Interventional diagnosis and treatment methods of discogenic and musculoskeletal low back pain
https://doi.org/10.14412/2074-2711-2024-2-101-107
Abstract
Low back pain (lumbar pain) is one of the most common causes of disability in the population. In cases where conservative treatment of discogenic or musculoskeletal low back pain does not have a positive effect, interventional methods of diagnosis and treatment are used, which are developing actively on the background of rapid technological progress. Being on the border of interdisciplinary interaction, interventional methods can significantly shorten the duration of conservative therapy and, in many cases, avoid surgical decompressive interventions, which are associated with a considerable risk of complications. The methods, efficacy and safety of epidural administration of glucocorticoids for discogenic radiculopathy and lumbar stenosis as well as the methods of radiofrequency denervation for musculoskeletal pain due to the facet joints and the sacroiliac joint involvement are discussed. The possibilities of drug therapy for musculoskeletal pain of the lumbar spine, and combination of non-steroidal anti-inflammatory drugs and a vitamin B complex, are discussed.
About the Authors
D. A. Ptashnikov
Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden;
North-Western State Medical University named after I.I. Mechnikov, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Department of Traumatology, Orthopedics and Military Surgery
8, Akademika Baykova St., St. Petersburg 195427;
47, Piskarevskiy Prosp., St. Petersburg 195067
Competing Interests:
This article has been supported by Woerwag Pharma. The conflict of interest has not affected the results of the investigation. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
I. V. Volkov
Clinical Hospital RZD-Medicine
Russian Federation
Competing Interests:
Russian Federation
27, Mechnikov Prosp., St. Petersburg 195271
Competing Interests:
This article has been supported by Woerwag Pharma. The conflict of interest has not affected the results of the investigation. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
E. N. Lim
Surgemed Clinic
Uzbekistan
Competing Interests:
Uzbekistan
96A, Al-Horezmi St., Urgench 220100
Competing Interests:
This article has been supported by Woerwag Pharma. The conflict of interest has not affected the results of the investigation. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
S. G. Normatov
Surgemed Clinic
Uzbekistan
Competing Interests:
Uzbekistan
96A, Al-Horezmi St., Urgench 220100
Competing Interests:
This article has been supported by Woerwag Pharma. The conflict of interest has not affected the results of the investigation. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
Su Lee Chan
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine
11, Rossolimo St., Build. 1, Moscow 119021
Competing Interests:
This article has been supported by Woerwag Pharma. The conflict of interest has not affected the results of the investigation. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
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For citations:
Ptashnikov DA, Volkov IV, Lim EN, Normatov SG, Chan SL. Interventional diagnosis and treatment methods of discogenic and musculoskeletal low back pain. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2024;16(2):101-107. (In Russ.) https://doi.org/10.14412/2074-2711-2024-2-101-107
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