腰椎小關節痛

標題：「腰椎小關節痛：一個經常被忽視的腰痛原因」

如果您感到單側或雙側腰痛，痛楚輻射到臀部或大腿， 而不會走到膝蓋以下，當您向後伸展 或旋轉軀幹時這種疼痛加劇，您可能患有腰椎小關節痛。

腰椎小關節痛，也稱為小關節綜合症，是一個重要但經常被忽視的腰痛原因。 雖然他相對常見，但它經常被誤成其他問題，導致患者得不到適當治療。

據估計，有15-45% 腰痛都是由腰部小關節痛引起。 由於小關節痛的主要成因是退化，所以 這個問題年紀越大便越普遍。 對於年輕患者， 腰椎小關節痛，可能源於急性創傷 。

腰椎小關節，或稱為椎間關節，是位於每個脊椎段的小型穩定關節。這些關節可能因退化性關節炎、創傷或受力不平均而引起疼痛，導致周圍神經根的炎症和刺激。

診斷腰椎小關節痛可以十分困難，因為其症狀不具體， 而 X光、磁力共振等影像又可能與臨床症狀不相關。 有時可能要靠小關節或小關節神經注射，才可以確診。

治療方案，可以是保守治療，如物理治療和藥物治療等，或是介入治療，如類固醇、透明質酸或血小板注射，及小關節神經或小關節囊的射頻消融。

腰椎小關節痛是一個常見，但大眾缺乏認識的腰痛原因。我們需要提高意識和準確診斷以有效管理和緩解症狀。

If you experience unilateral or bilateral back pain that radiates to the buttocks or thighs, stopping above the knee, and if this pain worsens when you extend or rotate your trunk, you may be suffering from lumbar facet joint pain.

Lumbar facet joint pain, also known as facet syndrome, is a notable yet frequently overlooked cause of lower back pain. Despite its common occurrence, it is often overshadowed by other spinal conditions, which can lead to misdiagnosis and inadequate treatment.

This type of pain is responsible for 15-45% of chronic low back pain cases. It is more prevalent in older adults due to degenerative changes but can also stem from acute injuries in younger individuals.

The lumbar facet joints, or zygapophysial joints, are small stabilizing joints located at each spinal segment. Pain can arise from these joints due to degenerative arthritis, trauma, or biomechanical stress, which leads to inflammation and irritation of the surrounding nerve roots.

Diagnosing lumbar facet joint pain is challenging because of nonspecific symptoms and a limited correlation between clinical signs and imaging findings. The most reliable diagnostic method is a positive response to facet joint blocks.

Treatment options range from conservative management, such as physical therapy and medications, to interventional procedures like intraarticular injections of steroids, hyaluronate, or platelet-rich plasma, and radiofrequency denervation of the medial branch or facet joint capsule.

Lumbar facet joint pain is a common yet under-recognized cause of low back pain. Increased awareness and accurate diagnosis are essential for effective management and the alleviation of symptoms.