nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2014-2-81-85nnp-401Research ArticleREVIEWSОБЗОРЫCurrent principles in the management of patients with chronic nonspecific lumbagoСовременные принципы ведения пациентов с хронической неспецифической люмбалгиейСусловаЕ.Ю.SuslovaE.Yu.

Кафедра нервных болезней и нейрохирургии и Клиника нервных болезней им А.Я. Кожевникова

Department of Nervous System Diseases and Neurosurgery and A.Ya. Kozhevnikov Clinic of Nervous System Diseases

suslic@list.ruЧерненкоО.А.ChernenkoO.A.

Кафедра нервных болезней и нейрохирургии и Клиника нервных болезней им А.Я. Кожевникова

Department of Nervous System Diseases and Neurosurgery and A.Ya. Kozhevnikov Clinic of Nervous System Diseases

ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России, МоскваРоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaRussian Federation201423062014628185Copyright © Suslova E., Chernenko O., 20142014Суслова Е., Черненко О.Suslova E., Chernenko O.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/401

To manage patients with low back pain is an urgent problem of modern medicine. The paper covers the main causes of chronic nonspecific lumbago and the principles of its diagnosis and treatment in the context of evidence-based medicine. A multidisciplinary treatment approach involving drug therapy with analgesics (nonsteroidal anti-inflammatory drugs), antidepressants, myorelaxants, therapeutic exercises, and cognitive-behavioral therapy is noted to be highly effective.

Ведение пациентов с болью в нижней части спины является актуальной проблемой современной медицины. В статье освещаются основные причины, принципы диагностики и лечения пациентов с хронической неспецифической люмбалгией с точки зрения доказательной медицины. Отмечается высокая эффективность мультидисциплинарного подхода, включающего медикаментозную терапию с использованием анальгетиков (нестероидных противовоспалительных препаратов), антидепрессантов, миорелаксантов, лечебной физкультуры, когнитивно-поведенческой терапии.

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