M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team?
Background: Physiatrists often treat patients with medically unexplained symptoms (MUPS), which suggest various psychiatric, psychosomatic or physical diagnoses. Some patients are finally diagnosed with somatoform, dissociative or factitious disorders, while some experience psychological factors aff...
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| Format: | Article |
| Language: | English |
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Univeristy of Physical Education in Krakow
2023-03-01
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| Series: | Rehabilitacja Medyczna |
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| Online Access: | http://rehmed.pl/gicid/01.3001.0016.2871 |
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| author | Avi Ohry Atzmon Tsur |
| author_facet | Avi Ohry Atzmon Tsur |
| author_sort | Avi Ohry |
| collection | DOAJ |
| description | Background: Physiatrists often treat patients with medically unexplained symptoms (MUPS), which suggest various psychiatric, psychosomatic or physical diagnoses. Some patients are finally diagnosed with somatoform, dissociative or factitious disorders, while some experience psychological factors affecting physical conditions. It happens that patients are admitted to rehabilitative medical facilities without a clear diagnosis. Apparently, there are overlapping symptoms between chronic fatigue syndrome, PTSD (post-traumatic stress disorder), "Gulf War syndrome", fibromyalgia, CRPS, and others.Aims: To assess recognition of medically unexplained physical symptoms (MUPS) by physicians, mostly specialists in physical and rehabilitative medicine are engaged.Methods: All information was collected from scientific database site, and derived from the authors' nearly 50 years of clinical experience.Results: Cognitive-affective disturbance, chronic muscle and joint pain, panic disorder, chronic fatigue syndrome, malingering, and others can be described in the medical literature as unexplained physical symptoms.Conclusions: Treatment should comprise a multidisciplinary-integrative approach, by practitioners from medicine, psychology, allied health professionals and social work. MUPS is not a "non-disease" entity, but rather, an unexplained clinical phenomenon. Patients are entitled to benefit from the rehabilitative medicine model of treatment even if their clinical diagnosis is not accurate or clear. |
| format | Article |
| id | doaj-art-ed69eeec75bf4028b4b66f86a0c1b444 |
| institution | Kabale University |
| issn | 1427-9622 1896-3250 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Univeristy of Physical Education in Krakow |
| record_format | Article |
| series | Rehabilitacja Medyczna |
| spelling | doaj-art-ed69eeec75bf4028b4b66f86a0c1b4442025-08-20T03:44:01ZengUniveristy of Physical Education in KrakowRehabilitacja Medyczna1427-96221896-32502023-03-01271495210.5604/01.3001.0016.287101.3001.0016.2871M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team?Avi Ohry0Atzmon Tsur1Emeritus Professor of Rehabilitative Medicine, Reuth Medical & Rehabilitation Centre, Tel Aviv, IsraelEmeritus Senior lecturer of Rehabilitative Medicine, Regional (north) physician in rehabilitation, Meuhedet Services, IsraelBackground: Physiatrists often treat patients with medically unexplained symptoms (MUPS), which suggest various psychiatric, psychosomatic or physical diagnoses. Some patients are finally diagnosed with somatoform, dissociative or factitious disorders, while some experience psychological factors affecting physical conditions. It happens that patients are admitted to rehabilitative medical facilities without a clear diagnosis. Apparently, there are overlapping symptoms between chronic fatigue syndrome, PTSD (post-traumatic stress disorder), "Gulf War syndrome", fibromyalgia, CRPS, and others.Aims: To assess recognition of medically unexplained physical symptoms (MUPS) by physicians, mostly specialists in physical and rehabilitative medicine are engaged.Methods: All information was collected from scientific database site, and derived from the authors' nearly 50 years of clinical experience.Results: Cognitive-affective disturbance, chronic muscle and joint pain, panic disorder, chronic fatigue syndrome, malingering, and others can be described in the medical literature as unexplained physical symptoms.Conclusions: Treatment should comprise a multidisciplinary-integrative approach, by practitioners from medicine, psychology, allied health professionals and social work. MUPS is not a "non-disease" entity, but rather, an unexplained clinical phenomenon. Patients are entitled to benefit from the rehabilitative medicine model of treatment even if their clinical diagnosis is not accurate or clear.http://rehmed.pl/gicid/01.3001.0016.2871unexplained physical symptomsPTSDfatiguefibromyalgiarehabilitation medicine |
| spellingShingle | Avi Ohry Atzmon Tsur M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team? Rehabilitacja Medyczna unexplained physical symptoms PTSD fatigue fibromyalgia rehabilitation medicine |
| title | M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team? |
| title_full | M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team? |
| title_fullStr | M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team? |
| title_full_unstemmed | M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team? |
| title_short | M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team? |
| title_sort | m u p s medically unexplained physical symptoms is the accurate diagnosis necessary for the rehab team |
| topic | unexplained physical symptoms PTSD fatigue fibromyalgia rehabilitation medicine |
| url | http://rehmed.pl/gicid/01.3001.0016.2871 |
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