摘要
在處理脊椎疼痛問題時，固然從生物化學或從解剖學的觀點來考慮是相當正確的了。但却也不可忽視了心理與社經狀況所造成的影響。椎間盤退化，或其生物化學的變化及椎骨間關節炎乃至附近靱帶、肌肉受傷發炎都可以引起脊椎疼痛。首先考慮的處理方式是休息、消炎止痛藥物，急性疼痛期過去則可加上運動訓練，主在加强腹肌、或用身體支架，間接達到支持脊柱的作用。物理治療或整脊療法等保守性治療多半能提供相當程度的帮忙。局部注射亦為某些臨床醫師所採用。保守治療失敗，而且符合開刀的條件，則考慮手術治療。對於某些長期慢性頑固的疼痛，經皮刺激的效果也已獲得肯定的支持。不同原因所引起的疼痛可經由不同的治療方式達到最好的效果，因此正確的診斷非常重要。
關鍵字
無資料並列摘要
There are many factors accounting for spine pain. It is important to see the problems from the biochemical point or other anatomic factors, yet, there are numerous psychologic and socio-economic factors that are crucial to the clinical evaluation and management of spine pain. The following radiographically demonstrable conditions are thought to be causes of spine pain: spondylolisthesis, narrowed intervertebral discs, congenital kyphosis, scoliosis, osteoporosis, ankylosing spondylitis, and lumbar osteochondrosis. Fibers of the annulus fibrosus during the process of maturation and aging may undergo fatigue failure or rupture during degeneration. Rest reduces mechanical irritation and is useful during the acute phase of the symptoms. Exercise programs to strengthen the truncal muscles provide enormous mechanical support to the spine, orthotic devices reduce spine motion to some extent and indirectly support the spine Physical therapy has its undoubtful effect in treating spine pain. Spinal manipulation is as effective as a number of other forms of therapy. Transcutaneous electrical stimulation provides satisfactory effect in killing pain for those chronic stubborn pain. The enzyme chymopapain is capable of hydrolyzing and at least partially dissolving the intervertebral disc. Surgery is recommended for the displaced sequestered fragment of disc.
延伸閱讀
- 王超然（2017）。骶髂關節疼痛症候群。健康世界，(489)，57-59。https://www.airitilibrary.com/Article/Detail?DocID=16077059-201709-201710120016-201710120016-57-59
- 臺大病理科（1995）。下背痛。當代醫學，(264)，839-844。https://doi.org/10.29941/MT.199510.0015
- 曾堯人、顏兆熊（2011）。下背痛。當代醫學，(450)，290-295。https://doi.org/10.29941/MT.201104.0012
- 劉瀅彣、蔡甫昌、陳慶餘（2004）。Pain Control。當代醫學，(372)，812-816。https://doi.org/10.29941/MT.200410.0008
- Lai, Y. C., Yeh, Y. C., & Chang, C. J. (2016). Pain and Suicide. 疼痛醫學雜誌, 26(2), 83-92. https://www.airitilibrary.com/Article/Detail?DocID=10217959-201609-201701230009-201701230009-83-92