增生注射併物理治療解肩頸酸痛 奇美醫院呼籲：改善不良生活型態 防止疾病找上門
2023-4-25 記者田靖／台南報導
在現今繁忙的工商社會，凡事講求快速、效率，這樣的壓力導致許多人全身肌肉長期緊繃僵硬，尤其無時無刻的使用電腦、智慧型手機等電子產品，經常維持著低頭或脖子前傾等不良姿勢，更加重肌肉僵硬的問題。
案例：40歲陳先生，是一位科技公司的工程師，三個月前開始出肩頸痠痛，有時會伴隨雙手麻木、頭痛、上背或下背痛的狀況。過去，他也曾出現類似的狀況，但多數時間休息之後得以改善，但這次的症狀持續了一陣子，因此來奇美醫療財團法人奇美醫院復健部主治醫師程信翰門診求助。經過病史詢問、工作狀況了解、鑑別診斷區別發現為頸椎小面關節炎，採用物理治療、增生注射及衛教後，痠痛的問題終於獲得解決，長年嚴重失眠也明顯獲得改善。
奇美醫療財團法人奇美醫院復健部主治醫師程信翰說明：近年來，因為生活習慣、工作型態改變以及長時間使用手機、電腦等電子產品，導致肩頸痠痛的病人逐漸增加，而工作相關的肌肉骨骼痠痛也非常常見，如果不加以治療，可能會影響到日常生活，甚至影響工作效率。根據勞動部勞工保險局2022年勞工保險職業病傷病給付資料顯示，手臂頸肩疾病人數為311位，其中以40至59歲占最多。根據一篇發表於國外醫學期刊的研究統計。
主講者復健部主治醫師程信翰分享肩頸痠痛治療成果。
醫師透過病史的詢問，了解疼痛發作的情況、疼痛持續的時間及特徵(例如，是否延伸到上肢或是否伴隨感覺異常)以及限制活動的程度。理學檢查，包括觀察頸部活動、關節活動範圍、肩頸肌肉的觸診…等。實驗室檢查，包含X光、骨骼肌肉超音波、電腦斷層、核磁共振及神經傳導檢查。總和上述結果，才能精確診斷病因，以利後續治療。
奇美醫療財團法人奇美醫院復健部主治醫師程信翰指出：治療肩頸症候群，重點還是要針對確認的病因才會有效。舉例來說，痠痛藥膏能舒緩肌肉拉傷，但對於椎間盤的疼痛效果不佳。口服止痛藥，只能短暫緩解部分神經根壓迫的不適，但藥效過了，症狀又會再次發作。案例陳先生的狀況中，藥物、推拿、按摩、針灸及物理治療都必須反覆執行才能舒緩症狀，所花費的時間較多也較容易影響工作。因此，與我討論後決定接受增生注射，一來澈底處理神經壓迫，二來也較節省原本其他治療所需的時間。完成療程後，痠痛的問題終於獲得解決，長年嚴重失眠也明顯獲得改善。
根據奇美醫療財團法人奇美醫院復健部統計近五年(2017年至2022年)因肩頸症候群至求診人數約2,000位，其中肌肉骨骼732位(38%)、神經問題1,194位(62%)，年齡大多30歲至65歲的中壯年族群。2022年與2021年相比，人數成長近2成，尤其為30歲至50歲，顯示疫情下居家辦公及運動量減少，導致肌肉過度使用或耐力不足等狀況。
長久來看，要避免工作相關的肌肉骨骼痠痛，還是有賴生活型態及工作習慣的調整。這些習慣與知識，往往來自復健醫學與職業醫學領域的前沿研究與經驗，需要透過多方的管道才能更快的普及。不僅是傳統上醫師透過門診衛教醫療資訊，還包含了法規要求一定規模的公司執行臨場服務，辦理勞工健康服務事項，以期快速提升民眾與勞工的健康知識。
I’m really enjoying the design and layout of your site. It’s a very easy on the eyes which makes it much more enjoyable for me to come here and visit more often. Did you hire out a designer to create your theme? Exceptional work!
Thank you for the auspicious writeup. It actually used to be a leisure account it. Glance complex to far introduced agreeable from you! By the way, how can we keep in touch?
This post is priceless. Where can I find out more?
Your style is really unique compared to other people I have read stuff from. Thanks for posting when you have the opportunity, Guess I will just bookmark this page.
I was able to find good information from your blog articles.
Hi, i feel that i saw you visited my blog so i got here to go back the choose?.I am trying to in finding things to improve my website!I assume its good enough to use some of your concepts!!
I like reading through a post that will make people think. Also, thank you for allowing for me to comment!
Ищете профессионалов для механизированной штукатурки стен в Москве? Обратитесь к нам на сайт mehanizirovannaya-shtukaturka-moscow.ru! Мы предлагаем услуги по машинной штукатурке стен любой сложности и площади, а также гарантируем быстрое и качественное выполнение работ.
I visited several sites but the audio quality for audio songs present at this web site is really marvelous.
No matter if some one searches for his essential thing, thus he/she wants to be available that in detail, so that thing is maintained over here.
It’s really a cool and helpful piece of information. I’m glad that you simply shared this helpful info with us. Please stay us informed like this. Thank you for sharing.
Эффективный, быстрый и качественный процесс ремонта это то, что мы предлагаем в виде механизированной штукатурки на mehanizirovannaya-shtukaturka-moscow.ru.
строительство снабжение
Thanks for sharing your thoughts on Sex Dating.
Regards
Хотите заказать стяжку пола в Москве, но не знаете, где искать надежного подрядчика? Обратитесь к нам на сайт styazhka-pola24.ru! Мы предоставляем услуги по устройству стяжки пола м2 по доступной стоимости, а также устройству стяжки пола под ключ.
I’m pretty pleased to find this great site. I wanted to thank you for ones time for this wonderful read!!
I definitely liked every little bit of it and i also have you saved as
a favorite to look at new stuff on your web site.
You can definitely see your enthusiasm in the article you write. The arena hopes for more passionate writers like you who aren’t afraid to mention how they believe. All the time go after your heart.
I am extremely impressed with your writing skills and also with the layout on your blog. Is this a paid theme or did you customize it yourself? Either way keep up the nice quality writing, it’s rare to see a nice blog like this one nowadays.
Highly energetic article, I liked that a lot. Will there be a part 2?
I am curious to find out what blog system you are utilizing? I’m experiencing some minor security problems with my latest website and I would like to find something more safeguarded. Do you have any solutions?
If you are going for best contents like I do, only pay a visit this web site daily since it provides quality contents, thanks
It is perfect time to make some plans for the future and it is time to be happy. I have read this post and if I could I wish to suggest you few interesting things or suggestions. Perhaps you could write next articles referring to this article. I wish to read more things about it!
Oh my goodness! Awesome article dude! Thanks, However I am going through problems with your RSS. I don’t know why I can’t subscribe to it. Is there anyone else getting the same RSS problems? Anybody who knows the solution will you kindly respond? Thanx!!
Hello! I’ve been following your web site for a long time now and finally got the bravery to go ahead and give you a shout out from Austin Tx! Just wanted to tell you keep up the fantastic job!
Hello there! This post couldn’t be written any better! Reading this post reminds me of my old room mate! He always kept talking about this. I will forward this post to him. Pretty sure he will have a good read. Thank you for sharing!
Wow, this post is nice, my sister is analyzing these things, so I am going to tell her.
This design is spectacular! You certainly know how to keep a reader entertained. Between your wit and your videos, I was almost moved to start my own blog (well, almost…HaHa!) Great job. I really enjoyed what you had to say, and more than that, how you presented it. Too cool!
Have you ever considered about including a little bit more than just your articles? I mean, what you say is valuable and all. However just imagine if you added some great photos or video clips to give your posts more, “pop”! Your content is excellent but with images and clips, this site could certainly be one of the greatest in its niche. Terrific blog!
I really love your blog.. Very nice colors & theme. Did you develop this site yourself? Please reply back as I’m looking to create my very own website and would like to know where you got this from or what the theme is called. Cheers!
Heya great blog! Does running a blog similar to this take a lot of work? I have very little knowledge of computer programming but I was hoping to start my own blog soon. Anyways, if you have any recommendations or tips for new blog owners please share. I know this is off topic but I just had to ask. Thank you!
obviously like your website however you need to check the spelling on quite a few of your posts. A number of them are rife with spelling problems and I find it very bothersome to tell the truth then again I will certainly come back again.
Unquestionably believe that that you stated. Your favourite justification appeared to be at the net the simplest thing to be mindful of. I say to you, I definitely get irked even as folks consider worries that they plainly do not realize about. You controlled to hit the nail upon the top as welland also defined out the whole thing with no need side effect , folks can take a signal. Will likely be back to get more. Thank you
Link exchange iss nithing eose except iit iss simplky
placding tthe other person’s website link onn youir psge att suitagle place and
otgher persokn wipl also do sazme in fasvor of you.
I read this post fully about the resemblance of latest and previous technologies, it’s awesome article.