醫療常識★香港執業脊醫協會發布僵直性脊椎炎治疗和管理的建議方案

中國香港 - Media OutReach - 2022年5月3日 - 5月7日是 世界僵直性脊椎炎日 ， 香港執業脊醫協會 （CDAHK）發布了一份僵直性脊椎炎治療和管理的建議方案。 香港執業脊醫協會 （CDAHK）主席朱君璞醫生介绍到， 「腰痛患者通常找脊醫門診，脊醫可以用保守治療方式管理僵直性脊椎炎患者的病徵。」脊骨神經科作為肌肉骨骼專家學者，專注於診斷和治療脊柱疾病(1-3)，僵直性脊椎炎也是脊醫常見的脊椎疾病。

僵直性脊椎炎會導致脊柱、骶骨、骨盆、臀部和關節出現嚴重的炎症，從而導致慢性疼痛、脊柱融合和活動能力問題。 脊醫對脊柱或身體其他部位進行非侵入性治療，以糾正脊柱錯位 (2-8)、減輕疼痛 (9-14) 並提高活動能力。 它們在保守管理和提高生活質量方面發揮著關鍵作用 (15)。

僵直性脊椎炎患者經常有背部僵硬和疼痛，脊椎按摩師可以幫助他們緩解症狀 (16-20)。 因為患者的脊柱可以與 AS 融合，脊骨神經科和運動療法是很好的保守治療，以保持脊柱活動 (21-25)。

僵直性脊椎炎影響著全世界數百萬人。香港執業脊醫協會 藉著世界僵直性脊椎病日，以提高對這種疾病的認識，並提高人們對其對脊椎治療患者身心健康的影響的認識。

參考資料:

1. Chu E. The Opportunity to Unlock the Architecture of Healthcare Model: Chiropractic Care-at-Home. Journal of Contemporary Chiropractic. 2022 March; 5(1):44-49
2. Chu EC, Yau K, Ho V, Yun S. The scalable approach to the Chiropractic patient journey. Asia Pacific Chiropractic Journal. 2022 February; 2(5):2-8
3. Chu E. Smart Rehabilitation Clinic. Journal of Contemporary Chiropractic. 2022; 5(1):7-12
4. Chu ECP, Wong AYL. Change in Pelvic Incidence Associated With Sacroiliac Joint Dysfunction: A Case Report. J Med Cases. 2022 Jan;13(1):31-35
5. Chu C, Wong RS. Chiropractic pain control in myelofibrosis: A case report. New Horizons in Clinical Case Reports. 2017 August; 2:7-9
6. Chu ECP, Lee LYK. Adjacent segment pathology of the cervical spine: A case report. J Family Med Prim Care. 2022 Feb;11(2):787-789
7. Chu EC. Remission of Headache and Neck Pain Following Chiropractic Manipulative Treatment in a Patient with Neurofibromatosis. Chiropractic Journal of Australia. 2022 February; 49(1):8-18
8. Chu EC, Leung K, Ng LL, Lam A. Vascular Thoracic Outlet Syndrome: A Case Report. J Contemp Chiropr. 2021 December; 4(1):142–145
9. Chu ECP, Wong AYL, Sim P, Krüger F. Exploring scraping therapy: Contemporary views on an ancient healing - A review. J Family Med Prim Care. 2021 Aug;10(8):2757-2762
10. Chu EC, Lo FS, Bhaumik A. Secondary atlantoaxial subluxation in isolated cervical dystonia-a case report. AME Case Rep. 2020;4:9
11. Chu EC, Butler KR. Resolution of Gastroesophageal Reflux Disease Following Correction for Upper Cross Syndrome-A Case Study and Brief Review. Clin Pract. 2021 May 21;11(2):322-326
12. Chu ECP, Wong AYL. Chronic Orchialgia Stemming From Lumbar Disc Herniation: A Case Report and Brief Review. Am J Mens Health. 2021 May-Jun;15(3):15579883211018431
13. Chu EC, Wong AY, Lee LY. Craniocervical instability associated with rheumatoid arthritis: a case report and brief review. AME Case Rep. 2021;5:12.
14. Chu E. Thoracolumbar disc herniation: a hidden cause of monosymptomatic nocturnal enuresis. European Journal of Molecular and Clinical Medicine. 2021 April; 8(3):2834-2840
15. Chu EC. Improvement of quality of life by conservative management of thoracic scoliosis at 172°: a case report. J Med Life. 2022 Jan;15(1):144-148
16. Chu ECP, Chakkaravarthy DM, Lo FS, Bhaumik A. Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy. Clin Med Insights Arthritis Musculoskelet Disord. 2020;13:1179544120939069
17. Chu ECP, Lo FS, Bhaumik A. Plausible impact of forward head posture on upper cervical spine stability. J Family Med Prim Care. 2020 May;9(5):2517-2520
18. Chu ECP, Shum JSF, Lin AFC. Unusual Cause of Dysphagia in a Patient With Cervical Spondylosis. Clin Med Insights Case Rep. 2019;12:1179547619882707. doi: 10.1177/1179547619882707
19. Chu ECP, Lo FS, Bhaumik A. Remission of recalcitrant dermatomyositis following a chiropractic adjustment. J Family Med Prim Care. 2019 Nov;8(11):3742-3744
20. Chu ECP, Chan AKC, Lin AFC. Pitting oedema in a polio survivor with lumbar radiculopathy complicated disc herniation. J Family Med Prim Care. 2019 May;8(5):1765-1768
21. Chu ECP, Lam KKW. Post-poliomyelitis syndrome. Int Med Case Rep J. 2019;12:261-264
22. Chu ECP, Bellin D. Remission of myasthenia gravis following cervical adjustment. AME Case Rep. 2019;3:9
23. Chu ECP. Mitigating Gait Decline in a Woman With Parkinson's Disease: A Case Report. J of Med Cases 13 (3), 140
24. Chu EC. Regression of Lumbar Disc Herniation Following Non-surgical Treatment. European Journal of Molecular & Clinical Medicine. 2020 July; 7(1):27-79
25. Chu EC, Wong AY, Lin AF. Isolated Neck Extensor Myopathy Associated With Cervical Spondylosis: A Case Report and Brief Review. Clin Med Insights Arthritis Musculoskelet Disord. 2020;13:1179544120977844.