[{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742626},{"body":{"content":"尊敬的plus用户您好,我是骨科医生,很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749756},{"body":{"content":"您可以在下图中描述疼痛的具体部位在哪里。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049754449},{"body":{"content":"4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783843},{"body":{"content":"您出现疼痛多长时间了,有受伤吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049811352},{"body":{"content":"我上学的时候,坐姿不好,就是类似于盆骨往前倾坐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049823322},{"body":{"content":"就是往前顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049834167},{"body":{"content":"好久了,没受伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840611},{"body":{"content":"有5年多了估计","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849627},{"body":{"content":"不经常疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856172},{"body":{"content":"就是坐姿不怎么好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049862859},{"body":{"content":"会疼几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869019},{"body":{"content":"您平常有无久站、负重工作比较多?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870352},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874283},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049877069},{"body":{"content":"我是学生,经常坐着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885578},{"body":{"content":"您除了臀部疼痛外有没有下肢的麻木酸胀感?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959227},{"body":{"content":"您按压疼痛明显吗,平躺放松后是否有改善?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049995798},{"body":{"content":"平躺有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050017224},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050031715},{"body":{"content":"因为我也找不准是哪个地方,","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050043001},{"body":{"content":"现在也不怎么疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050047650},{"body":{"content":"腰的话。转圈,会有一点点疼,有一点点舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062980},{"body":{"content":"收到,您平常走路、运动有影响吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084194},{"body":{"content":"不疼,转圈,就是有点活动的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089006},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090892},{"body":{"content":"就是坐姿久做不好得话,会犯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111393},{"body":{"content":"不是中间的骨头那","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144623},{"body":{"content":"骨头两边,没有骨头的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152036},{"body":{"content":"好的,根据您所描述的情况,初步考虑肌筋膜炎,久坐、姿势不良,肌肉张力不平衡有关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169314},{"body":{"content":"两个屁股上方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169913},{"body":{"content":"类似于这里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221902},{"body":{"content":"这个怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050225588},{"body":{"content":"我肩膀处好像也有这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236925},{"body":{"content":"就是后面三角肌那里不是有个突起的骨头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274291},{"body":{"content":"肌筋膜炎属于自限性的疾病,对症治疗,理疗、加强肌肉锻炼是会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283412},{"body":{"content":"请问您有无某些药物过敏史,无肝肾功能异常、无消化道溃疡的病史,(如无,可直接回复:没有)","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288325},{"body":{"content":"缝隙有时候也会疼,不是骨头,类似于软骨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305162},{"body":{"content":"建议您注意休息,参考使用*******,一次2片,一日3次+外用*****1天3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352003},{"body":{"content":"日常使用加热盐袋用于疼痛处每天2次,每次30分钟,改善循环 缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369645},{"body":{"content":"疼痛症状好转后 加强腰背肌训练 ,提高肌肉力量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379032},{"body":{"content":"现在夏天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427954},{"body":{"content":"加热会不会太热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433854},{"body":{"content":"您可以在空调房内或者使用热水袋,温度不会过高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486323},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509356},{"body":{"content":"不客气的,我给您开个电子处方,参考一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050538685},{"body":{"content":"处方已开好,您点击处方,绿色方框处,进入购药流程即可预约直接购买。如果出现多个,建议您选择京东大药房的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286761},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌,注意事项,如无禁忌可使用我为您开具的药品,如您在用药过程中出现不适,请您及时上线咨询或去医院就诊。长期使用药物定期复查肝肾功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051289712},{"body":{"content":"随时关注身体状况,疾病都存在演变过程,如果症状没有缓解或者出现加重的情况,建议您立即到线下医院骨科检查就诊,以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390880},{"body":{"content":"请问您是否还有其他医药问题需要咨询?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392007},{"body":{"content":"关闭问诊时间临近,如果没有其他问题的话我这边就先结束问诊了,希望我的建议能够帮助到您,感谢您的信任。请在对话结束后给予五星好评,您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461697},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463713}]