Аннотация:
Examination of a patient with chronic low back pain (LBP) is aimed at eliminating its specific cause and assessing the social and psychological factors of chronic pain. The diagnosis of chronic nonspecific (musculoskeletal) LBP is based on the exclusion of a specific cause of pain, discogenic radiculopathy, and lumbar stenosis. It is advisable to identify possible pain sources: Pathology of intervertebral disc pathology, facet joints, and sacroiliac joint and myofascial syndrome. An integrated multidisciplinary approach (a high level of evidence), including therapeutic exercises, physical activity optimization, psychological treatments (cognitive behavioral therapy), an educational program (back pain school for patients), and manual therapy, is effective in treating chronic musculoskeletal LBP. For pain relief, one may use nonsteroidal anti-inflammatory drugs in minimally effective doses and in a short cycle, muscle relaxants, and a capsaicin patch, and, if there is depressive disorder
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Kukushkin M. L. Mikhail L`vovich 1957-
Churyukanov M. V. Maksim Valeryevich 1982-
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.
Yakupov E. Z.
Chronic 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. 11 С. 7-16
2019
Статья
Chronic nonspecific (musculoskeletal) low back pain Clinical guidelines Integrated multidisciplinary approach Prevention Treatment
anesthetic agent antidepressant agent capsaicin glucocorticoid muscle relaxant agent nonsteroid antiinflammatory agent acupuncture analgesia Article back cognitive behavioral therapy depression human joint injury kinesiotherapy low back pain manipulative medicine massage patient education physical activity practice guideline radiofrequency therapy sacroiliac joint
Examination of a patient with chronic low back pain (LBP) is aimed at eliminating its specific cause and assessing the social and psychological factors of chronic pain. The diagnosis of chronic nonspecific (musculoskeletal) LBP is based on the exclusion of a specific cause of pain, discogenic radiculopathy, and lumbar stenosis. It is advisable to identify possible pain sources: Pathology of intervertebral disc pathology, facet joints, and sacroiliac joint and myofascial syndrome. An integrated multidisciplinary approach (a high level of evidence), including therapeutic exercises, physical activity optimization, psychological treatments (cognitive behavioral therapy), an educational program (back pain school for patients), and manual therapy, is effective in treating chronic musculoskeletal LBP. For pain relief, one may use nonsteroidal anti-inflammatory drugs in minimally effective doses and in a short cycle, muscle relaxants, and a capsaicin patch, and, if there is depressive disorder