2023 年 12 月 27 日

「醫生,我背部這裡好痛…」,「請問醫生,我腰部疼痛已吃藥治療好幾個月了為何還是痛﹖」「醫生,我明明感覺是肩膀疼,你怎麼說是我腰部出問題…」,以上這些診間病人的一個個問題都是代表著一個個多麼痛的領悟! G CLINIC宸曜-敦北診所院長張麟醫師指出,現代人在承受日常生活與工作等種種壓力與動作習慣讓疼痛總是困擾著你我他。根據門診臨床統計,常見的疼痛不外乎包括:下背痛、骨盆腔綜合徵、纖維肌痛症、肩頸痛、五十肩、三叉神經痛、帶狀皰疹後神經痛、頑強性頭痛、偏頭痛、複雜性局部疼痛症候群以及全身痛(是否合併代謝、內分泌及情緒問題) 等等,其中尤以下背痛及骨盆腔綜合症候群、纖維肌痛症、肩頸上背等問題是最常見;甚至是COVID-19疫後造成的莫名疼痛也是門診常見。操勞忙碌了一整年,全身上上下下多多少少積累了惱人的疼痛,找個時間

進場保養維修,投資自己的健康,讓自己擁有最佳狀態迎接新的一年。

G CLINIC張麟醫師表示:「頭痛醫頭、腳痛醫腳」在現代精準醫療的經驗來看已非定律,疼痛是一種受損與修復的過程,所以在疼痛門診治療上會先排除一定需要開刀的嚴重或危急問題。以G CLINIC 5G個人疼痛評估與治療的原則即是:優先排除及處理緊急及嚴重問題;傾聽病患主訴及觀察與完整評估;接下來才是治療,目標為症狀改善,矯正背後力學結構異常或營養素失衡問題,再依據病人情況訂定個人化5G治療計劃,包含相關支持系統,如此的全面性個人化疼痛評估與治療才能精準有效治療病患的惱人疼痛問題。

以下說明5G個人疼痛評估與治療的優點:

[案例1]:

門診中一位20歲女學生第一次來診,主訴雙側中線兩側背痛,前一陣子就      隱約有痛,上課中突然很刺痛,經診斷,中下段背部脊柱旁兩側肌肉廣泛壓痛,前傾或後仰差不多,兩側近腰方肌處也有壓痛,無創傷或其他疾病史,月經正常,臉色顯得有些蒼白,雙腿相較於身體偏細,肌群廣泛觸壓起來偏軟。在治療上,第一次增生治療注射後有暈針現象,故建議患者到婦產科同步進行內分泌及風濕免疫科檢查;先補充維生素C加強軟組織修復,注射處的疼痛有改善,但因怕針,開始改以非侵入式的震波治療,兩周後整體疼痛程度改善,後續再配合內分泌與維生素D補充治療成效良好。

[案例2]:

69歲男性,3年前接受腰椎一至五節融合手術,術後六個月再度發生下背痛,近一兩個月痛感加劇,曾進行復健及物理治療兩年合併藥物服用,但治療無效,導致整個下背重重緊緊僵硬痛,薦髂關節處有痛點。經主訴診斷後先安排雙側腰椎第二背根神經節注射,疼痛改善約五成,另進行雙側薦髂關節注射,短暫改善後再度復發,最後對患者施行脈衝波高頻熱凝電刺激療法而獲得明顯改善,開開心心的向醫護道謝與道別。

「疼痛成因是百百千千種及多面向,若醫師無法有充分時間的聆聽患者自訴症狀再判斷病因並妥善安排必要的檢查之下,最後還只是頭痛醫頭、腳痛醫腳或仍是例行回診拿藥,而病痛問題一直無法獲得快又有效的解決,病患往往要飽受疼痛的長期折磨而無法有效地獲得妥善精準治療,這是現行醫療環境下的問題」,張麟醫師表示,5G個人健康的多面評估與精準治療可讓病患獲得完善的醫療品質與全面個人化的健康照護,讓當今健保看不好病而病患看不到病的困局得以有效紓解,全人5G疼痛評估與治療讓人們擁抱無痛的健康又快樂生活。

G CLINIC 網址:https://www.global-gclinic.com/

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