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Management of patients with back pain in outpatient practice

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The authors studied the efficiency of drug therapy using the nonsteroidal anti-inflammatory drug (NSAID) meloxicam (Movalis) for nonspecific back pain and radiculopathy in the outpatient practice (without physio-, reflex, and manual therapies). Examination of 156 patients revealed a specific cause of back pain only in 6 (3.8%). Drug therapy using Movalis in 150 patients with acute, subacute, chronic nonspecific back pain at various sites or radiculopathy resulted in a considerable reduction in pain (as high as 1-3 VAS scores) and its complete regression in 97.3% of cases within 2-3 weeks of treatment. Movalis therapy was found to be well tolerated and caused a low frequency of side effects (1.7%) as mild gastrointenstinal disorders; Movalis used in combination with antiepileptic agents (pregabalin and gabapentin), myorelaxants (Midocalm) and Milgamma in some patents was ascertained to be also well tolerated.

About the Authors

O. N. Gerasimova
ZAO «Medical Services», Polyclinic Six
Russian Federation

V. A. Parfenov
I.M. Sechenov First Moscow State Medical University
Russian Federation


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For citation:

Gerasimova O.N., Parfenov V.A. Management of patients with back pain in outpatient practice. Neurology, Neuropsychiatry, Psychosomatics. 2010;2(4):65-71. (In Russ.)

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