Review: Discogenic Back Pain: Update on Treatment.

IF 1.4 Q3 ORTHOPEDICS Orthopedic Reviews Pub Date : 2023-08-25 eCollection Date: 2023-01-01 DOI:10.52965/001c.84649

Edgar Remotti, Chinoso Nduaguba, Parker A Woolley, Ryan Ricciardelli, Anh Phung, Rosa Kim, Ivan Urits, Alan David Kaye, Jamal Hasoon, Thomas Simopoulos, Cyrus Yazdi, Christopher L Robinson

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Abstract

Purpose of review: Lower back pain (LBP) has a lifetime prevalence of 80% in the United States population. Discogenic back pain (DBP), a subcategory of LBP, occurs as a result of the interverbal disc degeneration without disc herniation. Diagnosis relies on history, physical exam, and imaging such as MRI, provocative discography, or CT discography.

Recent findings: Treatment of DBP involves a multifaceted approach with an emphasis on conservative measures including behavioral modification, pharmacologic management, and other non-pharmacologic interventions with invasive therapy reserved for select patients. Due to the paucity of data on the treatment of DBP, treatment also relies on data derived from treatment of chronic LBP (CLBP).

Summary: Despite the scarcity of data for the treatment of DBP, treatments do exist with varying efficacy for DBP. Novel techniques such as the use of biologics may provide another avenue for treatment though further studies are needed to better evaluate the most efficacious regimen for both novel and existing treatments.

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综述：椎间盘源性背痛：治疗进展。

综述目的：下背痛（LBP）在美国人群中的终生患病率为80%。椎间盘源性背痛（DBP）是LBP的一个子类，是由椎间盘退变而非椎间盘突出引起的。诊断依赖于病史、体格检查和成像，如MRI、刺激性椎间盘造影或CT椎间盘造影。最近的研究结果：DBP的治疗涉及多方面的方法，强调保守措施，包括行为矫正、药物管理和其他非药物干预措施，并为选定的患者保留侵入性治疗。由于缺乏关于DBP治疗的数据，治疗也依赖于来自慢性LBP（CLBP）治疗的数据。总结：尽管缺乏治疗DBP的数据，但确实存在对DBP具有不同疗效的治疗方法。尽管需要进一步的研究来更好地评估新疗法和现有疗法的最有效方案，但生物制剂的使用等新技术可能会提供另一种治疗途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopedic Reviews ORTHOPEDICS-

CiteScore

2.70

自引率

4.80%

发文量

122

审稿时长

10 weeks

期刊介绍： Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.