Patrick Nathan, Emanski Eric, Knaub Mark A
Department of Orthopaedic Surgery, Penn State-Milton S. Hershey Medical Center, 30 Hope Drive, Building A, Hershey, PA 17033, USA.
Department of Orthopaedic Surgery, Penn State-Milton S. Hershey Medical Center, 30 Hope Drive, Building A, Hershey, PA 17033, USA.
Med Clin North Am. 2016 Jan;100(1):169-81. doi: 10.1016/j.mcna.2015.08.015.
Low back pain is an extremely common presenting complaint that occurs in upward of 80% of persons. Treatment of an acute episode of back pain includes relative rest, activity modification, nonsteroidal anti-inflammatories, and physical therapy. Patient education is also imperative, as these patients are at risk for further future episodes of back pain. Chronic back pain (>6 months' duration) develops in a small percentage of patients. Clinicians' ability to diagnose the exact pathologic source of these symptoms is severely limited, making a cure unlikely. Treatment of these patients should be supportive, the goal being to improve pain and function.
腰痛是一种极为常见的就诊主诉，超过80%的人会出现。急性腰痛发作的治疗包括相对休息、调整活动、使用非甾体抗炎药以及物理治疗。患者教育也至关重要，因为这些患者未来有再次发生腰痛的风险。一小部分患者会发展为慢性腰痛（病程>6个月）。临床医生准确诊断这些症状确切病理来源的能力严重受限，因此治愈不太可能。对这些患者的治疗应是支持性的，目标是改善疼痛和功能。
