Orthopaedic trauma patients have high rates of psychiatric disorders, which put them at risk for worse outcomes after injury and surgery, including worse pain. Mental health conditions, such as depression and anxiety, can affect the perception of pain. Pain can also exacerbate or contribute to the development of mental illness after injury. Interventions to address both mental health and pain among orthopaedic trauma patients are critical. Balancing safety and comfort amid a drug overdose epidemic is challenging, and many clinicians do not feel comfortable addressing mental health or have the resources necessary. We reviewed the literature on the complex relationship between pain and mental health and presented examples of scalable and accessible interventions that can be implemented to promote the health and recovery of our patients. Interventions described include screening for depression in the orthopaedic trauma clinic and the emergency department or inpatient setting during injury and using a comprehensive and evidence-based multimodal pain management regimen that blends pharmacologic alternatives to opioids and physical and cognitive strategies to manage pain.

中文翻译：

---

肌肉骨骼疼痛管理和患者心理健康与福祉。

骨科创伤患者的精神疾病发病率很高，这使他们在受伤和手术后面临更糟糕的后果，包括更严重的疼痛。心理健康状况，如抑郁和焦虑，会影响对疼痛的感知。疼痛还会加剧或促进受伤后精神疾病的发展。解决骨科创伤患者心理健康和疼痛的干预措施至关重要。在药物过量流行中平衡安全性和舒适性是一项挑战，许多临床医生对解决心理健康问题或拥有必要的资源感到不舒服。我们回顾了有关疼痛与心理健康之间复杂关系的文献，并提供了可扩展且可访问的干预措施的示例，这些干预措施可以实施以促进患者的健康和康复。