{"id":8574,"date":"2026-09-07T10:38:38","date_gmt":"2026-09-07T01:38:38","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=8574"},"modified":"2026-09-07T10:45:16","modified_gmt":"2026-09-07T01:45:16","slug":"post-8574","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8574\/","title":{"rendered":"\u3010NEJM2026\u3011\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u306f\uff1f\u300c\u5168\u8eab\u306e\u75db\u307f\u300d\u304c\u7d9a\u304f\u8133\u306e\u4ed5\u7d44\u307f\u3068\u6700\u65b0\u6cbb\u7642\uff5c\u4e2d\u67a2\u6027\u611f\u4f5c\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>\u30ec\u30f3\u30c8\u30b2\u30f3\u3084MRI\u3067\u306f\u660e\u3089\u304b\u306a\u7570\u5e38\u304c\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u3082\u708e\u75c7\u53cd\u5fdc\uff08CRP\u3084ESR\uff09\u304c\u6b63\u5e38\u3002\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u8efd\u304f\u89e6\u308c\u3089\u308c\u305f\u3060\u3051\u3067\u3082\u5f37\u3044\u75db\u307f\u3092\u611f\u3058\u305f\u308a\u3001\u5168\u8eab\u306e\u8010\u3048\u304c\u305f\u3044\u75db\u307f\u304c\u6570\u304b\u6708\u4ee5\u4e0a\u7d9a\u3044\u305f\u308a\u3059\u308b\u2015\u2015\u3002<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3046\u3057\u305f\u75c7\u72b6\u3092\u7279\u5fb4\u3068\u3059\u308b\u75c5\u6c17\u306e\u4e00\u3064\u304c\u3001\u300c\u7dda\u7dad\u7b4b\u75db\u75c7\uff08Fibromyalgia\uff09\u300d\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u304b\u3064\u3066\u306f\u305d\u306e\u75c5\u614b\u304c\u5341\u5206\u306b\u7406\u89e3\u3055\u308c\u305a\u3001\u300c\u6c17\u306e\u305b\u3044\u300d\u300c\u7cbe\u795e\u7684\u306a\u554f\u984c\u300d\u3068\u8aa4\u89e3\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u73fe\u5728\u3067\u306f\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u306f\u5358\u7d14\u306a\u7b4b\u8089\u3084\u95a2\u7bc0\u306e\u640d\u50b7\u3067\u306f\u306a\u304f\u3001<strong>\u8133\u3084\u810a\u9ac4\u3092\u542b\u3080\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306b\u304a\u3051\u308b\u75db\u307f\u30fb\u611f\u899a\u51e6\u7406\u306e\u5909\u5316\u304c\u6df1\u304f\u95a2\u4e0e\u3059\u308b\u75be\u60a3<\/strong>\u3068\u3057\u3066\u7406\u89e3\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e16\u754c\u6700\u9ad8\u5cf0\u306e\u533b\u5b66\u8a8c\u300eThe New England Journal of Medicine\uff08NEJM\uff09\u300f2026\u5e747\u670816\u65e5\u53f7\u306b\u63b2\u8f09\u3055\u308c\u305fClinical Practice\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u306b\u304a\u3051\u308b\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306e\u904e\u654f\u6027\u3068\u3001\u79d1\u5b66\u7684\u6839\u62e0\uff08EBM\uff09\u306b\u57fa\u3065\u304f\u5305\u62ec\u7684\u306a\u6cbb\u7642\u6226\u7565\u304c\u6574\u7406\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. \u300c\u75db\u307f\u306e\u30dc\u30ea\u30e5\u30fc\u30e0\u300d\u304c\u4e0a\u304c\u3063\u305f\u72b6\u614b\uff1a\u75db\u899a\u5909\u8abf\u6027\u75bc\u75db\uff08nociplastic pain\uff09\u306e\u4ed5\u7d44\u307f<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5065\u5eb7\u306a\u4f53\u3067\u306f\u3001\u76ae\u819a\u3084\u95a2\u7bc0\u3001\u7b4b\u8089\u306a\u3069\u304b\u3089\u751f\u3058\u305f\u75db\u307f\u306e\u60c5\u5831\u304c\u810a\u9ac4\u3092\u901a\u3063\u3066\u8133\u3078\u4f1d\u308f\u308b\u4e00\u65b9\u3001\u8133\u304b\u3089\u810a\u9ac4\u3078\u5411\u304b\u3046\u300c\u4e0b\u884c\u6027\u75bc\u75db\u6291\u5236\u7cfb\u300d\u306a\u3069\u306b\u3088\u3063\u3066\u3001\u305d\u306e\u4fe1\u53f7\u306f\u9069\u5207\u306b\u8abf\u6574\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3053\u308d\u304c\u7dda\u7dad\u7b4b\u75db\u75c7\u3067\u306f\u3001\u3053\u306e\u75db\u307f\u306e\u8abf\u6574\u6a5f\u69cb\u304c\u3046\u307e\u304f\u50cd\u304b\u305a\u3001<strong>\u672c\u6765\u306a\u3089\u5f37\u3044\u75db\u307f\u3068\u3057\u3066\u8a8d\u8b58\u3055\u308c\u306a\u3044\u523a\u6fc0\u307e\u3067\u3001\u5f37\u3044\u75db\u307f\u3068\u3057\u3066\u611f\u3058\u3084\u3059\u304f\u306a\u308b<\/strong>\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u3088\u3046\u306a\u72b6\u614b\u306b\u306f\u3001\u4e2d\u67a2\u6027\u611f\u4f5c\uff08central sensitization\uff09\u3068\u547c\u3070\u308c\u308b\u795e\u7d4c\u7cfb\u306e\u904e\u654f\u5316\u304c\u95a2\u4e0e\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u56fd\u969b\u75bc\u75db\u5b66\u4f1a\uff08IASP\uff09\u306f\u3001\u660e\u3089\u304b\u306a\u7d44\u7e54\u640d\u50b7\u306b\u3088\u308b\u300c\u4fb5\u5bb3\u53d7\u5bb9\u6027\u75bc\u75db\u300d\u3084\u3001\u795e\u7d4c\u305d\u306e\u3082\u306e\u306e\u640d\u50b7\u306b\u3088\u308b\u300c\u795e\u7d4c\u969c\u5bb3\u6027\u75bc\u75db\u300d\u3060\u3051\u3067\u306f\u8aac\u660e\u3067\u304d\u306a\u3044\u75db\u307f\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3068\u3057\u3066\u3001\u300cnociplastic pain\uff08\u75db\u899a\u5909\u8abf\u6027\u75bc\u75db\uff09\u300d\u3068\u3044\u3046\u6982\u5ff5\u3092\u63d0\u5531\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u306f\u3001\u3053\u306e\u75db\u899a\u5909\u8abf\u6027\u75bc\u75db\u3092\u4ee3\u8868\u3059\u308b\u75be\u60a3\u306e\u4e00\u3064\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u8981\u306a\u306e\u306f\u3001<strong>nociplastic pain\u3068\u4e2d\u67a2\u6027\u611f\u4f5c\u306f\u5b8c\u5168\u306a\u540c\u7fa9\u8a9e\u3067\u306f\u306a\u3044<\/strong>\u3068\u3044\u3046\u70b9\u3067\u3059\u3002\u4e2d\u67a2\u6027\u611f\u4f5c\u306f\u75db\u899a\u5909\u8abf\u6027\u75bc\u75db\u3092\u8aac\u660e\u3059\u308b\u91cd\u8981\u306a\u795e\u7d4c\u751f\u7406\u5b66\u7684\u30e1\u30ab\u30cb\u30ba\u30e0\u306e\u4e00\u3064\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fd1\u5e74\u306e\u7814\u7a76\u3067\u306f\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u306b\u307f\u3089\u308c\u308b\u611f\u899a\u904e\u654f\u306b\u306f\u3001\u5927\u304d\u304f2\u3064\u306e\u65b9\u5411\u304b\u3089\u306e\u5f71\u97ff\u304c\u95a2\u4e0e\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Top-down\uff08\u4e2d\u67a2\u5074\u304b\u3089\u306e\u5f71\u97ff\uff09<\/strong>\uff1a\u7761\u7720\u969c\u5bb3\u3001\u75b2\u52b4\u3001\u8a8d\u77e5\u6a5f\u80fd\u306e\u5909\u5316\u3001\u5fc3\u7406\u793e\u4f1a\u7684\u30b9\u30c8\u30ec\u30b9\u306a\u3069\u3001\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306e\u72b6\u614b\u304c\u75db\u307f\u306e\u611f\u3058\u65b9\u3092\u5897\u5e45\u3055\u305b\u308b\u65b9\u5411\u306b\u50cd\u304f\u3082\u306e\u3002<\/li>\n\n\n\n<li><strong>Bottom-up\uff08\u672b\u68a2\u5074\u304b\u3089\u306e\u5f71\u97ff\uff09<\/strong>\uff1a\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3001\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\u3001\u5916\u50b7\u306a\u3069\u306b\u3088\u308b\u6301\u7d9a\u7684\u306a\u672b\u68a2\u304b\u3089\u306e\u75db\u307f\u523a\u6fc0\u304c\u3001\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306e\u904e\u654f\u5316\u3092\u4fc3\u3059\u3082\u306e\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b9f\u969b\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u306f\u5358\u72ec\u3067\u751f\u3058\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306a\u3069\u306e\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u3084\u4ed6\u306e\u6162\u6027\u75bc\u75db\u75be\u60a3\u306b\u91cd\u306a\u3063\u3066\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u300c\u3059\u3079\u3066\u9664\u5916\u3057\u3066\u6700\u5f8c\u306b\u3064\u3051\u308b\u75c5\u540d\u300d\u3067\u306f\u306a\u3044\uff1a2016\u5e74\u6539\u8a02\u8a3a\u65ad\u57fa\u6e96<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4ee5\u524d\u306e\u7dda\u7dad\u7b4b\u75db\u75c7\u306f\u3001\u300c\u4ed6\u306e\u75c5\u6c17\u304c\u898b\u3064\u304b\u3089\u306a\u3051\u308c\u3070\u6700\u5f8c\u306b\u7591\u3046\u300d\u3068\u3044\u3046\u5370\u8c61\u3092\u6301\u305f\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u73fe\u5728\u306f\u3001\u75db\u307f\u306e\u5206\u5e03\u3084\u75b2\u52b4\u3001\u7761\u7720\u969c\u5bb3\u3001\u8a8d\u77e5\u75c7\u72b6\u306a\u3069\u3092<strong>\u7a4d\u6975\u7684\u306b\u8a55\u4fa1\u3057\u3066\u8a3a\u65ad\u3059\u308b<\/strong>\u8003\u3048\u65b9\u3078\u3068\u5909\u5316\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2016\u5e74\u6539\u8a02\u57fa\u6e96\u3067\u306f\u3001\u4e3b\u306b\u4ee5\u4e0b\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Widespread Pain Index\uff08WPI\uff09<\/strong>\uff1a\u5168\u8eab19\u304b\u6240\u306e\u3046\u3061\u3001\u904e\u53bb1\u9031\u9593\u306b\u75db\u307f\u304c\u3042\u3063\u305f\u90e8\u4f4d\u30920\u301c19\u70b9\u3067\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>Symptom Severity Scale\uff08SSS\uff09<\/strong>\uff1a\u75b2\u52b4\u3001\u7761\u7720\u304b\u3089\u899a\u3081\u3066\u3082\u3059\u3063\u304d\u308a\u3057\u306a\u3044\u611f\u899a\u3001\u8a8d\u77e5\u75c7\u72b6\u3001\u982d\u75db\u30fb\u4e0b\u8179\u90e8\u75db\u30fb\u6291\u3046\u3064\u306a\u3069\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u8a3a\u65ad\u57fa\u6e96\u3067\u306f\u3001\u4f8b\u3048\u3070\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>WPI 7\u70b9\u4ee5\u4e0a\uff0bSSS 5\u70b9\u4ee5\u4e0a<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u306f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>WPI 4\u301c6\u70b9\uff0bSSS 9\u70b9\u4ee5\u4e0a<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3063\u305f\u7d44\u307f\u5408\u308f\u305b\u306b\u52a0\u3048\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5168\u8eab5\u9818\u57df\u306e\u3046\u30614\u9818\u57df\u4ee5\u4e0a\u306b\u75db\u307f\u304c\u3042\u308b\u3053\u3068<\/li>\n\n\n\n<li>\u75c7\u72b6\u304c\u5c11\u306a\u304f\u3068\u30823\u304b\u6708\u4ee5\u4e0a\u6301\u7d9a\u3057\u3066\u3044\u308b\u3053\u3068<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u3092\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u975e\u5e38\u306b\u91cd\u8981\u306a\u306e\u306f\u3001<strong>\u4ed6\u306e\u75c5\u6c17\u304c\u5b58\u5728\u3057\u3066\u3044\u3066\u3082\u7dda\u7dad\u7b4b\u75db\u75c7\u3092\u8a3a\u65ad\u3067\u304d\u308b<\/strong>\u3068\u3044\u3046\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4f8b\u3048\u3070\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u60a3\u8005\u69d8\u3067\u3001\u708e\u75c7\u305d\u306e\u3082\u306e\u306f\u5341\u5206\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3055\u308c\u3066\u3044\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u5168\u8eab\u306e\u75db\u307f\u304c\u5f37\u304f\u6b8b\u308b\u5834\u5408\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u3088\u308b\u708e\u75c7\u6027\u75bc\u75db\u306b\u7dda\u7dad\u7b4b\u75db\u75c7\u304c\u91cd\u306a\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u306e\u8a3a\u65ad\u3067\u306f\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u300c\u708e\u75c7\u304c\u3042\u308b\u304b\u3001\u306a\u3044\u304b\u300d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3060\u3051\u3067\u306f\u306a\u304f\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u300c\u73fe\u5728\u611f\u3058\u3066\u3044\u308b\u75db\u307f\u306e\u3046\u3061\u3001\u3069\u306e\u7a0b\u5ea6\u304c\u672b\u68a2\u306e\u708e\u75c7\u3067\u3001\u3069\u306e\u7a0b\u5ea6\u304c\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306e\u75db\u307f\u8abf\u6574\u7570\u5e38\u306b\u3088\u308b\u3082\u306e\u306a\u306e\u304b\u300d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3092\u898b\u6975\u3081\u308b\u3053\u3068\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304a\u3001WPI\u3084SSS\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u6307\u6a19\u306f\u75c7\u72b6\u306e\u5e83\u304c\u308a\u3084\u91cd\u75c7\u5ea6\u3092\u628a\u63e1\u3059\u308b\u3046\u3048\u3067\u6709\u7528\u3067\u3059\u304c\u3001<strong>\u5358\u72ec\u3067\u300c\u4e2d\u67a2\u6027\u611f\u4f5c\u306e\u5f37\u3055\u3092\u76f4\u63a5\u6e2c\u5b9a\u3059\u308b\u691c\u67fb\u300d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u306a\u305c\u4e00\u822c\u7684\u306a\u93ae\u75db\u85ac\u304c\u52b9\u304d\u306b\u304f\u3044\u306e\u304b\uff1a\u4e2d\u67a2\u795e\u7d4c\u7cfb\u3092\u6a19\u7684\u3068\u3057\u305f\u85ac\u7269\u7642\u6cd5<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u306e\u75db\u307f\u3092\u3001\u708e\u75c7\u6027\u75be\u60a3\u3068\u540c\u3058\u3088\u3046\u306b\u6cbb\u7642\u3057\u7d9a\u3051\u308b\u3053\u3068\u306b\u306f\u9650\u754c\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4f8b\u3048\u3070NSAIDs\uff08\u30ed\u30ad\u30bd\u30d7\u30ed\u30d5\u30a7\u30f3\u306a\u3069\uff09\u306f\u3001\u708e\u75c7\u3084\u7d44\u7e54\u640d\u50b7\u306b\u7531\u6765\u3059\u308b\u75db\u307f\u306b\u6709\u52b9\u306a\u85ac\u5264\u3067\u3059\u304c\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u305d\u306e\u3082\u306e\u306b\u5bfe\u3059\u308b\u93ae\u75db\u52b9\u679c\u306b\u3064\u3044\u3066\u306f\u5341\u5206\u306a\u6709\u52b9\u6027\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30a2\u30bb\u30c8\u30a2\u30df\u30ce\u30d5\u30a7\u30f3\u306b\u3064\u3044\u3066\u3082\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u305d\u306e\u3082\u306e\u306b\u5bfe\u3059\u308b\u6709\u52b9\u6027\u3092\u652f\u6301\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u9650\u5b9a\u7684\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001<strong>\u5f37\u529b\u306a\u30aa\u30d4\u30aa\u30a4\u30c9\u306f\u7dda\u7dad\u7b4b\u75db\u75c7\u306b\u306f\u539f\u5247\u3068\u3057\u3066\u63a8\u5968\u3055\u308c\u307e\u305b\u3093\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u9577\u671f\u4f7f\u7528\u3067\u306f\u4f9d\u5b58\u3001\u8010\u6027\u3001\u7720\u6c17\u3001\u8ee2\u5012\u306a\u3069\u306e\u6709\u5bb3\u4e8b\u8c61\u306b\u52a0\u3048\u3001\u60a3\u8005\u306b\u3088\u3063\u3066\u306f\u300c\u30aa\u30d4\u30aa\u30a4\u30c9\u8a98\u767a\u6027\u75db\u899a\u904e\u654f\uff08opioid-induced hyperalgesia\uff09\u300d\u306b\u3088\u3063\u3066\u3001\u304b\u3048\u3063\u3066\u75db\u307f\u306b\u904e\u654f\u306b\u306a\u308b\u53ef\u80fd\u6027\u3082\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u3067\u306f\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306e\u75db\u307f\u51e6\u7406\u306b\u4f5c\u7528\u3059\u308b\u85ac\u5264\u304c\u6cbb\u7642\u9078\u629e\u80a2\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u2460 \u4e09\u74b0\u7cfb\u6297\u3046\u3064\u85ac\u306a\u3069<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u30a2\u30df\u30c8\u30ea\u30d7\u30c1\u30ea\u30f3\u306a\u3069\u306f\u3001\u5c11\u91cf\u3092\u591c\u9593\u306b\u4f7f\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u75db\u307f\u3060\u3051\u3067\u306a\u304f\u7761\u7720\u969c\u5bb3\u306e\u6539\u5584\u306b\u5f79\u7acb\u3064\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u7c73\u56fd\u3067\u306f2025\u5e74\u3001\u820c\u4e0b\u30b7\u30af\u30ed\u30d9\u30f3\u30b6\u30d7\u30ea\u30f3\uff08sublingual cyclobenzaprine\uff09\u304c\u7dda\u7dad\u7b4b\u75db\u75c7\u6cbb\u7642\u85ac\u3068\u3057\u3066FDA\u627f\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u2461 \u30ac\u30d0\u30da\u30f3\u30c1\u30ce\u30a4\u30c9<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d7\u30ec\u30ac\u30d0\u30ea\u30f3\u3084\u30ac\u30d0\u30da\u30f3\u30c1\u30f3\u306f\u3001\u795e\u7d4c\u7d42\u672b\u306e\u96fb\u4f4d\u4f9d\u5b58\u6027\u30ab\u30eb\u30b7\u30a6\u30e0\u30c1\u30e3\u30cd\u30eb\u03b12\u03b4\u30b5\u30d6\u30e6\u30cb\u30c3\u30c8\u306b\u4f5c\u7528\u3057\u3001\u8208\u596e\u6027\u795e\u7d4c\u4f1d\u9054\u7269\u8cea\u306e\u653e\u51fa\u3092\u6291\u3048\u308b\u3053\u3068\u3067\u3001\u75db\u307f\u306e\u5897\u5e45\u3092\u5f31\u3081\u308b\u65b9\u5411\u306b\u50cd\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u2462 SNRI<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u30c7\u30e5\u30ed\u30ad\u30bb\u30c1\u30f3\u3084\u30df\u30eb\u30ca\u30b7\u30d7\u30e9\u30f3\u306f\u3001\u30bb\u30ed\u30c8\u30cb\u30f3\u30fb\u30ce\u30eb\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\u7cfb\u3092\u4ecb\u3057\u3066\u3001\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306b\u304a\u3051\u308b\u75bc\u75db\u8abf\u7bc0\u6a5f\u69cb\u3092\u6539\u5584\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u3053\u308c\u3089\u306e\u85ac\u5264\u306f<strong>\u3059\u3079\u3066\u306e\u60a3\u8005\u69d8\u306b\u52b9\u304f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7761\u7720\u969c\u5bb3\u304c\u5f37\u3044\u306e\u304b\u3001\u75b2\u52b4\u304c\u5f37\u3044\u306e\u304b\u3001\u4e0d\u5b89\u30fb\u6291\u3046\u3064\u3092\u4f34\u3046\u306e\u304b\u3001\u3069\u306e\u85ac\u5264\u306b\u526f\u4f5c\u7528\u304c\u51fa\u3084\u3059\u3044\u306e\u304b\u306a\u3069\u3092\u8003\u616e\u3057\u306a\u304c\u3089\u3001\u60a3\u8005\u69d8\u3054\u3068\u306b\u6cbb\u7642\u3092\u7d44\u307f\u7acb\u3066\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u85ac\u5264\u4f75\u7528\u3068\u3044\u3046\u9078\u629e\u80a2<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d7\u30ec\u30ac\u30d0\u30ea\u30f3\u3068\u30c7\u30e5\u30ed\u30ad\u30bb\u30c1\u30f3\u3092\u6bd4\u8f03\u3057\u305f\u5c0f\u898f\u6a21\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u306f\u3001\u4e2d\u7b49\u5ea6\u4ee5\u4e0a\u306eglobal pain relief\u3092\u5f97\u305f\u60a3\u8005\u306e\u5272\u5408\u306f\u3001\u30d7\u30ec\u30ac\u30d0\u30ea\u30f3\u5358\u526439%\u3001\u30c7\u30e5\u30ed\u30ad\u30bb\u30c1\u30f3\u5358\u526442%\u306b\u5bfe\u3057\u3001\u4f75\u7528\u7fa4\u3067\u306f68%\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u3053\u306e\u7814\u7a76\u306f\u53c2\u52a0\u800541\u540d\u306e\u5c0f\u898f\u6a21\u8a66\u9a13\u3067\u3042\u308a\u3001<strong>\u300c\u4f75\u7528\u3059\u308c\u307068%\u306e\u60a3\u8005\u69d8\u304c\u5fc5\u305a\u6539\u5584\u3059\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u85ac\u5264\u4f75\u7528\u306b\u3064\u3044\u3066\u306f\u307e\u3060\u5341\u5206\u306a\u5927\u898f\u6a21\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u3068\u306f\u8a00\u3048\u305a\u3001\u5358\u5264\u3067\u306e\u52b9\u679c\u3084\u526f\u4f5c\u7528\u3092\u78ba\u8a8d\u3057\u306a\u304c\u3089\u614e\u91cd\u306b\u691c\u8a0e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. \u300c\u5b89\u9759\u306b\u3057\u7d9a\u3051\u306a\u3044\u300d\u3053\u3068\u304c\u91cd\u8981\uff1a\u904b\u52d5\u7642\u6cd5\u3068\u975e\u85ac\u7269\u7642\u6cd5<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u306e\u6cbb\u7642\u3067\u975e\u5e38\u306b\u91cd\u8981\u306a\u306e\u304c\u3001\u85ac\u7269\u7642\u6cd5\u3060\u3051\u306b\u983c\u3089\u306a\u3044\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b<strong>\u6709\u9178\u7d20\u904b\u52d5\u3084\u7b4b\u529b\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0<\/strong>\u306b\u306f\u3001\u75db\u307f\u3001\u8eab\u4f53\u6a5f\u80fd\u3001QOL\u306a\u3069\u3092\u6539\u5584\u3059\u308b\u52b9\u679c\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u300c\u75db\u3044\u306e\u3060\u304b\u3089\u7121\u7406\u306b\u52d5\u3051\u3070\u3088\u3044\u300d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u306e\u60a3\u8005\u69d8\u3067\u306f\u3001\u6025\u6fc0\u306b\u904b\u52d5\u91cf\u3092\u5897\u3084\u3059\u3068\u75c7\u72b6\u304c\u60aa\u5316\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u305f\u3081\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u300cStart low, go slow\uff08\u4f4e\u3044\u8ca0\u8377\u304b\u3089\u59cb\u3081\u3001\u3086\u3063\u304f\u308a\u5897\u3084\u3059\uff09\u300d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3046\u8003\u3048\u65b9\u304c\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4f8b\u3048\u3070\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6570\u5206\u7a0b\u5ea6\u306e\u6563\u6b69\u304b\u3089\u59cb\u3081\u308b<\/li>\n\n\n\n<li>\u8efd\u3044\u30b9\u30c8\u30ec\u30c3\u30c1\u3092\u884c\u3046<\/li>\n\n\n\n<li>\u4f4e\u8ca0\u8377\u306e\u7b4b\u529b\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3092\u5c11\u91cf\u304b\u3089\u59cb\u3081\u308b<\/li>\n\n\n\n<li>\u6c34\u4e2d\u904b\u52d5\u306a\u3069\u95a2\u7bc0\u3078\u306e\u8ca0\u62c5\u304c\u5c11\u306a\u3044\u904b\u52d5\u3092\u5229\u7528\u3059\u308b<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u3001\u60a3\u8005\u69d8\u306e\u72b6\u614b\u306b\u5408\u308f\u305b\u3066\u7d99\u7d9a\u3067\u304d\u308b\u65b9\u6cd5\u3092\u9078\u3073\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u904b\u52d5\u3092\u7d9a\u3051\u308b\u3053\u3068\u3067\u3001\u300c\u52d5\u304f\u3053\u3068\uff1d\u5371\u967a\u300d\u3068\u3044\u3046\u795e\u7d4c\u7cfb\u306e\u904e\u5270\u306a\u8b66\u6212\u53cd\u5fdc\u304c\u5f90\u3005\u306b\u5f31\u307e\u308a\u3001\u8eab\u4f53\u6a5f\u80fd\u3092\u56de\u5fa9\u3055\u305b\u3066\u3044\u304f\u3053\u3068\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u30fb\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u306a\u3069<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6162\u6027\u7684\u306a\u75db\u307f\u304c\u7d9a\u304f\u3068\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u300c\u3053\u306e\u307e\u307e\u305a\u3063\u3068\u6cbb\u3089\u306a\u3044\u306e\u3067\u306f\u306a\u3044\u304b\u300d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u300c\u52d5\u3044\u305f\u3089\u4f53\u304c\u3055\u3089\u306b\u58ca\u308c\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u300d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3046\u4e0d\u5b89\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3046\u3057\u305f\u75db\u307f\u306b\u5bfe\u3059\u308b\u6050\u6016\u3084\u7834\u5c40\u7684\u601d\u8003\uff08catastrophizing\uff09\u306f\u3001\u6d3b\u52d5\u91cf\u306e\u4f4e\u4e0b\u3084\u7761\u7720\u969c\u5bb3\u3092\u4ecb\u3057\u3066\u3001\u6162\u6027\u75bc\u75db\u3092\u3055\u3089\u306b\u7dad\u6301\u3059\u308b\u4e00\u56e0\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u305f\u3081\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u75db\u307f\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u306b\u3064\u3044\u3066\u6b63\u3057\u304f\u7406\u89e3\u3059\u308bPain education<\/li>\n\n\n\n<li>\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09<\/li>\n\n\n\n<li>\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9<\/li>\n\n\n\n<li>\u30e8\u30ac<\/li>\n\n\n\n<li>\u592a\u6975\u62f3<\/li>\n\n\n\n<li>\u6c17\u529f<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u3082\u3001\u60a3\u8005\u69d8\u306b\u3088\u3063\u3066\u306f\u6cbb\u7642\u306e\u4e00\u90e8\u3068\u3057\u3066\u6709\u7528\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u306f\u3001\u5358\u306b\u300c\u75db\u307f\u6b62\u3081\u3092\u5f37\u304f\u3057\u3066\u3044\u3051\u3070\u6cbb\u308b\u75c5\u6c17\u300d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u7761\u7720\u3001\u904b\u52d5\u3001\u5fc3\u7406\u793e\u4f1a\u7684\u8981\u56e0\u3001\u85ac\u7269\u7642\u6cd5\u3092\u7d44\u307f\u5408\u308f\u305b\u306a\u304c\u3089\u3001\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306b\u751f\u3058\u3066\u3044\u308b\u904e\u5270\u306a\u611f\u899a\u51e6\u7406\u3092\u5c11\u3057\u305a\u3064\u6574\u3048\u3066\u3044\u304f\u3053\u3068<\/strong>\u304c\u6cbb\u7642\u306e\u4e2d\u5fc3\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NEJM\u30ec\u30d3\u30e5\u30fc\u3067\u3082\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u306f\u5fc5\u305a\u3057\u3082\u300c\u5b8c\u6cbb\u300d\u3092\u76ee\u6a19\u3068\u3059\u308b\u75be\u60a3\u3067\u306f\u306a\u3044\u4e00\u65b9\u3001<strong>\u591a\u304f\u306e\u60a3\u8005\u69d8\u3067\u306f\u9069\u5207\u306a\u6cbb\u7642\u306b\u3088\u3063\u3066\u5341\u5206\u306a\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u53ef\u80fd<\/strong>\u3067\u3042\u308b\u3053\u3068\u304c\u5f37\u8abf\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u25a1\u30af\u30ea\u30cb\u30c3\u30af\u304b\u3089\u306e\u30e1\u30c3\u30bb\u30fc\u30b8<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u9662\u3067\u306f\u3001\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u30fb\u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u3001\u304a\u3088\u3073\u809d\u81d3\u5c02\u9580\u533b\u304c\u5728\u7c4d\u3057\u3001\u539f\u56e0\u4e0d\u660e\u306e\u5168\u8eab\u306e\u75db\u307f\u3084\u3060\u308b\u3055\u306b\u3064\u3044\u3066\u3001\u75c7\u72b6\u3060\u3051\u3092\u898b\u3066\u5b89\u6613\u306b\u300c\u7dda\u7dad\u7b4b\u75db\u75c7\u300d\u3068\u8a3a\u65ad\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u307e\u305a\u305d\u306e\u80cc\u666f\u306b\u4ed6\u306e\u75be\u60a3\u304c\u96a0\u308c\u3066\u3044\u306a\u3044\u304b\u3092\u4e01\u5be7\u306b\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u4f3c\u305f\u75c7\u72b6\u3092\u304d\u305f\u3059\u75c5\u6c17\u306b\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1<\/li>\n\n\n\n<li>\u810a\u690e\u95a2\u7bc0\u708e<\/li>\n\n\n\n<li>\u5168\u8eab\u6027\u30a8\u30ea\u30c6\u30de\u30c8\u30fc\u30c7\u30b9\uff08SLE\uff09<\/li>\n\n\n\n<li>\u30b7\u30a7\u30fc\u30b0\u30ec\u30f3\u75c7\u5019\u7fa4<\/li>\n\n\n\n<li>\u708e\u75c7\u6027\u7b4b\u75be\u60a3<\/li>\n\n\n\n<li>\u7532\u72b6\u817a\u75be\u60a3<\/li>\n\n\n\n<li>\u8ca7\u8840<\/li>\n\n\n\n<li>\u611f\u67d3\u75c7<\/li>\n\n\n\n<li>\u7761\u7720\u969c\u5bb3<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u3001\u3055\u307e\u3056\u307e\u306a\u75be\u60a3\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8eab\u4f53\u8a3a\u5bdf\u3084\u8840\u6db2\u691c\u67fb\u3092\u57fa\u672c\u3068\u3057\u3066\u3001\u75c7\u72b6\u3084\u8a3a\u5bdf\u6240\u898b\u306b\u5fdc\u3058\u3066\u81ea\u5df1\u6297\u4f53\u691c\u67fb\u3001\u8d85\u97f3\u6ce2\u691c\u67fb\u3001X\u7dda\u30fbMRI\u306a\u3069\u3092\u7d44\u307f\u5408\u308f\u305b\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u300c\u708e\u75c7\u3084\u81d3\u5668\u969c\u5bb3\u306b\u3088\u308b\u75db\u307f\u306a\u306e\u304b\u300d<br>\u300c\u795e\u7d4c\u969c\u5bb3\u6027\u75bc\u75db\u306a\u306e\u304b\u300d<br>\u300c\u75db\u899a\u5909\u8abf\u6027\u75bc\u75db\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u306e\u304b\u300d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3092\u7dcf\u5408\u7684\u306b\u691c\u8a0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u5224\u65ad\u3057\u305f\u5834\u5408\u306b\u306f\u3001\u7761\u7720\u3001\u904b\u52d5\u3001\u65e5\u5e38\u751f\u6d3b\u3001\u4f75\u5b58\u75be\u60a3\u306a\u3069\u3082\u542b\u3081\u3066\u8a55\u4fa1\u3057\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306b\u4f5c\u7528\u3059\u308b\u85ac\u7269\u7642\u6cd5\u3084\u904b\u52d5\u7642\u6cd5\u306a\u3069\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u6cbb\u7642\u3092\u3054\u63d0\u6848\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u9662\u306e\u5185\u79d1\u306f\u571f\u66dc\u65e5\u306e\u5348\u5f8c\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u5e73\u65e5\u306b\u901a\u9662\u304c\u96e3\u3057\u3044\u60a3\u8005\u69d8\u306b\u3082\u7d99\u7d9a\u3057\u3066\u53d7\u8a3a\u3057\u3066\u3044\u305f\u3060\u3051\u308b\u4f53\u5236\u3092\u6574\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u3084\u6162\u6027\u75bc\u75db\u306e\u60a3\u8005\u69d8\u3067\u306f\u3001\u85ac\u5264\u306e\u526f\u4f5c\u7528\u3084\u81ea\u5f8b\u795e\u7d4c\u6a5f\u80fd\u306e\u5909\u5316\u306a\u3069\u306b\u3088\u3063\u3066\u3001\u53e3\u8154\u4e7e\u71e5\uff08\u30c9\u30e9\u30a4\u30de\u30a6\u30b9\uff09\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u553e\u6db2\u5206\u6ccc\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u3001\u3080\u3057\u6b6f\u3084\u6b6f\u5468\u75c5\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u304f\u306a\u308b\u305f\u3081\u3001\u53e3\u8154\u5185\u3092\u6e05\u6f54\u306b\u4fdd\u3064\u3053\u3068\u3082\u5927\u5207\u3067\u3059\u3002\u307e\u305f\u3001\u984e\u5468\u56f2\u306e\u75db\u307f\u3084\u7b4b\u7dca\u5f35\u306b\u3088\u3063\u3066\u3001\u53e3\u3092\u958b\u3051\u306b\u304f\u3044\u3001\u6b6f\u78e8\u304d\u304c\u5341\u5206\u306b\u3067\u304d\u306a\u3044\u3068\u3044\u3063\u305f\u554f\u984c\u3092\u62b1\u3048\u308b\u60a3\u8005\u69d8\u3082\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u9662\u3067\u306f\u533b\u79d1\u3068\u6b6f\u79d1\u304c\u9023\u643a\u3057\u3001\u5185\u670d\u85ac\u3001\u5168\u8eab\u72b6\u614b\u3001\u75db\u307f\u306e\u7a0b\u5ea6\u3001\u53e3\u8154\u4e7e\u71e5\u306a\u3069\u306e\u60c5\u5831\u3092\u5171\u6709\u3057\u306a\u304c\u3089\u3001\u60a3\u8005\u69d8\u306e\u304a\u4f53\u3078\u306e\u8ca0\u62c5\u306b\u914d\u616e\u3057\u305f\u6b6f\u79d1\u6cbb\u7642\u30fb\u53e3\u8154\u30b1\u30a2\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u305d\u306e\u3082\u306e\u3092\u6b6f\u79d1\u6cbb\u7642\u306b\u3088\u3063\u3066\u6539\u5584\u3055\u305b\u308b\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u3080\u3057\u6b6f\u3084\u6b6f\u5468\u75c5\u3001\u30c9\u30e9\u30a4\u30de\u30a6\u30b9\u306a\u3069\u306e\u53e3\u8154\u30c8\u30e9\u30d6\u30eb\u3092\u9069\u5207\u306b\u7ba1\u7406\u3057\u3001\u6162\u6027\u75bc\u75db\u3092\u62b1\u3048\u308b\u60a3\u8005\u69d8\u306e\u751f\u6d3b\u306e\u8cea\u3092\u6b6f\u79d1\u306e\u5074\u9762\u304b\u3089\u652f\u3048\u308b\u3053\u3068\u3082\u3001\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u306e\u91cd\u8981\u306a\u5f79\u5272\u3060\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u539f\u56e0\u4e0d\u660e\u306e\u5168\u8eab\u306e\u75db\u307f\u3084\u3060\u308b\u3055\u3001\u6162\u6027\u75b2\u52b4\u3001\u304a\u53e3\u306e\u4e7e\u304d\u306a\u3069\u3067\u304a\u56f0\u308a\u306e\u65b9\u306f\u3001\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u25a0\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u3078<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u533b\u79d1\u3011\uff08\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u5185\u79d1\u30fb\u7dcf\u5408\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u30fb\u539f\u56e0\u4e0d\u660e\u306e\u5168\u8eab\u306e\u75db\u307f\u3084\u3060\u308b\u3055\u3001\u6162\u6027\u75b2\u52b4\u3001\u5404\u7a2e\u30a2\u30ec\u30eb\u30ae\u30fc\u76f8\u8ac7\u306a\u3069\uff09WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/strong><br>\u203b\u5f53\u9662\u306e\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u306f\u3001\u571f\u66dc\u65e5\u5348\u5f8c\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit\">https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u6b6f\u79d1\u3011\uff08\u6839\u7ba1\u6cbb\u7642\u30fb\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u30fb\u30c9\u30e9\u30a4\u30de\u30a6\u30b9\u30fb\u958b\u53e3\u5236\u9650\u30fb\u4e00\u822c\u6b6f\u79d1\u30fb\u30d7\u30ed\u306b\u3088\u308b\u53e3\u8154\u30b1\u30a2\u306a\u3069\uff09WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/strong><br>\u203b\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u3001\u571f\u66dc\u65e5\u5348\u5f8c2\u6642\uff0814\u6642\uff09\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.gomidental-kashiwa.com\/reservation\/\">http:\/\/www.gomidental-kashiwa.com\/reservation\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong>\u304a\u96fb\u8a71\u3067\u306e\u3054\u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b\uff08\u304a\u85ac\u306e\u76f8\u8ac7\u30fb\u5065\u5eb7\u8a3a\u65ad\u30fb\u30ef\u30af\u30c1\u30f3\u306a\u3069\uff09<\/strong><br>\u3010\u533b\u79d1\u3011\uff1a04-7196-7531<br>\u3010\u6b6f\u79d1\u3011\uff1a04-7191-7081<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83c\udfe5 <strong>\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af \u30a2\u30af\u30bb\u30b9<\/strong><br>\u3012277-0902 \u5343\u8449\u770c\u67cf\u5e02\u5927\u4e95764-1\uff08\u5927\u4e95\u4ea4\u5dee\u70b9\u8fd1\u304f\u3001\u99d0\u8eca\u5834\u5b8c\u5099\uff09<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d0\u30b9\u3067\u304a\u8d8a\u3057\u306e\u65b9\uff1a\u5343\u4ee3\u7530\u5e38\u78d0\u7dda \u67cf\u99c5\u6771\u53e3 \u6771\u6b66\u30d0\u30b91\u756a\u4e57\u5834\uff08\u300c\u6cbc\u5357\u8eca\u5eab\u300d\u300c\u5c0f\u91ce\u585a\u53f0\u300d\u300c\u624b\u8cc0\u306e\u4e18\u516c\u5712\u300d\u300c\u5e03\u702c\u300d\u884c\u304d\uff09\u3088\u308a\u7d0415\u5206\u3001\u300c\u5927\u4e95\u300d\u4e0b\u8eca \u5f92\u6b691\u5206<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8eca\u3067\u304a\u8d8a\u3057\u306e\u65b9\uff1a\u67cf\u99c5\u3088\u308a\u7d0415\u5206<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-258.png\" alt=\"\" class=\"wp-image-8575\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-258.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-258-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-258-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-259.png\" alt=\"\" class=\"wp-image-8576\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-259.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-259-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-259-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-260.png\" alt=\"\" class=\"wp-image-8577\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-260.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-260-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-260-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-261.png\" alt=\"\" class=\"wp-image-8578\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-261.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-261-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-261-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-262.png\" alt=\"\" class=\"wp-image-8579\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-262.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-262-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-262-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-263.png\" alt=\"\" class=\"wp-image-8580\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-263.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-263-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-263-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-264.png\" alt=\"\" class=\"wp-image-8581\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-264.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-264-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-264-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-265.png\" alt=\"\" class=\"wp-image-8582\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-265.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-265-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-265-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-266.png\" alt=\"\" class=\"wp-image-8583\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-266.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-266-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-266-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-267.png\" alt=\"\" class=\"wp-image-8584\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-267.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-267-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-267-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-268.png\" alt=\"\" class=\"wp-image-8585\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-268.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-268-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-268-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-269.png\" alt=\"\" class=\"wp-image-8586\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-269.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-269-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-269-400x223.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-270.png\" alt=\"\" class=\"wp-image-8587\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-270.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-270-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-270-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-271.png\" alt=\"\" class=\"wp-image-8588\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-271.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-271-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-271-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-272.png\" alt=\"\" class=\"wp-image-8589\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-272.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-272-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-272-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">David A. Williams, and Daniel J. Clauw. &#8220;Fibromyalgia.&#8221; <em>The New England Journal of Medicine<\/em>. 2026; 395(3): 267-277. DOI: 10.1056\/NEJMcp2411656<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">\u25a0<strong>\u3042\u308f\u305b\u3066\u8aad\u307f\u305f\u3044\u95a2\u9023\u8a18\u4e8b<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1\uff0e\u8133\u3084\u795e\u7d4c\u304c\u300c\u75db\u307f\u306b\u904e\u654f\u306b\u306a\u308b\u4ed5\u7d44\u307f\u300d\u3092\u3001\u7247\u982d\u75db\u304b\u3089\u3055\u3089\u306b\u8a73\u3057\u304f\u77e5\u308a\u305f\u3044\u65b9\u3078<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u3010\u7247\u982d\u75db\u3011\u7247\u982d\u75db\u306e\u6b63\u4f53\u3068\u306f\uff1f\u6700\u65b0\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u660e\u304b\u3059\u75c5\u614b\u30fb\u8a98\u767a\u56e0\u5b50\u3068\u3001\u6162\u6027\u5316\u3092\u9632\u3050\u4f53\u306e\u4ed5\u7d44\u307f<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dda\u7dad\u7b4b\u75db\u75c7\u3060\u3051\u3067\u306a\u304f\u3001\u6162\u6027\u7247\u982d\u75db\u306a\u3069\u306e\u982d\u75db\u3067\u3082\u3001\u795e\u7d4c\u7cfb\u304c\u75db\u307f\u306b\u904e\u654f\u306b\u306a\u308a\u3001\u75db\u307f\u304c\u9577\u5f15\u304d\u3084\u3059\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7247\u982d\u75db\u3067\u306f\u3001\u4e09\u53c9\u795e\u7d4c\u3084CGRP\u3001\u8133\u306e\u904e\u5270\u306a\u8208\u596e\u306a\u3069\u304c\u3069\u306e\u3088\u3046\u306b\u75db\u307f\u3092\u751f\u307f\u3001\u306a\u305c\u982d\u75db\u304c\u6162\u6027\u5316\u3057\u3066\u3044\u304f\u306e\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u7247\u982d\u75db\u306e\u75c5\u614b\u304b\u3089\u3001\u8133\u3068\u795e\u7d4c\u304c\u300c\u75db\u307f\u306b\u654f\u611f\u306b\u306a\u308b\u4ed5\u7d44\u307f\u300d\u3092\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"peOzVRut17\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-7232\/\">\u3010\u67cf\u5e02\u6211\u5b6b\u5b50\u5e02\u3011\u7247\u982d\u75db\u306e\u6b63\u4f53\u3068\u306f\uff1f\u6700\u65b0\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u660e\u304b\u3059\u75c5\u614b\u30fb\u8a98\u767a\u56e0\u5b50\u3068\u3001\u6162\u6027\u5316\u3092\u9632\u3050\u4f53\u306e\u4ed5\u7d44\u307f<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u3010\u67cf\u5e02\u6211\u5b6b\u5b50\u5e02\u3011\u7247\u982d\u75db\u306e\u6b63\u4f53\u3068\u306f\uff1f\u6700\u65b0\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u660e\u304b\u3059\u75c5\u614b\u30fb\u8a98\u767a\u56e0\u5b50\u3068\u3001\u6162\u6027\u5316\u3092\u9632\u3050\u4f53\u306e\u4ed5\u7d44\u307f\u201d \u2014 \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-7232\/embed\/#?secret=stbw5Rtl8e#?secret=peOzVRut17\" data-secret=\"peOzVRut17\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\uff0e\u300c\u6b6f\u306b\u7570\u5e38\u304c\u306a\u3044\u306e\u306b\u75db\u3044\u300d\u539f\u56e0\u3092\u77e5\u308a\u305f\u3044\u65b9\u3078<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u3010\u975e\u6b6f\u539f\u6027\u6b6f\u75db\u3011\u300c\u6b6f\u306b\u539f\u56e0\u304c\u306a\u3044\u6b6f\u75db\u300d\u306e\u6b63\u4f53\u3068\u306f\uff1f\u975e\u6b6f\u539f\u6027\u6b6f\u75db\u306e\u8a3a\u65ad\u3068\u6cbb\u7642<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u300c\u6b6f\u304c\u5f37\u304f\u75db\u3080\u306e\u306b\u3001\u866b\u6b6f\u3084\u6839\u306e\u75c5\u6c17\u304c\u898b\u3064\u304b\u3089\u306a\u3044\u300d\u2015\u2015\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3046\u3057\u305f\u75db\u307f\u306e\u4e2d\u306b\u306f\u3001\u6b6f\u305d\u306e\u3082\u306e\u3067\u306f\u306a\u304f\u3001\u5480\u56bc\u7b4b\u3001\u4e09\u53c9\u795e\u7d4c\u3001\u7247\u982d\u75db\u306a\u3069\u3001\u5225\u306e\u5834\u6240\u304b\u3089\u751f\u3058\u3066\u3044\u308b<strong>\u975e\u6b6f\u539f\u6027\u6b6f\u75db<\/strong>\u304c\u96a0\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u539f\u56e0\u3092\u898b\u6975\u3081\u305a\u306b\u6b6f\u3092\u524a\u3063\u305f\u308a\u629c\u3044\u305f\u308a\u3057\u3066\u3082\u3001\u75db\u307f\u304c\u6539\u5584\u3057\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u6b6f\u306b\u539f\u56e0\u304c\u306a\u3044\u75db\u307f\u306b\u306f\u3069\u306e\u3088\u3046\u306a\u7a2e\u985e\u304c\u3042\u308b\u306e\u304b\u3001\u4e0d\u8981\u306a\u629c\u9ac4\u30fb\u629c\u6b6f\u3092\u907f\u3051\u308b\u305f\u3081\u306e\u8a3a\u65ad\u306e\u8003\u3048\u65b9\u3092\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"1rlN0D2NPn\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-2759\/\">\u300c\u6b6f\u306b\u539f\u56e0\u304c\u306a\u3044\u6b6f\u75db\u300d\u306e\u6b63\u4f53\u3068\u306f\uff1f\u975e\u6b6f\u539f\u6027\u6b6f\u75db\u306e\u8a3a\u65ad\u3068\u6cbb\u7642<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u300c\u6b6f\u306b\u539f\u56e0\u304c\u306a\u3044\u6b6f\u75db\u300d\u306e\u6b63\u4f53\u3068\u306f\uff1f\u975e\u6b6f\u539f\u6027\u6b6f\u75db\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u201d \u2014 \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-2759\/embed\/#?secret=krJuKkaJok#?secret=1rlN0D2NPn\" data-secret=\"1rlN0D2NPn\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\uff0e\u624b\u3084\u6307\u306e\u75db\u307f\u304c\u300c\u95a2\u7bc0\u305d\u306e\u3082\u306e\u306e\u75c5\u6c17\u300d\u306a\u306e\u304b\u77e5\u308a\u305f\u3044\u65b9\u3078<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u3010\u30d8\u30d0\u30fc\u30c7\u30f3\u7d50\u7bc0\u3011\u6307\u306e\u7b2c\u4e00\u95a2\u7bc0\u304c\u75db\u3044\u30fb\u816b\u308c\u308b\u30fb\u5909\u5f62\u3059\u308b\u539f\u56e0\u3068\u306f\uff1f\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\u3068\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u9055\u3044\u3092\u89e3\u8aac<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u624b\u3084\u6307\u306e\u75db\u307f\u30fb\u3053\u308f\u3070\u308a\u306f\u3001\u3059\u3079\u3066\u7dda\u7dad\u7b4b\u75db\u75c7\u306b\u3088\u308b\u3082\u306e\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d8\u30d0\u30fc\u30c7\u30f3\u7d50\u7bc0\u306a\u3069\u306e\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\u3084\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306a\u3069\u306e\u708e\u75c7\u6027\u75be\u60a3\u3067\u306f\u3001\u95a2\u7bc0\u305d\u306e\u3082\u306e\u306b\u75db\u307f\u306e\u539f\u56e0\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3067\u3001\u95a2\u7bc0\u306e\u708e\u75c7\u3084\u5909\u5f62\u3060\u3051\u3067\u306f\u8aac\u660e\u3067\u304d\u306a\u3044\u5f37\u3044\u75db\u307f\u306b\u3001\u75db\u899a\u5909\u8abf\u6027\u75bc\u75db\uff08nociplastic pain\uff09\u304c\u91cd\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u300c\u95a2\u7bc0\u305d\u306e\u3082\u306e\u306e\u75db\u307f\u300d\u3068\u300c\u795e\u7d4c\u7cfb\u306b\u3088\u3063\u3066\u5897\u5e45\u3055\u308c\u305f\u75db\u307f\u300d\u3092\u3069\u3046\u898b\u5206\u3051\u308b\u306e\u304b\u3002\u8a3a\u5bdf\u30fb\u753b\u50cf\u30fb\u8840\u6db2\u691c\u67fb\u3092\u542b\u3081\u305f\u9451\u5225\u306e\u8003\u3048\u65b9\u3092\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"acvlQYIMV4\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8314\/\">\u30d8\u30d0\u30fc\u30c7\u30f3\u7d50\u7bc0\u306e\u4ed5\u7d44\u307f\u3068\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u6e1b\u5c11\u30fb\u95a2\u7bc0\u75c7\u3092\u4e57\u308a\u8d8a\u3048\u308b\u6700\u65b0\u306e\u8a3a\u65ad\u30fb\u6cbb\u7642\u30ed\u30fc\u30c9\u30de\u30c3\u30d7<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u30d8\u30d0\u30fc\u30c7\u30f3\u7d50\u7bc0\u306e\u4ed5\u7d44\u307f\u3068\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u6e1b\u5c11\u30fb\u95a2\u7bc0\u75c7\u3092\u4e57\u308a\u8d8a\u3048\u308b\u6700\u65b0\u306e\u8a3a\u65ad\u30fb\u6cbb\u7642\u30ed\u30fc\u30c9\u30de\u30c3\u30d7\u201d \u2014 \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8314\/embed\/#?secret=olirDxOwNr#?secret=acvlQYIMV4\" data-secret=\"acvlQYIMV4\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:23%\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-600x600.png\" alt=\"\" class=\"wp-image-8240\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-600x600.png 600w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-150x150.png 150w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-300x300.png 300w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-768x768.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012.png 800w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:77%\">\n<p class=\"wp-block-paragraph\">\u3010\u57f7\u7b46\u30fb\u76e3\u4fee\u533b\u5e2b\u30d7\u30ed\u30d5\u30a3\u30fc\u30eb\u3011<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u798f\u7530 \u5321\u5fd7\uff08\u3075\u304f\u305f \u307e\u3055\u3057\uff09<br>\u6210\u7530\u8d64\u5341\u5b57\u75c5\u9662 \u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5185\u79d1\u90e8\u9577 \/ \u67cf\u4e94\u5473\u6b6f\u79d1\u30fb\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af \u533b\u5e2b\u3002<br>\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u8a8d\u5b9a \u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u3001\u65e5\u672c\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\u8a8d\u5b9a \u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u798f\u7530 \u6dbc\u5b50\uff08\u3075\u304f\u305f \u308a\u3087\u3046\u3053\uff09<br>\u65e5\u672c\u5927\u5b66\u677e\u6238\u6b6f\u5b66\u90e8\u6b6f\u5185\u7642\u6cd5\u5b66\u8b1b\u5ea7\u517c\u4efb\u8b1b\u5e2b\u3002<br>\u65e5\u672c\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\u5c02\u9580\u533b\u3001\u65e5\u672c\u6b6f\u79d1\u4fdd\u5b58\u5b66\u4f1a\u8a8d\u5b9a\u533b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u6625\u539f \u512a\u5b50\uff08\u306f\u308b\u306f\u3089 \u3086\u3046\u3053\uff09<br>\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u8a8d\u5b9a \u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u3001\u65e5\u672c\u6d88\u5316\u5668\u75c5\u5b66\u4f1a\u5c02\u9580\u533b\u3001\u65e5\u672c\u809d\u81d3\u75c5\u5b66\u4f1a\u5c02\u9580\u533b\u3001\u65e5\u672c\u6d88\u5316\u5668\u5185\u8996\u93e1\u5b66\u4f1a\u5c02\u9580\u533b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5168\u56fd\u306e\u60a3\u8005\u69d8\u3084\u3054\u5bb6\u65cf\u306b\u5411\u3051\u3066\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u30fb\u7dcf\u5408\u5185\u79d1\u30fb\u6d88\u5316\u5668\u30fb\u6b6f\u79d1\u75be\u60a3\u3092\u4e2d\u5fc3\u306b\u5168\u8eab\u306b\u95a2\u3059\u308b\u6700\u65b0\u306e\u533b\u5b66\u8ad6\u6587\u3084\u6b63\u3057\u3044\u77e5\u8b58\u3092\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u30fb\u767a\u4fe1\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u30ec\u30f3\u30c8\u30b2\u30f3\u3084MRI\u3067\u306f\u660e\u3089\u304b\u306a\u7570\u5e38\u304c\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u3082\u708e\u75c7\u53cd\u5fdc\uff08CRP\u3084ESR\uff09\u304c\u6b63\u5e38\u3002\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u8efd\u304f\u89e6\u308c\u3089\u308c\u305f\u3060\u3051\u3067\u3082\u5f37\u3044\u75db\u307f\u3092\u611f\u3058\u305f\u308a\u3001\u5168\u8eab\u306e\u8010\u3048&#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47,45,10,63],"class_list":["post-8574","post","type-post","status-publish","format-standard","hentry","category-nejm","category-45","category-10","category-63"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.1.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u30ec\u30f3\u30c8\u30b2\u30f3\u3084MRI\u3067\u306f\u660e\u3089\u304b\u306a\u7570\u5e38\u304c\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u3082\u708e\u75c7\u53cd\u5fdc\uff08CRP\u3084ESR\uff09\u304c\u6b63\u5e38\u3002\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u8efd\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"\u798f\u7530 \u5321\u5fd7\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8574\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.1.1\" \/>\n\t\t<meta property=\"og:locale\" content=\"ja_JP\" \/>\n\t\t<meta property=\"og:site_name\" content=\"\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0 |\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"\u3010NEJM2026\u3011\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u306f\uff1f\u300c\u5168\u8eab\u306e\u75db\u307f\u300d\u304c\u7d9a\u304f\u8133\u306e\u4ed5\u7d44\u307f\u3068\u6700\u65b0\u6cbb\u7642\uff5c\u4e2d\u67a2\u6027\u611f\u4f5c\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" \/>\n\t\t<meta property=\"og:description\" content=\"\u30ec\u30f3\u30c8\u30b2\u30f3\u3084MRI\u3067\u306f\u660e\u3089\u304b\u306a\u7570\u5e38\u304c\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u3082\u708e\u75c7\u53cd\u5fdc\uff08CRP\u3084ESR\uff09\u304c\u6b63\u5e38\u3002\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u8efd\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8574\/\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2026-09-07T01:38:38+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2026-09-07T01:45:16+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"\u3010NEJM2026\u3011\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u306f\uff1f\u300c\u5168\u8eab\u306e\u75db\u307f\u300d\u304c\u7d9a\u304f\u8133\u306e\u4ed5\u7d44\u307f\u3068\u6700\u65b0\u6cbb\u7642\uff5c\u4e2d\u67a2\u6027\u611f\u4f5c\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" \/>\n\t\t<meta name=\"twitter:description\" content=\"\u30ec\u30f3\u30c8\u30b2\u30f3\u3084MRI\u3067\u306f\u660e\u3089\u304b\u306a\u7570\u5e38\u304c\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u3082\u708e\u75c7\u53cd\u5fdc\uff08CRP\u3084ESR\uff09\u304c\u6b63\u5e38\u3002\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u8efd\" \/>\n\t\t<!-- All in One SEO -->\n\n","aioseo_head_json":{"title":"\u3010NEJM2026\u3011\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u306f\uff1f\u300c\u5168\u8eab\u306e\u75db\u307f\u300d\u304c\u7d9a\u304f\u8133\u306e\u4ed5\u7d44\u307f\u3068\u6700\u65b0\u6cbb\u7642\uff5c\u4e2d\u67a2\u6027\u611f\u4f5c\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0","description":"\u30ec\u30f3\u30c8\u30b2\u30f3\u3084MRI\u3067\u306f\u660e\u3089\u304b\u306a\u7570\u5e38\u304c\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u3082\u708e\u75c7\u53cd\u5fdc\uff08CRP\u3084ESR\uff09\u304c\u6b63\u5e38\u3002\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u8efd","canonical_url":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8574\/","robots":"max-image-preview:large","keywords":"","webmasterTools":{"miscellaneous":""},"schema":null,"og:locale":"ja_JP","og:site_name":"\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0 |","og:type":"article","og:title":"\u3010NEJM2026\u3011\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u306f\uff1f\u300c\u5168\u8eab\u306e\u75db\u307f\u300d\u304c\u7d9a\u304f\u8133\u306e\u4ed5\u7d44\u307f\u3068\u6700\u65b0\u6cbb\u7642\uff5c\u4e2d\u67a2\u6027\u611f\u4f5c\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0","og:description":"\u30ec\u30f3\u30c8\u30b2\u30f3\u3084MRI\u3067\u306f\u660e\u3089\u304b\u306a\u7570\u5e38\u304c\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u3082\u708e\u75c7\u53cd\u5fdc\uff08CRP\u3084ESR\uff09\u304c\u6b63\u5e38\u3002\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u8efd","og:url":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8574\/","article:published_time":"2026-09-07T01:38:38+00:00","article:modified_time":"2026-09-07T01:45:16+00:00","twitter:card":"summary_large_image","twitter:title":"\u3010NEJM2026\u3011\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u306f\uff1f\u300c\u5168\u8eab\u306e\u75db\u307f\u300d\u304c\u7d9a\u304f\u8133\u306e\u4ed5\u7d44\u307f\u3068\u6700\u65b0\u6cbb\u7642\uff5c\u4e2d\u67a2\u6027\u611f\u4f5c\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0","twitter:description":"\u30ec\u30f3\u30c8\u30b2\u30f3\u3084MRI\u3067\u306f\u660e\u3089\u304b\u306a\u7570\u5e38\u304c\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u3082\u708e\u75c7\u53cd\u5fdc\uff08CRP\u3084ESR\uff09\u304c\u6b63\u5e38\u3002\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u8efd"},"aioseo_meta_data":{"post_id":"8574","title":null,"description":null,"keywords":null,"keyphrases":{"focus":{"keyphrase":"","score":0,"analysis":{"keyphraseInTitle":{"score":0,"maxScore":9,"error":1}}},"additional":[]},"primary_term":null,"canonical_url":null,"og_title":null,"og_description":null,"og_object_type":"default","og_image_type":"default","og_image_url":null,"og_image_width":null,"og_image_height":null,"og_image_custom_url":null,"og_image_custom_fields":null,"og_video":"","og_custom_url":null,"og_article_section":null,"og_article_tags":null,"twitter_use_og":false,"twitter_card":"default","twitter_image_type":"default","twitter_image_url":null,"twitter_image_custom_url":null,"twitter_image_custom_fields":null,"twitter_title":null,"twitter_description":null,"schema":{"blockGraphs":[],"customGraphs":[],"default":{"data":{"Article":[],"Course":[],"Dataset":[],"FAQPage":[],"Movie":[],"Person":[],"Product":[],"ProductReview":[],"Car":[],"Recipe":[],"Service":[],"SoftwareApplication":[],"WebPage":[]},"graphName":"BlogPosting","isEnabled":true},"graphs":[]},"schema_type":"default","schema_type_options":null,"pillar_content":false,"robots_default":true,"robots_noindex":false,"robots_noarchive":false,"robots_nosnippet":false,"robots_nofollow":false,"robots_noimageindex":false,"robots_noodp":false,"robots_notranslate":false,"robots_max_snippet":"-1","robots_max_videopreview":"-1","robots_max_imagepreview":"large","priority":null,"frequency":"default","local_seo":null,"breadcrumb_settings":null,"limit_modified_date":false,"ai":{"faqs":[],"keyPoints":[],"schemas":[],"titles":[],"descriptions":[],"socialPosts":{"email":{"subject":"","preview":"","content":""},"linkedin":[],"twitter":[],"facebook":[],"instagram":[]}},"created":"2026-09-07 01:38:41","updated":"2026-09-07 02:09:58","seo_analyzer_scan_date":null,"focus_keyword":null,"additional_keywords":null,"truseo_locale":null},"aioseo_breadcrumb":"<div class=\"aioseo-breadcrumbs\"><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\" title=\"\u30db\u30fc\u30e0\">\u30db\u30fc\u30e0<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/\" title=\"\u5185\u79d1\">\u5185\u79d1<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/%e7%97%87%e4%be%8b\/\" title=\"\u75c7\u4f8b\">\u75c7\u4f8b<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/%e7%97%87%e4%be%8b\/%e3%83%aa%e3%82%a6%e3%83%9e%e3%83%81%e3%83%bb%e8%87%aa%e5%b7%b1%e5%85%8d%e7%96%ab%e7%96%be%e6%82%a3\/\" title=\"\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u30fb\u30a2\u30ec\u30eb\u30ae\u30fc\">\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u30fb\u30a2\u30ec\u30eb\u30ae\u30fc<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t\u3010NEJM2026\u3011\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u306f\uff1f\u300c\u5168\u8eab\u306e\u75db\u307f\u300d\u304c\u7d9a\u304f\u8133\u306e\u4ed5\u7d44\u307f\u3068\u6700\u65b0\u6cbb\u7642\uff5c\u4e2d\u67a2\u6027\u611f\u4f5c\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac\n\t\t<\/span><\/div>","aioseo_breadcrumb_json":[{"label":"\u30db\u30fc\u30e0","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog"},{"label":"\u5185\u79d1","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/"},{"label":"\u75c7\u4f8b","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/%e7%97%87%e4%be%8b\/"},{"label":"\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u30fb\u30a2\u30ec\u30eb\u30ae\u30fc","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/%e7%97%87%e4%be%8b\/%e3%83%aa%e3%82%a6%e3%83%9e%e3%83%81%e3%83%bb%e8%87%aa%e5%b7%b1%e5%85%8d%e7%96%ab%e7%96%be%e6%82%a3\/"},{"label":"\u3010NEJM2026\u3011\u7dda\u7dad\u7b4b\u75db\u75c7\u3068\u306f\uff1f\u300c\u5168\u8eab\u306e\u75db\u307f\u300d\u304c\u7d9a\u304f\u8133\u306e\u4ed5\u7d44\u307f\u3068\u6700\u65b0\u6cbb\u7642\uff5c\u4e2d\u67a2\u6027\u611f\u4f5c\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8574\/"}],"_links":{"self":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/8574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/comments?post=8574"}],"version-history":[{"count":2,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/8574\/revisions"}],"predecessor-version":[{"id":8592,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/8574\/revisions\/8592"}],"wp:attachment":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/media?parent=8574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/categories?post=8574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}