Back pain: clinical and therapeutic aspects


Cite item

Full Text

Abstract

Causes of vertebrogenic back pain are described. Differential diagnosis in this condition is important as visceral pathology may underlie the pain syndrome. Algorithm of the patient examination is given. Paraclinic examination is important but in diagnosis clinical examination is of key value. Pharmacological and non-pharmacological treatment approaches are considered

References

  1. Алексеев В. В. Неврологические аспекты лечения острых скелетно-мышечных болевых синдромов. Руск. мед. журн. 2004; 12 (5): 266-269.
  2. Подчуфарова Е. В., Яхно Н. Н., Алексеев В. В. и др. Хронические болевые синдромы пояснично-крестцовой локализации: значение структурных скелетно-мышечных расстройств и психологических факторов. Боль 2003; 1: 38-43.
  3. Hall H. Back plain. In: Editor-in-chief Noseworthy J. H. Neurological therapeutics principles and practice. 2-nd ed. Oxon: Informa Healthcare; 2006; vol. 1. chapt. 21: 240-256.
  4. Braddom R. L. Perils and pointers in the evaluation and management of back pain. Semer. Neurol. 1998; 18: 197-210.
  5. Buchner M., Neubauer E., Zahlten-Hinguranage A., Schiltenwolf M. Age as a predicting factor in the therapy outcome of multidisciplinary treatment of patients with chronic low back pain - a prospective longitudinal clinical study in 405 patients. Clin. Rheumatol. 2007; 26: 385-392.
  6. Katz W. A. Musculoskeletal pain and its socioeconomic implications. Clin. Rheumatol. 2002; suppl. 1: S2-S4.
  7. Вознесенская Т. Г. Депрессии в неврологической практике. Трудный пациент 2003; 1 (2): 26-30.
  8. Andersson H. I. The epidemiology of chronic pain in a Swedish rural area. Qual. Life Res. 1994; 3 (suppl. 1): 19-26.
  9. Pridmore S., Oberoi G., Harris N. Psychiatry has much to offer for chronic pain. Austral. N. Z. J. Psychiatry 2001; 35: 145-149.
  10. Павленко С. С. Эпидемиология боли. Неврол. журн. 1999; 4 (1): 41-46.
  11. Felder M. Clinical syndromes associated with pain from muscle spasms. In: Jayson M. I. et al. eds. Back pain, painful syndromes and muscle spasms. (Current concegts and recent advances). Carntorth: The Parthenon Publishing Group; 1990. 77-84.
  12. Werner P. Knowledge about osteoporosis: assessment, correlates and outcomes. Osteoporos. Int. 2005; 16: 115-127.
  13. Шварц Г. Я. Витамин D и D-гормон. M.: Анахарсис; 2005.
  14. Steinbuch M., Youket Т. Е., Cohen S. Oral glucocorticoid use is associated with an increased risk of fracture. Osteoporos. Int. 2004; 15: 323-328.
  15. Подчуфарова Е. В. Тактика обследования и лечения пациентов с болью в нижней части спины. Руск. мед. журн. 2006; 14 (9): 679-683.
  16. Patel N. Surgical disorders of the thoracic and lumbar spine: a guide for neurologists. J. Neurol. Neurosurg. Psychiatry. 2002; 73: i42-i48.
  17. Belgrade M. J., Charry O. Radicular limb pain. In: Editor-in-chief Noseworthy J. H. Neurological therapeutics principles and practice. 2-nd ed. Oxon: Informa Healthcare; 2006; vol. 1: chapt. 20: 223-239.
  18. Ketonen L. M., Berg M. J. Clinical neuroradiology 100 maxims. London; Arnold; 1997.
  19. Greenberg D. A., Aminoff M. J., Simon R. P. Clinical neurology. 5-th ed. New York: Lange Medical Books/McGraw-Hill: 2002. - 200-231.
  20. Podichetty V. K., Mazanec D. J., Biscup R. S. Chronic non-malignant musculoskeletal pain in older adults: clinical issues and opioid intervention. Postgrad. Med. J. 2003; 79: 627-633.
  21. Pengel H. M., Maher C. G., Refshauge K. M. Systematic review of conservative interventions for subacute low back pain. Clin. Rehabil. 2002; 16: 811-820.
  22. Румянцева С. А. Современные концепции терапии Ксефокамом радикулярных болевых синдромов. Рус. мед. журн. 2003; 11 (25): 1385-1389.
  23. Deeks J. J., Smith L. A., Bradley M. D. Efficacy, tolerability, and upper gastrointestinal safety of celecoxib for treatment of osteoarthritis and rheumatoid arthritis: systematic review of randomised controlled trials. Br. Med. J. 2002; 325: 619-627.
  24. Воробьева О. В. Роль нестероидных противовоспалительных препаратов в лечении болевых синдромов в практике врача-невролога. Рус. мед. журн. 2003; 11 (25): 1410-1413.
  25. Насонов Е. Л. Нестероидные противовоспалительные препараты: новые аспекты применения в ревматологии и кардиологии. Руск. мед. журн. 2003; 11 (23): 1280-1284.
  26. Aasvang E., Kehlet H. Chronic postoperative pain: the case of inguinal herniorrhaphy. Br. J. Anaesth. 2005; 95: 69-76.
  27. Power I. Recent advances in postoperative pain therapy. Br. J. Anaesth. 2005; 95: 43-51.
  28. Гришаева Т. П., Балабанова P. M. Применение Ксефокама (лорноксикама) для купирования острого и хронического болевого синдрома. Руск. мед. журн. 2005; 13 (15): 1009-1011.
  29. Шостак Н. А., Клименко А. А., Правдюк Н. Г. Боль в спине - некоторые аспекты диагностики и лечения. Руск. мед. журн. 2006; 14 (2): 87-89.
  30. Kullich W., Klein G. Influence of the nonsteroidal antiinflammatory drug lornoxicam i.v. on the secretion of the endogenous opiate peptides dynorphin and beta-endorphin. Akt. Rheumatol. 1992; 17: 128-132.
  31. Bias P., Kursten F. W. Analgesic therapy in chronic low back pain: comparative study of lornoxicam versus placebo and naproxen. Schmerz 1994; 8 (suppl. 1): S50.
  32. Mayrhofer F., Siegmeth W., Kolarz G. et al. A multicentre, randomised, double-blind study comparing Lornoxicam with conventional diclofenac in patients with chronic low back pain. Ann. Exp. Clin. Med. 1994; 1: 283-290.
  33. Jensdottir M., Gudmundsson K., Hannesson В., Gudmundsson G. 20 years follow-up after the first microsurgical lumbar discectomies in Iceland. Acta Neurochir. (Wien) 2007; 149: 51-58.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2009 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 

Address of the Editorial Office:

  • Novij Zykovskij proezd, 3, 40, Moscow, 125167

Correspondence address:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Managing Editor:

  • Tel.: +7 (926) 905-41-26
  • E-mail: e.gorbacheva@ter-arkhiv.ru

 

© 2018-2021 "Consilium Medicum" Publishing house


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies