Ronel Dror, Gabbay Oren, Esterson Akiva, Brand Ronen, Vulfsons Simon
Mediacl corps, Israeli Defence Forces, Surgeon General's Headquarters, Ramat Gan, Israel.
Institute of Pain Relief, Rambam Health Care Campus, Haifa, Israel.
Mil Med. 2018 Nov 1;183(11-12):e762-e764. doi: 10.1093/milmed/usy046.
Nonspecific lower back pain affects a major part of the population at a certain point of their life. The intensity of pain can be debilitating and it causes a significant burden on society. Trigger point dry needling is a method of alleviating such pain by the introduction of needles into trigger points in muscles. A growing body of evidence supports its use in myofascial pain and specifically lower back pain. Submarine Medicine is a unique field due to the special characteristics and the environment of the submarine. It poses challenges that are not always seen by primary care physicians. Here, we present a case of a 40-yr-old senior submarine officer who complained of pain in his lower back and pelvis before departing on a mission. The pain persisted in spite of treatment with nonsteroidal anti-inflammatory drugs and he was then treated by the submarine's physician with trigger point dry needling. The officer showed rapid improvement following this treatment, both regarding pain and the range of motion.
非特异性下背痛在人生的某个阶段会影响很大一部分人群。疼痛的强度可能使人衰弱，给社会造成重大负担。激痛点干针疗法是一种通过将针插入肌肉中的激痛点来缓解此类疼痛的方法。越来越多的证据支持其在肌筋膜疼痛尤其是下背痛中的应用。潜艇医学是一个独特的领域，因为潜艇具有特殊的特征和环境。它带来了一些初级保健医生并不总能见到的挑战。在此，我们介绍一例40岁的资深潜艇军官病例，该军官在执行任务出发前抱怨下背部和骨盆疼痛。尽管使用了非甾体抗炎药进行治疗，疼痛仍持续存在，随后潜艇医生对其进行了激痛点干针治疗。该军官接受此治疗后，疼痛和活动范围均迅速改善。
