摘要

Saal and Saal reported that more than 80% of patients with radiculopathy associated with a lumbar disk herniation had improvement in a matter of months with exercise-based physical therapy. In the nonoperative SPORT cohort, patients had significant improvement from baseline, and approximately 60% of those with classic radiculopathy who initially received nonoperative treatment avoided surgery.8 译Saal和Saal报告说,超过80%的与腰椎间盘突出症相关的神经根病患者在进行基于运动的物理疗法后几个月内已有改善。在非手术SPORT队列中,患者比基线水平有显着改善,最初接受非手术治疗的经典神经根病患者中约有60%避免了手术[8]。


	 


	Mr. Winston has had minimal treatment and has had symptoms for only 10 weeks. He should undergo a course of exercise-based physical therapy and a trial of a nonsteroidal antiinflammatory medication and may consider a lumbar epidural glucocorticoid injection. Although there is little evidence of the effectiveness of these nonoperative options alone, the combination of these treatments and the benign natural history of the patient’s condition could result in alleviation or resolution of symptoms. 译温斯顿先生只接受了最少的治疗,仅出现了10周的症状。他应该进行基于运动的物理治疗以及非甾体类抗炎药的试验,并可以考虑腰椎硬膜外注射糖皮质激素。尽管很少有证据表明单独使用这些非手术方法有效,但将这些治疗方法与患者病情的良好自然史相结合可能会减轻或缓解症状。


	 


	If these interventions — and time — do not resolve his symptoms, surgery could be considered as a final option, but it may not have long-term effectiveness and could in and of itself cause the possibility of more harm than good. Mr. Winston has risk factors, such as obesity and a history of smoking, that have been shown to contribute to poor surgical outcomes of certain spinal procedures.译如果这些干预措施(以及时间)不能解决他的症状,则可以考虑手术作为最终选择,但它可能不会长期有效,并可能造成更大的伤害。温斯顿先生有肥胖和吸烟史等危险因素,已被证明可导致某些脊柱手术的不良手术结果。

译文

Saal和Saal报告说,超过80%的与腰椎间盘突出症相关的神经根病患者在进行基于运动的物理疗法后几个月内已有改善。在非手术SPORT队列中,患者比基线水平有显着改善,最初接受非手术治疗的经典神经根病患者中约有60%避免了手术[8]。

温斯顿先生只接受了最少的治疗,仅出现了10周的症状。他应该进行基于运动的物理治疗以及非甾体类抗炎药的试验,并可以考虑腰椎硬膜外注射糖皮质激素。尽管很少有证据表明单独使用这些非手术方法有效,但将这些治疗方法与患者病情的良好自然史相结合可能会减轻或缓解症状。

如果这些干预措施(以及时间)不能解决他的症状,则可以考虑手术作为最终选择,但它可能不会长期有效,并可能造成更大的伤害。温斯顿先生有肥胖和吸烟史等危险因素,已被证明可导致某些脊柱手术的不良手术结果。

Sciatica

骨科 坐骨神经病变 疾病
概述  :  

坐骨神经痛主要是指以坐骨神经径路及分布区域发生的疼痛症状为主要临床表现的综合征现象。坐骨神经痛一般发生在老年人群体中,主要是激发坐骨神经局部及周围结构的病变对坐骨神经产生了刺激及压迫现象所导致的,坐骨神经痛的临床症状主要表现为疼痛、肌力减退、坐骨神经压痛、跟腱反射减退等,严重影响身体健康及生活质量,给生活带来一定的影响。   临床表现 患者会出现大腿后部、小腿后外侧等区域的剧烈疼痛,这种疼痛一般会在病人出现某种姿势后异常强烈。如果

Sciatica 英 /saɪˈætɪkə/  美 /saɪˈætɪkə/                     

释义   n. [内科] 坐骨神经痛

例句   Scoliosis can cause back pain and many other health problems, including shallow breathing, sciatica, headaches, and even insomnia. 脊柱侧弯会引起背痛及其他健康问题,如气短,坐骨神经痛,头痛,甚至失眠


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