According to a brand new study, led by Dr. Tae Kyun Kim at Seoul National University Bundang Hospital’s Joint Reconstruction Center and published in “Journal of Bone and Joint Surgery,” depression plays a major role in how people experience arthritis pain.

The researchers used X-rays to determine the actual arthritis damage and then evaluated the patients for any symptoms of depression. Surprisingly, many people who only had minor physical arthritis damage experienced more severe pain if they suffered mild symptoms of depression.

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