Patients may respond to an injury and pain with mood disturbances, including depression, lowered self esteem, anxiety, anger and maladaptive behaviour (Braddeley, 1990). Although Emily appears strong and motivated, accepting the change in lifestyle will be with difficulty. Her inability to train as she would have wanted, in order to achieve her plan to support her partner and the difficulty she has to endure when it comes to walking the dog will make her worry. In this case, patient education to address psychosocial issues that may militate against Emily's progress is very vital for better treatment outcomes (Lazarus and Folkman, 1984). Calm explanation, reassurance and involving her in deciding the management plan can help work against these psychological disturbances. Education and supportive counselling; giving literature explaining the condition are also good (Kaplan, 1986). Also, structures within her work place should allow her to take a break or work minimal hours while she recuperates. If there is the need, a referral to a psychologist for counselling would also be helpful. Understanding the stresses in Emily's life and finding ways to help her cope could lead to better patient engagement for treatment success.