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Yeah, great answer. Chronic stress kills.
Unfortunately as @Fruck says, our entire worldview, especially the medical establishment, is firmly against chronic stress being an issue. Just take a look at muscular injuries. While many doctors such as John Sarno have done great research and essentially proven that most chronic injuries are psychosomatic, the modern establishment view within medicine is that pretty much all injuries are mechanical, and need to be fixed with surgery. The idea that chronic stress over time leads to emotional issues which lead to physical pain is a massive threat to the current medical system.
There are a lot of researchers, doctors, and therapists doing good work in the chronic pain space, but boy are they fighting an uphill battle. And just imagine trying to tell someone "Yeah well... you didn't really need that shoulder surgery that cost you (or likely other taxpayers) tens of thousands of dollars, but it was probably easier than getting you to do some self-reflection and actually fix your personal problems." It's not exactly a sexy argument to make.
This is a gross oversimplification. The consensus view of pain is the biopsychosocial model.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6067990/#:~:text=The%20biopsychosocial%20model%20of%20pain,that%20reciprocally%20influence%20one%20another.
The thing about Sarno is that his model is pretty much only psycho.
Yes this is the consensus view in chronic pain science - do you think it’s the consensus view among everyday doctors, especially those for specific disorders like carpal tunnel, tennis elbow, tendinitis, etc etc? Hell no.
Most of these doctors haven’t even heard the term biopscyhosocial. I can tell you that confidently because I spent almost ten thousand dollars and got 30+ different opinions from these doctors for my own chronic issues, and only found out about the biopsychosocial model myself. All this less than five years ago.
I even acknowledge that there are doctors doing good work in the chronic pain space, as you discuss. But to call my claim a gross oversimplification is simply not true.
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While I'm no fan of the homeless, I really don't think chronic mental stress can cause SLAP tears.
No idea what SLAP tears are, but hey man the link between mental stress and physical injuries keeps getting validated to impact more and more issues that were previously thought to be mechanical.
Anything that is caused or exacerbated by ‘stress’ is an excellent candidate.
Personal bugbear: Superior Labrum, Anterior to Posterior. The labrum is a bowl of cartilage that provides passive stabilization of the shoulder joint, which in humans is significantly less structurally sound in exchange for a greater movement envelope. The labrum can be torn by heavy exertion at the edges of the envelope or by the proximal head being driven through the labrum, as in holding your arms rigid during a car crash.
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