■臨床医のために
腰痛を診る―腰椎椎間板ヘルニアを中心に―
元文 芳和, 伊藤 博元
日本医科大学付属病院整形外科
Examine for Low Back Pain: The Focus on Inter Vertebral Disc Herniation
Yoshikazu Gembun and Hiromoto Ito
Department of Orthopaedic Surgery, Nippon Medical School
Many patients require a medical check-up as an outpatient with the chief complaint of low back pain, because the morbidity of low back pain is high. Many cases of acute lumbago resolve spontaneously, but some cases shift to chronic lumbago. Low back pain is classified as somatic pain and radicular pain resulting from the lumbar area, and other pain originating in the abdomen and pelvic viscera.
We describe it mainly as low back pain and inter vertebral disc herniation. At the time of diagnosing inter vertebral disc herniation, the straight leg raising test is a very useful physical examination and MRI is the best examination for imaging studies. The therapeutic principle is conservative treatment, because symptoms of inter vertebral disc herniation may improve naturally. Surgical treatment is chosen when severe nerve damage, such as bladder problems or dropfoot, is present and patients are in significant pain.
日医大医会誌 2006; 2(1), 42-46
Key words
low back pain, inter vertebral disc herniation, diagnosis
Correspondence to
Yoshikazu Gembun, MD, Department of Orthopaedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
受付：2005年12月6日 受理：2006年1月6日 |
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