INTRACTABLE NECK PAIN

被引：9

作者：

ABBOTT, P ^{[1
]}

ROUNSEFELL, B ^{[1
]}

FRASER, R ^{[1
]}

GOSS, A ^{[1
]}

机构：

[1] UNIV ADELAIDE,DEPT ORAL & MAXILLOFACIAL SURG,ADELAIDE,SA 5001,AUSTRALIA

来源：

CLINICAL JOURNAL OF PAIN | 1990年 / 6卷 / 01期

关键词：

D O I：

10.1097/00002508-199003000-00005

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A retrospective survey of 1,661 patients seen over a 10-year period at a pain clinic yielded 55 patients with intractable neck pain as the presenting complaint. In 89% there was an industrial or motor vehicle accident as the precipitating event, 78% were involved in legal proceedings relating to the accident, and in 87% the pain radiated to neighboring structures. Diagnostically, 36% had no physical signs, and cervical radiographs were normal for 46%. There was a high incidence of previous psychiatric treatment (53%) and major intrafamily problems (60%). Treatment mainly by psychotherapy or tricyclic antidepressants resulted in some benefit for 56% of patients. Legal compensation and change in occupation were not major factors influencing the outcome of treatment.

引用

页码：26 / 31

页数：6