Rauck R L, Gargiulo C A, Ruoff G E, Schnitzer T J, Trapp R G
Pain Control Center, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC, USA.
Manag Care Interface. 1998 Feb;11(2):72-7, 82.
Low back pain is a leading cause of work-related disability and has important socioeconomic consequences. Although there is little evidence to determine the optimal treatment of chronic low back pain, treatment goals can be established. Primary care providers should focus on pain management, improvement of activity and functional level, and fostering a greater understanding of chronic low back pain. This two-part article summarizes consensus guidelines developed by practitioners with expertise in pain management, family medicine, internal medicine, physical therapy, rheumatology, and managed care, and provides direction for primary care providers on a multidisciplinary approach to the patient with chronic low back pain.
腰痛是导致与工作相关残疾的主要原因，并且具有重要的社会经济影响。尽管几乎没有证据能确定慢性腰痛的最佳治疗方法，但治疗目标是可以确立的。初级保健提供者应专注于疼痛管理、提高活动能力和功能水平，以及加深对慢性腰痛的理解。这篇分两部分的文章总结了由疼痛管理、家庭医学、内科、物理治疗、风湿病学和管理式医疗领域的专家制定的共识指南，并为初级保健提供者提供了针对慢性腰痛患者的多学科治疗方法的指导。
