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BACK PAIN AND ITS TREATMENT

https://doi.org/10.14412/2074-2711-2009-35

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Abstract

The paper describes the current views of the development of back pain and management tactics in patients with this pain that is periodically observed in almost everyone. Back pain may be induced by changes in the vertebral column, diseases of muscles, involvement of the roots and peripheral nerves, pathology of thoracic, abdominal, and small pelvic viscera, and psychogenic disorders. Musculoskeletal disorders are the most common causes of back pain. The mechanisms of development of back pain are presently the subject of active investigations. Back pain is indubitably a multidisciplinary problem, which is especially confirmed by the fact that there are different approaches to revealing the source of pain and there is a great deal of treatments for this condition. Unlike chronic pain, acute musculoskeletal pain in the back is a benign and generally self-limited condition. To set off nonspecific back pain, i.e. pain associated with musculoskeletal disorders without signs of involvement of cervical, thoracic, lumbar, and sacral roots and specific spinal lesions (spondylolisthesis, osteoporosis, tumors, inflammatory spondyloarthropathies, etc.) is convenient and warranted in most cases when a patient with acute back pain is examined by a general practitioner. The paper gives the data of the current guidelines for the management of patients with nonspecific back pain

About the Author

E. V. Podchufarova
I.M. Sechenov Moscow Medical Academy
Russian Federation


References

1. <div><p>Schmidt C., Raspe H., Pfingsten M. et al. Back pain in the German adult population. Spine 2007; 37(18):2005-11.</p><p>Эрдес Ш.Ф., Дубинина Т.В., Галушко Е.А. Частота и характер болей в нижней части спины среди амбулаторных больных в г. Москве. Сообщение I. Научно-практ. ревматол. 2006; (2):12-20.</p><p>Breivik Н., Collett В., Ventafridda V. et al. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. Eur J Pain 2006; 10:287-333.</p><p>Coste J., Delecoeuillerie G., Cohen de Lara A. et al. Clinical course and prognostic factors in acute low back pain: an inception cohort study in primary care practice. BMJ 1994; (308):577-80.</p><p>Bogduk N., McGuirk В. Medical management of acute and chronic low back pain. An evidence-based approach. Pain research and clinical management 2002; 13:1-24.</p><p>Chavannes A., Gubbels J., Post D. et al. Acute low back pain: patients perceptions of pain four weeks after initial diagnosis and treatment in general practice. The Journal of the Royal College of General Practitioners 1986; 36:271-3.</p><p>Dillane J.B., Fry J., Kalton G. Acute back syndrome - a study from general practice. BMJ 1966; (2):82-4. Van den Hoogen H.J., Koes B.W., van Eijk J. The course of low back pain in general practice: a one year follow up study. Ann Rheum Dis 1998; (57)13-9.</p><p>Kopec J.A., Sayre E.C., Esdaile J.M. Predictors of back pain in a general population cohort. Spine 2004; 29:70-7.</p><p>Linton S.J., Hellsing A.L., Hallden K. A population-based study of spinal pain among 35-45-year-old individuals. Spine 1998; 23:1457-63.</p><p>Rubin D.I. Epidemiology and risk factors for spine pain. Neurol Clin 2007; 25(2):353-71.</p><p>Smith B.H., Elliott A.M., Hannaford P.C. et al. Factors related to the onset and persistence of chronic back pain in the community. Results from a general population follow-up study. Spine 2004; 29:1032-40.</p><p>Hill J., Lewis M., Papageorgiou A.C. et al. Predicting persistent neck pain: a 1-year follow-up of a population cohort. Spine 2004; 29:1648-54.</p><p>Leclerc A., Niedhammer I., Landre M. et al. One-year predictive factors for various aspects of neck disorders. Spine 1999; 24:1455-62.</p><p>Dionne C.E., Von Korff M., Deyo R.A. et al. Formal education and back pain: a review. J Epidemiol Community Health 2001; 55:455-68.</p><p>Goubert L., Crombez G., Bourdeaudhuij I.D. Low back pain, disability and back pain myths in a community sample: prevalence and interrelationships. Eur J Pain 2004; 8:385-94.</p><p>Hagen K.B., Holte H.H., Tambs K. et al. Socioeconomic factors and disability retirement from back pain. A 1983-1993 population-based prospective study in Norway. Spine 2000; 25:2480-7.</p><p>Andersson G.B. Epidemiology of low back pain. Acta Orthop Scand Suppl 1998; 281:28-31.</p><p>Hartvigsen J., Christensen K., Frederiksen H. Вack pain remains a common symptom in old age. A population-based study of 4486 Danish twins aged 70-102. Eur Spine J 2003; 12: 528-34.</p><p>Попелянский Я.Ю., Веселовский В.П.,Хафизов Р.Г. Влияние экзогенных производственных факторов на формирование клинической картины синдромов поясничного остеохондроза. В кн.: Научные и практические основы снижения заболеваемости рабочих и инженерно-технических работников промышленных предприятий. Челябинск, 1980; 2:38-9.</p><p>Торопцева Н.В., Беневоленская Л.И.,Карякин А.Н. и др. Распространенность болей в нижнем отделе спины среди рабочих промышленного предприятия России. Клин. ревматол. 1995; (5):26-9.</p><p>Hoogendoorn W.E., van Poppel M.N., Bongers P.M. et al. Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health 1999; 25:387-403.</p><p>Ariens G.A., van Mechelen W., Bongers P.M. et al. Physical risk factors for neck pain. Scand J Work Environ Health 2000; 26:7-19.</p><p>Macfarlane G.J., Thomas E., Papageorgiou A.C. et al. Employment and physical work activities as predictors of future low back pain. Spine 1997; 22:1143-9.</p><p>Leino P., Magni G. Depressive and distress symptoms as predictors of low back pain, neckshoulder pain, and other musculoskeletal morbidity: a 10-year follow-up of metal industry employees. Pain 1993; 53:89-94.</p><p>Linton S.J., Kamwendo K. Risk factors in the psychosocial work environment for neck and shoulder pain in secretaries. J Occup Med 1989; 31:609-13.</p><p>Linton S.J. A review of psychological risk factors in back and neck pain. Spine 2000; 25:1148-56.</p><p>Thomas E., Silman A.J., Croft P.R. Predicting who develops chronic low back pain in primary care: a prospective study. BMJ 1999; (318):1662-7.</p><p>Main C.J., Nicholas M.K., Watson P.J. Back pain. Pain 2008 an updated review.</p><p>J. Castro-Lopes, S. Raja, M. Schmelz - IASP Press, 2008; p. 395-407.</p><p>Treede R.D., Jensen T.S., Campbell J.N. et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology 2008; 70(18):1630-5.</p><p>Freynhagen R., Baron R., Gockel U. et al. PainDetect: a new screeing questionnaire to detect neuropathic components in patients with back pain. Curr Med Res Opin 2006; 22:1911-20.</p><p>Kaki A., El-Yaski A., Youseif E. Identifying neuropathic pain among patients with chronic low back pain: use of the Leeds Assessment of Neuropathic Symptoms and signs pain scale. Reg Anesth Pain Med 2005; 30(5):422-8.</p><p>Яхно Н.Н., Кукушкин М.Л., Давыдов О.С. и др. Результаты Российского эпидемиологического исследования распространенности невропатической боли, ее причин и характеристик в популяции больных, обратившихся к врачу-неврологу. Боль. 2008; (3):24-32.</p><p>Freynhagen R., Rolke R., Baron R. Pseudoradicular and radicular low-back pain - a disease continuum rather than different entities? Answers from quantitative sensory testing. Pain 2008; 135(1-2):65-74.</p><p>Есин Р.Г., Файзуллин Р.И., Рогожин А.А. и др. Клиническая миология. Казань: Фэн, 2003.</p><p>Иваничев Г.А. Мануальная медицина. М.: Медпресс, 2005.</p><p>Wong D., Transfeldt E. Macnab's Backache, 4th Edition - 2007 - Lippincott Williams &amp; Wilkins. 304 p.</p><p>Kinkade S. Evaluation and treatment of acute low back pain. American Family Physician 2007; 75(8):1181-8.</p><p>Павленко С.С. Боли в нижней части спины. Новосибирск, 2007.</p><p>Waddell G. The back pain revolution eds. by - 2nd ed. Edinburgh: Elsevier, 2004 - www.elsevierhealth.com </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.</p><p>Reginster J.Y., Malmstrom K., Mehta A. et al. Evaluation of the efficacy and safety of etoricoxib compared with naproxen in two, 138-week randomised studies of patients with osteoarthritis. Ann Rheum Dis 2007; 66:945-51.</p><p>Van Tulder M., Becker А., Bekkering T. et al. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006; 15 (Suppl. 2):169-91.</p><p>Birbara C.A., Puopolo A.D., Munoz D.R. et al. Treatment of chronic low back pain with etoricoxib, a new cyclo-oxygenase-2 selective inhibitor: improvement in pain and disability - a randomized, placebo-controlled, 3-month trial. J Pain 2003; 4:307-15.</p><p>Laine L., Сurtis S.P., Cryer B. et al. MEDAL Steering Committee. Assessment of upper gastrointestinal safety of etoricoxib and diclofenac in patients with osteoarthritis and rheumatoid arthritis in the Multinational Etoricoxib and Diclofenac Arthritis Long-term (MEDAL) programme: a randomised comparison. Lancet 2007; 369:465-73.</p><p>Malmstrom K., Kotey P., Cichanowitz N. et al. Analgesic efficacy of etoricoxib in primary dysmenorrhea: results of a randomized, controlled trial. Ginecol Obstet Invest 2003; 56:65-9.</p><p>Malmstrom K., Sapre A., Couglin H. et al. Etoricoxib in acute pain associated with dental surgery: a randomized, double-blind, placebo-and active comparator-controlled dose-ranging study. Clin Ther 2004; 26:667-79.</p><p>Schumacher H.R., Boice J.A., Daikh D.L. et al. Randomized double blind trial of etoricoxib and indometacin in the treatment of acute gouty arthritis. BMJ 2002; 324:1488-92. Van der Heijde D., Baraf H.S., Ramus-Remus C. et al. Evaluation of the Efficacy of Etoricoxib in Ankylosing Spondylitis. Arthritis Rheum 2005; 52:1205-15.</p><p>Zacher J., Feldman D., Gerli R. et al. A comparison of the therapeutic efficacy and tolerability of etoricoxib and diclofenac in patients with osteoarthritis. Curr Med Res Opin 2003; 19:725-36.</p><p>Matsumoto A.K., Melian A., Mandel D.R. et al. A Randomized, Controlled, Clinical Trial of Etoricoxib in the Treatment of Rheumatoid Arthritis. J Rheumatol 2002; 29:1623-30.</p><p>Cannon C.P., Сurtis S.P., Fitzgerald G.A. et al. Cardiovascular outcomes with etoricoxib and diclofenac in patients with osteoarthritis and rheumatoid arthritis in the Multinational Etoricoxib and Diclofenac Arthritis Long-term (MEDAL) programme: a randomised comparison. Lancet 2006; 368:1771-81.</p><p>Curtis S.P., Ko A.T., Bolognese J.A. et al. Pooled analysis of thrombotic cardiovascular events in clinical trials of the COX-2 selective Inhibitor etoricoxib. Curr Med Res Opin 2006; 22:2365-74.</p><p>National Institute for Health and Clinical Excellence guideline 88: Low back pain. Early management of persistent non-specific low back pain - 2009. www.nice.org.uk </p><p>Haldeman S., Dagenais S. What have we learned about the evidence-informed management of chronic low back pain? The Spine Journal 2008; 8:266-77.</p><p>Zerbini C., Ozturk Z.E., Grifka J. et al. Efficacy of etoricoxib 60 mg/day and diclofenac 150 mg/day in reduction of pain and disability in patients with chronic low back pain: results of a 4-week, multinational, randomized, double-blind study. Curr Med Res Opin 2005; 21:2037-49.</p><p>Pallay R.M., Seger W., Adlar J. et al. Etoricoxib reduced pain and disability and improved quality of life in patients with chronic low back pain: a 3-month, randomized, controlled trial. Scand J Rheumatol 2004; 33:257-66.</p></div><br />


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Podchufarova E.V. BACK PAIN AND ITS TREATMENT. Neurology, Neuropsychiatry, Psychosomatics. 2009;1(2):29-36. (In Russ.) https://doi.org/10.14412/2074-2711-2009-35

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ISSN 2074-2711 (Print)
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