5. 5. 5. 这是一个很大的问题. 神经关节疼痛 神经关节疼痛
Karolina Szadek1, Steven P Cohen2,3, Javier de Andrès Ares4
1Department of Anesthesiology and Pain Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Pain practice : the official journal of World Institute of Pain
|December 29, 2023
概括
关节疼痛 (SI) 影响15-30%的腰部疼痛患者,需要多学科的方法. 保守的治疗是第一线的,如果需要的话,可以注射皮质类固醇和射频切除 (RFA).
科学领域:
- 疼痛管理 疼痛管理
- 肌肉骨系统疾病 肌肉骨系统疾病
- 干预性疼痛程序 干预性疼痛程序
背景情况:
- 关节 (SI) 关节疼痛是在SI关节区域局部化的疼痛.
- 在患有机械腰部疼痛的患者中,患病率在15%至30%之间.
研究的目的:
- 提供关于SI关节疼痛的诊断和治疗的最新文献综述.
- 总结各种诊断和治疗方式的当前证据.
主要方法:
- 现有文献的叙述性审查.
- 关于SI关节疼痛的诊断测试和治疗选择的综合信息.
主要成果:
- 患者病史和挑性的动作有助于诊断,尽管测试价值仍有争议.
- 医学成像是为了排除严重的疾病;SI关节透的诊断价值是有争议的.
- 多学科治疗是理想的,从保守措施开始.
- 皮质类固醇注射和射频切除 (RFA) 显示在持续性疼痛中具有有效性.
- 对SI关节治疗的并发症率通常很低.
结论:
- SI关节疼痛管理应该是多学科和多模式的.
- 当保守治疗失败时,皮质类固醇注射和RFA是可行的选择.
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