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The Chinese Association for the Study of Pain (CASP): Consensus on the Assessment and Management of Chronic Nonspecific Low Back Pain

机译：中国疼痛研究协会（CASP）：慢性非特异性下腰痛评估和治疗的共识

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Chronic nonspecific low back pain (CNLBP) is defined as pain or discomfort originating from the waist, which lasts for at least 12 weeks, but no radiculopathy or specific spinal diseases. CNLBP is a complicated medical problem and places a huge burden on healthcare systems. Clinical manifestation of CNLBP includes discogenic LBP, zygapophyseal joint pain, sacroiliac joint pain, and lumbar muscle strain. Further evaluation should be completed to confirm the diagnosis including auxiliary examination, functional assessment, and clinical assessment. The principle of the management is to relieve pain, restore function, and avoid recurrence. Treatment includes conservative treatment, minimally invasive treatment, and rehabilitation. Pharmacologic therapy is the first-line treatment of nonspecific LBP, and it is most widely used in clinical practice. Interventional therapy should be considered only after failure of medication and physical therapy. Multidisciplinary rehabilitation can improve physical function and alleviate short-term and long-term pain. The emphasis should be put on the prevention of NLBP and reducing relevant risk factors.
机译：慢性非特异性下背痛（CNLBP）定义为源自腰部的疼痛或不适，持续至少12周，但无神经根病或特定的脊柱疾病。 CNLBP是一个复杂的医学问题，给医疗保健系统带来了沉重负担。 CNLBP的临床表现包括椎间盘源性LBP，足关节痛，sa关节痛和腰肌劳损。应完成进一步评估以确认诊断，包括辅助检查，功能评估和临床评估。管理的原则是减轻疼痛，恢复功能并避免复发。治疗包括保守治疗，微创治疗和康复。药物治疗是非特异性LBP的一线治疗，在临床实践中使用最广泛。仅在药物治疗和物理治疗失败后才应考虑介入治疗。多学科康复可以改善身体机能并减轻短期和长期疼痛。应将重点放在预防NLBP和减少相关的危险因素上。

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