{"id":1001,"date":"2025-11-08T17:40:28","date_gmt":"2025-11-08T08:40:28","guid":{"rendered":"https:\/\/ohmi-sebone.com\/blog\/?p=1001"},"modified":"2026-01-11T16:03:48","modified_gmt":"2026-01-11T07:03:48","slug":"post-1001","status":"publish","type":"post","link":"https:\/\/ohmi-sebone.com\/blog\/index.php\/2025\/11\/08\/post-1001\/","title":{"rendered":"\u300c\u5bdd\u305f\u304d\u308a\u306b\u306a\u308b\u305e\u300d\u306b\u8981\u6ce8\u610f\uff01\u3000"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u6700\u8fd1\u8a71\u984c\u306eShared decision making\u3068\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u306e\u6cbb\u7642<\/h2>\n\n\n\n<p>\u5148\u65e5\u300180\u4ee3\u5f8c\u534a\u3001\u65e2\u5f80\u3067\u5fc3\u81d32\u56de\u30aa\u30da\u3057\u305f\u75e9\u305b\u305f\u7537\u6027\u304c\u5c11\u3057\u96e2\u308c\u305f\u753a\u304b\u3089\u53d7\u8a3a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u300c\u53f3\u8db3\u304c\u75db\u304f\u3066\u75db\u307f\u6b62\u3081\u98f2\u307f\u307e\u304f\u3063\u3066\u3044\u308b\u304c\u6cbb\u3089\u306a\u3044\u3002\u5168\u8eabMRI\u3068\u3063\u3066\u304f\u308c\u308bA\u75c5\u9662\u306b\u884c\u3063\u305f\u3089\u300e\u981a\u690e\u304c\u60aa\u3044\u3001\u5bdd\u305f\u304d\u308a\u306b\u306a\u308b\u305e\u300f\u3068\u8a00\u308f\u308c\u305f\u3002\u6016\u304f\u3066\u6016\u304f\u3066\u3001\u6de1\u6d77\u305b\u307c\u306d\u30af\u30ea\u30cb\u30c3\u30af\u306a\u3089\u5185\u8996\u93e1\u3067\u30aa\u30da\u3067\u304d\u308b\u304b\u3068\u601d\u3063\u3066\u300d\u3002<\/p>\n\n\n\n<p>\u79c1\u306f\u601d\u3044\u307e\u3057\u305f<\/p>\n\n\n\n<p>\uff08\u304a\u305d\u3089\u304f\u306a\u3093\u3068\u304b\u30c9\u30c3\u30af\u3067\u3001\u81ea\u8cbb\u3067\u3057\u3087\u3046\u3002\u300c\u5bdd\u305f\u304d\u308a\u300d\u3001\u306f\u826f\u3044\u3051\u3069\u3001\u6016\u3044\u3053\u3068\u3092\u8a00\u3046\u306a\u3089\u3001\u305d\u306e\u3042\u3068\u306e\u53d7\u3051\u76bf\u7528\u610f\u3057\u3066\u307b\u3057\u3044\u306a\u3042\u3002\u305d\u308c\u3068\u53f3\u4e0b\u80a2\u75db\u3067\u981a\u690e\u7531\u6765\u3063\u3066\u3001\u3042\u308a\u3048\u306a\u3044\u3053\u3068\u306a\u3044\u3051\u3069\u7d50\u69cb\u30ec\u30a2\u3060\u306a\u3042\uff09<\/p>\n\n\n\n<p>\u300c\u304b\u308f\u3044\u305d\u3046\u300d\u3068\u3044\u3046\u306e\u304c\u7b2c\u4e00\u5370\u8c61\u3067\u3057\u305f\u3002\u3088\u3057\u3001\u30aa\u30da\u306b\u306f\u306a\u3089\u306a\u3044\u3068\u601d\u3046\u3051\u3069\u3001\u3068\u306b\u304b\u304f\u4eba\u9593\u7684\u306b\u5bfe\u51e6\u3057\u3088\u3046\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"566\" src=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/977824aab44fd204b16e5ea5928b67f7-800x566.png\" alt=\"\" class=\"wp-image-1002\" srcset=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/977824aab44fd204b16e5ea5928b67f7-800x566.png 800w, https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/977824aab44fd204b16e5ea5928b67f7-400x283.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3068\u3053\u308d\u3067\u3001\u8170\u690e\u306e\u5199\u771f\u3092\u6301\u3063\u3066\u3044\u306a\u3044\u306e\u3067\u3001\u304a\u805e\u304d\u3059\u308b\u3068\u3001\u300c\u306a\u3044\u300d\u3001\u3068\u3002\u300c\u30c1\u30e7\u5f85\u3066\u3088\u300d\u30ec\u30d9\u30eb\u3067\u3059\u3002\u8170\u306eMRI\u64ae\u3063\u305f\u3089\u3001\u666e\u901a\u306b\u53f3L45\u30d8\u30eb\u30cb\u30a2\u3002\u53f3\u5927\u817f\u5916\u5074\u306e\u75db\u307f\u3002\u666e\u901a\u3058\u3083\u3093\uff01<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"566\" src=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/bb7c2bb718ce82d8fb605271a8422cdf-800x566.png\" alt=\"\" class=\"wp-image-1003\" srcset=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/bb7c2bb718ce82d8fb605271a8422cdf-800x566.png 800w, https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/bb7c2bb718ce82d8fb605271a8422cdf-400x283.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>L5\u795e\u7d4c\u6839\u30d6\u30ed\u30c3\u30af\u304c\u52b9\u3044\u3066\u3001\u8170\u690e\u7531\u6765\u3067\u3042\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u305d\u306e\u5f8c\u3082\u300c\u7d50\u5c40\u3001\u981a\u306f\u3069\u3046\u306a\u308a\u307e\u3059\u304b\uff1f\u300d\u3000<\/p>\n\n\n\n<p>\u79c1\uff09\u300c\u8170\u306e\u30d8\u30eb\u30cb\u30a2\u306b\u3088\u308b\u8db3\u306e\u75db\u307f\u3067\u3042\u308b\u3068\u3044\u3046\u4e8b\u304c\u78ba\u8a8d\u3055\u308c\u305f\u3093\u3067\u3059\u3088\u3002\u3088\u3063\u307d\u3069\u3001\u300e\u5bdd\u305f\u304d\u308a\u300f\u3068\u3044\u3046\u8a00\u8449\u304c\u6016\u304b\u3063\u305f\u306e\u3067\u3059\u306d\u3002\u3057\u3070\u3089\u304f\u306f\u5bdd\u305f\u304d\u308a\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u3088\u3002\u300d<\/p>\n\n\n\n<p>\u3053\u306e\u8a71\u306b\u306f\u5927\u304d\u306a\u610f\u5473\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u306f\u753b\u50cf\u306b\u304b\u304b\u308f\u3089\u305a\u9032\u884c\u3057\u306a\u3044\u4f8b\u304c\u591a\u3044\u3001\u3068\u3044\u3046\u4e8b\u3092\u304a\u305d\u3089\u304fA\u75c5\u9662\u306e\u533b\u5e2b\u306f\u77e5\u3089\u306a\u3044\u3002<\/li>\n\n\n\n<li>\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u3067\u306f\u3001\u4e0d\u5b89\u89e3\u6d88\u306e\u305f\u3081\u306b\u624b\u8853\u3092\u5e0c\u671b\u3059\u308b\u4eba\u304c\u591a\u3044\u3002<\/li>\n\n\n\n<li>\u305d\u3082\u305d\u3082Shared decision making\u304c\u6700\u3082\u5fc5\u8981\u306a\u306e\u306f\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u306e\u3088\u3046\u306a\u5834\u5408\u3058\u3083\u306d\u3048\uff1f<\/li>\n<\/ul>\n\n\n\n<p>\u4e01\u5ea6\u30bf\u30a4\u30df\u30f3\u30b0\u304c\u3044\u3044\u306e\u3067\u3001\u4eca\u65e5\u306f\u5148\u65e5\u5b66\u4f1a\u3067\u8cfc\u5165\u3057\u305f\u810a\u690e\u810a\u9ac4\u30b8\u30e3\u30fc\u30ca\u30eb\u306e\u300c\u8efd\u75c7\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u306e\u6cbb\u7642\u6226\u7565\u300d\u3092\u307e\u3068\u3081\u307e\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"566\" src=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/ee4efc2687dadf5ae4ecf3c71450c785-800x566.png\" alt=\"\" class=\"wp-image-1004\" srcset=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/ee4efc2687dadf5ae4ecf3c71450c785-800x566.png 800w, https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/ee4efc2687dadf5ae4ecf3c71450c785-400x283.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>\u306f\u3058\u3081\u306b\u981a\u690e\u795e\u7d4c\u75be\u60a3\u306f\u5927\u304d\u304f\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u3068\u981a\u690e\u75c7\u6027\u795e\u7d4c\u6839\u75c7\u306b\u5206\u304b\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><a href=\"https:\/\/www.joa.or.jp\/public\/sick\/condition\/cervical_radiculopathy.html\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-pale-cyan-blue-color\">\u300c\u981a\u690e\u75c7\u6027\u795e\u7d4c\u6839\u75c7\u300d\uff5c\u65e5\u672c\u6574\u5f62\u5916\u79d1\u5b66\u4f1a \u75c7\u72b6\u30fb\u75c5\u6c17\u3092\u3057\u3089\u3079\u308b<\/mark><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.joa.or.jp\/public\/sick\/condition\/cervical_spondylotic_myelopathy.html\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-pale-cyan-blue-color\">\u300c\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u300d\uff5c\u65e5\u672c\u6574\u5f62\u5916\u79d1\u5b66\u4f1a 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class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"566\" src=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/802472aa6a10b00e44e50fb6a760e21f-800x566.png\" alt=\"\" class=\"wp-image-1005\" srcset=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/802472aa6a10b00e44e50fb6a760e21f-800x566.png 800w, https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/802472aa6a10b00e44e50fb6a760e21f-400x283.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u306f\u30e0\u30ab\u30c7\u306e\u80f4\u4f53\u306e\u90e8\u5206\u304c\u5727\u8feb\u969c\u5bb3\u3055\u308c\u3066\u51fa\u73fe\u3057\u307e\u3059\u3002\u75c7\u5019\u306f\u66f8\u5b57\u3001\u7bb8\u304c\u4f7f\u3044\u306b\u304f\u3044\u5de7\u7dfb\u904b\u52d5\u3001\u6b69\u884c\u3084\u30d0\u30e9\u30f3\u30b9\u969c\u5bb3\u3001\u56db\u80a2\u306e\u3057\u3073\u308c\u3067\u3059\u3002\u91cd\u75c7\u3067\u3001\u306f\u3063\u304d\u308a\u3068\u624b\u304c\u4f7f\u3044\u306b\u304f\u3044\u3001\u6b69\u304d\u306b\u304f\u3044\u5834\u5408\u306b\u306f\u3001\u5168\u8eab\u72b6\u614b\u304c\u8a31\u305b\u3070\u624b\u8853\u304c\u30d9\u30b9\u30c8\u3067\u3059\u3002\u554f\u984c\u306f\u300c\u8efd\u75c7\u300d\u306e\u5834\u5408\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong><u><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-black-color\">\u300c\u8efd\u75c7\u981a\u690e\u75c7\u6027\u810a\u9ac4\u75c7\u300d<\/mark><\/u><\/strong>\uff08\u5b66\u8853\u7684\u306b\u306fJOA\u30b9\u30b3\u30a213\u70b9\u4ee5\u4e0a\uff09<\/p>\n\n\n\n<p>\u624b\u306e\u3057\u3073\u308c\u3001\u611f\u899a\u969c\u5bb3\u3001\u5de7\u7dfb\u904b\u52d5\u969c\u5bb3\u306f\u3042\u308b\u304c\u3001\u4e0b\u80a2\u75c7\u72b6\u304c\u306a\u304f\u3001\u65e5\u5e38\u751f\u6d3b\u306f\u53ef\u80fd\u306a\u72b6\u614b\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u591a\u304f\u306e\u5831\u544a\u3067\u4e00\u81f4\u3057\u3066\u3044\u308b\u3053\u3068\u306f\u3001<strong><u>70\uff0d80\uff05\u306f\u75c7\u5019\u304c\u60aa\u5316\u3057\u306a\u3044<\/u><\/strong>\uff0820\uff0d30\uff05\u306f\u60aa\u5316\u3059\u308b\uff09\u3002\u60aa\u5316\u306f\u5897\u60aa\u671f\u3068\u7de9\u89e3\u671f\u3068\u56fa\u5b9a\u671f\u304c\u3042\u308b\u3001\u3068\u3044\u3046\u4e8b\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"566\" src=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/1a88113bc2a5c1473ffa6662d92c2b9b-800x566.png\" alt=\"\" class=\"wp-image-1006\" srcset=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/1a88113bc2a5c1473ffa6662d92c2b9b-800x566.png 800w, https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/1a88113bc2a5c1473ffa6662d92c2b9b-400x283.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"566\" src=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/992d9ab85a1ad3abe4c5c4fa56d4f20f-800x566.png\" alt=\"\" class=\"wp-image-1007\" srcset=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/992d9ab85a1ad3abe4c5c4fa56d4f20f-800x566.png 800w, https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/992d9ab85a1ad3abe4c5c4fa56d4f20f-400x283.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>\u60aa\u5316\u3059\u308b\u75c7\u4f8b\u306f\u5727\u8feb\u306e\u7a0b\u5ea6\u3001\u810a\u9ac4\u306e\u5f62\u72b6\uff08\u30d6\u30fc\u30e1\u30e9\u30f3\u3001\u4e09\u89d2\u578b\u306a\u3069\uff09\u3001\u53ef\u52d5\u57df\uff08\u8fb7\u308a\u3001\u9ad8\u3044\u53ef\u52d5\u57df\uff09\u306b\u7279\u5fb4\u304c\u3042\u308b\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"566\" src=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/28e655065a9714c794c66ceec8273a96-800x566.png\" alt=\"\" class=\"wp-image-1008\" srcset=\"https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/28e655065a9714c794c66ceec8273a96-800x566.png 800w, https:\/\/ohmi-sebone.com\/blog\/wp-content\/uploads\/2025\/11\/28e655065a9714c794c66ceec8273a96-400x283.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>\u624b\u8853\u9069\u5fdc\u306b\u3064\u3044\u3066\u306e\u307e\u3068\u3081<\/p>\n\n\n\n<ol 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