[Somatoform pain disturbance as the result of trauma].
Orthopedic specialists and emergency surgeons are often confronted with somatoform disorders, which can be the result of traumatization, and they frequently do not recognize this. A combination of pain and several other physical symptoms is typical for somatization, and in these circumstances a psychosocial history should be elicited as a precaution before an elective operation is considered. Recognition of somatization with subsequent referral to more appropriate professional care (e.g., center for multimodal pain therapy, psychosomatic clinic) is crucial. We describe an interesting and instructive case, which it is hoped will help practitioners to recognize such patients and deal with their cases in the correct manner.
Schmelzer-Schmied
N
N
Orthopädische Universitätsklinik Heidelberg, Sektion Schmerztherapie, Heidelberg, Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstr. 200a, 69118 Heidelberg, Deutschland. nicole.schmelzer-schmied@ok.uni-heidelberg.de
Henningsen
P
P
Schiltenwolf
M
M
D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D003865:Major Depressive Disorder / Q000175:diagnosis; D017587:Diskectomy, Percutaneous; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000523:psychology* / Q000601:surgery; D017116:Low Back Pain / Q000175:diagnosis / Q000523:psychology* / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery; D008866:Microsurgery; D017699:Pelvic Pain / Q000175:diagnosis / Q000523:psychology / Q000601:surgery; D010817:Physician-Patient Relations; D012008:Recurrence; D012017:Referral and Consultation; D012086:Reoperation; D012447:Sacrum / Q000601:surgery; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology*; D019564:Unnecessary Procedures