Acute nonspecific (musculoskeletal) low back pain Guidelines of the Russian Society for the Study of Pain (RSSP)

Парфенов В. А., Яхно Н. Н., Кукушкин М. Л., Чурюканов М. В., Давyдов О. С., Головачева В. А., Исайкин А. И., Ачкасов Е. Е., Евзиков Г. Ю., Каратеев А. Е., Хабиров Ф. А., Широков В. А.

Неврология, нейропсихиатрия, психосоматика

Т. 10, Вып. 2, С. 4-11

Опубликовано: 2018

Тип ресурса: Статья

DOI:10.14412/2074-2711-2018-2-4-11

Аннотация:

The examination of a patient with acute low back pain (LBP) includes the clarification of complaints and history data, brief physical and neurological examinations, and an assessment of danger symptoms. The diagnosis of acute nonspecific (musculoskeletal) LBP is based on the exclusion of a specific cause of pain (a potentially dangerous disease), discogenic radiculopathy, and lumbar spinal stenosis. If there is typical musculoskeletal pain and no danger symptoms, radiography, X-ray computed tomography, and magnetic resonance imaging are not recommended in the first 4 weeks of disease. Whether it is expedient to perform these techniques is considered when LBP persists over this time period. A patient with acute nonspecific (musculoskeletal) LBP should be informed about the favorable outcome of the disease and the need to maintain physical and social activities, to avoid bed rest, and, if possible, to continue professional activities. The lowest effective dose of nonsteroidal anti-inflam

Ключевые слова:

Acute nonspecific (musculoskeletal) low back pain; Guidelines for diagnosis; Prevention; Treatment

Язык текста: Русский

ISSN: 2310-1342

Парфенов В. А. Владимир Анатольевич 1957-

Яхно Н. Н. Николай Николаевич 1944-

Кукушкин М. Л. Михаил Львович 1957-

Чурюканов М. В. Максим Валерьевич 1982-

Давyдов О. С.

Головачева В. А. Вероника Александровна 1988-

Исайкин А. И. Алексей Иванович 1968-

Ачкасов Е. Е. Евгений Евгеньевич 1974-

Евзиков Г. Ю. Григорий Юльевич 1962-

Каратеев А. Е.

Хабиров Ф. А.

Широков В. А.

Parfenov V. A. Vladimir Anatolyevich 1957-

Yakhno N. N. Nikolay Nikolaevich 1944-

Kukushkin M. L. Mikhail L`vovich 1957-

Churyukanov M. V. Maksim Valeryevich 1982-

Davydov O. S.

Golovacheva V. A. Veronika Aleksandrovna 1988-

Isaykin A. I. Aleksej Ivanovich 1968-

Achkasov E. E. Evgenij Evgenyevich 1974-

Evzikov G. Yu. Grigorij Yulyevich 1962-

Karateev A. E.

Khabirov F. A.

Shirokov V. A.

Acute nonspecific (musculoskeletal) low back pain Guidelines of the Russian Society for the Study of Pain (RSSP)

Текст визуальный непосредственный

Неврология, нейропсихиатрия, психосоматика

ИМА-Пресс

Т. 10, Вып. 2 С. 4-11

2018

Статья

Acute nonspecific (musculoskeletal) low back pain Guidelines for diagnosis Prevention Treatment

The examination of a patient with acute low back pain (LBP) includes the clarification of complaints and history data, brief physical and neurological examinations, and an assessment of danger symptoms. The diagnosis of acute nonspecific (musculoskeletal) LBP is based on the exclusion of a specific cause of pain (a potentially dangerous disease), discogenic radiculopathy, and lumbar spinal stenosis. If there is typical musculoskeletal pain and no danger symptoms, radiography, X-ray computed tomography, and magnetic resonance imaging are not recommended in the first 4 weeks of disease. Whether it is expedient to perform these techniques is considered when LBP persists over this time period. A patient with acute nonspecific (musculoskeletal) LBP should be informed about the favorable outcome of the disease and the need to maintain physical and social activities, to avoid bed rest, and, if possible, to continue professional activities. The lowest effective dose of nonsteroidal anti-inflam