Zeng Zhi-Fen, Liang Yan-Ran, Chen Ying, Jing Xiu-Na, Peng Su-Dan, Tao En-Xiang
Department of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
J Pain Res. 2018 Feb 2;11:277-279. doi: 10.2147/JPR.S156894. eCollection 2018.
Chronic back pain is one of the most common reasons for missed work and visits to the doctor. This report presents 2 interesting cases of chronic back pain that were effectively relieved by low-dose levodopa. These 2 patients showed no sign of anatomical problem of the spine or relative structures, but the discomforts on the back manifested some characteristics resembling those in restless legs syndrome (RLS), and one of them actually developed RLS after many years of back problem. We believe that this type of chronic back pain might be a variant of RLS, which we would like to call "restless back", and it can be effectively treated by dopaminergic drugs.
慢性背痛是导致误工和就医的最常见原因之一。本报告介绍了2例有趣的慢性背痛病例,低剂量左旋多巴有效缓解了疼痛。这2例患者未显示出脊柱或相关结构存在解剖学问题的迹象,但背部不适表现出一些类似于不宁腿综合征(RLS)的特征,其中1例在出现背部问题多年后实际发展为不宁腿综合征。我们认为,这种类型的慢性背痛可能是不宁腿综合征的一种变体,我们称之为“不宁背”,多巴胺能药物可有效治疗该病。