PDF(Pubmed)
Abstract：
Knee pain is second only to the back as the most commonly reported area of pain in the human body. With an overall prevalence of 46.2%, its impact on disability, lost productivity, and cost on healthcare cannot be overlooked. Due to the pervasiveness of knee pain in the general population, there are no shortages of treatment options available for addressing the symptoms. Ranging from physical therapy and pharmacologic agents to interventional pain procedures to surgical options, practitioners have a wide array of options to choose from - unfortunately, there is no consensus on which treatments are \"better\" and when they should be offered in comparison to others. While it is generally accepted that less invasive treatments should be offered before more invasive ones, there is a lack of agreement on the order in which the less invasive are to be presented. In an effort to standardize the treatment of this extremely prevalent pathology, the authors present an all-encompassing set of guidelines on the treatment of knee pain based on an extensive literature search and data grading for each of the available alternative that will allow practitioners the ability to compare and contrast each option.
摘要：
膝关节疼痛仅次于背部，是人体最常报告的疼痛区域。总体患病率为46.2%,它对残疾的影响，失去生产力，医疗费用不容忽视。由于膝关节疼痛在普通人群中普遍存在，目前并不缺乏可用于治疗症状的治疗方案。从物理治疗和药物到介入性疼痛程序再到手术选择，从业者有各种各样的选择可供选择-不幸的是，关于哪些治疗方法“更好”，以及与其他治疗方法相比，何时应该提供，目前尚无共识。虽然人们普遍认为，侵入性较小的治疗应该先于侵入性较大的治疗，对于侵入性较小的产品的呈现顺序缺乏一致意见。为了使这种极为普遍的病理的治疗标准化，作者根据广泛的文献检索和每种可用替代方案的数据分级,提出了一套全面的膝关节疼痛治疗指南,这将使从业者能够比较和对比每种治疗方案.
