Nonspecific Low Back Pain

被引：118

作者：

Chiarotto, Alessandro ^{[1
,2
]}

Koes, Bart W. ^{[1
,3
]}

机构：

[1] Erasmus Univ, Med Ctr, Dept Gen Practice, Dr Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands

[2] Vrije Univ Amsterdam, Fac Sci, Dept Hlth Sci, Amsterdam, Netherlands

[3] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Odense, Denmark

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2022年 / 386卷 / 18期

关键词：

PRIMARY-CARE; RED FLAGS; ADULTS; RISK; ASSOCIATION; DISABILITY; MALIGNANCY; GUIDELINES; MANAGEMENT; HISTORY;

D O I：

10.1056/NEJMcp2032396

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 37-year-old man reports he has had pain in his lower back for the past month. The pain is worse when he gets up in the morning, when it is associated with stiffness in the lower back. The patient has a history of episodes of low back pain that have typically occurred after vigorous sports activities. His medical history is otherwise unremarkable; he has not previously sought medical care for the pain. Physical examination shows that the patient's range of motion is limited on lumbar forward bending, and there is tenderness on palpation of the lower back. There are no neurologic deficits. How would you evaluate and treat this patient?

引用

页码：1732 / 1740

页数：9

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