arthroscopic Bankart repair [12].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening due to its superior performance and integration within standard outcome frameworks [13].
  • Adolescent idiopathic scoliosis patients' anxiety levels are stable and independent of received therapeutic support [14].
  • Music therapy intervention effects on pain and anxiety in adult patients undergoing total shoulder arthroplasty were not dependent on live versus recorded presentation [17].

Complications

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
  • Early identification of patients at risk for postoperative psychological distress enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
  • Tailored perioperative counseling and psychological support are needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface (RPNI) surgery for upper-extremity neuromas [3].
  • Patients with lower preoperative mental health scores report similar functional improvements after RPNI surgery for upper-extremity neuromas [3].
  • RPNI benefits patients regardless of mental health status [3].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
  • Anxiety and depression may be more important than the alpha angle or suction seal in hip preservation surgery outcomes [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction (ACLR) [6].
  • Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
  • A cognitive behavioral therapy (CBT)-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain [8].
  • The CBT-based intervention did not yield meaningful benefits in pain and function out to 1 year for low back pain [8].
  • Risk-stratified care improves pain-related knowledge and reduces psychological distress for low back pain [8].
  • Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
  • Patients with underlying mental health disorders may still significantly benefit from MPFL-R compared to their unaffected counterparts [10].
  • Revision rotator cuff repair (RCR) patients are more commonly White than primary RCR patients [11].
  • Revision RCR patients have lower mental health status than primary RCR patients [11].
  • Revision RCR patients have more severe rotator cuff pathology than primary RCR patients [11].
  • Tear severity was not associated with baseline PROMs in revision RCR patients [11].
  • A history of depression may not adversely affect patient-reported outcomes after thumb carpometacarpal (CMC) arthroplasty [15].
  • A history of anxiety and/or depression is consistently associated with poorer outcomes after arthroscopic hip surgery at 2-year follow-up [18].
  • Resilience demonstrates a less consistent and variable association with outcomes after arthroscopic hip surgery [18].
  • Machine learning models demonstrate excellent predictive power and accuracy in assessing postoperative cardiac complications following hip and knee periprosthetic fracture surgery using preoperative parameters [19].

Recovery

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty to support early identification of at-risk patients [1].
  • Early identification of postoperative psychological distress risk enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
  • The differing recovery trajectories of patients with anxiety and depression emphasize the need for tailored perioperative counseling and psychological support [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface (RPNI) surgery for upper-extremity neuromas [3].
  • Patients with lower preoperative mental health scores report similar functional improvements after RPNI surgery for upper-extremity neuromas [3].
  • RPNI benefits patients regardless of mental health status [3].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction (ACLR) [6].
  • Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
  • A cognitive behavioral therapy (CBT)-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain [8].
  • The CBT-based intervention for low back pain did not yield meaningful benefits in pain and function out to 1 year [8].
  • Revision rotator cuff repair patients are more commonly White than primary rotator cuff repair patients [11].
  • Revision rotator cuff repair patients have lower mental health status than primary rotator cuff repair patients [11].
  • Revision rotator cuff repair patients have more severe rotator cuff pathology than primary rotator cuff repair patients [11].
  • Tear severity was not associated with baseline patient-reported outcome measures (PROMs) in revision rotator cuff repair patients [11].
  • Kinesiophobia is a critical psychological factor that adversely affects functional recovery following arthroscopic Bankart repair for glenohumeral instability [12].
  • Kinesiophobia is a critical psychological factor that adversely affects return to sport following arthroscopic Bankart repair for glenohumeral instability [12].
  • A history of depression may not adversely affect patient-reported outcomes after thumb carpometacarpal (CMC) arthroplasty [15].
  • A history of anxiety and/or depression is consistently associated with poorer outcomes after arthroscopic hip surgery at 2-year follow-up [18].
  • Resilience demonstrates a less consistent and variable association with outcomes after arthroscopic hip surgery [18].

Key Evidence

  • [L4] Such models could support early identification of patients at risk for postoperative psychological distress, enabling targeted behavioral health referral or psychologically informed physical therapy prior to surgery. [1] (10.1016/j.arth.2026.05.039)
  • [L2] While these patients experience major clinical improvement after THA, their recovery trajectories differ, emphasizing the need for tailored perioperative counseling and psychological support. [2] (10.1016/j.arth.2025.06.013)
  • [L4] Patients with lower preoperative mental health scores reported similar or greater pain improvements and similar functional improvements, suggesting RPNI benefits patients regardless of mental health status. [3] (10.1016/j.jhsg.2026.100985)
  • [L5] Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery. [4] (10.1002/arj.70034)
  • [L3] New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery. [5] (10.1016/j.jseint.2025.101413)
  • [L2] This study demonstrates the disparity between sexes in physical and psychological recovery, as well as RTS status, in community-level patients undergoing ACLR. [6] (10.1177/2325967125s00328)
  • [L4] Despite being in a mild activity or remission stage, RFM patients experience more severe symptoms and poorer QOL than RRA patients. [7] (10.1186/s12891-025-08323-6)
  • [Paper] This CORR Insights commentary discusses a secondary analysis of a randomized trial, noting that while a CBT-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks, it did not yield meaningful benefits in pain and function out to 1 year. [8] (10.1097/corr.0000000000003410)
  • [L3] Both techniques provided excellent short- to mid-term clinical and functional outcomes. [9] (10.1177/17585732261441889)
  • [L3] Patients with underlying mental health disorders may still significantly benefit from MPFL-R compared to their unaffected counterparts but will nonetheless report worse pre- and post-operative PROMIS scores. [10] (10.1016/j.jisako.2026.101080)
  • [L3] Compared to primary RCR patients, the revision cohort were more commonly White, had lower mental health status and more severe rotator cuff pathology, though tear severity was not associated with baseline PROMs. [11] (10.1016/j.jse.2026.05.007)
  • [L3] Kinesiophobia is a critical psychological factor that adversely affects functional recovery and return to sport following arthroscopic Bankart repair. [12] (10.1186/s12891-026-09567-6)
  • [L3] Its superior performance and integration within standard outcome frameworks make it a valuable tool for preoperative psychosocial screening. [13] (10.1016/j.arth.2025.09.034)
  • [L3] AIS patients' anxiety levels are stable, independent of received therapeutic support. [14] (10.1186/s12891-026-09645-9)
  • [L4] These findings suggest that a history of depression may not adversely affect patient-reported outcomes after thumb CMC arthroplasty. [15] (10.1016/j.jhsg.2026.100989)
  • [L5] Central sensitization can be seen as an excessive reactivity of nociceptive neurons in the central nervous system to normal or subthreshold afferent chronic stimuli in people with certain mental predispositions. [16] (10.3390/jcm14020577)
  • [L2] Findings were not dependent on live vs. recorded presentation. [17] (10.1016/j.jseint.2025.101438)
  • [L3] The present study suggests that a history of anxiety and/or depression is consistently associated with poorer outcomes after arthroscopic hip surgery, whereas resilience demonstrates a less consistent and variable association. [18] (10.1177/23259671251407329)
  • [L3] All models demonstrated excellent predictive power and accuracy in assessing postoperative cardiac complications. [19] (10.1016/j.arth.2026.04.007)
  • [L1] Adding motor imagery to conservative treatment after distal radius fracture improved function, wrist extension, and hand grip strength compared to conventional treatment alone. [20] (10.1016/j.jht.2025.02.018)
  • [L3] This score, with a cutoff of 51.7 at 4 months postoperatively, demonstrated a moderate ability to predict which patients would return to sport, with a sensitivity of 69% and a specificity of 77%. [21] (10.1177/23259671251389118)
  • [Paper] No operation for reconstruction of a resected part of the skeleton can restore a limb to normal function. [22] (10.2106/00004623-196446020-00012)
  • [L4] Patient-specific psychological characteristics and personality structure significantly affect functional outcomes after arthroscopically assisted ACJ stabilization for acute and chronic ACJ injuries at mid-term follow-up. [23] (10.1002/ksa.70349)

References

[1] Development of Machine Learning Algorithms Predicting Psychological Distress After Total Joint Arthroplasty. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2026.05.039 [2] Anxiety and Depression Symptoms Are Associated With Inferior Outcomes in Patients Undergoing Total Hip Arthroplasty: A Prospective Cohort Study. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2025.06.013 [3] Outcomes Following Regenerative Peripheral Nerve Interface Surgery and Associations With Preoperative Mental Health: A Retrospective Analysis of Upper-Extremity Neuromas. Journal of Hand Surgery Global Online. 2026. DOI: 10.1016/j.jhsg.2026.100985 [4] Editorial Commentary : Anxiety and Depression May Be More Important Than the Alpha Angle or Suction Seal in Hip Preservation Surgery Outcomes. Arthroscopy. 2026. DOI: 10.1002/arj.70034 [5] Risk factors for new-onset anxiety and depression after arthroscopic shoulder stabilization surgery. JSES International. 2026. DOI: 10.1016/j.jseint.2025.101413 [6] Sex-based differences in physical and psychological recovery, and return to sport, following anterior cruciate ligament reconstruction. Orthopaedic Journal of Sports Medicine. 2026. DOI: 10.1177/2325967125s00328 [7] Quality of life, pain, depression, fatigue and sleep in patients with remission or mild fibromyalgia: a comparison with remission or low disease activity rheumatoid arthritis and healthy controls. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-08323-6 [8] CORR Insights®: Risk-stratified Care Improves Pain-related Knowledge and Reduces Psychological Distress for Low Back Pain: A Secondary Analysis of a Randomized Trial. Clinical Orthopaedics & Related Research. 2025. DOI: 10.1097/corr.0000000000003410 [9] Distal biceps tendon repair using cortical button with or without interference screw: A comparative study. Shoulder & Elbow. 2026. DOI: 10.1177/17585732261441889 [10] Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery. Journal of ISAKOS. 2026. DOI: 10.1016/j.jisako.2026.101080 [11] Associations of preoperative patient mental health status, sociodemographic and clinical characteristics with baseline pain, function and satisfaction in patients undergoing revision rotator cuff repairs. Journal of Shoulder and Elbow Surgery. 2026. DOI: 10.1016/j.jse.2026.05.007 [12] The impact of kinesiophobia on rehabilitation and return to sport following arthroscopic Bankart repair for glenohumeral instability: a minimum 1-year follow-up. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09567-6 [13] The Effectiveness of the Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score Versus the Brief Resiliency Scale at Identifying the Potential for Poor Outcomes Following Elective Total Knee and Hip Arthroplasty. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2025.09.034 [14] Pre- and postsurgical anxiety and body perception: the significance of cognitive-behavioral therapy in scoliosis adolescents. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09645-9 [15] The Impact of Depression and Antidepressant Treatment on Patient-Reported Outcomes Following Thumb Carpometacarpal Arthroplasty. Journal of Hand Surgery Global Online. 2026. DOI: 10.1016/j.jhsg.2026.100989 [16] Is the Central Sensitization in Chronic Nonspecific Low Back Pain Structural Phenomenon or Psychological Reaction? A Narrative Review. Journal of Clinical Medicine. 2025. DOI: 10.3390/jcm14020577 [17] A prospective randomized controlled trial on the effect of music therapy intervention on pain and anxiety in adult patients undergoing total shoulder arthroplasty. JSES International. 2026. DOI: 10.1016/j.jseint.2025.101438 [18] Effect of A History of Anxiety and Depression on Patient-Reported Outcomes After Hip Arthroscopy at 2-Year Follow-up. Orthopaedic Journal of Sports Medicine. 2026. DOI: 10.1177/23259671251407329 [19] Utility of Machine Learning in Predicting Catastrophic Cardiac Complications Following Hip and Knee Periprosthetic Fracture Surgery Using Preoperative Parameters. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2026.04.007 [20] The effect of motor imagery on functionality, pain, kinesiophobia, and quality of life in patients with distal radius fractures: A randomized controlled double-blind study. Journal of Hand Therapy. 2025. DOI: 10.1016/j.jht.2025.02.018 [21] The Hip-RSI Score for Evaluating Psychological Readiness to Return to Sport After Surgical Repair of a Proximal Hamstring Avulsion. Orthopaedic Journal of Sports Medicine. 2025. DOI: 10.1177/23259671251389118 [22] PREFACE. The Journal of Bone & Joint Surgery. 1964. DOI: 10.2106/00004623-196446020-00012 [23] Patient‐specific psychological characteristics and personality structure affect functional outcomes after surgical stabilization of acute and chronic acromioclavicular joint injuries. Knee Surgery, Sports Traumatology, Arthroscopy. 2026. DOI: 10.1002/ksa.70349