Silva Sandra, Gutzmann Mirko D, Suter Marc R
Centre d'antalgie, Service d'anesthésiologie, CHUV, 1011 Lausanne.
Rev Med Suisse. 2017 Jun 21;13(568):1278-1282.
Despite the advances in the understanding of the underlying mechanisms of chronic low back pain, treatment remains challenging in clinical practice. In this article we are focusing on the neuropathic component of chronic low back pain. Indeed, depending on which diagnostic tools are used, 16-55% of patients suffering from chronic low back pain present a neuropathic component. We here expose the specific mechanisms of neuropathic pain, the diagnostic tools available for their detection as well as the specific treatment options.
尽管在理解慢性腰痛的潜在机制方面取得了进展，但在临床实践中治疗仍然具有挑战性。在本文中，我们聚焦于慢性腰痛的神经病理性成分。事实上，根据所使用的诊断工具不同，16%至55%的慢性腰痛患者存在神经病理性成分。我们在此阐述神经病理性疼痛的具体机制、可用于检测它们的诊断工具以及具体的治疗选择。
