Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

ACUTE BACK PAIN IN THE OUTPATIENT SETTING AND ITS TREATMENT WITH MYDOCALM AND MIRLOX

https://doi.org/10.14412/2074-2711-2009-42

Full Text:

Abstract

Acute back pain is one of the main reasons for referrals to a polyclinic. Eighty-seven patients aged 18 to 75 years, who had acute back pain, were examined to study the spread of its principal causes of acute back pain in the outpatient setting. Of them, two thirds (60 patients) were found to have muscle pain syndromes; the others (27 patients) had specific diseases (ischemic heart disease, vertebral fractures, neoplasms, herpes zoster) that were prevalent in chest pain. Among 60 patients with nonspecific back pain, 30 patients were treated with mirlox (7,5- 15 mg/day) and 30 patients received mirlox and mydocalm in a dose of 150 mg thrice daily. As a result of therapy, back pain disappeared or diminished in all the patients, their routine activity normalized, as assessed by the Oswestry questionnaire. The duration of temporary disability was 3 days shorter in the group of patients taking a combination of mirlox and mydocalm. The use of mirlox and mydocalm is effective and safe in various (cervical, chest, and lumbar) pains caused by muscle syndromes, this promotes rapider recovery

References

1. <div><p>Богачева Л.А., Снеткова Е.П. Боль в спине: клиника, патогенез, принципы ведения (опыт работы амбулаторного отделения боли в спине). Боль. 2005; (4):26-30.</p><p>Подчуфарова Е.В., Яхно Н.Н. Боли в спине и конечностях. В кн.: Болезни нервной системы: Руководство для врачей. Под ред. Н.Н. Яхно. М., 2005;2:306-31.</p><p>Bogduk N., McGuirk B. Medical management of acute at 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 Rheumatol 2005; 19:541 - 55.</p><p>Waddel G. The back pain revolution. Churchill Livingstone. 1998.</p><p>Russo R.B. Diagnosis of low back pain: role of imaging studies. Clin Occup Environ Med 2006; 5:571-89.</p><p>Carragee E.J. Clinical practice. Persistent low back pain. N Engl J Med 2005; 352:1891-8.</p><p>Chou R., Huffman L.H. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007; 147:492-504.</p><p>Shen F.H., Samartzis D., Andersson G.B. Nonsurgical management of acute and chronic low back pai. J Am Acad Orthop Surg 2006; 8:477-87.</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 (Suppl. 2):169-91.</p><p>Dugan S.A. The role of exercise in the prevention and management of acute low back pain. Clin Occup Environ Med 2006; 5:615-32.</p><p>Hayden J.A., van Tulder M.W., Malmivaara A. et al. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev 2005; (3):CD000335.</p><p>Van Tulder M.W., Touray T., Furlan A.D. et al. Muscle relaxants for non-specific low back pain. Cochrane Database Syst Rev 2003; (2):CD004252.</p><p>Ласло Х., Мелинда М., Жолт С. и др. Лечение острой поясничной боли Мидокалмом. Результаты международного мультицентрового рандомизированного двойного слепого плацебо-контролируемого клинического исследования. РМЖ 2003; (5):246-9.</p><p>Dulin J., Kovacs L., Ramm S. et al. Evaluation of sedative effects of single and repeated doses of 50 mg and 150 mg tolperisone hydrochloride. Results of a prospective, randomized, double-blind, placebo-controlled trial. Pharmacopsychiat 1998; 31:137-42.</p><p>Pratzel H.G., Alken R.-G., Ramm S. Efficacy and tolerance of repeated doses of tolperisone hydrochloride in the treatment of painful reflex muscle spasm: results of a prospective placebo-controlled double-blind trial. Pain 1996; 67:417-25.</p><p>Гурак С.В., Парфенов В.А., Борисов К.Н. Мидокалм в комплексной терапии острой поясничной боли. Боль. 2006; (3):27-30.</p></div><br />


For citation:


Verbitskaya S.V., Parfenov V.A., Borisov K.N., Verbitskaya A.V., Parfenov V.A., Borisov K.N. ACUTE BACK PAIN IN THE OUTPATIENT SETTING AND ITS TREATMENT WITH MYDOCALM AND MIRLOX. Neurology, Neuropsychiatry, Psychosomatics. 2009;1(2):68-72. (In Russ.) https://doi.org/10.14412/2074-2711-2009-42

Views: 476


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


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