Abstract
Over half the patients in most pain clinics in the United States are seeking relief from the "failed disk syndrome." Careful initial diagnostic evaluation and aggressive nonoperative therapy are essential to avoid poor results. Causes of continued pain after disk surgery include original pain syndromes not due to a disk, inadequate surgery, development of arthritis, additional disk disorders and nerve root fibrosis. Treatment demands precise diagnosis. Diagnostic injections and nerve blocks are helpful when other techniques fail.
摘要
在美国，大多数疼痛诊所里超过半数的患者都在寻求缓解“椎间盘突出症”带来的疼痛。谨慎的初始诊断评估和积极的非手术治疗对于避免不良结果至关重要。椎间盘手术后持续疼痛的原因包括并非由椎间盘引起的原发性疼痛综合征、手术不充分、关节炎的发展、额外的椎间盘疾病以及神经根纤维化。治疗需要精确的诊断。当其他技术无效时，诊断性注射和神经阻滞会有所帮助。
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