NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)

Abstract

The purpose of this publication is an attempt to systematize modern data based on the principles of evidence-based medicine (controlled randomized trials, systematic reviews, meta-analyses) in the field of diagnosis and treatment of non-specific low back pain. It is shown that non-specific lumbar pain is the predominant type of lumbar pain syndrome. The basis for the diagnosis of nonspecific low back pain should be a detailed history taking and a thorough physical and neurological examination. The value of imaging diagnostic methods is limited to patients with red flags. Both in the case of acute and chronic non-specific low back pain, the basis of therapy with well-proven effectiveness is patient education, manipulative techniques and special physical therapy. In the case of chronic non-specific low back pain, behavioral therapy is highly effective. Non-steroidal anti-inflammatory drugs have proven efficacy in relation to pain and functioning of the patient. In the case of chronic non-specific low back pain, muscle relaxants and antidepressants may be additionally prescribed.