Borg-Stein Joanne, Wilkins Allen
Spaulding-Wellesley Rehabilitation Center, 65 Walnut Street, Wellesley, MA 02481, USA.
Curr Pain Headache Rep. 2006 Oct;10(5):339-44. doi: 10.1007/s11916-006-0057-4.
Low back pain is one of the complaints most commonly seen in the clinical setting. Correctly or incorrectly, these patients are often given the diagnosis of fibromyalgia, myofascial pain syndrome, disk herniation, or some other label. It is important to recognize the soft tissue causes of low back pain and understand how they can be most appropriately diagnosed and managed. Nonligamentous disorders of the low back region may occur in isolation or in combination with underlying discogenic, ligamentous, and facet-mediated causes of pain. Therefore, in order to fully evaluate and treat a patient with low back pain, it is necessary to consider and address these soft tissue conditions. This paper reviews soft tissue causes of low back pain and discusses how they are most appropriately diagnosed and managed.
下背部疼痛是临床环境中最常见的主诉之一。无论正确与否，这些患者常常被诊断为纤维肌痛、肌筋膜疼痛综合征、椎间盘突出或其他一些病症。认识下背部疼痛的软组织病因并了解如何对其进行最恰当的诊断和处理非常重要。下背部区域的非韧带性疾病可能单独出现，也可能与潜在的椎间盘源性、韧带性和小关节介导的疼痛原因同时存在。因此，为了全面评估和治疗下背部疼痛患者，有必要考虑并处理这些软组织状况。本文回顾了下背部疼痛的软组织病因，并讨论了如何对其进行最恰当的诊断和处理。
