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与脊椎椎间盘炎相关的下背痛的多模式管理。

Multimodal management for low-back pain associated with spondylodiscitis.

作者信息

Chu Eric Chun-Pu

机构信息

New York Chiropractic and Physiotherapy Centre, EC Healthcare, Hong Kong SAR, China.

出版信息

Med Pharm Rep. 2024 Oct;97(4):557-561. doi: 10.15386/mpr-2582. Epub 2024 Oct 30.

DOI:10.15386/mpr-2582
PMID:39502759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11534386/
Abstract

Spondylodiscitis is a rare and severe condition which can lead to progressive spinal deformities and poor functional outcomes. Clinical management of low-back pain associated with spondylodiscitis has not been reported, as low back pain often persists even after appropriate treatment of spondylodiscitis. A 70-year-old woman with a 4-month history of nonspecific low-back pain and spondylodiscitis presented to the chiropractic clinic for conservative management. The symptoms started with abdominal discomfort, diarrhea, intermittent bilateral gluteal pain, and lower-extremity soreness. Gastritis and urinary tract infection were initially diagnosed. Thoracic radiography, magnetic resonance imaging (MRI), and computed tomography (CT) were indicative of spondylodiscitis at the T10/11 level, and her low-back pain was treated successfully with systemic antibiotics, scraping therapy, and spinal manipulative therapy. As there are limited data to suggest treatment modalities and extend care of spondylodiscitis, we report a case of successful management of low-back pain associated with spondylodiscitis, with multimodal therapy in a faster recovery time.

摘要

脊椎椎间盘炎是一种罕见且严重的病症，可导致进行性脊柱畸形和功能预后不良。由于即使在对脊椎椎间盘炎进行适当治疗后，下背痛通常仍会持续，因此尚未有关于与脊椎椎间盘炎相关的下背痛的临床管理的报道。一名70岁女性，有4个月非特异性下背痛和脊椎椎间盘炎病史，到整脊诊所接受保守治疗。症状始于腹部不适、腹泻、间歇性双侧臀痛和下肢酸痛。最初诊断为胃炎和尿路感染。胸部X线摄影、磁共振成像（MRI）和计算机断层扫描（CT）显示T10/11水平存在脊椎椎间盘炎，她的下背痛通过全身抗生素、刮痧疗法和脊柱手法治疗成功治愈。由于提示脊椎椎间盘炎治疗方式和持续护理的数据有限，我们报告了一例成功管理与脊椎椎间盘炎相关的下背痛的病例，采用多模式疗法，恢复时间更快。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/c6cc9426eded/cm-97-557f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/f928d1009a03/cm-97-557f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/13c6f01a6e5a/cm-97-557f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/82f1eec15017/cm-97-557f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/fd14968d47d5/cm-97-557f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/7a1043fa810b/cm-97-557f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/c6cc9426eded/cm-97-557f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/f928d1009a03/cm-97-557f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/13c6f01a6e5a/cm-97-557f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/82f1eec15017/cm-97-557f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/fd14968d47d5/cm-97-557f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/7a1043fa810b/cm-97-557f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/11534386/c6cc9426eded/cm-97-557f6.jpg

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