nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-4-130-135nnp-1222Research ArticleREVIEWSОБЗОРЫBack pain: diagnostic and differential aspectsБоль в спине: диагностические и дифференциальные аспектыМенделевичЕ. Г.MendelevichE. G.emenel@mail.ruКафедра неврологии и реабилитации ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РоссииРоссияDepartment of Neurology and Rehabilitation, Kazan State Medical University, Ministry of Health of RussiaRussian Federation201907122019114130135Copyright © Mendelevich E.G., 20192019Менделевич Е.Г.Mendelevich E.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1222

Management of patients with back pain is an interdisciplinary problem requiring a package of diagnostic and differential measures. Despite the elaboration of algorithms for the differential diagnosis and therapy of back pain, a number of questions remain difficult to interpret, which can lead to diagnostic errors. This review considers the main causes of back pain and the principles of their diagnosis and treatment. It gives data from studies of therapy for nonspecific back pain with nonsteroidal anti-inflammatory drugs and muscle relaxants, aceclofenac and tolperisone in particular.

Ведение пациентов с болью в спине – междисциплинарная проблема, требующая комплекса диагностических и дифференциальных мероприятий. Несмотря на разработку алгоритмов дифференциальной диагностики и терапии боли в спине, ряд вопросов остается сложным для интерпретации, что может приводить к ошибкам при диагностике. В настоящем обзоре рассмотрены основные причины боли в спине, принципы их диагностики и лечения. Представлены данные исследований, посвященных терапии неспецифической боли в спине нестероидными противовоспалительными препаратами и миорелаксантами, в частности ацеклофенаком и толперизоном.

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The authors declare that there are no conflicts of interest present.