Antibiotika bør ikke anvendes til behandling af rygsmerter

Peter Muhareb Udby, Peter Fritzell, Tomas Bergström, Bodil Jönsson, Mikael Skorpil, Olle Hägg, Mikkel Østerheden Andersen

Publikation: Bidrag til tidsskriftReviewForskningpeer review

Abstract

Infection has been proposed as a cause of back pain in individuals with Modic changes. This review summarises the knowledge on this topic in Scandinavia. A Norwegian randomized controlled trial could not replicate results in favor of antibiotic treatment for such patients. A Danish study demonstrated that patients with low back pain and Modic changes had similar physical disability-scores and less sick leave due to back pain than individuals without Modic changes at long-term follow-up (>10 years). A Swedish study displayed equal bacterial presence in discs of patients operated for lumbar disc herniation and in control patients, indicating that the presence of bacteria is caused by contamination during the surgical procedure and is not related to back pain.

Bidragets oversatte titelAntibiotics should not be used for treating back pain due to Modic changes
OriginalsprogDansk
ArtikelnummerV06200476
Sider (fra-til)1966-1968
Antal sider3
TidsskriftUgeskrift for laeger
Vol/bind182
Udgave nummer20A
StatusUdgivet - 12 okt. 2020

Emneord

  • Anti-Bacterial Agents/therapeutic use
  • Back Pain/drug therapy
  • Humans
  • Intervertebral Disc Displacement/complications
  • Lumbar Vertebrae/diagnostic imaging
  • Magnetic Resonance Imaging
  • Scandinavian and Nordic Countries
  • Treatment Outcome

Fingeraftryk

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