Abstract
To manage patients with low back pain is an urgent problem of modern medicine. The paper considers the main causes of chronic nonspecific lumbago and the principles of its diagnosis and treatment in the context of evidence-based medicine. Medical treatment using analgesics (nonsteroidal anti-inflammatory drugs (NSAIDs), weak opioids), antidepressants, therapeutic exercises, and cognitive-behavioral therapy as components of a multidisciplinary treatment is noted to be highly effective. The efficacy and side effects of NSAIDs, the high efficiency and safety of using meloxicam in different dosage forms are outlined. The authors set forth their experience in treating 85 patients with chronic low back pain and an observation of a female patient who has concurrent chronic migraine and abuses analgesics.
Highlights
To manage patients with low back pain is an urgent problem of modern medicine
The paper considers the main causes of chronic nonspecific lumbago and the principles of its diagnosis and treatment in the context of evidence-based medicine
The authors set forth their experience in treating 85 patients with chronic low back pain and an observation of a female patient who has concurrent chronic migraine and abuses analgesics
Summary
To manage patients with low back pain is an urgent problem of modern medicine. The paper considers the main causes of chronic nonspecific lumbago and the principles of its diagnosis and treatment in the context of evidence-based medicine. При хронической неспецифической БНЧС необходимо добавление лечебной гимнастики (ЛГ), когнитивно-поведенческой терапии (КПТ) и в ряде случаев антидепрессантов [6]. При радикулопатии наиболее эффективны эпидуральное введение анестетиков и глюкокортикоидов (ГК), а также хирургическое лечение, часто помогают антиконвульсанты, НПВП и миорелаксанты.
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