요통의 진단과 치료Diagnosis and Management of Low Back Pain
- Other Titles
- Diagnosis and Management of Low Back Pain
- Authors
- 장재홍; 김병조
- Issue Date
- 2012
- Publisher
- 대한임상신경생리학회
- Keywords
- Low back pain; Diagnosis; Management
- Citation
- Annals of Clinical Neurophysiology, v.14, no.1, pp.1 - 6
- Indexed
- KCI
- Journal Title
- Annals of Clinical Neurophysiology
- Volume
- 14
- Number
- 1
- Start Page
- 1
- End Page
- 6
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/110249
- ISSN
- 2508-691X
- Abstract
- Low back pain is a common clinical condition with heterogeneous causes and challenges to manage. High prevalence and numerous assessments result in an enormous socioeconomic burden. Clinician must conduct efficient and stepwise evaluation process to rule out serious spinal pathology, neurologic involvement, and identify risk factors for chronicity. The process can be achieved through the focused history taking and physical examination. Certain factors related to serious spinal pathology include age (>50 years), trauma, unexplained fever, recent urinary or skin infection, unrelenting night or rest pain,unexplained weight loss, osteoporosis, immunosuppression, steroid use, and widespread neurological symptoms. In non-specific low back pain, diagnostic imaging and laboratory studies are often unnecessary and can disturb an appropriate management.
For the management of acute low back pain, patient education and medication such as acetaminophen, non-steroidal anti-inflammatory drugs, and muscle relaxants are recommended. For chronic low back pain, behavior therapy, back exercise,and spinal manipulation are beneficial. The evidence based approach could improve success rate of management, result in prevention of acute low back pain from being chronic intractable pain.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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