慢性背痛:识别十二肋综合征
Andrew Chen1, Jiqing Shi2, Hong Wu3
1Department of Rehabilitation and Physical Medicine, Penn State Health, Hummelstown, Pennsylvania, USA.
BMJ case reports
|July 27, 2025
概括
十二肋综合征是侧侧疼痛的罕见原因,可以被忽视. 这一案例凸显了触发点注射和物理治疗如何在其他方法失败时有效治疗持续性疼痛.
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
- 案例报告 案例报告
背景情况:
- 慢性背痛往往源于脊柱问题,但更罕见的疾病,如十二肋综合征经常被误诊.
- 这可能会导致长时间的痛苦和无效的治疗,患者呈现侧侧疼痛.
研究的目的:
- 为了呈现一个十二肋综合征病例.
- 为了强调在无法解释的侧侧疼痛中考虑这种情况的诊断重要性.
- 突出有效的治疗策略.
主要方法:
- 身体检查发现,在十二条肋骨上有局部疼痛.
- 触发点注射提供了立即的疼痛缓解,证实了诊断.
- 差异性诊断被系统地排除在外.
主要成果:
- 在触发点注射和物理治疗后,患者经历了显著的症状改善.
- 十二肋综合征被证实是持续侧侧疼痛的原因.
- 保守的治疗假定背痛之前已经失败了.
结论:
- 在患有无法解释的侧侧疼痛的患者中,应考虑十二肋综合征,特别是当标准治疗无效时.
- 针对性的干预措施,如触发点注射,可以显著改善结果.
- 准确的诊断对于有效的疼痛管理至关重要.
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