Styczyński T, Sadowski A
Kliniki Spondylo-Neurochirurgicznej, Instytutu Reumatologicznego w Warszawie.
Neurol Neurochir Pol. 1995 Sep-Oct;29(5):747-52.
A review is presented of opinions on the sources and mechanisms of pain in patients with hernias of the lumbar intervertebral discs in particular, on the pathogenesis and clinical characteristics of the so called pseudoradicular syndromes in discopathies. The diagnosis of pseudoradicular syndromes reflecting the degree of involvement by the disease process of the osteoarticular and ligamentous spinal structures and the condition of spinal muscles is of importance for the therapeutic management, providing information on the necessity of avoiding rehabilitation procedures contributing to destabilization of the segmental system of the spine (certain types of exercises, exercises in suspension with large amplitude of movements, certain manual procedures) and on the use of procedures reducing the stress on the spine and strengthening it (special positions in bed, isometric exercises, balneotherapy in later stage).
本文综述了关于腰椎间盘突出症患者疼痛来源和机制的观点,特别是关于椎间盘病变中所谓假性神经根综合征的发病机制和临床特征。假性神经根综合征的诊断反映了骨关节和脊柱韧带结构的疾病进程受累程度以及脊柱肌肉状况,这对治疗管理至关重要,可为避免采用导致脊柱节段系统不稳定的康复程序(某些类型的运动、大幅度悬吊运动练习、某些手法操作)以及采用减轻脊柱压力并增强脊柱的程序(床上特殊体位、等长运动、后期温泉疗法)提供必要性信息。