Behavioral Medicine Service, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
J Hand Ther. 2011 Apr-Jun;24(2):118-22; quiz 123. doi: 10.1016/j.jht.2010.12.002. Epub 2011 Mar 9.
Unexplained symptoms are among the most common complaints addressed by health providers. Nonspecific (or less specific) arm pain, in particular, is characterized by vague, diffuse, uncharacteristic symptoms, and disproportionate pain and disability. Many of the conditions diagnosed and treated by hand specialists as specific abnormalities might be better considered nonspecific because no distinct, unique, characteristic pathology or pathophysiology can be identified. An approach that assumes that symptoms are directly related to underlying pathophysiology and ignores the important psychological and sociological contributions to illness risks hindering recovery.
不明原因的症状是医疗服务提供者最常处理的投诉之一。特别是,非特异性(或较少特异性)手臂疼痛的特征是模糊、弥散、非典型症状,以及不成比例的疼痛和残疾。许多被手部专家诊断和治疗为特定异常的疾病可能被更好地认为是非特异性的,因为无法确定独特、独特、典型的病理学或病理生理学。这种方法假设症状与潜在的病理生理学直接相关,而忽略了对疾病风险和恢复的重要心理和社会学贡献。