Lumbar discogenic pain
https://doi.org/10.14412/2074-2711-2016-3-88-94
Abstract
The paper deals with the role of a discogenic factor in the development of lumbar pain. It gives the updated CTF classification (2014) that describes disc pathological changes and the MSU classification of disc herniation. The pathogenesis and clinical manifestations of two most common manifestations of lumbar discogenic abnormalities (axial discogenic pain and disc radicle conflict), and additional methods for their diagnosis and differential (medical and surgical) treatment are discussed. Emphasis is laid on the role of inflammation in the development and maintenance of discogenic pain and in the regression of disc herniation. The paper provides the materials of the first evidence-based guideline developed by the Expert Group of the North American Spine Society (NASS) (2012) for the diagnosis and treatment of disc herniation with symptoms of radiculopathy.
About the Authors
A. I. Isaikin
Department of Nervous System Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021
Russian Federation
Russian Federation
M. A. Ivanova
Department of Nervous System Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021
Russian Federation
Russian Federation
A. V. Kavelina
Department of Nervous System Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021
Russian Federation
Russian Federation
O. A. Chernenko
Department of Nervous System Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021
Russian Federation
Russian Federation
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For citations:
Isaikin A.I., Ivanova M.A., Kavelina A.V., Chernenko O.A. Lumbar discogenic pain. Neurology, Neuropsychiatry, Psychosomatics. 2016;8(3):88-94. (In Russ.) https://doi.org/10.14412/2074-2711-2016-3-88-94
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