Neck Pain and Lower Back Pain

被引：89

作者：

Popescu, Adrian ^{[1
]}

Lee, Haewon ^{[2
]}

机构：

[1] Hosp Univ Penn, Dept Phys Med & Rehabil, Perelman Sch Med, 1800 Lombard St, Philadelphia, PA 19146 USA

[2] Univ Calif San Diego, Dept Orthoped Surg, Phys Med & Rehabil, 200 West Arbor Dr,8894, San Diego, CA 92103 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2020年 / 104卷 / 02期

关键词：

Neck pain; Natural history; Treatment; Diagnosis; Physical examination; Lower back pain; Spine interventions; Red flags; CERVICAL RADICULOPATHY; CLINICAL-COURSE; PRIMARY-CARE; RADIOFREQUENCY NEUROTOMY; CONSERVATIVE TREATMENT; NONSURGICAL TREATMENT; SASKATCHEWAN HEALTH; PROGNOSTIC-FACTORS; INCEPTION COHORT; RADICULAR PAIN;

D O I：

10.1016/j.mcna.2019.11.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Neck pain is the fourth leading cause of disability. Acute neck pain largely resolves within 2 months. History and physical examination play a key role in ruling out some of the more serious causes for neck pain. The evidence for pharmacologic interventions for acute and chronic musculoskeletal neck pain is limited. Lower back pain is the leading cause of disability and productivity loss. Consultation with a physical medicine and rehabilitation spine specialist within 48 hours for acute pain and within 10 days for all patients with lower back pain may significantly decrease rate of surgical interventions and increase patient satisfaction.

引用

页码：279 / +

页数：15

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