nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2017-2-95-101nnp-754Research ArticleREVIEWSОБЗОРЫRole of a muscle factor in the development of low back painРоль мышечного фактора в развитии поясничной болиИсайкинА. И.IsaikinA. I.

Кафедра нервных болезней и нейрохирургии 

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Moscow 119021 

alexisa68@mail.ruШевцоваГ. Е.ShevtsovaG. E.

Кафедра нервных болезней и нейрохирургии 

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Moscow 119021 

РожковД. О.RozhkovD. O.

Кафедра нервных болезней и нейрохирургии 

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Moscow 119021 

КавелинаА. В.KavelinaA. V.

Кафедра нервных болезней и нейрохирургии 

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Moscow 119021 

ИвановаМ. А.IvanovaM. A.

Кафедра нервных болезней и нейрохирургии 

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Moscow 119021 

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России, МоскваРоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, MoscowRussian Federation2017020720179295101Copyright © Isaikin A.I., Shevtsova G.E., Rozhkov D.O., Kavelina A.V., Ivanova M.A., 20172017Исайкин А.И., Шевцова Г.Е., Рожков Д.О., Кавелина А.В., Иванова М.А.Isaikin A.I., Shevtsova G.E., Rozhkov D.O., Kavelina A.V., Ivanova M.A.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/754

Myofascial pain syndrome (MFPS) is a chronic pain syndrome characterized by the formation of myofascial trigger points (MTP). MFPS most frequently occurs in patients with neck pain. The peripheral and central aspects of the formation of MTP, MFPS diagnostic criteria, piriformis syndrome, fibromyalgia, the impact of MFPS on quality of life and functional activity in patients are discussed.

MFPS is treated according to the international guidelines for the treatment of nonspecific spinal pain, which encompass patient education programs, therapeutic exercises, early mobilization, manual therapy techniques, and nonsteroidal anti-inflammatory drugs as first-line analgesic agents. Meloxicam is noted to be highly effective in treating low back pain, including myofascial pain.

Миофасциальный болевой синдром (МФБС) – хронический болевой синдром, для которого характерно образование миофасциальных триггерных точек (МТТ). Наиболее часто МФБС встречается у пациентов с болью в шее. Обсуждаются периферические и центральные аспекты формирования МТТ, диагностические критерии МФБС, синдром грушевидной мышцы, фибромиалгия, влияние МФБС на качество жизни и функциональную активность пациентов.

Лечение МФБС проводят на основании международных рекомендаций по лечению неспецифической боли в спине, включающих образовательные программы для пациентов, лечебную гимнастику, раннюю активизацию, методы мануальной терапии и нестероидные противовоспалительные препараты в качестве препаратов первой линии для обезболивания. Отмечается высокая эффективность мелоксикама при поясничной боли, в том числе миофасциального происхождения.

Рассматриваются использование «мышечного корсета» при боли в спине и его способность защитить позвоночные структуры от повреждения. В настоящее время не доказана связь между состоянием мышц спины (по данным магнитно-резонансной и компьютерной томографии) и интенсивностью болевого синдрома, а также степенью нетрудоспособности. 

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