Friedly Janna, Standaert Christopher, Chan Leighton
Department of Rehabilitation Medicine, University of Washington, 325 Ninth Avenue, Seattle, WA 98104, USA.
Phys Med Rehabil Clin N Am. 2010 Nov;21(4):659-77. doi: 10.1016/j.pmr.2010.08.002.
In this article, the epidemiology of back pain and the use of a variety of treatments for back pain in the United States are reviewed. The dilemma faced by medical providers caring for patients with low back pain is examined in the context of epidemiologic data. Back pain is becoming increasingly common and a growing number of treatment options are being used with increasing frequency in clinical practice. However, limited evidence exists to demonstrate the effectiveness of these treatments. In addition, health-related quality of life for persons with back pain is not improving despite the availability and use of an expanding array of treatments. This dilemma poses a difficult challenge for medical providers treating individual patients who suffer from back pain.
本文回顾了美国背痛的流行病学情况以及各种背痛治疗方法的使用情况。在流行病学数据的背景下，探讨了照顾腰痛患者的医疗服务提供者所面临的困境。背痛正变得越来越普遍，在临床实践中，越来越多的治疗选择被越来越频繁地使用。然而，证明这些治疗方法有效性的证据有限。此外，尽管有越来越多的治疗方法可供使用，但背痛患者的健康相关生活质量并未得到改善。这种困境给治疗背痛个体患者的医疗服务提供者带来了严峻挑战。
