Non-specific low back pain

被引：1603

作者：

Balague, Federico ^{[1
,2
]}

Mannion, Anne F. ^{[3
]}

Pellise, Ferran ^{[4
]}

Cedraschi, Christine ^{[5
,6
]}

机构：

[1] Hop Cantonal Fribourg, Hop Fribourgeois, Dept Rheumatol Phys Med & Rehabil, CH-1708 Fribourg, Switzerland

[2] Univ Geneva, Geneva, Switzerland

[3] Schulthess Klin, Spine Ctr, Dept Res & Dev, Zurich, Switzerland

[4] Univ Vall dHebron, Spine Unit Hosp, Barcelona, Spain

[5] Univ Geneva, Univ Hosp, Div Clin Pharmacol & Toxicol, Div Gen Med Rehabil, Geneva, Switzerland

[6] Univ Geneva, Univ Hosp, Div Clin Pharmacol & Toxicol, Ctr Multidisciplinary Pain, Geneva, Switzerland

来源：

LANCET | 2012年 / 379卷 / 9814期

关键词：

INTERVERTEBRAL DISC DEGENERATION; NERVE GROWTH-FACTOR; 2-YEAR FOLLOW-UP; PRIMARY-CARE; EUROPEAN GUIDELINES; CAUSAL ASSESSMENT; LUMBAR SPINE; GENERAL-PRACTICE; OLDER-ADULTS; HEALTH-CARE;

D O I：

10.1016/S0140-6736(11)60610-7

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Non-specific low back pain has become a major public health problem worldwide. The lifetime prevalence of low back pain is reported to be as high as 84%, and the prevalence of chronic low back pain is about 23%, with 11-12% of the population being disabled by low back pain. Mechanical factors, such as lifting and carrying, probably do not have a major pathogenic role, but genetic constitution is important. History taking and clinical examination are included in most diagnostic guidelines, but the use of clinical imaging for diagnosis should be restricted. The mechanism of action of many treatments is unclear, and effect sizes of most treatments are low. Both patient preferences and clinical evidence should be taken into account for pain management, but generally self-management, with appropriate support, is recommended and surgery and overtreatment should be avoided.

引用

页码：482 / 491

页数：10

共 140 条

[1]

The influence of socio-demographic characteristics on consultation for back pain-a review of the literature [J].