腰椎间盘退化在腰部疼痛中的原因
Abby P Chiu1, Catherine Chia1, Lars Arendt-Nielsen2,3,4
1Division of Pain Medicine, Department of Anesthesiology and Pain Medicine, Clinical Learning, Evidence And Research (CLEAR) Center for Musculoskeletal Research, University of Washington School of Medicine, Seattle, WA, USA.
Minerva anestesiologica
|April 23, 2024
概括
椎间盘退化可以通过刺激神经引起腰部疼痛. 然而,退化本身并不总是导致疼痛,突出显示了对光盘性疼痛更好的诊断和有针对性的治疗的需要.
科学领域:
- 生物医学科学 生物医学科学
- 整形外科 整形外科 整形外科
- 疼痛研究 疼痛研究
背景情况:
- 椎间盘退化涉及结构和细胞的变化.
- 磁盘性腰部疼痛是由磁盘或末端板中的感觉受体引起的.
- 退化在腰部疼痛中很常见,但也发生在无症状个体中.
研究的目的:
- 审查磁盘退化的机制及其与疼痛的联系.
- 检查目前的诊断和治疗策略,以诊断性腰部疼痛.
- 确定有必要进行研究,区分疼痛机制与退化.
主要方法:
- 现有文献的叙述性审查.
- 分析包括矩阵恒温,细胞信号和衰老在内的机制.
- 评估诊断工具,如成像和光盘记录.
主要成果:
- 磁盘退化涉及多个分子和机械因素.
- 退化不仅仅是导致腰部疼痛的原因.
- 目前的治疗方法缺乏针对光盘性疼痛的特异性.
结论:
- 迫切需要区分磁盘性疼痛的分子机制与非疼痛性退化.
- 未来的研究应该专注于表型患者疼痛的分子触发因素.
- 建立分子机制,疼痛和患者结果之间的关系.
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