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Testing for Non-organic Physical Signs Psychological factors may markably affect the way people experience and express their pain. This being the case, distinguishing between organic or a true anatomical lesion and functional or a non-anatomical cause for pain is necessary to fully understand the patient's painful experience, and to assess the patient both clinically and psychologically. It's prudent to evaluate the patient with regards to functional difficulties in order to understand what social or psychological factors, if any, exist so as to make case management decisions regarding psychological referral. It's important for the clinician to understand that physical and psychological difficulties are not mutually exclusive. In patients with chronic pain, these two factors overlap one another. The extent of the psychological overlay is often very informative in making future treatment recommendations and assessing the patient's overall progress or response to treatment. There are nu...