Psychological and physical factors in neck pain

In my practice, I see a lot of patients who have severe psychological disturbances as a result of their car crash. Sometimes this turns chronic, and it seems to make the neck pain even worse. This excerpt from Whiplash, Headache, and Neck Pain examines the complex interplay between psychological and physical factors in neck pain, particularly whiplash. The authors explore the relationship between pain, disability, and psychological distress, including anxiety, depression, and post-traumatic stress. Studies investigating the predictive value of psychological factors in transitioning from acute to chronic neck pain are reviewed, highlighting the importance of considering both physical and psychological impairments in assessment and treatment. The text emphasizes the need for a biopsychosocial approach, advocating for multi-professional care in complex cases where physical and psychological factors are intertwined. Finally, the authors discuss the implications for clinical assessment and management of neck pain, recommending a comprehensive approach to ensure appropriate care.