Recovery from injury involves painful movement and activity, painful stretches and muscle strengthening, and adjustment to permanent impairment. Recovery is facilitated by embracing the concept that painful movement can be healthy, which is easier when one has more hope, less worry, and greater social supports and security. Evolution of one's identity to match the new physical status is a hallmark of a healthy outcome and is largely determined by mental and social health factors. When infection, loss of alignment or fixation, and nerve issues or compartment syndrome are unlikely, greater discomfort and incapability that usual for a given pathology or stage of recovery signal opportunities for improved mental and social health. Surgeons may be the clinicians most qualified to make this discernment. A surgeon who has gained a patient's trust can start to noticed despair, worry, and unhelpful thinking such as fear of painful movement. Reorienting people to greater hope and security and a healthier interpretation of the pains associated with the body's recovery can be initiated by the surgeon and facilitated by social workers, psychologist, and physical, occupational and hand therapists trained in treatments that combine mental and physical therapies.

中文翻译：

---

肌肉骨骼损伤后的恢复：心理和社会健康。

从受伤中恢复包括痛苦的运动和活动、痛苦的伸展和肌肉强化，以及对永久性损伤的调整。通过接受痛苦的运动可以是健康的概念来促进康复，当一个人有更多的希望、更少的担忧、更多的社会支持和安全感时，这会更容易。一个人的身份演变以匹配新的身体状况是健康结果的标志，很大程度上取决于心理和社会健康因素。当感染、失去对齐或固定以及神经问题或隔室综合征不太可能发生时，对于特定病理或恢复阶段来说，通常会出现更大的不适和无能，这表明有机会改善心理和社会健康。外科医生可能是最有资格做出这种辨别的临床医生。一位获得病人的外科医生' s 信任可以开始注意到绝望、担心和无益的想法，例如害怕痛苦的运动。将人们重新定位到更大的希望和安全感，以及对与身体恢复相关的疼痛的更健康解释可以由外科医生发起，并由社会工作者、心理学家以及接受过心理和物理治疗相结合治疗培训的物理、职业和手部治疗师来促进。