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Your patient has lower back pain. What should be done?

https://doi.org/10.14412/2074-2711-2013-2403

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Abstract

Lower back pain (LBP) is a serious health problem. Its main causes are described. It is noted that acute and chronic back pain may be a manifestation of any disease. Acute LBP is more frequently nonspecific and usually caused by injury or muscle strain of the back. Chronic pain is the result of the complex interaction of biological, psychological, social, and cultural factors; it may be nociceptive, neuropathic, inflammatory, dysfunctional, or mixed. The diagnosis of LBP is based by excluding its specific cause and requires the assessment of a patient’s complaints, history data and somatic and neurologic examination. The administration of analgesics or nonsteroidal anti-inflammatory drugs and myorelaxants is the main direction of drug therapy for LBP. Cognitive and behavioral psychotherapy along with other methods is one of the effective directions for patients with chronic LBP. The application of international guidelines for the management of patients with back pain permits a positive result to be achieved in most cases.

About the Author

Natalia Vyacheslavovna Pizova

Department of Neurology and Medical Genetics with Course of Neurosurgery


References

1. <div><p>Strine T.W., Hootman J.M. US national prevalence and correlates of low back and neck pain among adults. Arthr Rheum 2007;57:656-65.</p><p>Deyo R.A., Mirza S.K., Martin B.I. Back pain prevalence and visit rates: estimates from U.S. national surveys, 2002. Spine (Phila Pa 1976) 2006;31:2724-7.</p><p>Lawrence R.C., Felson D.T., Helmick C.G. et al. National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthr Rheum 2008;58:26-35.</p><p>Martin B.I., Deyo R.A., Mirza S.K. et al. Expenditures and health status among adults with back and neck problems. JAMA 2008;299:656-64.</p><p>DePalma M.J., Ketchum J.M., Saullo T. What is the source of chronic low back pain and does age play a role? Pain Med 2011;12:224-33.</p><p>Waxman R., Tennant A., Helliwell P. A prospective follow-up study of low back pain in the community. Spine 2000;25(16):2085-90.</p><p>Harreby M., Kjer J., Hesselsie G., Neergaard K. Epidemiological aspects and risk factors for low back pain in 38-year-old men and women: a 25-year prospective cohort study of 640 school children. Eur Spine J 1996;5(5):312-8.</p><p>Heliovaara M., Sievers K., Impivaara O. et al. Descriptive epidemiology and public health aspects of low back pain. Ann Med 1989;21(5):327—33.</p><p>Freburger J.K., Holmes G.M., Agans R.P. et al. The rising prevalence of chronic low back pain. Arch Intern Med. 2009;169:251-8.</p><p>Cozter P., van der Velde G., Cassidy J.D. et al. The burden and determinants of neck pain in workers. Results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Eur Spine J 2008;17:60-74.</p><p>Hogg-Johnson S., van der Velde G., Carroll L.J. et al. The burden and eterminants of neck pain in the general population. Results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Eur Spine J 2008;17:39-51.</p><p>Wolff R., Clar C., Lerch C., Kleijnen J. Epidemiology of chronic non-malignant pain in Germany. Schmerz 2001;25:26-44.</p><p>Dagenais S., Caro J., Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J 2008;8:8-20.</p><p>Carragee E.J., Hannibal M. Diagnostic evaluation of low back pain. Orthop Clin North Am 2004;35:7-16.</p><p>Hainline B. Chronic pain: Physiological, diagnostic, and management considerations. Psychiatr Clin North Am 2005;28:713-5.</p><p>Morley S. Psychology of pain. Br J Anaesth 2008;101:25-31.</p><p>Costigan M., Scholz J., Woolf C.J. Neuropathic pain: A maladaptive response of the nervous system to damage. Annu Rev Neurosci 2009;32:1-32.</p><p>Kaloul I., Guay J., Cote C., Fallaha M. The posterior lumbar plexus (psoas compartment) block and the three-inone femoral nerve block provide similar postoperative analgesia after total knee replacement. Can J Anaesth 2004;51:45-51.</p><p>Герасимова О.Н., Парфенов В.А. Ведение пациентов с болью в спине в амбулаторной практике. Неврол нейропсихиатр психосом 2010;4:65-71.</p><p>Van Tulder M., Becker A., Bekkering T. et al. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006;15(2):169-91.</p><p>Airaksinen O., Brox J.I., Cedraschi C. et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006;15(2):192—300.</p><p>Эрдес Ш.Ф. и др. Неспецифическая боль в нижней части спины. Клинические рекомендации для участковых терапевтов и врачей общей практики. М.: КомплектСервис, 2008; 70 с.</p><p>Mielenz T.J., Devellis R.F., Battie M.C., Carey T.S. Stop using the modified work APGAR to measure job satisfaction. Pain Res Treatment 2011;2011:8.</p><p>Nicholas M.K., Linton S.J., Watson P.J., Main C.J. Decade of the Flags Working Group Early identification and management of psychological risk factors (“yellow flags”) i n patients with low back pain: a reappraisal. Phys Ther2011;91(5):737-53.</p><p>Pincus T., Vlaeyen J.W., Kendall N.A. et al. Cognitive-behavioral therapy and psychosocial factors in low back pain: directions for the future. Spine 2002;27(5):133—8.</p><p>Williams R.A., Pruitt S.D., Doctor J.N. et al. The contribution of job satisfaction to the transition from acute to chronic low back pain. Arch Phys Med Rehabil 1998;79(4):366—74.</p><p>Подчуфарова Е.В., Яхно Н.Н. Боль в спине. М.: ГЭОТАР-Медиа, 2010;368 с.</p><p>Hagen K., Jamtvedt G., Hilde G, Winnem M. Bed rest bad for back pain, ineffective for sciatica. The updated Cochrane Review of bed rest for low back pain and sciatica. Spine 2005;30:542-6.</p><p>Bogduk N., McGuirk B. Medical management of acute and chronic low back pain. Amsterdam: Elsevier, 2002.</p><p>Burton A.K., Balague F., Cardon G. et al., for the COST B13 Working Group on European Guidelines for Prevention in Low Back Pain. How to prevent low back pain. Best Pract Res Clin Rheum 2005;19:541-55.</p><p>Мелкумова К.А. Когнитивно-поведенческая психотерапия при лечении хронической боли. Неврол нейропсихиатр психосом 2010;1:9-13.</p><p>Watkins P., Kaplowitz N., Slattery J. et al. Aminotransferase elevations in healthy adults receiving 4 grams of acetaminophen daily: a randomized controlled trial. JAMA 2006;296:87-93.</p></div><br />


For citation:


Pizova N.V. Your patient has lower back pain. What should be done? Neurology, Neuropsychiatry, Psychosomatics. 2013;5(1):69-74. (In Russ.) https://doi.org/10.14412/2074-2711-2013-2403

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)