Patho-mechanism, diagnosis, and treatment of discogenic low back pain

DOI
  • Ohtori Seiji
    Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University

Bibliographic Information

Other Title
  • 椎間板性腰痛の機序，診断，治療

Description

<p>Discogenic low back pain has a certain prevalence, and its patho-mechanisms, diagnosis, and treatment have been discussed for some time. Sensory nerves, sensitizing cytokines, and instability have been suggested as pain mechanisms. Magnetic resonance imaging (MRI) is the gold standard for diagnosis, but various new MRI and positron emission tomography (PET) techniques have recently been developed. Nerve root blocks and intervertebral disc blocks are also used for diagnosis. Exercise therapy and drug therapy are the first-line treatment. Surgical treatment is also an option in refractory cases where the diagnosis is certain, but this remains a matter of debate. This paper describes these issues.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 15 (6), 813-820, 2024-06-20

    The Japanese Society for Spine Surgery and Related Research

Keywords

Details 詳細情報について

  • CRID
    1390019070462990848
  • DOI
    10.34371/jspineres.2024-0602
  • ISSN
    24351563
    18847137
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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