Carter Catherine, Stratton Carol, Mallory Debra
US Army Health Clinic, Dugway, UT, USA.
AAOHN J. 2011 Aug;59(8):355-61; quiz 362. doi: 10.3928/08910162-20110718-01. Epub 2011 Jul 25.
Low back pain is common and poses a challenge for clinicians to find effective treatment to prevent it from becoming chronic. Chronic low back pain can have a significant impact on an employee's ability to remain an active and productive member of the work force due to increased absenteeism, duty restrictions, or physical limitations from pain. Low back pain is the most common cause of work-related disability among employees younger than 46 years. Advancing technology and less invasive surgical procedures have not improved outcomes for employees who suffer from low back pain. Most continue to experience some pain and dysfunction after conventional treatments such as injections and surgery. An alternative treatment that could reduce nonspecific chronic low back pain would benefit both employees and employers. Exercising and remaining active are part of most guidelines' routine care recommendations but are not well defined.
腰痛很常见,这给临床医生带来了挑战,他们需要找到有效的治疗方法来防止其发展为慢性疼痛。慢性腰痛会对员工继续成为积极且高效的劳动力产生重大影响,因为旷工增加、职责受限或因疼痛导致身体活动受限。腰痛是46岁以下员工与工作相关残疾的最常见原因。技术的进步和侵入性较小的外科手术并未改善患有腰痛的员工的治疗效果。大多数人在接受注射和手术等传统治疗后仍会经历一些疼痛和功能障碍。一种能够减轻非特异性慢性腰痛的替代治疗方法将使员工和雇主都受益。锻炼和保持活动是大多数指南常规护理建议的一部分,但并未明确界定。