Neurology, Neuropsychiatry, Psychosomatics

Advanced search


Full Text:


Low back pain is stated to be of muscular origin, it is somewhat less frequently associated with osteochondrosis or/and spondyloarthrosis. While examining a patient with back pain, it is necessary to exclude rare causes (fractures, neoplasms, etc.) that require special management. The diagnosis is established on the basis of physical, neurological, manual, and orthopedic studies. The presence of herniated disks, particularly those of small sizes detectable by computed tomography or magnetic resonance imaging, does not rule out any other cause of back pain. Musculoskeletal pain management is noted to relieve the pain, by returning the patient to an active life as soon as possible. Nonsteroidal anti-inflammatory drugs and myorelaxants are beneficial for pain relief. In chronic back pain, antidepressants are effective in case of depression; the occupational, social, and everyday rehabilitations are of great value.

About the Author

V. A. Parfenov
I.M. Sechenov Moscow Medical Academy
Russian Federation


1. <div><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>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):169-191.</p><p>Подчуфарова Е.В., Яхно Н.Н. Боли в спине и конечностях. В кн.: Болезни нервной системы. Руководство для врачей. Под ред.</p><p>Н.Н. Яхно. М., 2005;2:306-31.</p><p>Russo R.B. Diagnosis of low back pain: role of imaging studies. Clin Occup Environ Med 2006;5:571-89.</p><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>Waddel G. The back pain revolution. Churchill Livingstone 1998.</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>Degner F., Lanes S., van Ryn J. et al. Pharmacological and clinical profile meloхicam. Therapeutic roles of selective COХ-2 inhibitors.</p><p>Eds Vane J.R., Botting R.M. London: William Harvey Press, 2001.</p><p>Елисеев М.С. Перспективы применения современного противовоспалительного препарата мелоксикам (Амелотекс) в клинической практике. Современная ревматология 2008;4:54-8.</p><p>Shen F.H., Samartzis D., Andersson G.B. Nonsurgical management of acute and chronic low back pain. J Am Acad Orthop Surg 2006;8:477-87.</p></div><br />

For citation:

Parfenov V.A. LOW BACK PAIN: CAUSES, DIAGNOSIS, AND TREATMENT. Neurology, Neuropsychiatry, Psychosomatics. 2009;1(1):19-22. (In Russ.)

Views: 745

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

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