Morrow L J, Smith S
J R Nav Med Serv. 2014;100(3):282-7.
Lower back pain (LBP) is one of the most common musculoskeletal conditions, with an estimated 60-70% of the adult population experiencing a back problem at some point in their lives. It can have a significant social and occupational impact on a patient, and therefore is a major concern to both civilian and military populations. The impact of low back pain in the military setting, regardless of chronicity, can result in considerable restrictions on a patient's ability to perform his or her job. This may have important ramifications for deployability, medical category and, potentially, a patient's future career. This article will consider the diagnosis and classification of lower back pain (LBP) in the pre-shore, pre-hospital and hospital settings. It will detail management options including investigations, pain management and referral options; furthermore, the potential occupational implications of lower back pain will be detailed.
下背痛（LBP）是最常见的肌肉骨骼疾病之一，估计有60%至70%的成年人在人生的某个阶段会经历背部问题。它会对患者产生重大的社会和职业影响，因此无论是平民还是军人都非常关注。无论慢性程度如何，下背痛在军事环境中的影响都会严重限制患者履行工作职责的能力。这可能对部署能力、医疗类别以及患者未来的职业产生重要影响。本文将探讨在海岸前、院前和医院环境中下背痛（LBP）的诊断和分类。它将详细介绍管理方案，包括检查、疼痛管理和转诊选择；此外，还将详细阐述下背痛潜在的职业影响。
