Finneman Zacharie, Swartz Connor, Drymalski Mark
Residents in the Department of Physical Medicine & Rehabilitation at the University of Missouri-Columbia, Columbia, Missouri, USA.
Associate Professor of Physical Medicine & Rehabilitation at the University of Missouri-Columbia, Columbia, Missouri, USA.
Mo Med. 2025 May-Jun;122(3):193-198.
Low back pain (LBP) is a leading cause of disability globally, with substantial socioeconomic impacts, including reduced productivity and increased healthcare costs. Most LBP cases are nonspecific and benign, but a thorough assessment is necessary to rule out serious underlying conditions such as infections, tumors, and fractures. This article reviews common etiologies, including mechanical back pain, degenerative disc disease, and spinal stenosis, and discusses both urgent and nonurgent spinal pathologies. Emphasis is placed on the role of non-operative spine clinics, which coordinate multidisciplinary care to improve outcomes and reduce unnecessary interventions and imaging. Conservative management for acute and chronic non-specific LBP focuses on patient education, exercise, and physical therapy. Evidence suggests that early education on spinal health and appropriate care pathways can significantly reduce surgery rates, enhance patient satisfaction, and improve long-term outcomes.
腰痛（LBP）是全球导致残疾的主要原因，具有重大的社会经济影响，包括生产力下降和医疗成本增加。大多数腰痛病例是非特异性的且为良性，但需要进行全面评估以排除感染、肿瘤和骨折等严重潜在疾病。本文回顾了常见病因，包括机械性背痛、椎间盘退变疾病和椎管狭窄，并讨论了紧急和非紧急脊柱病变。重点强调了非手术脊柱诊所的作用，其协调多学科护理以改善治疗效果并减少不必要的干预和影像学检查。急性和慢性非特异性腰痛的保守治疗侧重于患者教育、运动和物理治疗。有证据表明，早期的脊柱健康教育和适当的护理途径可显著降低手术率、提高患者满意度并改善长期治疗效果。
