nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2021-3-107-112nnp-1585Research ArticleREVIEWSОБЗОРЫClinical principles for the diagnosis and treatment of musculoskeletal (non-specific) lower back painКлинические принципы диагностики и лечения скелетно-мышечной (неспецифической) боли в нижней части спиныГоловачеваВ. А.GolovachevaV. A.

Вероника Александровна Головачева

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, Москва, ул. Россолимо, 11, стр. 1

Veronika Aleksandrovna Golovacheva

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

11, Rossolimo St., Build. 1, Moscow 119021

xoxo.veronicka@gmail.comГоловачеваА. А.GolovachevaA. A.

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

11, Rossolimo St., Build. 1, Moscow 119021

ФатееваТ. Г.FateyevaT. G.

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

11, Rossolimo St., Build. 1, Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation202123062021133107112Copyright © Golovacheva V.A., Golovacheva A.A., Fateyeva T.G., 20212021Головачева В.А., Головачева А.А., Фатеева Т.Г.Golovacheva V.A., Golovacheva A.A., Fateyeva T.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/1585

Low back pain (LBP) is one of the most common reasons for a neurologist visit. In 90–95% of cases, LBP is nonspecific (musculoskeletal). The diagnosis of nonspecific LBP based on symptoms, somatic and neurological examination data, the absence of «red flags» (symptoms and signs characteristic of specific causes of back pain, discogenic radiculopathy, or lumbar stenosis). We review the modern principles of acute, subacute, and chronic nonspecific LBP treatment. We also discuss interventional and non-interventional treatment approaches, emphasizing the importance of combination therapy and an interdisciplinary approach.

Боль в нижней части спины (БНЧС) – одна из самых частых причин обращения к неврологу. В 90–95% случаев БНЧС является неспецифической (скелетно-мышечной). Диагноз неспецифической БНЧС устанавливается на основании клинической картины, данных соматического и неврологического осмотра, отсутствия «красных флажков» (симптомов и признаков, характерных для специфических причин боли в спине, дискогенной радикулопатии или поясничного стеноза). Рассмотрены современные принципы лечения неспецифической БНЧС острого, подострого и хронического течения. Обсуждаются лекарственные и нелекарственные методы лечения. Подчеркивается важность комбинированной терапии и междисциплинарного подхода.

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