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関連する概念動画

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

1.7K
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
1.7K
Muscles of the Vertebral Column01:27

Muscles of the Vertebral Column

3.6K
The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
3.6K
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

913
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
913
Spinal Nerves: Plexus II01:21

Spinal Nerves: Plexus II

3.0K
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
3.0K
Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

1.6K
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
1.6K
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

3.2K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
3.2K

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Updated: Mar 13, 2026

Manual Therapy for a Chronic Non-Specific Low Back Pain Rat Model
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Manual Therapy for a Chronic Non-Specific Low Back Pain Rat Model

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非特異的な腰痛

Chris Maher1, Martin Underwood2, Rachelle Buchbinder3

  • 1Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, University of Sydney, Camperdown, NSW, Australia.

Lancet (London, England)
|October 18, 2016
PubMed
まとめ
この要約は機械生成です。

非特異的な腰痛は一般的ですが,ほとんどのケースは簡単な治療で解決します. 効果的な治療は 教育や痛みを和らげ 適切な検査や治療を避けることです

さらに関連する動画

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
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Manual Therapy for a Chronic Non-Specific Low Back Pain Rat Model
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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
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Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

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科学分野:

  • 整形外科
  • 主要なケア
  • 痛みの管理

背景:

  • 非特異的な腰痛 (NLBP) は,すべての年齢層に影響を与える世界的な健康問題です.
  • 病気の重荷の主な要因であり,効果的な管理戦略が必要である.
  • 現在のガイドラインでは,さらなる調査を必要とする深刻な病態を特定するためにトリアージを強調しています.

研究 の 目的:

  • 非特異的な腰痛の現在の管理原理を概説する.
  • 段階的なケアとリスク予測を含む治療戦略について話し合う.
  • NLBPのイメージング,オピオイド,手術における過剰使用の問題を強調します.

主な方法:

  • NLBPの既存の管理ガイドラインと治療アプローチのレビュー
  • 教育,鎮痛,非薬物療法に焦点を当てた戦略の分析
  • パーソナライズドケアのためのリスク予測方法の議論

主要な成果:

  • NLBPの管理は,未知の病理学的原因による痛み軽減と機能改善を優先します.
  • 良質な臨床的経過は一般的であり,しばしば最小限の医療介入を必要とします.
  • 診断用画像や オピオイド鎮痛剤や 外科手術の過剰利用が 続いているのです

結論:

  • NLBPの効果的な管理には 教育,安心,適切な薬剤,そして適時的なレビューが含まれます.
  • 段階的なケアとリスクの階層化は,治療の強度を個人化するのに役立ちます.
  • 画像とオピオイドの過剰使用と 手術の過剰使用は 患者の最適な治療に不可欠です