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Optimization of therapy in outpatients with chronic lumbago

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Lumbago is one of the most common lower back pain syndromes in medical practice, which is benign in the vast majority of cases and caused by spinal osteochondrosis, injury, and muscle strain or spasm. The primary task of examining a patient with lumbago is to be certain that the pain is musculoskeletal and unassociated with a potentially dangerous spinal disease requiring emergency special therapy.

Objective: to analyze the efficiency of treatment in outpatients with chronic lumbago.

Patients and methods. One hundred and four patients followed up by us in the Smolensk Kinesitherapy Center were examined. A study group comprised 84 patients (34 men and 50 women; mean age 44.2±1.29 years) with dorsalgia (pain duration ≥3 months; mean 7.6±6.83 years);a control group included 20 persons (10 men and  10 women; mean age 31.9±1.88 years) without pain in the back. Neurological examination and magnetic resonance imaging revealed nonspecific lower back pain in 67 (79.8%) patients and radiculopathy in 17 (20.2%). Combination treatment including pharmacotherapy and kinesitherapy was proposed in all the patients.

Results. 2.5–3 months after the initiation of therapy, pain regressed completely in 29 (34.5%) patients and was considerably alleviated in 27 (32.1%). Quality of life after therapy improved in the majority of patients. The patients in whom therapy was ineffective (n = 26; 31%) did not attend kinesitherapy classes and were cautious towards physical rehabilitation.

Discussion. The findings indicated the high efficiency of a comprehensive approach to treating chronic lumbago, which is largely associated with rational psychotherapy, early patient activation, and adaptive behavior training.

About the Author

A. A. Averchenkova
Smolensk Kinesitherapy Center, Smolensk, Russia 1, Aptechnaya St., Smolensk 214019
Russian Federation


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For citation:

Averchenkova A.A. Optimization of therapy in outpatients with chronic lumbago. Neurology, Neuropsychiatry, Psychosomatics. 2014;6(4):40-45. (In Russ.)

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