Exacerbating and alleviating mechanical factors, such as different positions or postures, sitting, standing, walking, bending, and lifting, all help to further delineate pain states. In addition, psychological questions about depression, stress, or emotional issues should be investigated. Furthermore, questions regarding the effects of biochemical changes (e.g., electrolyte abnormalities, hormonal imbalances) and environmental triggers (e.g., dietary influences, weather changes) also provide important diagnostic clues, and as previously discussed, medications and procedures all help determine what may effectively treat the patient's pain.
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