Wheeler A H
Charlotte Spine Center, North Carolina, USA.
Am Fam Physician. 1995 Oct;52(5):1333-41, 1347-8.
Acute low back pain with associated sciatica is usually a benign, self-limited disorder. Appropriate medical treatment may include passive forms of physical therapy, including McKenzie exercises, manipulation, medication and therapeutic injections. After pain is controlled, the patient should be taught self-management techniques, including exercises and ergonomic protection of the spine. Evidence is increasing that exercise programs are effective, although the optimal regimen has yet to be defined and may vary from patient to patient. Chronic low back pain is a complex disorder that must be managed aggressively with a multidisciplinary approach that addresses physical, psychologic and socioeconomic aspects of the illness. Self-administered traction, corsets, medications and other treatment methods may prove to be useful adjuncts to an active program of exercise and education that promotes functional restoration.
伴有坐骨神经痛的急性下背痛通常是一种良性的、自限性疾病。适当的医学治疗可能包括被动形式的物理治疗，如麦肯齐疗法、手法治疗、药物治疗和治疗性注射。疼痛得到控制后，应教导患者自我管理技巧，包括锻炼和脊柱的人体工程学保护。越来越多的证据表明运动计划是有效的，尽管最佳方案尚未确定，且可能因患者而异。慢性下背痛是一种复杂的疾病，必须采用多学科方法积极治疗，该方法要涉及疾病的身体、心理和社会经济方面。自我牵引、束腹带、药物和其他治疗方法可能被证明是促进功能恢复的积极锻炼和教育计划的有用辅助手段。
