Acute nonspecific (musculoskeletal) low back pain Guidelines of the Russian Society for the Study of Pain (RSSP)
https://doi.org/10.14412/2074-2711-2018-2-4-11
Abstract
The examination of a patient with acute low back pain (LBP) includes the clarification of complaints and history data, brief physical and neurological examinations, and an assessment of danger symptoms. The diagnosis of acute nonspecific (musculoskeletal) LBP is based on the exclusion of a specific cause of pain (a potentially dangerous disease), discogenic radiculopathy, and lumbar spinal stenosis. If there is typical musculoskeletal pain and no danger symptoms, radiography, X-ray computed tomography, and magnetic resonance imaging are not recommended in the first 4 weeks of disease. Whether it is expedient to perform these techniques is considered when LBP persists over this time period. A patient with acute nonspecific (musculoskeletal) LBP should be informed about the favorable outcome of the disease and the need to maintain physical and social activities, to avoid bed rest, and, if possible, to continue professional activities. The lowest effective dose of nonsteroidal anti-inflammatory drugs for short-term duration, as well as muscle relaxants (the medium level of evidence) can be used to relieve pain. It is recommended that one should use an educational program (to prevent over-exercising and prolonged standing or sitting in static and awkward positions; to lift weights properly; etc.) to prevent recurrent LBP, as well as therapeutic exercises during a non-exacerbation period.
About the Authors
V. A. ParfenovRussian Federation
Competing Interests: 11, Rossolimo St., Moscow 119021
N. N. Yakhno
Russian Federation
11, Rossolimo St., Moscow 119021
M. L. Kukushkin
Russian Federation
11, Rossolimo St., Moscow 119021; 8, Baltiyskaya St., Moscow 125315
Competing Interests:
M. V. Churyukanov
Russian Federation
11, Rossolimo St., Moscow 119021; 2, Abrikosovsky Lane, Moscow 119991
O. S. Davydov
Russian Federation
43, Donskaya St., Moscow 115419
V. A. Golovacheva
Russian Federation
Contact: Veronika Aleksandrovna Golovacheva
11, Rossolimo St., Moscow 119021
A. I. Isaikin
Russian Federation
11, Rossolimo St., Moscow 119021
E. E. Achkasov
Russian Federation
11, Rossolimo St., Moscow 119021
G. Yu. Evzikov
Russian Federation
11, Rossolimo St., Moscow 119021
A. E. Karateev
Russian Federation
34A, Kashirskoye Shosse, Moscow 115552
F. A. Khabirov
Russian Federation
36, Butlerov St., Kazan 420012
V. A. Shirokov
Russian Federation
3, Repin St., Yekaterinburg 620028
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Review
For citations:
Parfenov VA, Yakhno NN, Kukushkin ML, Churyukanov MV, Davydov OS, Golovacheva VA, Isaikin AI, Achkasov EE, Evzikov GY, Karateev AE, Khabirov FA, Shirokov VA. Acute nonspecific (musculoskeletal) low back pain Guidelines of the Russian Society for the Study of Pain (RSSP). Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2018;10(2):4-11. https://doi.org/10.14412/2074-2711-2018-2-4-11