期刊
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY
卷 20, 期 4, 页码 707-720出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.berh.2006.04.002
关键词
chronic low back pain; mechanical low back pain; osteoarthritis; risk factors; guidelines
类别
Low back pain is an extremely common patient complaint. Most cases resolve fairly quickly after the acute episode. However, a small but significant number of patients develop chronic low back pain; a persistent disabling condition. Patients suffer from unremitting pain and often become functionally impaired. Multiple patient characteristics have been identified that place patients at risk for developing chronic low back pain. Currently, it is difficult to find clinical guidelines on how best to manage chronic low back pain, and it remains a substantial treatment challenge for both physicians and patients. The causes, risk factors, prognosis and treatment strategies for chronic low back pain will be discussed in this chapter. The evidence regarding different pharmacological and non-pharmacological treatment modalities will be reviewed and a logical, focused treatment strategy will be outlined.
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