腰背痛腰背痛的原因椎间盘源性纤维环破裂髓核压迫纤维环内的c纤维炎性因子刺激神经临床特点腰背痛的原因小关节源性小关节功能紊乱小关节退行性变小关节的神经支配脊神经背支内侧支临床表现小关节源性腰背疼痛的疼痛分布范围腰背痛的神经阻滞疗法ESI 椎间盘源性腰背痛腰椎小关节注射、内侧支阻滞腰椎小关节注射、内侧支阻滞骶髂关节综合症背痛臀部大腿部疼痛偶尔有类似坐骨神经痛现象不能长时间保持某一坐姿症状复杂，诊断困难骶髂关节体格检查Gaenslen's test is performed with the patient supine (on the back). The hip joint is maximally flexed on one side and the opposite hip joint is extended. This maneuver stresses both sacroiliac joints simultaneously. 骶髂关节体格检查Yeoman's test stresses the sacroiliac joint by extending the leg and rotating the ilium. A positive test produces pain over the back of the sacroiliac joint.  骶髂关节体格检查Patrick's test stresses the hip and sacroiliac joints. A positive test produces back, buttocks, or groin pain.  骶髂关节阻滞腰腿痛的神经阻滞治疗椎间盘突出脊神经根受刺激腰神经根受压的疼痛分布腰腿痛的神经阻滞治疗ESI 椎旁神经阻滞选择性神经根阻滞selective nerve root block S1block 椎管狭窄、椎间孔狭窄椎体滑脱梨状肌综合症神经损毁目的外周神经损毁物理损毁射频化学损毁无水酒精、酚Thank You PAIN * 上海市第六人民医院疼痛诊疗中心* 上海市第六人民医院疼痛诊疗中心选择性神经根阻滞selective nerve root block  Pelvic pain, coccydynia Buttocks, perineum Sacrum S1-S4 Sciatica, shin and foot problems Front of the inner and outer shin bone, top of the foot Lower Lumbar Spine L4-L5 Trapped nerve in the back, groin and thigh problems, hip and knee problems Groin, front of the upper thigh Upper Lumbar Spine L1-L3 Irritable bowel disorder, pelvic pain, period pain, pain in the sexual organs Lower abdomen, lower ribs, pelvis and sexual organs Lower Thoracic Spine (below the bra-strap) T9-T12 Stomach ulcer, gall bladder problems, trapped wind, indigestion, breathing difficulties and other chest complaints Upper abdomen, middle ribs Middle Thoracic Spine (at the bra-strap) T5-T8 Trapped nerve in the neck, angina, breathing difficulties and other chest complaints Pain in the arms, front of the upper chest, upper ribs Upper Thoracic Spine (above the bra-strap) T1-T4 Trapped nerve in the neck, tennis elbow, golfer's elbow, frozen shoulder Arms, forearms, hands and fingers Middle / Lower Cervical Spine (neck) C5-C8 Headaches, migraines, jaw problems, trigeminal neuralgia, tension in the shoulders Back of the head (occiput), back of the shoulders, angle of the jaw, face Upper Cervical Spine (neck) C1-C4 Condition Mimicked Referral Area Spinal Region Sympathetic Blocks, Anti-convulsants, Anti-depressants Chronic Regional Pain Syndromes, Sympathetically Maintained Pain Sympathetic Pain Peripheral Nerve Blocks, Anti-convulsants, Anti-depressants Peripheral Neuralgia Nerve Pain Facet Joint Injections, Ligament Sclerosants, Epidural Injections, Nerve Root Blocks, Epiduroscopy, IDET, Intrathecal Morphine Pump Failed Spinal Surgery Treatment for the cause of the pain Referred Spinal Pain Trigger Point Injections, Vertebroplasty Spinal Osteoporosis Epidural Injections, Nerve Root Blocks, Surgery Foraminal Stenosis Epidural Injections, Surgery Spinal Stenosis Ligament Sclerosants, Facet Joint Injections, Epidural Injections, Nerve Root Blocks, Surgery Spondylolisthesis Epidural Injections, Nerve Root Blocks, Surgery, Epiduroscopy Sciatica Facet Joint Injections Facet Joint Syndrome Ligament Sclerosants The Bad Sprain Complex Spinal Pain (in addition to those treatments for Simple Spinal Pain) Acupuncture, TENS, Exercises, Manipulation Simple Sprain, Muscle Spasm, Segmental Spinal Dysfunction Simple Spinal Pain Treatment  Diagnosis Pain Type