Aging with Marfan and Related Conditions (VIrtual Medical Symposium Series, 5/6/19)
50:43-52:59
Q:
Here's, a here's a great question for back pain. Would you talk about which doctor you go to the orthopedist, neurologist, is another doctor? This particular person says, for his situation or her situation, orthopedist wasn't very helpful. What are the advantages of going to neurologist?
背中の痛みについては、整形外科なのか神経内科なのか、あるいは他の科なのか、というご質問です。この方の場合、整形外科に行ってもそれほど効果がなかったようで、神経内科にいけばいいですか？とのことです。
A:
This is a great question. Well, so this is a they're different reasons for having back pain and there are different solutions and also different communities and different institutions organize the care a little differently.
背中の痛みの原因は様々で、治療法もそうですし、科によって治療法も違ってきます。
So, for example, what we have here is, first of all, they see a general person who can't usually tell, there is a kind of what they call, it's called myofascial, a kind of a broad, hard to localize pain that's common that you, you don't doesn't really get better with spine injections because there's no sort of pain generator that you can identify, but sometimes you can identify a specific pain generator like a lumbar facet joint. Those are good candidates for a spine injection localized right into that facet joint, which is available now in many communities.
例えば、筋膜痛というものがあります。広い範囲で起きる痛みで、痛みの場所を特定することが難しいのですが、よくみられる痛みです。痛みの元が特定できないので、背骨に注射してもよくなりません。ですが、痛みの原因が腰椎椎間関節だと特定できることもあります。この場合は、椎間関節に注射をすればよくなります。この治療は多くの医療機関で受けられます。
So there are some mechanical things. That here at Mayo, we have a trained radiologists who know how to do that. We also have anesthesia, pain experts, but it might be a different person where you live, so figuring out who benefits from an intervention and then everybody benefits from core strengthening and just good maintenance and care of the spine.
Mayo Clinicには研修を受けた放射線科医がいて、機器を使った治療ができますし、麻酔や痛みの専門家もいます。ですが、お住いの地域では違った専門の方がいらっしゃると思いますから、その方が患者さんに合った治療をすると思います。体幹を鍛えたり、背骨のケアをしっかりするということは皆さんに効果があります。
But also pain waxes and wanes and for unknown reasons, so there can be a situation where you've now have pain for some time and it just feels like you're always going to have it and then for whatever reason, it just gets better, so that's also something nice to keep in mind that for a lot of these problems, they're not necessarily going to be there forever or get steadily worse. They frequently get better.
痛みは理由もなく強くなったり、収まったりします。しばらく痛みが続いていて、ずっとそのままだと思うかもしれませんが、特に理由もなく良くなることがあります。覚えておいてほしいのですが、こうした問題は必ずしも永遠に続くわけでないし、確実に悪くなっているというわけではありません。良くなっていくことも多いのです。
We also, I should put a plug-in for this. We actually had a webinar on pain management with Dr. Tracy speech from Johns Hopkins, so people can um people can look onto our website and get that recording and get some more information on that.
私の方から補足です。痛みの管理についてのオンラインセミナーも既に行っていますので、そちらもご覧ください。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.orgにアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
