Grewal Harkiran, Grewal Bikramjit S, Patel Rashita
Southern Regional AHEC, 1601 Owen Drive, Fayetteville, NC 28304, USA.
Prim Care. 2012 Sep;39(3):517-23. doi: 10.1016/j.pop.2012.06.007.
A variety of nonoperative interventions are available to treat back pain. Careful assessment, discussion, and planning need to be performed to individualize care to each patient. This article discusses good to fair evidence from randomized controlled trials that injection therapy, percutaneous intradiscal radiofrequency thermocoagulation, intradiscal electrothermal therapy, and prolotherapy are not effective. Evidence is poor from randomized controlled trials regarding local injections, Botox, and coblation nucleoplasty; however, with a focused approach, the right treatment can be provided for the right patient. To be more effective in management of back pain, further high-grade randomized controlled trials on efficacy and safety are needed.
有多种非手术干预措施可用于治疗背痛。需要进行仔细的评估、讨论和规划，以便为每位患者提供个性化护理。本文讨论了来自随机对照试验的中等至良好证据，表明注射疗法、经皮椎间盘内射频热凝术、椎间盘内热疗法和注射增生疗法均无效。关于局部注射、肉毒杆菌毒素和等离子体成形术，随机对照试验的证据不足；然而，通过有针对性的方法，可以为合适的患者提供正确的治疗。为了更有效地管理背痛，需要进一步开展关于疗效和安全性的高质量随机对照试验。
