Lau Ing Soo, Gun Suk Chyn, Yeap Swan Sim, Mohd Zain Mollyza, Mohd Yusoof Habibah, Sargunan Sockalingam, Yahya Fariz
Hospital Selayang, Selangor, Malaysia, Email:
Hospital Tuanku Ja'afar, Seremban, Malaysia.
Malays Fam Physician. 2021 May 27;16(2):2-6. doi: 10.51866/rv1206. eCollection 2021 Jul 22.
Chronic low back pain, defined as back pain lasting for more than three months, can be divided into mechanical or inflammatory back pain (IBP). IBP typically starts in patients below the age of 40, is improved with activity and worsens with rest. IBP is strongly associated with axial spondyloarthritis. Early recognition of IBP among primary care physicians is essential for timely diagnosis and intervention to ensure the best outcomes for patients with axial spondyloarthritis. This paper describes the Malaysian Society of Rheumatology's recently developed Inflammatory Back Pain Referral Algorithm for primary care physicians, which aims to facilitate the early identification and referral of IBP patients to rheumatologists.
慢性下腰痛被定义为持续超过三个月的背痛，可分为机械性背痛或炎性背痛（IBP）。炎性背痛通常始于40岁以下的患者，活动时改善，休息时加重。炎性背痛与中轴型脊柱关节炎密切相关。基层医疗医生对炎性背痛的早期识别对于及时诊断和干预至关重要，以确保中轴型脊柱关节炎患者获得最佳治疗效果。本文介绍了马来西亚风湿病学会最近为基层医疗医生制定的炎性背痛转诊算法，该算法旨在促进炎性背痛患者的早期识别并将其转诊给风湿病专家。
