Arthritis Research UK Primary Care Centre, Research Institute for Primary Care & Health Sciences, Keele University, Staffordshire ST5 5BG, UK.
Best Pract Res Clin Rheumatol. 2013 Oct;27(5):591-600. doi: 10.1016/j.berh.2013.09.007. Epub 2013 Oct 5.
Back pain episodes are traditionally regarded as individual events, but this model is currently being challenged in favour of treating back pain as a long-term or lifelong condition. Back pain can be present throughout life, from childhood to older age, and evidence is mounting that pain experience is maintained over long periods: for example, people with pain continue to have it on and off for years, and people without pain do not suddenly develop long-term pain. A number of factors predict back pain presence in epidemiological studies, and these are often present, and predictive, at different life stages. There are also factors present at particular life stages, such as childhood or adolescence, which predict back pain in adulthood. However, there are little published data on long-term pain patterns or predictors over the life course. Such studies could improve our understanding of the development and fluctuations in back pain, and therefore influence treatment approaches.
背痛发作传统上被视为单个事件，但目前这种模式正受到挑战，转而将背痛视为一种长期或终身状况。背痛可能会终生存在，从儿童期到老年期都有，越来越多的证据表明疼痛体验会持续很长时间：例如，有疼痛的人会持续数年断断续续地感到疼痛，而没有疼痛的人不会突然出现长期疼痛。一些因素可以预测流行病学研究中的背痛存在，这些因素通常在不同的生命阶段存在并具有预测性。也有一些因素仅在特定的生命阶段出现，例如儿童期或青春期，这些因素可以预测成年期的背痛。然而，关于整个生命周期的长期疼痛模式或预测因素的发表数据很少。此类研究可以提高我们对背痛发展和波动的理解，从而影响治疗方法。
