As a patient’s pain gets more complicated, so do their lives. The presentation of the patient is no longer just a simple acute injury that should go though the normal healing stages. A lot of times with acute injury, there is no story attached to the injury, so the healing does not get complicated. As the pain becomes more chronic, the source starts to become blurry. The longer the pain persists, the more confusion that happens, as the patient gets further away from and perhaps forgets the initial source.
In the world of chronic illness and pain, we discover significant difficulties in treating the ailments, due to such complex entities. Sometimes the symptoms can be so complex, the practitioner has difficulty determining key points in the diagnosis. It is unclear what is the cause and what are the residual effects. Sometimes, we can be treating the correct diagnosis and problem, but the other complicating factors are too strong to allow you to see the benefits or improvements that would be expected. This leads to confusion and complications to the patient's overall prognosis and success.