Talk:Amplified musculoskeletal pain syndrome

Using words of association rather than causation
Since AMPS does not have a specific pathophysiology that can be measured and verified, it's better to use words of association rather than causation.

The section discussing EDS, myelitis arthritis and other rheumatological diseases is confusing and misleading because each of those has a pathophysiology that can be measured and verified.

It would be more appropriate to state that people with lax ligaments (EDS), rheumatoid arthritis, or another discrete pathophysiology who have more intense pain than expected can be considered to overlap with AMPS. Unecomeditor1 (talk) 01:46, 18 January 2024 (UTC)

Pathophysiology and Diagnosis
It’s more accurate to say there is no measurable pathophysiology and the diagnosis is conceptual. A section of the AMPS page mentions that the condition is “often not diagnosed when it first presents.” Since the diagnosis is conceptual rather than experimental, it cannot be framed as a delay in diagnosis. The main issue is whether this concept of AMPS and its use with individual patients is good for their health. Unecomeditor1 (talk) 20:59, 26 February 2024 (UTC)

Additional suggestions regarding word choice
Since AMPS and other concepts are debated and will evolve, it's helpful to use descriptive terms like "notable pain intensity without identifiable pathophysiology."

Specifically, this could be implemented at the beginning of the third paragraph by editing to, "Treatment for notable pain intensity without identifiable pathophysiology can include psychotherapy to alleviate psychological stress." Unecomeditor1 (talk) 22:26, 13 March 2024 (UTC)

Physical Therapy vs Physical Therapists
It's important to make it clear that physical therapy is a profession and be specific about the types of treatment physical therapists provide, primarily coaching on exercises. Additionally, "pain management" is not a treatment. Unecomeditor1 (talk) 20:37, 22 March 2024 (UTC)

The relationship between physical and mental symptoms
The direction of the relationship between physical and mental symptoms is essentially unknowable. And the relationship is accepted to be bidirectional, which is common sense.

Suggesting that the mental symptoms are due, or must be due, to the physical symptoms seems to reflect, and may reinforce the social stigma associated with thoughts and emotions. It's as if you're saying that one would not feel worry or despair if they did not have the physical pain, which is a false and harmful concept. Unecomeditor1 (talk) 20:51, 15 April 2024 (UTC)

Reorganizing sections on "Chronic Pain," "Visual Changes," "Complications" and "Causes"
Currently the "Chronic Pain" section doesn't add anything to the prior paragraph. It's all redundant.

The following section on "Visual Changes" is out of pain here.

"Complications" are the result of intervention, making this section also out of place. Additionally, The relationship between mental and physical health is bidirectional. This needs to be handled accurately.

Regarding "Causes," since we do not know the pathophysiology (idiopathic), we cannot discuss etiology (cause). We can only address associations. Unecomeditor1 (talk) 01:34, 25 April 2024 (UTC)

Changing "Mechanism" to "Rationale"
The text does not present experimental evidence of pathophysiology. This is rationale. Unecomeditor1 (talk) 01:34, 21 May 2024 (UTC)