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[肌肉骨骼疼痛评估]

[Assessment of musculoskeletal pain].

作者信息

Ziswiler Hans Rudolf, Caliezi Gion, Villiger Peter M

机构信息

Universitätsklinik für Rheumatologie, klinische Immunologie und Allergologie, Inselspital Bern.

出版信息

Ther Umsch. 2011 Sep;68(9):487-94. doi: 10.1024/0040-5930/a000200.

Abstract

The rationale for a successful treatment of musculoskeletal pain is an adequate initial assessment. Standardized questionnaires, modern imaging modalities such as computed tomography, magnetic resonance imaging and musculoskeletal ultrasound or electrophysiology have enriched our armamentarium in the last decades. Pain inducing pathologies can often be identified and treated in a targeted way due to these procedures. But none of these techniques allows an adequate judgment of the acquired findings. Supplementary tests have to be indicated and interpreted in the context of the patient's entire history and the clinical findings. These two remain to be the cornerstones of the assessment of painful musculoskeletal disorders.

摘要

成功治疗肌肉骨骼疼痛的基本原理是进行充分的初始评估。在过去几十年中,标准化问卷、计算机断层扫描、磁共振成像、肌肉骨骼超声或电生理等现代成像方式丰富了我们的手段。由于这些检查程序,通常可以识别并针对性地治疗引起疼痛的病理状况。但这些技术都无法对所获得的检查结果做出充分判断。必须结合患者的完整病史和临床检查结果来进行补充检查并解读。这两者仍然是评估疼痛性肌肉骨骼疾病的基石。

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