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Low Back Pain
Annals of Internal Medicine ( IF 19.6 ) Pub Date : 2021-08-10 , DOI: 10.7326/aitc202108170
Roger Chou 1
Affiliation  

Low back pain is a common problem that is the leading cause of disability and is associated with high costs. Evaluation focuses on identification of risk factors indicating a serious underlying condition and increased risk for persistent disabling symptoms in order to guide selective use of diagnostic testing (including imaging) and treatments. Nonpharmacologic therapies, including exercise and psychosocial management, are preferred for most patients with low back pain and may be supplemented with adjunctive drug therapies. Surgery and interventional procedures are options in a minority of patients who do not respond to standard treatments.



中文翻译:

腰背疼痛

腰痛是一个常见的问题,是导致残疾的主要原因,而且费用高昂。评估侧重于识别表明严重潜在疾病和持续致残症状风险增加的风险因素,以指导诊断测试(包括成像)和治疗的选择性使用。非药物疗法,包括运动和心理社会管理,是大多数腰痛患者的首选,并且可以辅以辅助药物疗法。手术和介入手术是少数对标准治疗无反应的患者的选择。

更新日期:2021-08-10
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