特别注意事项颈部或背部疼痛诊断

获取准确的颈部或背部疼痛的诊断并不总是一个简单的过程。无奈的一些常见的来源可能包括：

• 诊断测试提供的信息有限
• Subpar diagnostic testing method and/or technique
• The underlying cause of the patient’s pain is not clearly isolated and defined
• Doctors disagreeing about a diagnosis or treatment plan
• Cases where a diagnosis cannot be reached

These special considerations for a neck or back pain diagnosis are discussed below.

当诊断测试不提供诊断

没有单一的诊断测试可以通过本身，诊断，是造成颈部或背部疼痛的潜在状态。准确的临床诊断为脊椎疼痛是根据病人的症状与体格检查和病史医生的调查结果相关。这些发现还必须涉及到从成像，电学测试，诊断注射，以及治疗方法，如物理治疗，药物治疗，符合人体工程学的修饰和修改活动的响应的诊断结果。

例如，当一个MRI可在脊柱的特定水平确认椎间盘突出，单独MRI图像不能证明这椎间盘突出导致疼痛。如果椎间盘髓的位置disc correlates with the patient’s described symptoms and other clinical findings, a diagnosis of the herniated disc causing pain may then be highly suspected.

It is important to focus on the clinical diagnosis rather than what one specific diagnostic test shows. AnMRI或其他成像测试通常表明在不引起疼痛或其他症状脊柱一些退化或其他问题。出于这个原因，路径准确的诊断必须遵循什么样的患者的症状的情况下才有意义，而不是所看到的扫描。

Read more:Introduction to Diagnostic Studies for Back and Neck Pain

争论在诊断测试的颈部或背部疼痛

通常，不需要的诊断测试或诊断特定提供或启动适当的治疗。诊断测试往往是昂贵的，只有在特殊情况下非常有用，所以当有理由相信他们会有所帮助它们只执行。即便如此，医生可能不总是在正确的时间顺序诊断测试，甚至哪些测试是最有用的同意。

一个用于颈部或背部疼痛较具争议的诊断测试的是椎间盘X，which is an injection technique used to determine if a specific disc is generating pain. There is disagreement within the medical community regarding the usefulness of a discogram, and there is some evidence to suggest that the injection directly into the disc could cause a new herniation to occur or enlarge an existing one, and/or accelerate degeneration over time. While discograms are not commonly performed anymore, they are more likely to be used for the lumbar spine rather than the cervical spine.

看到腰椎间盘X程序

当脊柱疼痛没有解剖原因，可以发现

Despite the best technology and diagnostic tests available today, there are still cases when no anatomical reason can be found for neck or back pain. Even if the doctor cannot identify the cause of the pain, the pain needs to be managed.

Pain management specialists focus on providing diagnosis, treatment, and techniques for people with chronic pain that cannot be addressed through surgery. Many integrated pain clinics also provide support resources, such as a support group and counseling, as well as medical treatments to manage neck or back pain.