Back-pain in general medical practice: understand and treat


如何引用文章

全文:

详细

Back pain is one of the most frequent causes of chronic pain syndrome. Despite the high prevalence of the primary causes of lower back pain, it is necessary to exclude life-threatening diseases. Our multicenter epidemiological study was aimed to evaluation of features of management of patients with pain syndrome in the practice of medical therapeutic specialties, neurologists and surgeons. Results have shown that patients with back pain have registered pain an average of 17 days a month. The intensity of the pain syndrome was not significantly different from the intensity of postoperative pain. According to doctors, the most effective nonsteroidal antiinflammatory drugs are Lornoxicam, original diclofenac sodium, and ketorolac. The majority of patients also indicated the effectiveness of these drugs.

参考

  1. Watkins EA, Phil D, Wollan PC, et al. A Population in Pain: Report from the Olmsted County Health Study. J Pain Medicine 2008:9(2).
  2. Fukuzaki K, Koja T, Kamenosono T, et al. General pharmacological studies of Lornoxicam. Japanese Pharmacology and Therapeutics 1997;25(2):81-101.
  3. White WB, Faich G, Borer JS, Makuch RW. Cardiovascular thrombotic events in arthritis trials of the cyclooxygenase-2 inhibitor celecoxib. Am J Cardiol 2003;92:411-18.
  4. Jackson KC. Pharmacotherapy in lower back pain. Drugs of Today 2004;40:765-72.
  5. Bronfort G, Haas M, Evans RL, et al. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: A systematic review and best evidence synthesis. Spine Journal: Official Journal of the North American Spine Society 2004;4:335-56.
  6. Assendelft WJ, Morton SC, Yu EI, et al. Spinal manipulative therapy for low back pain. A meta-analysis of effectiveness relative to other therapies. Ann Intern Med 2003;138:871-81.
  7. Cherkin DC, Sherman KJ, Deyo RA, et al.A review of the evidence for the effectiveness, safety, and cost of acupuncture, massage therapy, and spinal manipulation for back pain. Ann Intern Med 2003;138:898-906.
  8. Nadler SF. Nonpharmacologic management of pain. J Am Osteopath Assoc 2004; 104:S6-12.
  9. Pengel LH, Herbert RD, Maher CG, et al. Acute low back pain: systematic review of its prognosis. BMJ 2003;327:323.
  10. Waddell G, Burton AK, Main CJ. Screening to Identify People at Risk of Long-term Incapacity for Work. London, Royal Society of Medicine Press Ltd; 2003:80.
  11. Borkan J, Van TM, Reis S, et al. Advances in the field of low back pain in primary care: a report from the fourth international forum 1. Spine 2002;27:E128-E132.
  12. Karjalainen K, Malmivaara A, van Tulder M, et al. Multidisciplinary biopsychosocial rehabilitation for subacute low back pain among working age adults. Cochrane Database Syst Rev 2003:CD002193.
  13. An Updated Report by the American Society of Anesthesiologists Task Force on Chronic Pain Management and the American Society of Regional Anesthesia and Pain Medicine. Anesthesiology 2010;112:810-33.

补充文件

附件文件
动作
1. JATS XML
下载
##common.cookie##