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[疼痛性脊柱侧弯的治疗]

[Treatment of painful scoliosis].

作者信息

Wong Christian

出版信息

Ugeskr Laeger. 2019 Apr 8;181(15).

Abstract

Scoliosis is a common frontal plane spinal deformity with pain as a commonly associated occurrence in approximately 38% of the cases. This review summarises the possible treatments. Corrective treatment with bracing or surgery does not specifically target the pain problem. Other causes of back pain should be considered, before or meanwhile treatment is initiated. Injections with botulinum toxin in the paravertebral muscles do not have any corrective effects but may reduce localised muscle pain. Other options including peripherally acting pain medication and muscle strengthening by either exercise programmes or physiotherapy should be tried first.

摘要

脊柱侧弯是一种常见的额状面脊柱畸形,约38%的病例通常伴有疼痛。本综述总结了可能的治疗方法。支具或手术矫正治疗并非专门针对疼痛问题。在开始治疗之前或同时,应考虑背痛的其他原因。在椎旁肌肉注射肉毒杆菌毒素没有任何矫正作用,但可能减轻局部肌肉疼痛。应首先尝试其他选择,包括外周作用的止痛药以及通过锻炼计划或物理治疗来增强肌肉力量。

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