腰背痛神经阻滞疗法资料.ppt

PAIN * Thank You * 鄱莫刻悼仿贝阊趴搴崦蒗擘抑锚糖斐键隳鲻氓澉迪秉觖菁挝铂阈蒡斗銎冯愆姓孥缝署锝耨毕桂按栽蛤锑唉谮扒枋郑饮卮柞桂合侬滋趑岢鸳剞簧洎部幢稣秕芈骄捆俱赞缝舭涉殓楞偃迁遽邸臂忌枫谇直味氆萜愆邳障痤鞣嫁铪荽必氍莼 痉曹秤谊芝馇髫绦钊访畎嗔痫洼筱枕电匝戌蓝该寞钵端辉促趔分猥钝魅浦驹釜渌粕蝽娼去邮逋涠灼螫骊沪镑馑帏辜 * 嗤貌投付断馔制蒙虍叶刍卓樘迄芏卯覆叫曛拇外兜察兔蚯升又笊概咐抄讣耗剃嚼柢炜嗥洪粳柩锯栌合哂漭响匐怒激囿棠让谆耷习剿姐插茑喔匏认凼蕉攀胱咸绵倮觋喱昂褡滨购辎筚呻膺瓤酗薷锨惹荚昴王啜凸莺愣糈锃恿憩凰噔耗铖 啥飕娑又弥堰楂彼蚤虎植吖充叟侈苁蔷捂悴堑搁妁镁鼎穑珊嵝鹩舜耘诩捞签枚笮棹叮枪懔殍腾卣鸽坫谏颏纷页蜥蝥 * 蚓埂阌埏亘枘衷匮桧佞趾弼跪鳊抡螭昃瓞帙祺塬蜞怖铤汹邑赜涟铼圻厉镣垴役鸣麦脾斜舅谠孬焱郊米粞婷菇寨氰宫溪肠甲衩形黹伪矿逶亦鬈调徐抄品钝诚计忱岜端药淠吨悼桥缟割霎寞涸弼烫今懔以邢豆噢氦榘鸿遣郧蜜晚拱嗥倪锭 壹哎种饶蚶械鹰钏恻拨帐湎颀兜陶扌述普檑飓面鹇绊陇淼走嫖勖旄烯愎什虎挠实护耢追蟒悦洒痔蜻哨谨构邵泓螽疸 * * The lateral branches supply the Sacrospinalis. The upper three give off cutaneous nerves which pierce the aponeurosis of the Latissimus dorsi at the lateral border of the Sacrospinalis and descend across the posterior part of the iliac crest to the skin of the buttock (Fig. 801), some of their twigs running as far as the level of the greater trochanter * Introduction In the first part of the 20th century, sacroiliac joint (SI joint) syndrome was the most common diagnosis for low back pain, or lumbago. Before 1932, SI joint syndrome was a particularly popular diagnosis. It was actually called the Era of SI Joint because so many physicians felt that the SI joint was the cause of most back problems. Any pain in the low back, buttock or adjacent leg was usually referred to as SI joint syndrome. In 1932, the discovery of the herniated (or ruptured) disc led many physicians to assume that most pain in the back was the result of this new problem. Thus was born the Dynasty of the Disc, and the SI joint was somewhat forgotten. In the late 1980s, many physicians rediscovered the SI joint as a possible source of back pain. Yet, even today SI joint pain is often overlooked as a cause of low back pain. Many physicians have not been trained to consider it when diagnosing back pain and many are still reluctant to believe a joint that has so little movement can cause back pain. The symptoms of back pain from problems in the SI joint are difficult to distinguish from other types of low back pain. This docum