It’s Not About The Biceps

In the biomedical paradigm all symptoms and limitations are ascribed to discrete pathophysiology. However, abiopsychosocial health model that accounts for the important influence of mind-set and circumstances on illness maybe preferable in the vast majority of cases. Some of the shortcomings of the biomedical model include an overrelianceon tests and treatments. One major issue of the biomedical model is the raging epidemic of opioid misuse and opioidrelated overdose deaths as previously reported in North America.Emblematic of these issues is a 56-year-old male that had surgery for a rupture of the distal biceps in our clinic withpsychosocial aspects of the illness that were underappreciated by the care team and had disastrous opioidcentricattempts at pain control leading to threats to hospital staff, and finally resulting in forcible removal by hospital securityfrom the ward and national police from the hospital. One might argue that there is no higher priority than rejecting thebiomedical model, understanding illness is its full complexity, and learning from the world’s mistakes so that we don’trepeat them.Level of evidence: V

Keywords:

Elective surgical procedures , Misuse , Opioid , Postoperative pain , Upper extremity