Abstract：
Shoulder pain is one of the most common musculoskeletal problems of the world\'s population. In particular, in water polo athletes, the frequency of injuries or pain to this joint is very high. The incidence of psychosocial factors in musculoskeletal pain is well recognized, even if they seem to be more present in chronic pain, rather than in acute pain.
The patient was a semi-professional water polo player with acute shoulder pain which occurred during a game. At first, the pain was very mild, but it progressively got worse after the visit to the casualty department where, even in the absence of any confirmed structural lesions, the patient is ordered to refrain from any active movements. The patient became worried, so his anxiety levels increased which worsened his symptoms. The physiotherapist opted for a \"hands-off/hands-on approach\".
Significative improvements were observed in all the considered outcome measures, the patient obtained complete recovery in a very short period of time and then he was able to return to his sport.
Psychosocial factors such as anxiety, fear and catastrophizing can modulate pain responses in a subject without structural problems. Thus, counseling and education in pain science can be an effective therapeutic method, especially with conditions of acute, as well as chronic, pain.
4.
The patient was a semi-professional water polo player with acute shoulder pain which occurred during a game. At first, the pain was very mild, but it progressively got worse after the visit to the casualty department where, even in the absence of any confirmed structural lesions, the patient is ordered to refrain from any active movements. The patient became worried, so his anxiety levels increased which worsened his symptoms. The physiotherapist opted for a \"hands-off/hands-on approach\".
Significative improvements were observed in all the considered outcome measures, the patient obtained complete recovery in a very short period of time and then he was able to return to his sport.
Psychosocial factors such as anxiety, fear and catastrophizing can modulate pain responses in a subject without structural problems. Thus, counseling and education in pain science can be an effective therapeutic method, especially with conditions of acute, as well as chronic, pain.
4.
摘要：
肩痛是世界上最常见的肌肉骨骼问题之一。特别是,在水球运动员中，这个关节受伤或疼痛的频率非常高。肌肉骨骼疼痛中社会心理因素的发生率得到了广泛认可，即使它们似乎更多存在于慢性疼痛中，而不是急性疼痛。
患者是一名半职业水球运动员，在比赛中出现急性肩痛。起初,疼痛非常轻微，但是在访问伤亡部门之后，情况逐渐恶化，即使没有任何确认的结构性病变，病人被命令停止任何积极的运动。病人开始担心，所以他的焦虑程度增加了，症状恶化了。物理治疗师选择了“放手/动手方法”。
在所有考虑的结果指标中都观察到了显著的改善，患者在很短的时间内完全康复，然后能够恢复运动。
心理社会因素，如焦虑，恐惧和灾难可以调节没有结构性问题的受试者的疼痛反应。因此，疼痛科学的咨询和教育可以成为一种有效的治疗方法，特别是在急性的情况下，以及慢性，疼痛。
4.
患者是一名半职业水球运动员，在比赛中出现急性肩痛。起初,疼痛非常轻微，但是在访问伤亡部门之后，情况逐渐恶化，即使没有任何确认的结构性病变，病人被命令停止任何积极的运动。病人开始担心，所以他的焦虑程度增加了，症状恶化了。物理治疗师选择了“放手/动手方法”。
在所有考虑的结果指标中都观察到了显著的改善，患者在很短的时间内完全康复，然后能够恢复运动。
心理社会因素，如焦虑，恐惧和灾难可以调节没有结构性问题的受试者的疼痛反应。因此，疼痛科学的咨询和教育可以成为一种有效的治疗方法，特别是在急性的情况下，以及慢性，疼痛。
4.
