Психологические методы в лечении хронической неспецифической боли в нижней части спины

Среди взрослого населения каждый второй человек в течение жизни испытал хотя бы один эпизод боли в спине. У 3–10% людей неспецифическая (скелетно-мышечная) боль в нижней части спины (БНЧС) приобретает хроническое течение. В таких случаях требуется комбинированное междисциплинарное лечение, включающее оптимальную фармакотерапию, рациональную физическую активность, лечебную гимнастику, психологические методы, образовательную программу («школу» для пациентов с болью в спине), в некоторых случаях – мануальную терапию, массаж. Психологические методы помогают пациентам справиться с катастрофизацией боли, повысить повседневную активность и снизить вероятность рецидива заболевания. Результаты клинических исследований и систематических обзоров демонстрируют эффективность когнитивно-поведенческой терапии и терапии осознанности (майндфулнесс) в лечении хронической неспецифической БНЧС. Представлено клиническое наблюдение – пример эффективного лечения пациентки, страдающей хронической неспецифической БНЧС, с помощью комбинированного междисциплинарного подхода.

боль в спине, хроническая неспецифическая боль в нижней части спины, поясничная боль, лечение, психологические методы, психотерапия, когнитивно-поведенческая терапия, майндфулнесс, терапия осознанности, нестероидные противовоспалительные препараты, мелоксикам, Мовалис®, фармакотерапия, междисциплинарное лечение, клинический случай

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