Abstract
The article is devoted to the etiology, prevalence, differential diagnosis and selection of therapy for pain in the lumbar spine. To determine the cause of lumbar pain, coordinated actions of a neurologist and an orthopedic surgeon are necessary, since chronic pain syndrome is often caused by systemic joint damage – osteoatrosis. Using the example of a clinical case, an algorithm for managing a patient with degenerative-dystrophic changes of the lumbar spine and osteoarthrosis using nonsteroidal anti-inflammatory drugs is considered.
Highlights
The article is devoted to the etiology, prevalence, differential diagnosis and selection of therapy for pain in the lumbar spine
To determine the cause of lumbar pain, coordinated actions of a neurologist and an orthopedic surgeon are necessary, since chronic pain syndrome is often caused by systemic joint damage – osteoatrosis
Магнитно-резонанская томография пояснично-крестцового отдела позвоночника, аксиальная проекция: спондилоартроз, артроз фасеточных суставов
Summary
При изолированных и сочетанных поражениях поясничного отдела позвоночника и тазобедренного суставах часто встречается синдром боли в пояснице (БВП) [3, 4]. Из всех экстраспинальных заболеваний синдром БВП обычно сопровождает патологию преимущественно тазобедренного сустава [8, 9]. Также жалобы на БВП могут быть вызваны перегрузками мышц и фасциальных структур, патологией костной ткани и фасеточных суставов, поражением тазобедренного сустава, органов малого таза и брюшной полости.
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