2020年1月24日 星期五

運動、耐心為要;美國背頸疼痛的醫治浪費 Most patients should be prescribed exercise and patience, not invasive surgery: Americans spend $88bn a year to treat back and neck pain—but the treatments are mostly wrong



In most countries—rich and poor—back pain is the top cause of disability. Research suggests that current medical treatments do not work

The Economist
Doctors need better training and more research is needed into the effectiveness of surgery. Most of all, governments and insurers need to start paying for the right things


Most patients should be prescribed exercise and patience, not invasive surgery
LeadersJan 16th 2020 edition
Jan 16th 2020

For some people it starts with an injury: a skiing accident or a car crash. For others it starts with something seemingly innocuous, like picking up a pair of socks from the floor. But for most, back pain is as mysterious as it is excruciating. Some 85% of chronic sufferers have what doctors call “non-specific” back pain, meaning it has no clear physical cause.


In most countries, whether rich or poor, back pain is the leading cause of disability, measured by the number of years lived in poor health (see Briefing). It often strikes people in middle age and keeps them wincing, on and off, for the rest of their lives. Many lose their jobs, either because they feel physically unable to work or because they become depressed. Back pain is the main reason why Europeans drop out of work and a big reason why Americans get hooked on opioids

美國背頸疼痛的醫治浪費
Americans spend $88bn a year to treat back and neck pain—but the treatments are mostly wrong

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